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Sample records for adult supervision recommended

  1. Adult supervision and pediatric injuries in the agricultural worksite.

    PubMed

    Morrongiello, Barbara A; Pickett, William; Berg, Richard L; Linneman, James G; Brison, Robert J; Marlenga, Barbara

    2008-05-01

    Appropriate supervision is recommended as a strategy to prevent pediatric farm injuries, yet virtually nothing is known about the quality of adult supervision on farms. We therefore explored the nature of adult supervision among pediatric farm injury cases using three theoretically relevant dimensions of supervision: (1) attention, (2) proximity, and (3) continuity. We examined a retrospective case series of 334 pediatric farm injury cases from Canada and the United States that resulted in death or required hospitalization. Patterns of supervision were coded according to the three dimensions. Approximately two-thirds of the injured children (231/334; 69%) had an adult supervisor available (attention). The supervisor was in close proximity of the child in only about half the cases (169/334; 51%) and it was even less common for the supervision to be continuous (37%). Thus, many injuries occurred when children were inadequately supervised. However, approximately one-third of the injured children (112/334; 34%) had what in other circumstances would be considered adequate adult supervision at the time of their injury event, defined theoretically as having supervision available, proximal, and continuous. Yet, children on farms were injured even in the presence of adequate adult supervision. These findings, along with a growing body of literature examining pediatric farm injuries, suggest a need to develop a new definition of adequate adult supervision within the context of the agricultural work environment, or to consider restricting the access of children, especially the very young, to this hazardous worksite. PMID:18460383

  2. Supervision of Psychotherapy: Models, Issues, and Recommendations

    ERIC Educational Resources Information Center

    Westefeld, John S.

    2009-01-01

    Current models and issues related to psychotherapy supervision are examined. These include ethical and legal issues, problems of interpersonal competence, and multicultural issues. As a part of this analysis, interviews about supervision with five prominent counseling psychologists are included to provide their perspectives. Implications for the…

  3. Recommended Immunizations for Adults 50+

    MedlinePlus

    ... page please turn Javascript on. Health Screenings and Immunizations Recommended Immunizations For Adults 50+ The content in this section ... out more, visit How Vaccines Prevent Disease . Vaccines, Vaccinations, and Immunizations Understanding the difference between vaccines, vaccinations, ...

  4. Enhancing Adult Learning in Clinical Supervision

    ERIC Educational Resources Information Center

    Goldman, Stuart

    2011-01-01

    Objective/Background: For decades, across almost every training site, clinical supervision has been considered "central to the development of skills" in psychiatry. The crucial supervisor/supervisee relationship has been described extensively in the literature, most often framed as a clinical apprenticeship of the novice to the master craftsman.…

  5. 10 Practice Recommendations in Adult Vaccination Administration.

    PubMed

    Oldfield, Benjamin J; Stewart, Rosalyn W

    2016-02-01

    Although the provision of immunoprophylaxis to children has become routine in the practice of pediatric preventive care, the same is not true in adult primary care. Contributing to this problem is a lack of knowledge among providers of adult preventive care. This review aimed to bolster providers' understanding of adult vaccinations by highlighting changes in vaccination recommendations and addressing common knowledge gaps. This is not a comprehensive list of vaccination recommendations, but rather the "top 10" common misconceptions, advancements, and updates we have found in our reading of the vaccination literature and in our own experience in a training institution. PMID:26840962

  6. Adult immunization in India: Importance and recommendations

    PubMed Central

    Verma, Ramesh; Khanna, Pardeep; Chawla, Suraj

    2015-01-01

    Vaccination is recommended throughout life to prevent infectious diseases and their sequelae. Vaccines are crucial to prevent mortality in that >25% of deaths are due to infections. Vaccines are recommended for adults on the basis of a range of factors. Substantial improvement and increases in adult vaccination are needed to reduce the health consequences of vaccine-preventable diseases among adults. Incomplete and inadequate immunization in India against these communicable diseases results in substantial and unnecessary costs both in terms of hospitalization and treatment. The government of India as well as the World Health Organization (WHO) consider childhood vaccination as the first priority, but there is not yet focus on adult immunization. Adult immunization in India is the most ignored part of heath care services. The Expert Group recommended that data on infectious diseases in India should be updated, refined, and reviewed periodically and published regularly. This group suggested that the consensus guidelines about adult immunization should be reviewed every 3 years to incorporate new strategies from any emerging research from India. There is an immediate need to address the problem of adult immunization in India. Although many issues revolving around efficacy, safety, and cost of introducing vaccines for adults at the national level are yet to be resolved, there is an urgent need to sensitize the health planners as well as health care providers regarding this pertinent issue. PMID:25483654

  7. Recommended routine vaccinations for older adults.

    PubMed

    Planton, Jonathan; Meyer, Jennifer O; Edlund, Barbara J

    2012-07-01

    A goal of primary prevention is to avoid the development of disease. Immunizations are one of several strategies used by clinicians in primary prevention. Influenza and pneumococcal disease--both preventable--cause significant morbidity and mortality in older adults who have an altered immune system, often have several chronic health problems, and are at higher risk for complications. Tetanus, while not as common in older adults, carries a high mortality rate in those 65 and older. These infections are associated with significant disability that results from hospitalizations for congestive heart failure, hip fracture, stroke, and pneumonia. The goal of immunizing older adults is to decrease functional decline and disability, as well as potential hospital admissions linked to these preventable diseases, which often exacerbate underlying health problems. Age-defined recommendations are available to guide clinicians on the appropriate vaccinations and schedules for administration to older adults. PMID:22715960

  8. Supporting and Supervising Teachers Working With Adults Learning English. CAELA Network Brief

    ERIC Educational Resources Information Center

    Young, Sarah

    2009-01-01

    This brief provides an overview of the knowledge and skills that administrators need in order to support and supervise teachers of adult English language learners. It begins with a review of resources and literature related to teacher supervision in general and to adult ESL education. It continues with information on the background and…

  9. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.

    PubMed

    Blum, Alexander B; Shea, Sandra; Czeisler, Charles A; Landrigan, Christopher P; Leape, Lucian

    2011-01-01

    Long working hours and sleep deprivation have been a facet of physician training in the US since the advent of the modern residency system. However, the scientific evidence linking fatigue with deficits in human performance, accidents and errors in industries from aeronautics to medicine, nuclear power, and transportation has mounted over the last 40 years. This evidence has also spawned regulations to help ensure public safety across safety-sensitive industries, with the notable exception of medicine. In late 2007, at the behest of the US Congress, the Institute of Medicine embarked on a year-long examination of the scientific evidence linking resident physician sleep deprivation with clinical performance deficits and medical errors. The Institute of Medicine's report, entitled "Resident duty hours: Enhancing sleep, supervision and safety", published in January 2009, recommended new limits on resident physician work hours and workload, increased supervision, a heightened focus on resident physician safety, training in structured handovers and quality improvement, more rigorous external oversight of work hours and other aspects of residency training, and the identification of expanded funding sources necessary to implement the recommended reforms successfully and protect the public and resident physicians themselves from preventable harm. Given that resident physicians comprise almost a quarter of all physicians who work in hospitals, and that taxpayers, through Medicare and Medicaid, fund graduate medical education, the public has a deep investment in physician training. Patients expect to receive safe, high-quality care in the nation's teaching hospitals. Because it is their safety that is at issue, their voices should be central in policy decisions affecting patient safety. It is likewise important to integrate the perspectives of resident physicians, policy makers, and other constituencies in designing new policies. However, since its release, discussion of the

  10. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety

    PubMed Central

    Blum, Alexander B; Shea, Sandra; Czeisler, Charles A; Landrigan, Christopher P; Leape, Lucian

    2011-01-01

    Long working hours and sleep deprivation have been a facet of physician training in the US since the advent of the modern residency system. However, the scientific evidence linking fatigue with deficits in human performance, accidents and errors in industries from aeronautics to medicine, nuclear power, and transportation has mounted over the last 40 years. This evidence has also spawned regulations to help ensure public safety across safety-sensitive industries, with the notable exception of medicine. In late 2007, at the behest of the US Congress, the Institute of Medicine embarked on a year-long examination of the scientific evidence linking resident physician sleep deprivation with clinical performance deficits and medical errors. The Institute of Medicine’s report, entitled “Resident duty hours: Enhancing sleep, supervision and safety”, published in January 2009, recommended new limits on resident physician work hours and workload, increased supervision, a heightened focus on resident physician safety, training in structured handovers and quality improvement, more rigorous external oversight of work hours and other aspects of residency training, and the identification of expanded funding sources necessary to implement the recommended reforms successfully and protect the public and resident physicians themselves from preventable harm. Given that resident physicians comprise almost a quarter of all physicians who work in hospitals, and that taxpayers, through Medicare and Medicaid, fund graduate medical education, the public has a deep investment in physician training. Patients expect to receive safe, high-quality care in the nation’s teaching hospitals. Because it is their safety that is at issue, their voices should be central in policy decisions affecting patient safety. It is likewise important to integrate the perspectives of resident physicians, policy makers, and other constituencies in designing new policies. However, since its release

  11. The Use of Medically Recommended Intensive Supervision (Medical Parole) in Texas.

    PubMed

    Ethridge, Philip A; White, Thomas G

    2015-10-01

    For more than 20 years, lawmakers in Texas acknowledged that offenders with special needs such as the elderly, physically handicapped, and mentally impaired who are housed in the Texas Department of Criminal Justice presented challenges in health care and cost. In response to these perceived needs, the Texas legislature created "medically recommended intensive supervision" (MRIS) to permit the early release of eligible offenders. This article examines how and why the MRIS law was implemented. It also discusses how MRIS is being utilized in Texas. Next, it delineates the MRIS process an offender must endure. The article elaborates on recent legislative attempts to amend the MRIS law. Finally, several conclusions about the use of MRIS in Texas are discussed. PMID:26377383

  12. Preventive Care Recommendations for Adults with MS

    MedlinePlus

    Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS The Three Most Common Eye Disorders Carlos Healey, diagnosed in 2001 in Multiple Sclerosis Medical checklist: Recommendations: Dates of last & next test ...

  13. Vitamin D recommendations for older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This position paper of the International Osteoporosis Foundation makes recommendations for vitamin D nutrition in elderly men and women from an evidence-based perspective. The key recommendations are that the optimal level of 25-hydroxyvitamin D for musculoskeletal health is 75 nmol/L. An intake of ...

  14. American Adults' Knowledge of Exercise Recommendations

    ERIC Educational Resources Information Center

    Morrow, James R., Jr.; Krzewinski-Malone, Jeanette A.; Jackson, Allen W.; Bungum, Timothy J.; FitzGerald, Shannon J.

    2004-01-01

    Physical inactivity is a major risk factor for cardiovascular disease, stroke, hypertension, diabetes, obesity, osteoporosis, and some cancers. Approximately 950,000 Americans die annually from cardiovascular diseases. The purpose of this study was to determine whether American adults know which traditional and lifestyle physical activities affect…

  15. Supervision Practices and Employee Relations in Adult Basic Education

    ERIC Educational Resources Information Center

    Even, Mary Jane

    1977-01-01

    Results of a study of supervisory practices among administrators of adult basic education (ABE) programs in Nebraska are reported. Highly significant associations were found between supervisory practices and employee attitudes toward their work, longevity, interest in promotion, productivity, and salary, among others. (TA)

  16. Supervised exercises for adults with acute lateral ankle sprain: a randomised controlled trial

    PubMed Central

    van Rijn, Rogier M; van Os, Anton G; Kleinrensink, Gert-Jan; Bernsen, Roos MD; Verhaar, Jan AN; Koes, Bart W; Bierma-Zeinstra, Sita MA

    2007-01-01

    Background During the recovery period after acute ankle sprain, it is unclear whether conventional treatment should be supported by supervised exercise. Aim To evaluate the short- and long-term effectiveness of conventional treatment combined with supervised exercises compared with conventional treatment alone in patients with an acute ankle sprain. Design Randomised controlled clinical trial. Setting A total of 32 Dutch general practices and the hospital emergency department. Method Adults with an acute lateral ankle sprain consulting general practices or the hospital emergency department were allocated to either conventional treatment combined with supervised exercises or conventional treatment alone. Primary outcomes were subjective recovery (0–10 point scale) and the occurrence of a re-sprain. Measurements were carried out at intake, 4 weeks, 8 weeks, 3 months, and 1 year after injury. Data were analysed using intention-to-treat analyses. Results A total of 102 patients were enrolled and randomised to either conventional treatment alone or conventional treatment combined with supervised exercise. There was no significant difference between treatment groups concerning subjective recovery or occurrence of re-sprains after 3 months and 1-year of follow-up. Conclusion Conventional treatment combined with supervised exercises compared to conventional treatment alone during the first year after an acute lateral ankle sprain does not lead to differences in the occurrence of re-sprains or in subjective recovery. PMID:17925136

  17. Updates in vaccination: Recommendations for adult inflammatory bowel disease patients

    PubMed Central

    Chaudrey, Khadija; Salvaggio, Michelle; Ahmed, Aftab; Mahmood, Sultan; Ali, Tauseef

    2015-01-01

    Treatment regimens for inflammatory bowel disease (IBD) incorporate the use of a variety of immunosuppressive agents that increase the risk of infections. Prevention of many of these infections can be achieved by the timely and judicious use of vaccinations. IBD patients tend to be under-immunized. Some of the contributing factors are lack of awareness regarding the significance of vaccinating IBD patients, misperception about safety of vaccinations in immunocompromised patients, ambiguity about the perceived role of the gastroenterologist in contrast to the primary care physician and unavailability of vaccination guidelines focused on IBD population. In general, immunocompetent IBD patients can be vaccinated using standard vaccination recommendations. However there are special considerations for IBD patients receiving immunosuppressive therapy, IBD travelers and pregnant women with IBD. This review discusses current vaccination recommendations with updates for adult IBD patients. Centers for Disease Control and Prevention 2013 vaccination guidelines with 2014 updates and the Advisory Committee on Immunization Practices recommendations have been highlighted as a primary source of recommendations. PMID:25805924

  18. Health Supervision in the Management of Children and Adolescents With IBD: NASPGHAN Recommendations

    PubMed Central

    Rufo, Paul A.; Denson, Lee A.; Sylvester, Francisco A.; Szigethy, Eva; Sathya, Pushpa; Lu, Ying; Wahbeh, Ghassan T.; Sena, Laureen M.; Faubion, William A.

    2014-01-01

    Ulcerative colitis (UC) and Crohn disease (CD), collectively referred to as inflammatory bowel disease (IBD), are chronic inflammatory disorders that can affect the gastrointestinal tract of children and adults. Like other autoimmune processes, the cause(s) of these disorders remain unknown but likely involves some interplay between genetic vulnerability and environmental factors. Children, in particular with UC or CD, can present to their primary care providers with similar symptoms, including abdominal pain, diarrhea, weight loss, and bloody stool. Although UC and CD are more predominant in adults, epidemiologic studies have demonstrated that a significant percentage of these patients were diagnosed during childhood. The chronic nature of the inflammatory process observed in these children and the waxing and waning nature of their clinical symptoms can be especially disruptive to their physical, social, and academic development. As such, physicians caring for children must consider these diseases when evaluating patients with compatible symptoms. Recent research efforts have made available a variety of more specific and effective pharmacologic agents and improved endoscopic and radiologic assessment tools to assist clinicians in the diagnosis and interval assessment of their patients with IBD; however, as the level of complexity of these interventions has increased, so too has the need for practitioners to become familiar with a wider array of treatments and the risks and benefits of particular diagnostic testing. Nonetheless, in most cases, and especially when frequent visits to subspecialty referral centers are not geographically feasible, primary care providers can be active participants in the management of their pediatric patients with IBD. The goal of this article is to educate and assist pediatricians and adult gastroenterology physicians caring for children with IBD, and in doing so, help to develop more collaborative care plans between primary care and

  19. After-School Physical Activity and Eating Behaviors of Middle School Students in Relation to Adult Supervision

    ERIC Educational Resources Information Center

    Miller, Wayne C.; Hering, Michelle; Cothran, Carrie; Croteau, Kim; Dunlap, Rebecca

    2012-01-01

    Objective: Examine after-school activity patterns, eating behaviors, and social environment of overweight and normal weight middle school students. Design: Eating and physical activity behaviors of 141 students, ages 10-14, were monitored. Students completed a diary documenting type of activity, location, adult supervision, accompanying…

  20. Nutrition Risk in Home-Bound Older Adults: Using Dietician-Trained and Supervised Nutrition Volunteers for Screening and Intervention

    ERIC Educational Resources Information Center

    Laforest, Sophie; Goldin, Benita; Nour, Kareen; Roy, Marie-Andree; Payette, Helene

    2007-01-01

    Nutrition screening and early intervention in home-bound older adults are key to preventing unfavourable health outcomes and functional decline. This pilot study's objectives were (a) to test the reliability of the Elderly Nutrition Screening Tool (ENS [C]) when administered by dietician-trained and supervised nutrition volunteers, and (b) to…

  1. Integrated Adult Education Data System. Policy Option Paper on Strategic Recommendation 8. First Edition.

    ERIC Educational Resources Information Center

    Porter, Dennis

    This document addresses the recommendation contained in the 1989 California Strategic Plan for Adult Education for an integrated adult education data system. The recommendation proposes collecting and organizing community adult education information into groups of data on: program services, program delivery, learner characteristics, and learning…

  2. Eosinophilic esophagitis: updated consensus recommendations for children and adults.

    PubMed

    Liacouras, Chris A; Furuta, Glenn T; Hirano, Ikuo; Atkins, Dan; Attwood, Stephen E; Bonis, Peter A; Burks, A Wesley; Chehade, Mirna; Collins, Margaret H; Dellon, Evan S; Dohil, Ranjan; Falk, Gary W; Gonsalves, Nirmala; Gupta, Sandeep K; Katzka, David A; Lucendo, Alfredo J; Markowitz, Jonathan E; Noel, Richard J; Odze, Robert D; Putnam, Philip E; Richter, Joel E; Romero, Yvonne; Ruchelli, Eduardo; Sampson, Hugh A; Schoepfer, Alain; Shaheen, Nicholas J; Sicherer, Scott H; Spechler, Stuart; Spergel, Jonathan M; Straumann, Alex; Wershil, Barry K; Rothenberg, Marc E; Aceves, Seema S

    2011-07-01

    Eosinophilic esophagitis (EoE) is a clinicopathologic condition of increasing recognition and prevalence. In 2007, a consensus recommendation provided clinical and histopathologic guidance for the diagnosis and treatment of EoE; however, only a minority of physicians use the 2007 guidelines, which require fulfillment of both histologic and clinical features. Since 2007, the number of EoE publications has doubled, providing new disease insight. Accordingly, a panel of 33 physicians with expertise in pediatric and adult allergy/immunology, gastroenterology, and pathology conducted a systematic review of the EoE literature (since September 2006) using electronic databases. Based on the literature review and expertise of the panel, information and recommendations were provided in each of the following areas of EoE: diagnostics, genetics, allergy testing, therapeutics, and disease complications. Because accumulating animal and human data have provided evidence that EoE appears to be an antigen-driven immunologic process that involves multiple pathogenic pathways, a new conceptual definition is proposed highlighting that EoE represents a chronic, immune/antigen-mediated disease characterized clinically by symptoms related to esophageal dysfunction and histologically by eosinophil-predominant inflammation. The diagnostic guidelines continue to define EoE as an isolated chronic disorder of the esophagus diagnosed by the need of both clinical and pathologic features. Patients commonly have high rates of concurrent allergic diatheses, especially food sensitization, compared with the general population. Proved therapeutic options include chronic dietary elimination, topical corticosteroids, and esophageal dilation. Important additions since 2007 include genetic underpinnings that implicate EoE susceptibility caused by polymorphisms in the thymic stromal lymphopoietin protein gene and the description of a new potential disease phenotype, proton pump inhibitor

  3. Pneumococcal Vaccination Recommendations for Children and Adults by Age and/or Risk Factor

    MedlinePlus

    Pneumococcal Vaccination Recommendations for Children 1 and Adults by Age and/or Risk Factor Routine Recommendations for Pneumococcal Conjugate ... X X X X X 1 For PCV13 vaccination of healthy children, see “Recommen- dations for Pneumococcal ...

  4. Implementation of a Contingency Management-Based Intervention in a Community Supervision Setting: Clinical Issues and Recommendations

    ERIC Educational Resources Information Center

    Trotman, Adria J.; Taxman, Faye S.

    2011-01-01

    A cognitive-behaviorally based substance abuse treatment program was implemented within a community supervision setting. This program included a goals group that used a contingency management component and included the probation agent as a part of the treatment. In this article, the authors describe the contingency management component of the…

  5. Implementation of a Contingency Management-Based Intervention in a Community Supervision Setting: Clinical Issues and Recommendations

    PubMed Central

    TROTMAN, ADRIA J.; TAXMAN, FAYE S.

    2011-01-01

    A cognitive-behaviorally based substance abuse treatment program was implemented within a Community Supervision setting. This program included a goals group that included a contingency management component and included the probation agent as a part of treatment. This paper describes the contingency management component of the treatment and discusses, in detail, issues that arose throughout the course of the study. Possible causes and solutions to the issues are discussed from a contingency management perspective that can result in improved reinforcements to achieve better probationer outcomes. PMID:22235164

  6. EduCard. Adult Education Access Card. Policy Option Paper on Strategic Recommendation 4. First Edition.

    ERIC Educational Resources Information Center

    Porter, Dennis

    One recommendation of the 1989 California Strategic Plan for Adult Education is the use of EduCard. EduCard, the Adult Education Access Card, is a means of giving learners access to information about educational opportunities and providing administrators with machine-readable information on learners' prior education and traiing. Three models are:…

  7. The White Paper on Adult Education: Learning For Life. Synopsis, Analysis of Recommendations, Issues for AONTAS.

    ERIC Educational Resources Information Center

    McCauley, Fiona

    The issues facing the following areas of adult education in Ireland in the era of lifelong learning were examined in a white paper: (1) second chance and further education; (2) community education; (3) workplace education; and (4) higher education. The Irish National Association of Adult Education (AONTAS) analyzed the recommendations presented in…

  8. Recommendations

    ERIC Educational Resources Information Center

    Brazelton, G. Blue; Renn, Kristen A.; Stewart, Dafina-Lazarus

    2015-01-01

    In this chapter, the editors provide a summary of the information shared in this sourcebook about the success of students who have minoritized identities of sexuality or gender and offer recommendations for policy, practice, and further research.

  9. Recommended Policies and Practices for Advancing Indiana's System of Adult Education and Workforce Training

    ERIC Educational Resources Information Center

    National Center for Higher Education Management Systems (NJ1), 2009

    2009-01-01

    With generous support from the Lilly Endowment, the Indiana Chamber has contracted with National Center for Higher Education Management Systems (NCHEMS) to provide a policy framework and specific recommendations for improving the system of adult education and workforce training in Indiana--building on the important initiatives that have already…

  10. The Emerging Adult with Inflammatory Bowel Disease: Challenges and Recommendations for the Adult Gastroenterologist

    PubMed Central

    Keefer, Laurie

    2015-01-01

    Incidence of pediatric inflammatory bowel disease (IBD) is rising. Adult gastroenterologists are seeing increasing numbers of young adults with IBD, a subpopulation with unique needs and challenges that can impair their readiness to thrive in an adult healthcare system. Most adult gastroenterologists might not have the training or resources to address these needs. “Emerging adulthood” is a useful developmental lens through which this group can be studied. With complex disease phenotype and specific concerns of medication side effects and reproductive health, compounded by challenges of geographical and social flux and lack of adequate health insurance, emerging adults with IBD (EAI) are at risk of disrupted care with lack of continuity. Lessons learned from structured healthcare transition process from pediatric to adult services can be applied towards challenges in ongoing care of this population in the adult healthcare system. This paper provides an overview of the challenges in caring for the post transition EAI from the perspective of adult gastroenterologists and offers a checklist of provider and patient skills that enable effective care. This paper discusses the system-based challenges in care provision and search for meaningful patient-oriented outcomes and presents a conceptual model of determinants of continuity of care in this unique population. PMID:26064089

  11. Fruit and Vegetable Intake Among Adolescents and Adults in the United States: Percentage Meeting Individualized Recommendations

    PubMed Central

    Kimmons, Joel; Gillespie, Cathleen; Seymour, Jennifer; Serdula, Mary; Blanck, Heidi Michels

    2009-01-01

    Context Fruit and vegetable intake is an important part of a healthy diet and is associated with numerous positive health outcomes. MyPyramid provides recommendations for fruit and vegetable consumption based on individual calorie requirements as determined by an individual's age, sex, and physical activity level. Objectives To determine (1) median fruit and vegetable consumption from all dietary sources among adolescent and adult consumers and the percentage of adolescents and adults meeting individual recommended intake levels based on caloric requirements and (2) consumption levels among various demographic groups, intake levels from subtypes of fruits and vegetables, and primary contributors to fruit and vegetable intake. Design Analysis of 2-day, 24-hour recall data from the 2003–2004 National Health and Nutrition Examination Survey (NHANES), a continuous, nationally representative, cross-sectional survey. Results This study included dietary contributions of fruits and vegetables from all dietary sources. Fewer than 1 in 10 Americans meet their calorie-specific MyPyramid fruit or vegetable recommendations. Higher intake was not observed in subgroups with higher recommendations for fruit and vegetable consumption based on caloric requirements. The primary contributors to total fruit intake were whole fruits among adults and fruit juices among adolescents. The largest single contributor to overall fruit intake was orange juice. Potatoes dominated vegetable consumption, particularly among adolescents, in whom fried potatoes increased the median vegetable intake from 0.72 cup to 1.21 cups per day. Dark green and orange vegetables and legumes accounted for a small portion of vegetable intake, and few people met the recommendations. Conclusions Few American adolescents or adults reported consuming the recommended amounts of fruits or vegetables. Increasing consumption will probably require multifaceted approaches that augment educational campaigns with policy and

  12. Using Adult Development Theory To Inform Staff Supervision in Student Affairs.

    ERIC Educational Resources Information Center

    Marsh, Stephanie R.

    2001-01-01

    Adult development theory can assist supervisors in understanding the needs of staff member sin various stages on their psychosocial and career development. A chart was created that identifies developmental tasks or challenges many student affairs professionals face during their working lives, and approaches supervisors may use to assist staff in…

  13. Supervision of care networks for frail community dwelling adults aged 75 years and older: protocol of a mixed methods study

    PubMed Central

    Verver, Didi; Merten, Hanneke; Robben, Paul; Wagner, Cordula

    2015-01-01

    Introduction The Dutch healthcare inspectorate (IGZ) supervises the quality and safety of healthcare in the Netherlands. Owing to the growing population of (community dwelling) older adults and changes in the Dutch healthcare system, the IGZ is exploring new methods to effectively supervise care networks that exist around frail older adults. The composition of these networks, where formal and informal care takes place, and the lack of guidelines and quality and risk indicators make supervision complicated in the current situation. Methods and analysis This study consists of four phases. The first phase identifies risks for community dwelling frail older adults in the existing literature. In the second phase, a qualitative pilot study will be conducted to assess the needs and wishes of the frail older adults concerning care and well-being, perception of risks, and the composition of their networks, collaboration and coordination between care providers involved in the network. In the third phase, questionnaires based on the results of phase II will be sent to a larger group of frail older adults (n=200) and their care providers. The results will describe the composition of their care networks and prioritise risks concerning community dwelling older adults. Also, it will provide input for the development of a new supervision framework by the IGZ. During phase IV, a second questionnaire will be sent to the participants of phase III to establish changes of perception in risks and possible changes in the care networks. The framework will be tested by the IGZ in pilots, and the researchers will evaluate these pilots and provide feedback to the IGZ. Ethics and dissemination The study protocol was approved by the Scientific Committee of the EMGO+institute and the Medical Ethical review committee of the VU University Medical Centre. Results will be presented in scientific articles and reports and at meetings. PMID:26307619

  14. Many adult Canadians are not meeting current calcium recommendations from food and supplement intake.

    PubMed

    Vatanparast, Hassanali; Dolega-Cieszkowski, Jadwiga H; Whiting, Susan J

    2009-04-01

    The objective of this study was to determine trends in calcium intake from foods of Canadian adults from 1970-1972 to 2004. We compiled the calcium intake of adults (aged >or=19 years) from foods from Nutrition Canada (1970-1972; n = 7036); 9 provincial nutrition surveys (1990-1999; n = 16 915); and the 2004 Canadian Community Health Survey 2.2 (n = 20 197). Where possible, we used published confidence intervals to test for significant differences in calcium intake. In 2004, the mean calcium intake of Canadians was below Dietary Reference Intake recommendations for most adults, with the greatest difference in older adults (>or=51 years), in part because the recommended calcium intake for this group is higher (1200 mg) than that for younger adults (1,000 mg). The calcium intake of males in every age category was greater than that of females. Calcium intake increased from 1970 to 2004, yet, despite the introduction of calcium-fortified beverages to the market in the late 1990s, increases in calcium intake between 1970 and 2004 were modest. Calcium intakes in provinces were mostly similar in the 1990s and in 2004, except for women in Newfoundland and Labrador, who consumed less, especially in the 1990s, and for young men in 2004 in Prince Edward Island, who consumed more. When supplemental calcium intake was added, mean intakes remained below recommended levels, except for males 19-30 years, but the prevalence of adequacy increased in all age groups, notably for women over 50 years. The calcium intake of Canadian adults remains in need of improvement, despite fortification and supplement use. PMID:19370049

  15. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older--United States, 2016.

    PubMed

    Kim, David K; Bridges, Carolyn B; Harriman, Kathleen H

    2016-01-01

    In October 2015, the Advisory Committee on Immunization Practices (ACIP)* approved the Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2016. This schedule provides a summary of ACIP recommendations for the use of vaccines routinely recommended for adults aged 19 years or older in two figures, footnotes for each vaccine, and a table that describes primary contraindications and precautions for commonly used vaccines for adults. Although the figures in the adult immunization schedule illustrate recommended vaccinations that begin at age 19 years, the footnotes contain information on vaccines that are recommended for adults that may begin at age younger than age 19 years. The footnotes also contain vaccine dosing, intervals between doses, and other important information and should be read with the figures. PMID:26845417

  16. Attention-deficit/hyperactivity disorder in adults: evidence-based recommendations for management.

    PubMed

    Rostain, Anthony L

    2008-09-01

    Attention-deficit/hyperactivity disorder (ADHD) is associated with impairments in educational, occupational, neuropsychological, and social functioning in adults. Successful diagnosis and treatment of the disorder in adults can be a challenge because recent and integrative clinical guidelines are lacking and diagnostic criteria are based on making a retrospective diagnosis of childhood-onset ADHD. To develop evidence-based recommendations for the treatment of ADHD in adults, the scientific literature was reviewed, including primary clinical studies, meta-analyses, and available clinical guidelines. Studies show that stimulant therapy is highly effective and safe in the management of ADHD in adults, with similar response rates to those reported in children at doses that are equivalent on a mg/kg basis. Long-acting stimulants, such as OROS methylphenidate (OROS MPH, Concerta), dexmethylphenidate (d-MPH, Focalin), and mixed amphetamine salts extended release (MAS XR, Adderall XR), have durations of action of up to 10 to 12 hours, which permit once-daily dosing. For adults with ADHD who do not respond to stimulant therapy or who have a comorbid condition in which a stimulant is contraindicated, the nonstimulant atomoxetine (Strattera) may be an appropriate alternative. For many adults, cognitive-behavioral therapy in addition to pharmacotherapy may improve treatment response. Attention-deficit/hyperactivity disorder medications may increase blood pressure and heart rate in adults, so patients should be monitored. PMID:18824823

  17. Drug treatment of hypertension in pregnancy: a critical review of adult guideline recommendations.

    PubMed

    Al Khaja, Khalid A J; Sequeira, Reginald P; Alkhaja, Alwaleed K; Damanhori, Awatif H H

    2014-03-01

    This review evaluates the guideline recommendations for the management of hypertension in pregnancy as presented by 25 national/international guidelines developed for the management of arterial hypertension in adults. There is a general consensus that oral α-methyldopa and parenteral labetalol are the drugs of choice for nonsevere and severe hypertension in pregnancy, respectively. Long-acting nifedipine is recommended by various guidelines as an alternative for first-line and second-line therapy in nonsevere and severe hypertension. The safety of β-blockers, atenolol in particular, in early and late stages of pregnancy is unresolved; their use is contraindicated according to several guidelines. Diuretic-associated harmful effects on maternal and fetal outcomes are controversial: their use is discouraged in pregnancy. It is important to develop specific guidelines for treating hypertension in special groups such as adult females of childbearing age and sexually active female adolescents to minimize the risk of adverse effects of drugs on the fetus. In several guidelines, the antihypertensive classes, recommended drug(s), intended drug formulation, and route of administration are not explicit. These omissions should be addressed in future guideline revisions in order to enhance the guidelines' utility and credibility in clinical practice. PMID:24384846

  18. Why the recent ACIP recommendations regarding conjugate pneumococcal vaccine in adults may be irrelevant.

    PubMed

    Musher, Daniel M; Rodriguez-Barradas, Maria B

    2016-02-01

    The Advisory Committee on Immunization Practices of the US Centers for Disease Control (ACIP) has recently recommended the 13-valent protein-conjugate pneumococcal vaccine (PCV13) for routine use in adults age 18-65 who have immunocompromising conditions as well as in all adults over the age of 65. By comparison to 23-valent pneumococcal polysaccharide vaccine (PPSV23), antibody responses to PCV13 are similar or modestly better one month after vaccination. The implication that PCV13 will provide more persistent immunity has been disproven; 12 months later, recipients of PPSV23 or PCV13 have identical anti-pneumococcal activity. The theoretical concept that a protein-based vaccine will be followed by a booster effect when pure polysaccharide antigens are administered is based on remarkably little evidence. The strongest objection to the current recommendations is that, since PCVs stimulate mucosal antibodies, the widespread use of these PCVs has led to a near-disappearance of vaccine serotypes from the population. This phenomenon has been amply documented for PCV7, and PCV13 is well on its way to doing the same. Thus, as US physicians are convincing their adult patients to receive 2 "pneumonia shots" instead of one, the use of PCV13 in the USA is rapidly becoming irrelevant. PMID:26606172

  19. Experts' recommendations for the management of adult patients with cardiogenic shock.

    PubMed

    Levy, Bruno; Bastien, Olivier; Karim, Bendjelid; Benjelid, Karim; Cariou, Alain; Chouihed, Tahar; Combes, Alain; Mebazaa, Alexandre; Megarbane, Bruno; Plaisance, Patrick; Ouattara, Alexandre; Spaulding, Christian; Splaulding, Christian; Teboul, Jean-Louis; Vanhuyse, Fabrice; Boulain, Thierry; Kuteifan, Kaldoun

    2015-12-01

    Unlike for septic shock, there are no specific international recommendations regarding the management of cardiogenic shock (CS) in critically ill patients. We present herein recommendations for the management of cardiogenic shock in adults, developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF)), with the participation the French Society of Anesthesia and Intensive Care (SFAR), the French Cardiology Society (SFC), the French Emergency Medicine Society (SFMU), and the French Society of Thoracic and Cardiovascular Surgery (SFCTCV). The recommendations cover 15 fields of application such as: epidemiology, myocardial infarction, monitoring, vasoactive drugs, prehospital care, cardiac arrest, mechanical assistance, general treatments, cardiac surgery, poisoning, cardiogenic shock complicating end-stage cardiac failure, post-shock treatment, various etiologies, and medical care pathway. The experts highlight the fact that CS is a rare disease, the management of which requires a multidisciplinary technical platform as well as specialized and experienced medical teams. In particular, each expert center must be able to provide, at the same site, skills in a variety of disciplines, including medical and interventional cardiology, anesthesia, thoracic and vascular surgery, intensive care, cardiac assistance, radiology including for interventional vascular procedures, and a circulatory support mobile unit. PMID:26152849

  20. Measuring Frailty Using Claims Data for Pharmacoepidemiologic Studies of Mortality in Older Adults: Evidence and Recommendations

    PubMed Central

    Kim, Dae Hyun; Schneeweiss, Sebastian

    2014-01-01

    Purpose Geriatric frailty is a common syndrome of older adults that is characterized by increased vulnerability to adverse health outcomes and influences treatment choice. Pharmacoepidemiologic studies in older adults that rely on administrative claims data are limited by confounding due to unmeasured frailty. A claim-based frailty score may be useful to minimize confounding by frailty in such databases. We provide an overview of definitions and measurement of frailty, evaluated the claim-based models of frailty in literature, and recommend ways to improve frailty adjustment in claims analysis. Methods We searched MEDLINE and EMBASE from inception to April 2014, without language restriction, to identify claim-based multivariable models that predicted frailty or its related outcome, disability. We critically appraised their approach, including population, predictor selection, outcome definition, and model performance. Results Of 152 reports, three models were identified. One model that predicted poor functional status using health care service claims in a representative sample of community-dwelling and institutionalized older adults showed an excellent discrimination (C statistic, 0.92). The other two models that predicted disability using either diagnosis codes or prescription claims alone in institutionalized or frail adults had limited generalizability and modest model performance. None of the models have been applied to reduce confounding bias in pharmacoepidemiologic studies of drug therapy. Conclusions We found little research conducted on development and application of a claim-based frailty index for confounding adjustment in pharmacoepidemiologic studies in older adults. More research is needed to advance this innovative, potentially useful approach by incorporating the expertise from aging research. PMID:24962929

  1. Supervised Learning

    NASA Astrophysics Data System (ADS)

    Rokach, Lior; Maimon, Oded

    This chapter summarizes the fundamental aspects of supervised methods. The chapter provides an overview of concepts from various interrelated fields used in subsequent chapters. It presents basic definitions and arguments from the supervised machine learning literature and considers various issues, such as performance evaluation techniques and challenges for data mining tasks.

  2. "Supervision School"

    ERIC Educational Resources Information Center

    Kiddle, Henry; Schem, Alexander

    1976-01-01

    Proper supervision has been a concern of those responsible for education for many years. The 100-year-old definition used here may help us gain some insights regarding our sophistication and/or needs in the important area of supervision. (Editor/RK)

  3. Supervised Autonomy

    ERIC Educational Resources Information Center

    Sexton, Patrick; Levy, Linda S.; Willeford, K. Sean; Barnum, Mary G.; Gardner, Greg; Guyer, M. Susan; Fincher, A. Louise

    2009-01-01

    Objective: The primary objective of this paper is to present the evolution, purpose, and definition of direct supervision in the athletic training clinical education. The secondary objective is to briefly present the factors that may negatively affect the quality of direct supervision to allow remediation and provide higher quality clinical…

  4. Predictors of Adherence to Multiple Clinical Preventive Recommendations among Adults with Diabetes in Spain

    PubMed Central

    Jimenez-Trujillo, Isabel; Jiménez-García, Rodrigo; Esteban-Hernández, Jesus; Hernández-Barrera, Valentin; Carrasco Garrido, Pilar; Salinero-Fort, Miguel A.; Cardenas-Valladolid, Juan; López-de-Andrés, Ana

    2015-01-01

    Objective This study aims to describe adherence to seven clinical preventive services among Spanish adults with diabetes, to compare adherence with people without diabetes and to identify predictor of adherence to multiple practices among adults with diabetes. Design Cross-sectional study based on data obtained from the European Health Survey for Spain 2009 and the Spanish National Health Survey 2011. We analyzed those aged 40-69 years (n= 20,948). Diabetes status was self-reported. The study variables included adherence to blood pressure (BP) checkup, cholesterol measurement, influenza vaccination, dental examination, fecal occult blood test (FOBT), mammography and cytology. Independent variables included socio-demographic characteristics, variables related to health status and lifestyle factors. Results The study sample included 1,647 subjects with diabetes and 19,301 without. Over 90% had measured their BP and cholesterol in the last year, 44.4% received influenza immunization, 36.4% had a dental checkup within the year and only 8.1% underwent a FOBT. Among diabetic women 75.4% had received a mammography and 52.4% a cytology in the recommended periods. The adherence to BP and cholesterol measurements and influenza vaccination was significantly higher among those suffering diabetes and cytology and dental checkup were lower. Only 63.4% of people with diabetes had fulfilled half or more of the recommended practices. Female sex, higher educational level, being married or cohabiting, higher number of chronic conditions and number of physician visits increased the adherence to multiple preventive practices. For each unhealthy lifestyle reported the probability of having a higher adherence level decreased. Conclusions Acceptable adherence is found for BP and cholesterol checkups and mammography. Unacceptably low rates were found for influenza vaccine, dental care, cytology and FOBT. Moreover, preventive services are provided neither equitably nor efficiently so future

  5. Factors affecting the benefits of a six-month supervised exercise program on community-dwelling older adults: interactions among age, gender, and participation.

    PubMed

    Hulya, Tuna Donat; Sevi, Yeşilyaprak Subasi Sevgi; Serap, Acar; Ayse, Ozcan Edeer

    2015-05-01

    [Purpose] This study determined the effects of age, gender, and participation on the benefits of a 6-month supervised exercise program on older adults. [Subjects and Methods] Eighty-five (37 women, 48 men) community-dwelling older adults participated. The chair sit-and-reach test, the 8-foot up-and-go test, the 6-minute walk test, the Berg Balance Scale, lower-body flexibility, dynamic balance, aerobic endurance, balance, metabolic rate, muscle strength, and position sense were evaluated. Repeated-measures of analysis of variance was performed including dependent variables of age, gender, and participation in the exercise program as dependent inter-subject factors and time of assessment as an intra-subject factor. [Results] Mean exercise participation was 29.88 ± 1.29 sessions. Flexibility, balance, position sense, and strength showed a significant main effect of time. There was a significant gender interaction for right shoulder flexion strength and knee extension strength, a significant gender-participation interaction for pre-/post-intervention measures of functional mobility, and a significant age-participation interaction for flexibility. [Conclusion] Exercise training improved outcomes after 6 months of supervised exercise, but the changes were similar regardless of participation level. Changes in strength were more pronounced in men than women. PMID:26157233

  6. Management of adult patients with Langerhans cell histiocytosis: recommendations from an expert panel on behalf of Euro-Histio-Net

    PubMed Central

    2013-01-01

    Langerhans Cell Histiocytosis (LCH) is an orphan disease of clonal dendritic cells which may affect any organ of the body. Most of the knowledge about the diagnosis and therapy is based on pedriatic studies. Adult LCH patients are often evaluated by physicians who focus on only the most obviously affected organ without sufficient evaluation of other systems, resulting in patients being underdiagnosed and/or incompletely staged. Furthermore they may be treated with pediatric-based therapies which are less effective and sometimes more toxic for adults. The published literature on adult LCH cases lacks a comprehensive discussion on the differences between pediatric and adult patients and there are no recommendations for evaluation and comparative therapies. In order to fill this void, a number of experts in this field cooperated to develop the first recommendations for management of adult patients with LCH. Key questions were selected according to the clinical relevance focusing on diagnostic work up, therapy, and follow up. Based on the available literature up to December 2012, recommendations were established, drafts were commented by the entire group, and redrafted by the executive editor. The quality of evidence of the recommendations is predominantly attributed to the level of expert opinion. Final agreement was by consensus. PMID:23672541

  7. Elevated blood Hg at recommended seafood consumption rates in adult seafood consumers.

    PubMed

    Karimi, Roxanne; Silbernagel, Susan; Fisher, Nicholas S; Meliker, Jaymie R

    2014-09-01

    Mercury (Hg) exposure from seafood continues to be a public health concern due to health effects from elevated exposure, increasing worldwide seafood consumption, and continued Hg inputs into the environment. Elevated Hg exposure can occur in populations with specialized diets of sport-caught freshwater fish. However, we need a better understanding of Hg exposure from seafood, the most common exposure source, and from specific seafood types. We examined Hg exposure in avid seafood consumers, and the seafood items and consumption frequency that confer the largest Hg exposure. Adult, avid seafood consumers, in Long Island, NY, USA, with blood total Hg concentrations predicted to exceed the USEPA reference concentration that is considered safe (5.8 μg L(-1)), were eligible for the study; 75% of self-reported avid seafood consumers were eligible to participate. We measured blood total Hg concentrations and seafood consumption in 285 participants. We examined relationships between Hg and seafood consumption using multiple linear regression. Seafood consumption rate for our population (14.4 kg yr(-1)) was >2 times that estimated for the U.S. (6.8 kg yr(-1)), and lower than the worldwide estimate (18.4 kg yr(-1)). Mean blood Hg concentration was 4.4 times the national average, and 42% of participants had Hg concentrations exceeding 5.8 μg L(-1). Elevated Hg exposures occurred at all seafood consumption frequencies, including the recommended frequency of 2 meals per week. Blood Hg concentrations were positively associated with weekly tuna steak or sushi intake (β=6.30 change in blood Hg, μg L(-1)) and monthly (β=2.54) or weekly (β=9.47) swordfish, shark or marlin intake. Our findings show that seafood consumers in this population have elevated Hg exposures even at relatively low seafood consumption rates that are at or below current dietary recommendations. Further study should examine health risks and benefits of avid seafood consumption, and consider modifying

  8. Job-Related Adult Basic Education. Volume I. Summary and Recommendations. Volume II. Approach and Detailed Findings.

    ERIC Educational Resources Information Center

    System Development Corp., Falls Church, VA.

    The aims of this project have been to collect and analyze information on existing Adult Basic Education (ABE) programs, to identify types of programs which are successful in job-related settings, and to recommend promising new models for job-related ABE. Eighty programs were selected as possible for the study. When it was found impossible to…

  9. Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report.

    PubMed

    de Souto Barreto, Philipe; Morley, John E; Chodzko-Zajko, Wojtek; H Pitkala, Kaisu; Weening-Djiksterhuis, Elizabeth; Rodriguez-Mañas, Leocadio; Barbagallo, Mario; Rosendahl, Erik; Sinclair, Alan; Landi, Francesco; Izquierdo, Mikel; Vellas, Bruno; Rolland, Yves

    2016-05-01

    A taskforce, under the auspices of The International Association of Gerontology and Geriatrics-Global Aging Research Network (IAGG-GARN) and the IAGG European Region Clinical Section, composed of experts from the fields of exercise science and geriatrics, met in Toulouse, in December 2015, with the aim of establishing recommendations of physical activity and exercise for older adults living in long-term care facilities (LTCFs). Due to the high heterogeneity in terms of functional ability and cognitive function that characterizes older adults living in LTCFs, taskforce members established 2 sets of recommendations: recommendations for reducing sedentary behaviors for all LTCF residents and recommendations for defining specific, evidence-based guidelines for exercise training for subgroups of LTCF residents. To promote a successful implementation of recommendations, taskforce experts highlighted the importance of promoting residents' motivation and pleasure, the key factors that can be increased when taking into account residents' desires, preferences, beliefs, and attitudes toward physical activity and exercise. The importance of organizational factors related to LTCFs and health care systems were recognized by the experts. In conclusion, this taskforce report proposes standards for the elaboration of strategies to increase physical activity as well as to prescribe exercise programs for older adults living in LTCFs. This report should be used as a guide for professionals working in LTCF settings. PMID:27012368

  10. Diet quality and physical activity outcome improvements resulting from a church-based diet and supervised physical activity intervention for rural, southern, Africian American adults: Delta Body and Soul III

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We assessed the effects of a 6-month, church¬-based, diet and supervised physical activity intervention, conducted between 2011 and ¬2012, on improving diet quality and increasing physical activity of southern, African American adults. Using a quasi¬-experimental design, 8 self-selected, eligible c...

  11. Supervised exercise training reduces oxidative stress and cardiometabolic risk in adults with type 2 diabetes: a randomized controlled trial

    PubMed Central

    Vinetti, Giovanni; Mozzini, Chiara; Desenzani, Paolo; Boni, Enrico; Bulla, Laura; Lorenzetti, Isabella; Romano, Claudia; Pasini, Andrea; Cominacini, Luciano; Assanelli, Deodato

    2015-01-01

    To evaluate the effects of supervised exercise training (SET) on cardiometabolic risk, cardiorespiratory fitness and oxidative stress status in 2 diabetes mellitus (T2DM), twenty male subjects with T2DM were randomly assigned to an intervention group, which performed SET in a hospital-based setting, and to a control group. SET consisted of a 12-month supervised aerobic, resistance and flexibility training. A reference group of ten healthy male subjects was also recruited for baseline evaluation only. Participants underwent medical examination, biochemical analyses and cardiopulmonary exercise testing. Oxidative stress markers (1-palmitoyl-2-[5-oxovaleroyl]-sn-glycero-3-phosphorylcholine [POVPC]; 1-palmitoyl-2-glutaroyl-sn-glycero-3-phosphorylcholine [PGPC]) were measured in plasma and in peripheral blood mononuclear cells. All investigations were carried out at baseline and after 12 months. SET yielded a significant modification (p < 0.05) in the following parameters: V'O2max (+14.4%), gas exchange threshold (+23.4%), waist circumference (−1.4%), total cholesterol (−14.6%), LDL cholesterol (−20.2%), fasting insulinemia (−48.5%), HOMA-IR (−52.5%), plasma POVPC (−27.9%) and PGPC (−31.6%). After 12 months, the control group presented a V'O2max and a gas exchange threshold significantly lower than the intervention group. Plasma POVC and PGPC were significantly different from healthy subjects before the intervention, but not after. In conclusion, SET was effective in improving cardiorespiratory fitness, cardiometabolic risk and oxidative stress status in T2DM. PMID:25783765

  12. Using Young Adult Realistic Literature to Help Troubled Teenagers: Something New, Tried and True, and Recommended Nonfiction (Young Adult Literature).

    ERIC Educational Resources Information Center

    Kaywell, Joan F.

    1997-01-01

    Describes a seven-step process that uses young adult literature to help teenagers understand and deal with their troubles. Offers brief annotations of five young adult titles in each of nine areas: alienation and identity; divorce; dropouts, delinquency, and gangs; poverty; teenage pregnancy; abused children; alcohol and drugs; homosexuality; and…

  13. ADVANCED ADULT EDUCATION IN ISRAEL.

    ERIC Educational Resources Information Center

    Ministry of Education and Culture, Jerusalem (Israel).

    ADULT EDUCATION IN ISRAEL IS UNDER THE SUPERVISION OF THE CULTURAL DEPARTMENT, WHICH RECOMMENDS TEACHERS AND LECTURERS AND IS RESPONSIBLE FOR INSPECTION AND FINANCIAL SUPPORT. STUDENT FEES ARE COLLECTED LOCALLY. PREVIOUSLY DEVOTED TO JEWISH TOPICS AND HEBREW LANGUAGE, THE PROGRAM HAS BEEN EXPANDED TO INCLUDE FORMAL SECONDARY EDUCATION, HUMANITIES,…

  14. School Counselor Certification and Supervision: Overlooked Professional Issues.

    ERIC Educational Resources Information Center

    Barret, Robert L.; Schmidt, John J.

    1986-01-01

    Explores issues related to school counselor certification and supervision. Recommends actions to clarify the professional identity of school counselors and contribute to appropriate definitions and descriptions of counselor supervision. (Author)

  15. Reader Development Bibliography. Books Recommended for Adult New Readers. Fourth Edition.

    ERIC Educational Resources Information Center

    Collins, Vickie L.

    This edition is an annotated list of 390 literacy materials for adult new readers. All the materials are written on an eighth-grade level or below. These paperback instructional titles, many in workbook format, are for use with adult basic education (ABE) and English-as-a-Second-Language (ESL) students. The introduction includes guidelines for…

  16. Clinical recommendations in current practice guidelines for diagnosis and treatment of ADHD in adults.

    PubMed

    Gibbins, Christopher; Weiss, Margaret

    2007-10-01

    Attention-deficit/hyperactivity disorder (ADHD) is a lifelong neurodevelopmental disorder in which approximately two thirds of patients experience impairment in adulthood. Although some adults with ADHD were diagnosed as children, many are first diagnosed as adults. This poses particular challenges given the limited familiarity with ADHD of many adult mental health services. As a result, several organizations, including the Canadian ADHD Resource Alliance, the American Academy of Child and Adolescent Psychiatry, the National Institutes of Health, and the British Association for Psychopharmacology, have developed practice guidelines for the assessment and treatment of adults with ADHD. This article reviews those guidelines in order to examine current best practices in adult ADHD. There is considerable agreement among these guidelines, which should be a critical part of moving from emerging knowledge to patient care, although both empirical evaluation and ongoing updates as new knowledge emerges will be important for their future development. PMID:17915083

  17. International recommendations for glucose control in adult non diabetic critically ill patients

    PubMed Central

    2010-01-01

    Introduction The purpose of this research is to provide recommendations for the management of glycemic control in critically ill patients. Methods Twenty-one experts issued recommendations related to one of the five pre-defined categories (glucose target, hypoglycemia, carbohydrate intake, monitoring of glycemia, algorithms and protocols), that were scored on a scale to obtain a strong or weak agreement. The GRADE (Grade of Recommendation, Assessment, Development and Evaluation) system was used, with a strong recommendation indicating a clear advantage for an intervention and a weak recommendation indicating that the balance between desirable and undesirable effects of an intervention is not clearly defined. Results A glucose target of less than 10 mmol/L is strongly suggested, using intravenous insulin following a standard protocol, when spontaneous food intake is not possible. Definition of the severe hypoglycemia threshold of 2.2 mmol/L is recommended, regardless of the clinical signs. A general, unique amount of glucose (enteral/parenteral) to administer for any patient cannot be suggested. Glucose measurements should be performed on arterial rather than venous or capillary samples, using central lab or blood gas analysers rather than point-of-care glucose readers. Conclusions Thirty recommendations were obtained with a strong (21) and a weak (9) agreement. Among them, only 15 were graded with a high level of quality of evidence, underlying the necessity to continue clinical studies in order to improve the risk-to-benefit ratio of glucose control. PMID:20840773

  18. Stepping Up to the Future: Adult Literacy Challenges at Work, at Home, and in the Maryland Community. Findings and Recommendations from the 2005 Superintendent's Panel on Excellence in Adult Education

    ERIC Educational Resources Information Center

    Maryland State Department of Education, 2005

    2005-01-01

    This report outlines a series of findings and recommendations that illustrate both educational and economic implications for the state and its local communities. The Superintendent's Panel on Excellence in Adult Education recommends a 95% increase in the state's support of adult education and a 70% increase in local support. There are significant…

  19. The Literacy Connection: Improving Adult Literacy in New Jersey. Report and Recommendations from the Commission on Higher Education and the State Employment and Training Commission's Task Force on Adult Literacy.

    ERIC Educational Resources Information Center

    New Jersey State Employment and Training Commission, Trenton.

    A New Jersey Task Force on Adult Literacy recommended ways to improve the literacy delivery system for adults. This report and its recommendations focus on improving coordinated interagency planning and accountability to increase governmental efficiency, and on advancing the employability and self-sufficiency of the three million low-literate…

  20. Recommendations for a Core Outcome Set for Measuring Standing Balance in Adult Populations: A Consensus-Based Approach

    PubMed Central

    Sibley, Kathryn M.; Howe, Tracey; Lamb, Sarah E.; Lord, Stephen R.; Maki, Brian E.; Rose, Debra J.; Scott, Vicky; Stathokostas, Liza; Straus, Sharon E.; Jaglal, Susan B.

    2015-01-01

    Background Standing balance is imperative for mobility and avoiding falls. Use of an excessive number of standing balance measures has limited the synthesis of balance intervention data and hampered consistent clinical practice. Objective To develop recommendations for a core outcome set (COS) of standing balance measures for research and practice among adults. Methodology A combination of scoping reviews, literature appraisal, anonymous voting and face-to-face meetings with fourteen invited experts from a range of disciplines with international recognition in balance measurement and falls prevention. Consensus was sought over three rounds using pre-established criteria. Data sources The scoping review identified 56 existing standing balance measures validated in adult populations with evidence of use in the past five years, and these were considered for inclusion in the COS. Results Fifteen measures were excluded after the first round of scoring and a further 36 after round two. Five measures were considered in round three. Two measures reached consensus for recommendation, and the expert panel recommended that at a minimum, either the Berg Balance Scale or Mini Balance Evaluation Systems Test be used when measuring standing balance in adult populations. Limitations Inclusion of two measures in the COS may increase the feasibility of potential uptake, but poses challenges for data synthesis. Adoption of the standing balance COS does not constitute a comprehensive balance assessment for any population, and users should include additional validated measures as appropriate. Conclusions The absence of a gold standard for measuring standing balance has contributed to the proliferation of outcome measures. These recommendations represent an important first step towards greater standardization in the assessment and measurement of this critical skill and will inform clinical research and practice internationally. PMID:25768435

  1. What Work of Adult Fiction or Nonfiction Do You Recommend to Other Teachers for Summer Reading?

    ERIC Educational Resources Information Center

    Miller, Susanne; Isaac, Megan; Watts, Linda S.; Barnhouse, Rebecca

    2003-01-01

    Includes four teachers' recommendations of summer reading for other teachers. Details Anita Shreve's "The Last Time They Met"; Barbara Kingsolver's "Small Wonder"; Lynda Barry's "Cruddy"; and Ina Rilke's "Balzac and the Little Chinese Seamstress." (PM)

  2. Correlation between bone mineral density and serum trace elements in response to supervised aerobic training in older adults

    PubMed Central

    Alghadir, Ahmad H; Gabr, Sami A; Al-Eisa, Einas S; Alghadir, Muaz H

    2016-01-01

    Background Life style and physical activity play a pivotal role in prevention and treatment of osteoporosis. The mechanism for better bone metabolism and improvement of physical disorders is not clear yet. Trace minerals such as Ca, Mn, Cu, and Zn are essential precursors for most vital biological process, especially those of bone health. Objective The main target of this study was evaluating the effective role of supervised aerobic exercise for 1 hour/day, 3 days/week for 12 weeks in the functions of trace elements in bone health through measuring bone mineral density (BMD), osteoporosis (T-score), bone markers, and trace element concentrations in healthy subjects aged 30–60 years with age average of 41.2±4.9. Methods A total of 100 healthy subjects (47 males, 53 females; age range 30–60 years) were recruited for this study. Based on dual-energy x-ray absorptiometry (DEXA) scan analysis, the participants were classified into three groups: normal (n=30), osteopenic (n=40), and osteoporotic (n=30). Following, 12 weeks of moderate aerobic exercise, bone-specific alkaline phosphatase (BAP), BMD, T-score, and trace elements such as Ca, Mn, Cu, and Zn were assessed at baseline and post-intervention. Results Significant improvement in serum BAP level, T-score, and BMD were observed in all participants following 12 weeks of moderate exercise. Participants with osteopenia and osteoporosis showed significant increase in serum Ca and Mn, along with decrease in serum Cu and Zn levels following 12 weeks of aerobic training. In control group, the improvements in serum trace elements and body mass index were significantly linked with the enhancement in the levels of BAP, BMD hip, and BMD spine. These results supported the preventive effects of moderate exercise in healthy subjects against osteoporosis. In both sexes, the changes in serum trace elements significantly correlated (P<0.05) with the improvement in BAP, BMD hip, BMD spine, and body mass index in all groups

  3. Update on the clinical features and natural history of Wolf-Hirschhorn (4p-) syndrome: experience with 87 patients and recommendations for routine health supervision.

    PubMed

    Battaglia, Agatino; Filippi, Tiziana; Carey, John C

    2008-11-15

    Wolf-Hirschhorn syndrome (WHS) is a well-known multiple congenital anomalies/mental retardation syndrome, firstly described in 1961 by Cooper and Hirschhorn. Its frequency is estimated as 1/50,000-1/20,000 births, with a female predilection of 2:1. The disorder is caused by partial loss of material from the distal portion of the short arm of chromosome 4 (4p16.3), and is considered a contiguous gene syndrome. No single gene deletions or intragenic mutations have been shown to confer the full WHS phenotype. Since the disorder was brought to the attention of geneticists, many additional cases have been published. Only in 1999, however, were the first data on the natural history brought to the attention of the medical community. The purpose of the present study is to help delineate in more detail and over a longer period of time, the natural history of WHS, in order to establish appropriate health supervision and anticipatory guidance for individuals with this disorder. We have collected information on 87 patients diagnosed with WHS (54 females and 33 males) both in USA and Italy. Age at first observation ranged between newborn and 17 years. Twenty patients have been followed from 4 months to 23 years. The deletion proximal breakpoint varied from 4p15.32 to 4p16.3, and, by FISH, was terminal and included both WHSCR. Deletion was detected by standard cytogenetics in 44/87 (50.5%) patients, whereas FISH was necessary in the other 43 (49.5%). Array-CGH analysis at 1 Mb resolution was performed in 34/87 patients, and, in 15/34 (44%), showed an unbalanced translocation leading to both a 4p monosomy and a partial trisomy for another chromosome arm. Six more patients had been previously shown to have an unbalanced translocation by karyotype analysis or FISH with a WHS-specific probe. Sixty-five of 87 patients had an apparent pure, de novo, terminal deletion; and 1/87 a tandem duplication of 4p16.1p16.3 associated with 4p16.3pter deletion. Age at diagnosis varied between 7

  4. Dental Care in the Frail Older Adult: Special Considerations and Recommendations.

    PubMed

    Stein, Pamela; Aalboe, Joanna

    2015-07-01

    Frail older adults disproportionately suffer from untreated dental problems. Age-related biological changes to hard and soft dental tissues, existing medical conditions, polypharmacy, diet and uncontrolled plaque exacerbate the problem. All of these factors increase the complexity of treatment and will differ greatly from standard treatment of younger adults. This article discusses the key considerations and suggestions for risk assessment, disease management, treatment planning and palliative care to maintain the patient's comfort and quality of life. PMID:26819997

  5. Paleolithic nutrition improves plasma lipid concentrations of hypercholesterolemic adults to a greater extent than traditional heart-healthy dietary recommendations.

    PubMed

    Pastore, Robert L; Brooks, Judith T; Carbone, John W

    2015-06-01

    Recent research suggests that traditional grain-based heart-healthy diet recommendations, which replace dietary saturated fat with carbohydrate and reduce total fat intake, may result in unfavorable plasma lipid ratios, with reduced high-density lipoprotein (HDL) and an elevation of low-density lipoprotein (LDL) and triacylglycerols (TG). The current study tested the hypothesis that a grain-free Paleolithic diet would induce weight loss and improve plasma total cholesterol, HDL, LDL, and TG concentrations in nondiabetic adults with hyperlipidemia to a greater extent than a grain-based heart-healthy diet, based on the recommendations of the American Heart Association. Twenty volunteers (10 male and 10 female) aged 40 to 62 years were selected based on diagnosis of hypercholesterolemia. Volunteers were not taking any cholesterol-lowering medications and adhered to a traditional heart-healthy diet for 4 months, followed by a Paleolithic diet for 4 months. Regression analysis was used to determine whether change in body weight contributed to observed changes in plasma lipid concentrations. Differences in dietary intakes and plasma lipid measures were assessed using repeated-measures analysis of variance. Four months of Paleolithic nutrition significantly lowered (P < .001) mean total cholesterol, LDL, and TG and increased (P < .001) HDL, independent of changes in body weight, relative to both baseline and the traditional heart-healthy diet. Paleolithic nutrition offers promising potential for nutritional management of hyperlipidemia in adults whose lipid profiles have not improved after following more traditional heart-healthy dietary recommendations. PMID:26003334

  6. The Comparative Validity and Reproducibility of a Diet Quality Index for Adults: The Australian Recommended Food Score

    PubMed Central

    Collins, Clare E.; Burrows, Tracy L.; Rollo, Megan E.; Boggess, May M.; Watson, Jane F.; Guest, Maya; Duncanson, Kerith; Pezdirc, Kristine; Hutchesson, Melinda J.

    2015-01-01

    Adult diet quality indices are shown to predict nutritional adequacy of dietary intake as well as all-cause morbidity and mortality. This study describes the reproducibility and validity of a food-based diet quality index, the Australian Recommended Food Score (ARFS). ARFS was developed to reflect alignment with the Australian Dietary Guidelines and is modelled on the US Recommended Food Score. Dietary intakes of 96 adult participants (31 male, 65 female) age 30 to 75 years were assessed in two rounds, five months apart. Diet was assessed using a 120-question semi-quantitative food frequency questionnaire (FFQ). The ARFS diet quality index was derived using a subset of 70 items from the full FFQ. Reproducibility of the ARFS between round one and round two was confirmed by the overall intraclass correlation coefficient of 0.87 (95% CI 0.83, 0.90), which compared favourably to that for the FFQ at 0.85 (95% CI 0.80, 0.89). ARFS was correlated with FFQ nutrient intakes, particularly fiber, vitamin A, beta-carotene and vitamin C (0.53, 95% CI 0.37–0.67), and with mineral intakes, particularly calcium, magnesium and potassium (0.32, 95% CI 0.23–0.40). ARFS is a suitable brief tool to evaluate diet quality in adults and reliably estimates a range of nutrient intakes. PMID:25625814

  7. Treatment of hepatitis C virus infection for adults and children: Updated Swedish consensus recommendations

    PubMed Central

    Lagging, Martin; Wejstål, Rune; Norkrans, Gunnar; Karlström, Olle; Aleman, Soo; Weiland, Ola; Castedal, Maria; Josephson, Filip

    2016-01-01

    Abstract In a recent expert meeting, Swedish recommendations for the treatment of HCV infection were updated. An interferon-free combination of direct-acting antiviral agents was recommended as the first line standard-of-care treatment for chronic HCV infection. Interferon-based therapy should be considered as a second line option after an individual benefit-risk assessment. Treatment is strongly recommended for HCV infected patients with bridging fibrosis or cirrhosis (Metavir stages F3–4), before and after liver transplantation, and in the presence of extra-hepatic manifestations. Additionally, patients with moderate liver fibrosis (stage F2) as well as women in need of in vitro fertilisation should be prioritised for therapeutic intervention. Treatment indications for people who inject drugs, children, chronic kidney disease and HIV co-infection are also discussed. PMID:26624849

  8. Building a Popular Science Library Collection for High School to Adult Learners: Issues and Recommended Resources.

    ERIC Educational Resources Information Center

    Sapp, Gregg

    This book examines how popular science information resources contribute to the improvement of science literacy in the United States. Nearly 2,500 titles are recommended--70% published since 1990--representing all fields of modern science. This guide provides librarians, educators, and other information specialists with an understanding of science…

  9. Primary Care for Adults with Down Syndrome: Adherence to Preventive Healthcare Recommendations

    ERIC Educational Resources Information Center

    Jensen, K. M.; Taylor, L. C.; Davis, M. M.

    2013-01-01

    Background: Due to significant medical improvements, persons with Down syndrome now live well into adulthood. Consequently, primary care for adults with Down syndrome needs to incorporate routine care with screening for condition-specific comorbidities. This study seeks to evaluate the adherence of primary care physicians to age- and…

  10. Rationale for Clinical Supervision

    ERIC Educational Resources Information Center

    Cogan, Morris L.

    1976-01-01

    The author, one of the originators and developers of the clinical supervision process, offered a cogent rationale for clinical supervision. He defined clinical supervision and discussed the psychological-sociological basis for its practice. (Editor)

  11. Diagnosis and treatment of primary myelodysplastic syndromes in adults: recommendations from the European LeukemiaNet

    PubMed Central

    Malcovati, Luca; Hellström-Lindberg, Eva; Bowen, David; Adès, Lionel; Cermak, Jaroslav; del Cañizo, Consuelo; Della Porta, Matteo G.; Fenaux, Pierre; Gattermann, Norbert; Germing, Ulrich; Jansen, Joop H.; Mittelman, Moshe; Mufti, Ghulam; Platzbecker, Uwe; Sanz, Guillermo F.; Selleslag, Dominik; Skov-Holm, Mette; Stauder, Reinhard; Symeonidis, Argiris; van de Loosdrecht, Arjan A.

    2013-01-01

    Within the myelodysplastic syndrome (MDS) work package of the European LeukemiaNet, an Expert Panel was selected according to the framework elements of the National Institutes of Health Consensus Development Program. A systematic review of the literature was performed that included indexed original papers, indexed reviews and educational papers, and abstracts of conference proceedings. Guidelines were developed on the basis of a list of patient- and therapy-oriented questions, and recommendations were formulated and ranked according to the supporting level of evidence. MDSs should be classified according to the 2008 World Health Organization criteria. An accurate risk assessment requires the evaluation of not only disease-related factors but also of those related to extrahematologic comorbidity. The assessment of individual risk enables the identification of fit patients with a poor prognosis who are candidates for up-front intensive treatments, primarily allogeneic stem cell transplantation. A high proportion of MDS patients are not eligible for potentially curative treatment because of advanced age and/or clinically relevant comorbidities and poor performance status. In these patients, the therapeutic intervention is aimed at preventing cytopenia-related morbidity and preserving quality of life. A number of new agents are being developed for which the available evidence is not sufficient to recommend routine use. The inclusion of patients into prospective clinical trials is strongly recommended. PMID:23980065

  12. Recommendations for high-priority research on cancer-related fatigue in children and adults.

    PubMed

    Barsevick, Andrea M; Irwin, Michael R; Hinds, Pamela; Miller, Andrew; Berger, Ann; Jacobsen, Paul; Ancoli-Israel, Sonia; Reeve, Bryce B; Mustian, Karen; O'Mara, Ann; Lai, Jin-Shei; Fisch, Michael; Cella, David

    2013-10-01

    Over the past decades, some scientific progress has been made in understanding and treating cancer-related fatigue (CRF). However, three major problems have limited further progress: lack of agreement about measurement, inadequate understanding of the underlying biology, and problems in the conduct of clinical trials for CRF. This commentary reports the recommendations of a National Cancer Institute Clinical Trials Planning Meeting and an ongoing National Cancer Institute working group to address these problems so that high-priority research and clinical trials can be conducted to advance the science of CRF and its treatment. Recommendations to address measurement issues included revising the current case definition to reflect more rigorous criteria, adopting the Patient Reported Outcomes Measurement Information System fatigue scales as standard measures of CRF, and linking legacy measures to the scales. With regard to the biology of CRF, the group identified the need for longitudinal research to examine biobehavioral mechanisms underlying CRF and testing mechanistic hypotheses within the context of intervention research. To address clinical trial issues, recommendations included using only placebo-controlled trial designs. setting eligibility to minimize sample heterogeneity or enable subgroup analysis, establishing a CRF severity threshold for participation in clinical trials, conducting dissemination trials of efficacious interventions (such as exercise), and combining nonpharmacologic and pharmacologic interventions to exploit the potential synergy between these approaches. Accomplishing these goals has the potential to advance the science of CRF and improve the clinical management of this troubling symptom. PMID:24047960

  13. Critical Incidents in Multicultural Supervision: Exploring Supervisees' and Supervisors' Experiences

    ERIC Educational Resources Information Center

    Toporek, Rebecca L.; Ortega-Villalobos, Lideth; Pope-Davis, Donald B.

    2004-01-01

    Reports of supervisors' and supervisees' critical incidents in multicultural supervision were used to (a) explore events in supervision that influenced supervisees' multicultural competence, (b) explore how supervision was experienced differently by supervisors and supervisees, and (c) identify recommendations for improving multicultural…

  14. Recommendations for the transition of patients with ADHD from child to adult healthcare services: a consensus statement from the UK adult ADHD network.

    PubMed

    Young, Susan; Adamou, Marios; Asherson, Philip; Coghill, David; Colley, Bill; Gudjonsson, Gisli; Hollis, Chris; McCarthy, Jane; Müller, Ulrich; Paul, Moli; Pitts, Mark; Arif, Muhammad

    2016-01-01

    The aim of this consensus statement was to discuss transition of patients with ADHD from child to adult healthcare services, and formulate recommendations to facilitate successful transition. An expert workshop was convened in June 2012 by the UK Adult ADHD Network (UKAAN), attended by a multidisciplinary team of mental health professionals, allied professionals and patients. It was concluded that transitions must be planned through joint meetings involving referring/receiving services, patients and their families. Negotiation may be required to balance parental desire for continued involvement in their child's care, and the child's growing autonomy. Clear transition protocols can maintain standards of care, detailing relevant timeframes, responsibilities of agencies and preparing contingencies. Transition should be viewed as a process not an event, and should normally occur by the age of 18, however flexibility is required to accommodate individual needs. Transition is often poorly experienced, and adherence to clear recommendations is necessary to ensure effective transition and prevent drop-out from services. PMID:27561259

  15. Cancer survivorship: cardiotoxic therapy in the adult cancer patient; cardiac outcomes with recommendations for patient management.

    PubMed

    Steingart, Richard M; Yadav, Nandini; Manrique, Carlos; Carver, Joseph R; Liu, Jennifer

    2013-12-01

    Many types of cancer are now curable or, if not cured, becoming a chronic illness. In 2012, it was estimated that there were more than 13,500,000 cancer survivors in the United States. Late outcomes of these survivors are increasingly related to cardiovascular disease, either as a consequence of the direct effects of cancer therapy or its adverse effects on traditional cardiac risk factors (eg, obesity, hypertension, dyslipidemia, and diabetes mellitus). This article describes the therapies that have led to advances in cancer survival and the acute and chronic cardiovascular toxicities associated with these therapies. Recommendations are made for the surveillance and management of cancer survivors. Published guidelines on the subject of cardio-oncology are reviewed in light of clinical experience caring for these patients. To supplement this cancer-related knowledge base, appropriateness criteria and guidelines for cardiac care in the general population were extrapolated to cancer survivors. The result is a series of recommendations for surveillance and management of cardiovascular disease in cancer survivors. PMID:24331191

  16. Recommendations for assessing and preventing falls in adults of all ages with rheumatoid arthritis.

    PubMed

    Stanmore, Emma K

    2015-11-01

    Rheumatoid arthritis (RA) is a debilitating disease that affects younger as well as older adults. It is associated with a high risk of injurious falls due to problems such as lower-limb muscle weakness, balance impairment, swollen and tender joints, pain, and fatigue. Falls are typically associated with older people; hence, many professionals do not recognise the risks for younger persons with diseases such as RA. Falls can lead to devastating consequences, such as fatalities, hip fractures (with 50% of those affected never regaining their previous level of mobility and 30% dying within 1 year), or loss of independence and confidence. Research has shown that many people are either unaware or deny their risk of falling. Therefore, it is important that health professionals, such as community nurses, are aware of the risk factors, methods of assessment, and evidence-based preventative measures, so that falls can be avoided in this population. This article presents research and practice implications for community nurses to enable them to assess, treat, and appropriately refer adults with RA who are also at risk of falls. PMID:26551381

  17. Nutritional supplements for older adults: review and recommendations--Part II.

    PubMed

    Buhr, Gwendolen; Bales, Connie W

    2010-01-01

    The use of nutritional supplements (NS) with the intention of improving health and delaying age-related chronic disease is a common practice among older adults; however, randomized controlled trials have yielded mixed results regarding the likelihood that these NS provide true health benefits. We reviewed the findings of these studies regarding the effects of NS of folic acid, vitamin B(12), vitamin B(6), and omega-3 fatty acids on health outcomes in older adults. Our conclusions include the following: Supplements of the B vitamins folate, B(12) and B(6) have been studied with regards to primary and secondary prevention of a number of major age-related chronic diseases, including cardiovascular disease (CVD), stroke, cognitive decline, and cancer. While there are some encouraging findings with regards to stroke, depression, and macular degeneration (although in only one study in the latter case), there is little evidence of benefit of B vitamin NS for delaying CVD or age-related cognitive changes. In the few cancer-related studies, the evidence of benefit is coupled with concerns about enhancing the growth of existing undiagnosed cancers. In contrast, clear health benefits have been shown with modest increases in consumption of fatty fish or fish oil supplements, including a reduction in the risk of sudden cardiac death. In addition, there is evidence that high dose fish oil supplements may lower serum triglyceride levels. PMID:20391042

  18. Improving research supervision in nursing.

    PubMed

    Thompson, David R; Kirkman, Sandy; Watson, Roger; Stewart, Simon

    2005-05-01

    In this paper, four experienced researchers from the UK, China and Australia offer guidance in research supervision based on their experiences and the recent document, Improving standards in postgraduate research degree programmes [Higher Education Funding Council for England, 2003. Improving standards in postgraduate research degree programmes. Formal consultation. Department for Employment and Learning, Northern Ireland, Higher Education Funding Council for England, Higher Education Funding Council for Wales, Scottish Higher Education Funding Council, HEFCE, London]. Supervision is an important aspect of not only the development of the neophyte researcher, but of academic staff and research activity in general. With increased academic accountability, good supervision should be an integral component of a quality research governance framework and resourced as such. Recommendations include: adoption of these standards; rigorous selection of research students and supervisors and development of projects; development of departmental procedures for monitoring, feedback and intellectual property; and transparency, rigour and fairness in examination procedures. PMID:15896413

  19. Italian recommendations on dental support in the treatment of adult obstructive sleep apnea syndrome (OSAS)

    PubMed Central

    Levrini, Luca; Sacchi, Franco; Milano, Francesca; Polimeni, Antonella; Cozza, Paolo; Bernkopf, Edoardo; Segù, Marzia; Zucconi, Marco; Vicini, Claudio; Brunello, Enrico

    2015-01-01

    Summary Background The aim of the present article is to present a set of proposed clinical recommendations aimed at Italian dentists involved in the management of patients with obstructive sleep apnea syndrome or snoring. Methods With the purpose of creating a study group, some of the most important Italian scientific societies operating in fields relevant to the issue of sleep medicine in dentistry were asked to appoint a representative. Each member of the study group was required to answer questions regarding the clinical management of OSAS and snoring. Results Oral appliances can be used to treat: - simple snoring, in patients who do not respond to, or do not appear to be suitable candidates for behavioral measures such as weight loss or positional therapy; - mild or moderate OSAS, in patients who prefer OAs to continuous positive airway pressure (CPAP) or who are not suitable candidates for CPAP, because of its failure or failure of behavioral approaches like weight loss or positional therapy; - severe OSAS, in patients who do not respond to or do not tolerate CPAP and in whom no indication for either maxillofacial or ENT surgery appears applicable. Conclusions The application of oral appliances is highly desirable in cases of simple snoring or mild to moderate OSAS, whereas considerable caution is warranted when treating severe OSAS. It is fundamental to ensure that the patient understands his problem and, at the same time, to present all the various treatment options. PMID:26941893

  20. Urinary biomonitoring of phosphate flame retardants: levels in California adults and recommendations for future studies.

    PubMed

    Dodson, Robin E; Van den Eede, Nele; Covaci, Adrian; Perovich, Laura J; Brody, Julia Green; Rudel, Ruthann A

    2014-12-01

    Phosphate flame retardants (PFRs) are abundant and found at the highest concentrations relative to other flame retardant chemicals in house dust; however, little is known about the biological levels of PFRs and their relationship with house dust concentrations. These relationships provide insight into major exposure pathways and potential health risks. We analyzed urine samples from 16 California residents in 2011 for 6 chlorinated and nonchlorinated dialkyl or diaryl phosphates (DAPs), the expected major metabolites of the most prominent PFRs, and qualitatively screened for 18 other metabolites predicted from in vitro studies. We detected all 6 DAPs within the range of previously reported levels, although very few comparisons are available. We found weakly positive nonsignificant correlations between urine and dust concentrations and maxima urine corresponding to maxima dust for the pairs bis(1,3-dichloro-2-propyl) phosphate (BDCIPP)-tris(1,3-dichloro-isopropyl) phosphate (TDCIPP) and bis(2-chloroethyl) phosphate (BCEP)-tris(2-chloroethyl) phosphate (TCEP). Metabolite levels of PFRs were correlated for many PFR combinations, suggesting they commonly co-occur. As far as we know, this is the first study to measure these 6 DAP metabolites simultaneously and to detect other PFR metabolites in US urine samples. We recommend biomonitoring studies include these 6 DAPs as well as several additional compounds detected through qualitative screening and previous ADME studies. PFRs represent a class of poorly studied commercial chemicals with widespread exposure and raise concerns for health effects including carcinogenicity and neurotoxicity. PMID:25388620

  1. Urinary Biomonitoring of Phosphate Flame Retardants: Levels in California Adults and Recommendations for Future Studies

    PubMed Central

    2014-01-01

    Phosphate flame retardants (PFRs) are abundant and found at the highest concentrations relative to other flame retardant chemicals in house dust; however, little is known about the biological levels of PFRs and their relationship with house dust concentrations. These relationships provide insight into major exposure pathways and potential health risks. We analyzed urine samples from 16 California residents in 2011 for 6 chlorinated and nonchlorinated dialkyl or diaryl phosphates (DAPs), the expected major metabolites of the most prominent PFRs, and qualitatively screened for 18 other metabolites predicted from in vitro studies. We detected all 6 DAPs within the range of previously reported levels, although very few comparisons are available. We found weakly positive nonsignificant correlations between urine and dust concentrations and maxima urine corresponding to maxima dust for the pairs bis(1,3-dichloro-2-propyl) phosphate (BDCIPP)-tris(1,3-dichloro-isopropyl) phosphate (TDCIPP) and bis(2-chloroethyl) phosphate (BCEP)-tris(2-chloroethyl) phosphate (TCEP). Metabolite levels of PFRs were correlated for many PFR combinations, suggesting they commonly co-occur. As far as we know, this is the first study to measure these 6 DAP metabolites simultaneously and to detect other PFR metabolites in US urine samples. We recommend biomonitoring studies include these 6 DAPs as well as several additional compounds detected through qualitative screening and previous ADME studies. PFRs represent a class of poorly studied commercial chemicals with widespread exposure and raise concerns for health effects including carcinogenicity and neurotoxicity. PMID:25388620

  2. Use of Serogroup B Meningococcal Vaccines in Adolescents and Young Adults: Recommendations of the Advisory Committee on Immunization Practices, 2015.

    PubMed

    MacNeil, Jessica R; Rubin, Lorry; Folaranmi, Temitope; Ortega-Sanchez, Ismael R; Patel, Manisha; Martin, Stacey W

    2015-10-23

    At its June 2015 meeting, the Advisory Committee on Immunization Practices (ACIP) recommended that adolescents and young adults aged 16–23 years may be vaccinated with a serogroup B meningococcal (MenB) vaccine to provide short-term protection against most strains of serogroup B meningococcal disease. This report summarizes the deliberations of ACIP, the rationale for its decision, and recommendations for use of MenB vaccines in adolescents and young adults. Two MenB vaccines have recently been licensed by the Food and Drug Administration (FDA) for use in the United States and approved for use in persons aged 10–25 years: MenB-FHbp (Trumenba, Wyeth Pharmaceuticals, Inc.) and MenB-4C (Bexsero, Novartis Vaccines). Both MenB vaccines were licensed based on statutory regulations for accelerated approval, which enabled FDA to approve the MenB vaccines for serious or life-threatening diseases based on safety and demonstration that vaccine effectiveness, as measured by bactericidal antibody responses with assays using several MenB test strains that were representative of prevalent strains in the United States, is reasonably likely to predict clinical benefit. As a requirement for accelerated approval, confirmatory studies in the postmarketing period will be conducted to verify and further describe the effectiveness of the vaccines against an extended number of MenB strains that represent a broader diversity of endemic disease. Additional postlicensure safety data are also needed and will be reviewed by ACIP as they become available. PMID:26492381

  3. Low Adherence to Dietary Recommendations for Saturated Fat, Fiber, and Sodium Found Among American Indians and Other U.S. Adults with Diabetes*

    PubMed Central

    Eilat-Adar, Sigal; Xu, Jiaqiong; Zephier, Ellie; O’Leary, Veronica; Howard, Barbara V.; Resnick, Helaine E.

    2009-01-01

    The objective of this article was to evaluate how well American Indians with diabetes met dietary recommendations and to compare adherence to dietary recommendations with those of U.S. adults with diabetes in the National Health and Nutrition Examination Survey (NHANES). Dietary intake in both studies was assessed using a 24-h recall questionnaire. Dietary intakes were evaluated against American Diabetes Association (ADA) dietary recommendations. The analysis sample consisted of 1,008 participants from SHS examined from 1997–1999 and 373 participants from NHANES examined from 1999–2000, all with diabetes. In both samples, intake of protein, polyunsaturated fatty acids (PUFA), monounsaturated fatty acids (MUFA), and carbohydrates met the 1997 ADA dietary recommendations. However, intakes of saturated fatty acid (SFA) as well as sodium were higher and dietary fiber intake was lower than recommended. In the SHS and NHANES, only 4.6% and 8.5% of persons with diabetes met recommendations for both SFA and fiber (p = 0.02), respectively. However, only 8.3% of the NHANES sample met the 2006 recommendations for SFA and fiber, and none of the SHS sample met those recommendations. This cross-sectional study shows low adherence to ADA dietary recommendations for saturated fat, fiber, and sodium by American Indians with diabetes and by the broader U.S. population of adults with diabetes, and shows that in American Indians with diabetes programs to decrease SFA and increase fiber intakes are warranted. PMID:18716172

  4. Security system signal supervision

    SciTech Connect

    Chritton, M.R. ); Matter, J.C. )

    1991-09-01

    This purpose of this NUREG is to present technical information that should be useful to NRC licensees for understanding and applying line supervision techniques to security communication links. A review of security communication links is followed by detailed discussions of link physical protection and DC/AC static supervision and dynamic supervision techniques. Material is also presented on security for atmospheric transmission and video line supervision. A glossary of security communication line supervision terms is appended. 16 figs.

  5. Dietary intake and nutritional status of micronutrients in adults with cystic fibrosis in relation to current recommendations.

    PubMed

    Li, Li; Somerset, Shawn

    2016-08-01

    An increased prevalence of cystic fibrosis (CF) related complications such as impaired bone health and diabetes has accompanied increased survival of patients with CF. This review was conducted to determine the extent to which adults with CF are meeting current nutrition recommendations for micronutrients in association with CF-related complications management. Although dietary intake and nutritional status in CF has improved significantly in recent decades, micronutrient status seems to have diverged. While vitamin A and E intakes appear adequate, frequent vitamin D and K deficiency/insufficiency and compromised bone health in CF, occurs despite supplementation. Although deficiency of water-soluble vitamins and minerals is uncommon, ongoing surveillance will enhance overall health outcomes, particularly in cases of CF-related liver disease and deteriorated lung function and bone health. Salt and fluid status in CF may also need attention due to diminished thirst sensation and voluntary rehydration. Further investigation in micronutrient status optimisation in CF will inform the development of more effective and targeted nutrition therapies to enable integration of more refined recommendations for micronutrient intakes in CF based on individual needs and disease progression. PMID:26159903

  6. Association between guideline recommended drugs and death in older adults with multiple chronic conditions: population based cohort study

    PubMed Central

    McAvay, Gail; Trentalange, Mark; Cohen, Andrew B; Allore, Heather G

    2015-01-01

    Objective To estimate the association between guideline recommended drugs and death in older adults with multiple chronic conditions. Design Population based cohort study. Setting Medicare Current Beneficiary Survey cohort, a nationally representative sample of Americans aged 65 years or more. Participants 8578 older adults with two or more study chronic conditions (atrial fibrillation, coronary artery disease, chronic kidney disease, depression, diabetes, heart failure, hyperlipidemia, hypertension, and thromboembolic disease), followed through 2011. Exposures Drugs included β blockers, calcium channel blockers, clopidogrel, metformin, renin-angiotensin system (RAS) blockers; selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs); statins; thiazides; and warfarin. Main outcome measure Adjusted hazard ratios for death among participants with a condition and taking a guideline recommended drug relative to participants with the condition not taking the drug and among participants with the most common combinations of four conditions. Results Over 50% of participants with each condition received the recommended drugs regardless of coexisting conditions; 1287/8578 (15%) participants died during the three years of follow-up. Among cardiovascular drugs, β blockers, calcium channel blockers, RAS blockers, and statins were associated with reduced mortality for indicated conditions. For example, the adjusted hazard ratio for β blockers was 0.59 (95% confidence interval 0.48 to 0.72) for people with atrial fibrillation and 0.68 (0.57 to 0.81) for those with heart failure. The adjusted hazard ratios for cardiovascular drugs were similar to those with common combinations of four coexisting conditions, with trends toward variable effects for β blockers. None of clopidogrel, metformin, or SSRIs/SNRIs was associated with reduced mortality. Warfarin was associated with a reduced risk of death among those with atrial fibrillation

  7. Healthy Eating Index-2010 and food groups consumed by US adults who meet or exceed fiber intake recommendations NHANES 2001–2010

    PubMed Central

    McGill, Carla R.; Birkett, Anne; Fulgonii III, Victor L.

    2016-01-01

    Background The proportion of the US adult population who meet fiber intake recommendations is very low. Information about food groups consumed and diet quality for the adults who consume recommended amounts of fiber are scarce. Objective To examine food groups consumed and Healthy Eating Index (HEI-2010) scores for US adults meeting the fiber adequate intake (AI) based on National Health and Nutrition Examination Survey (NHANES) data 2001–2010. Design A secondary analysis of NHANES data from 2001 to 2010. Participants included adults aged 19 and older (n=24,807) with complete day 1 dietary records. Variables measured were food group sources of fiber and HEI-2010 scores. Sample-weighted data were used to calculate least square means (LSM)±standard error of the mean (SEM) by fiber intake quartile along with HEI-2010 scores. Significance was set at P<0.05. Results Major fiber food sources for US adults meeting the AI were grain products, vegetables, legumes, and fruits. The top grain products consumed were grain mixtures, ready-to-eat (RTE) cereals, and breads/rolls. The mean HEI-2010 score for adults meeting the AI for fiber was significantly (P<0.001) higher compared with all adult participants. The mean HEI-2010 score increased with increasing fiber intake in both groups. Conclusions Adults who meet the AI for fiber have a higher quality diet. Fiber may be an important dietary component that predicts diet quality. PMID:27098562

  8. Effect of psychopathy, abuse, and ethnicity on juvenile probation officers' decision-making and supervision strategies.

    PubMed

    Vidal, Sarah; Skeem, Jennifer L

    2007-10-01

    Probation officers exercise substantial discretion in their daily work with troubled and troubling juvenile offenders. In this experiment, we examine the effect of psychopathic features, child abuse, and ethnicity on 204 officers' expectancies of, recommendations for, and approach to supervising, juvenile offenders. The results indicate that officers (a) have decision-making and supervision approaches that are affected by a youth's psychopathic traits and history of child abuse-but not ethnicity; (b) view both abused youth and psychopathic youth as highly challenging cases on a path toward adult criminality; and (c) have greater hope and sympathy for abused youth than psychopathic youth. For abused youth, officers are likely to recommend psychological services and "go the extra mile" by providing greater support, referrals, and networking than is typical for their caseload. For psychopathic youth, officers expect poor treatment outcomes and are" extra strict," enforcing rules that typically are not enforced for others on their caseload. PMID:17294135

  9. Diet Quality and Physical Activity Outcome Improvements Resulting From a Church-Based Diet and Supervised Physical Activity Intervention for Rural, Southern, African American Adults: Delta Body and Soul III.

    PubMed

    Thomson, Jessica L; Goodman, Melissa H; Tussing-Humphreys, Lisa

    2015-09-01

    We assessed the effects of a 6-month, church-based, diet and supervised physical activity intervention, conducted between 2011 and 2012, on improving diet quality and increasing physical activity of Southern, African American adults. Using a quasi-experimental design, eight self-selected, eligible churches were assigned to intervention or control. Assessments included dietary, physical activity, anthropometric, and clinical measures. Mixed model regression analysis and McNemar's test were used to determine if within and between group differences were significant. Cohen's d effect sizes for selected outcomes also were computed and compared with an earlier, lower dose intervention. Retention rates were 84% (102/122) for control and 76% (219/287) for intervention participants. Diet quality components, including fruits, vegetables, discretionary calories, and total quality, improved significantly in the intervention group. Strength/flexibility physical activity also increased in the intervention group, while both aerobic and strength/flexibility physical activity significantly decreased in the control group. Effect sizes for selected health outcomes were larger in the current intervention as compared to an earlier, less intense iteration of the study. Results suggest that more frequent education sessions as well as supervised group physical activity may be key components to increasing the efficacy of behavioral lifestyle interventions in rural, Southern, African American adults. PMID:25603798

  10. Consensus statement of the academy of nutrition and dietetics/american society for parenteral and enteral nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition)

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The Academy of Nutrition and Dietetics (Academy) and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) recommend that a standardized set of diagnostic characteristics be used to identify and document adult malnutrition in routine clinical practice. An etiologically based diagno...

  11. Physical Activity and Public Health in Older Adults: Recommendation from the American College of Sports Medicine and the American Heart Association

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Objective: To issue a recommendation on the types and amounts of physical activity needed to improve and maintain health in older adults. Participants: A panel of scientists with expertise in public health, behavioral science, epidemiology, exercise science, medicine, and gerontology. Evidence: The ...

  12. A Supervision of Solidarity

    ERIC Educational Resources Information Center

    Reynolds, Vikki

    2010-01-01

    This article illustrates an approach to therapeutic supervision informed by a philosophy of solidarity and social justice activism. Called a "Supervision of Solidarity", this approach addresses the particular challenges in the supervision of therapists who work alongside clients who are subjected to social injustice and extreme marginalization. It…

  13. Clinical Supervision: A Conceptual Framework.

    ERIC Educational Resources Information Center

    Krajewski, Robert J.

    1982-01-01

    Various views of clinical supervision are analyzed and examined. The "process" definition of clinical supervision emphasizes an eight-step cycle of supervision. Clinical supervision as "concept" is also considered and seven conceptual elements are examined. (JN)

  14. Trends in HIV Testing Among U.S. Older Adults Prior to and Since Release of CDC's Routine HIV Testing Recommendations: National Findings from the BRFSS

    PubMed Central

    Mulatu, Mesfin S.; Godette, Dionne C.; Gaines, Tommi L.

    2015-01-01

    Objective This study examined temporal trends in HIV testing among U.S. older adults (50–64 years of age) before and after the release of CDC's routine HIV testing recommendations in 2006. Methods The sample (n=872,797; 51.4% female) comprised 2003–2010 Behavioral Risk Factor Surveillance System respondents in the oldest categories to which the recommendations apply: 50–54 years (34.5%, n=301,519), 55–59 years (34.1%, n=297,865), and 60–64 years (31.3%, n=273,413). We calculated (1) four-year pooled prevalences of past-year HIV testing before and after 2006, when the recommendations were released; and (2) annual prevalences of HIV testing overall and by age category from 2003–2010. Using weighted, multivariable logistic regression analyses, we examined binary (pre- vs. post-recommendations) and annual changes in testing, controlling for covariates. We stratified the data by recent doctor visits, examined racial/ethnic differences, and tested for linear and quadratic temporal trends. Results Overall and within age categories, the pooled prevalence of past-year HIV testing decreased following release of the recommendations (p<0.001). The annual prevalence decreased monotonically from 2003 (5.5%) to 2006 (3.6%) (b=–0.16, p<0.001) and then increased immediately after release of the recommendations, but decreased to 3.7% after 2009 (b=0.01, p<0.001). By race/ethnicity, testing increased over time among non-Hispanic black people only. Annual prevalence also increased among respondents with recent doctor visits. Conclusion CDC's HIV testing recommendations were associated with a reversal in the downward trend in past-year HIV testing among older adults; however, the gains were neither universal nor sustained over time. PMID:26327729

  15. Rx for Supervision

    ERIC Educational Resources Information Center

    Draves, David D.

    1972-01-01

    The secondary student teaching program at the University of New Hampshire incorporates resident supervisors'', teachers who supervise student teachers responsible for four of the supervisor's classes. (SP)

  16. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion

    PubMed Central

    Watson, Nathaniel F.; Badr, M. Safwan; Belenky, Gregory; Bliwise, Donald L.; Buxton, Orfeu M.; Buysse, Daniel; Dinges, David F.; Gangwisch, James; Grandner, Michael A.; Kushida, Clete; Malhotra, Raman K.; Martin, Jennifer L.; Patel, Sanjay R.; Quan, Stuart F.; Tasali, Esra

    2015-01-01

    The American Academy of Sleep Medicine and Sleep Research Society recently released a Consensus Statement regarding the recommended amount of sleep to promote optimal health in adults. This paper describes the methodology, background literature, voting process, and voting results for the consensus statement. In addition, we address important assumptions and challenges encountered during the consensus process. Finally, we outline future directions that will advance our understanding of sleep need and place sleep duration in the broader context of sleep health. Citation: Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, Dinges DF, Gangwisch J, Grandner MA, Kushida C, Malhotra RK, Martin JL, Patel SR, Quan SF, Tasali E. Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. SLEEP 2015;38(8):1161–1183. PMID:26194576

  17. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion

    PubMed Central

    Watson, Nathaniel F.; Badr, M. Safwan; Belenky, Gregory; Bliwise, Donald L.; Buxton, Orfeu M.; Buysse, Daniel; Dinges, David F.; Gangwisch, James; Grandner, Michael A.; Kushida, Clete; Malhotra, Raman K.; Martin, Jennifer L.; Patel, Sanjay R.; Quan, Stuart F.; Tasali, Esra

    2015-01-01

    The American Academy of Sleep Medicine and Sleep Research Society recently released a Consensus Statement regarding the recommended amount of sleep to promote optimal health in adults. This paper describes the methodology, background literature, voting process, and voting results for the consensus statement. In addition, we address important assumptions and challenges encountered during the consensus process. Finally, we outline future directions that will advance our understanding of sleep need and place sleep duration in the broader context of sleep health. Citation: Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, Dinges DF, Gangwisch J, Grandner MA, Kushida C, Malhotra RK, Martin JL, Patel SR, Quan SF, Tasali E. Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. J Clin Sleep Med 2015;11(8):931–952. PMID:26235159

  18. Supervision of the Education for Out-Of-School Youth and Adults as a Function of State Departments of Education. Bulletin, 1940, No. 6. Monograph No. 12

    ERIC Educational Resources Information Center

    Gaumnitz, W. H.

    1941-01-01

    This study attempts to show the parts played by the State departments of education relative to general comprehensive programs of adult education, illiteracy eradication, and Americanization; adult-education programs of the Works Progress Administration and the National Youth Administration; educational programs of the Civilian Conservation Corps…

  19. 28 CFR 115.13 - Supervision and monitoring.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Supervision and monitoring. 115.13 Section 115.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Prevention Planning § 115.13 Supervision...

  20. 28 CFR 115.13 - Supervision and monitoring.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Supervision and monitoring. 115.13 Section 115.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Prevention Planning § 115.13 Supervision...

  1. 28 CFR 115.13 - Supervision and monitoring.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Supervision and monitoring. 115.13 Section 115.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Prevention Planning § 115.13 Supervision...

  2. The activity intensities reached when playing active tennis gaming relative to sedentary gaming, tennis game-play, and current activity recommendations in young adults.

    PubMed

    Scanlan, Aaron T; Arkinstall, Hayley; Dalbo, Vincent J; Humphries, Brendan J; Jennings, Cameron T; Kingsley, Michael I C

    2013-09-01

    Although active gaming is popular and can increase energy expenditure in young adults, its efficacy as a prescriptive exercise tool is not well understood. This study aimed to: (a) compare the activity intensities experienced by young adults while playing active tennis gaming with conventional sedentary gaming, tennis game-play, and current activity recommendations for health; and (b) identify changes in activity intensities across playing time. After habitualization, 10 active young adults (age: 20.2 ± 0.4 years; stature: 1.74 ± 0.03 m; body mass: 67.7 ± 3.3 kg) completed 3 experimental trials (sedentary gaming, active tennis gaming, and tennis game-play) on separate days in a randomized order. Heart rate (HR) and metabolic equivalents (METs) were averaged across 5 minutes and 10 minutes intervals, and the entire 20 minutes bout within each condition. Active gaming produced greater intensities across 5-10, 10-15, and 15-20 minutes time intervals compared with sedentary gaming (p < 0.01). Tennis game-play elicited greater HR (67 ± 5% HR(max)) and METs (5.0 ± 0.2) responses than both sedentary (40 ± 2% HR(max), 1.1 ± 0.1 METs) and active gaming (45 ± 2% HR(max), 1.4 ± 0.1 METs) (p < 0.001). Only tennis game-play produced activity intensities meeting current recommendations for health benefit. Lower HR intensities were reached across 0-5 minutes than during later time intervals during active gaming (6%) and tennis game-play (9%) (p < 0.01). Activity intensities elicited by active gaming were greater than sedentary gaming but less than tennis game-play and insufficient to contribute toward promoting and maintaining good health in young adults. These data suggest that active tennis gaming should not be recommended by exercise professionals as a substitute for actual sports participation in young adults. PMID:23238089

  3. Legislative Side-By-side for The AEEG Act of Congressmen Kennedy and Hinojosa. WIA I and II & Related. To Advance the Recommendations of the National Commission On Adult Literacy and "Reach Higher, America"

    ERIC Educational Resources Information Center

    Council for Advancement of Adult Literacy (NJ1), 2009

    2009-01-01

    The purpose of this report is to help advance the recommendations of the National Commission on Adult Literacy, for the Adult Education and Economic Growth Act under development by Congressmen Patrick Kennedy and Reuben Hinojosa. Current law is compared to National Commission amendments in such areas as: Adult and Dislocated Worker Employment and…

  4. [FESNAD-SEEDO consensus summary: evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults].

    PubMed

    Gargallo Fernández, Manuel; Marset, Julio Basulto; Lesmes, Irene Breton; Izquierdo, Joan Quiles; Sala, Xavier Formiguera; Salas-Salvadó, Jordi

    2012-01-01

    This paper is a summary of the Spanish Federation of Nutrition, Food and Dietetics Associations (FESNAD) and the Spanish Association for the Study of Obesity (SEEDO) consensus document on the role of diet in prevention and treatment of overweight and obesity. To prepare this document, and in order to achieve the maximum evidence level possible, a systematic review was made of all medical literature published between January 1, 1996 and January 31, 2011 (15 years). The obtained findings were catalogued by evidence level following the Scottish Intercollegiate Guidelines Network system, and recommendations were produced based on data collected. As a result, 65 evidences and 31 recommendations applicable to obese adults without any other pathological process were produced. Evidences and resulting recommendations are provided, and the most significant findings are discussed. This consensus document is intended to provide healthcare professionals with a reference tool that may help them design dietary strategies for prevention and treatment of overweight and obesity. PMID:22795577

  5. Exploring implementation of the 2010 Institute of Medicine’s Child and Adult Food Care Program recommendations for after-school snacks

    PubMed Central

    Nanney, Marilyn S; Glatt, Carissa

    2012-01-01

    Objective The aim of the present study was to explore the implementation of nutrition recommendations made in the 2010 Institute of Medicine (IOM) report, Child and Adult Care Food Program: Aligning Dietary Guidance for All, in school-based after-school snack programmes. Design A descriptive study. Setting One large suburban school district in Minneapolis, Minnesota, USA. Subjects None. Results Major challenges to implementation included limited access to product labelling and specifications inconsistent with the IOM’s Child and Adult Care Food Program (CACFP) recommendations, limited access to healthier foods due to current school district buying consortium agreement, and increased costs of wholegrain and lower-sodium foods and pre-packaged fruits and vegetables. Conclusions Opportunities for government and industry policy development and partnerships to support schools in their efforts to promote healthy after-school food environments remain. Several federal, state and industry leadership opportunities are proposed: provide product labelling that makes identifying snacks which comply with the 2010 IOM CACFP recommended standards easy; encourage compliance with recommendations by providing incentives to programmes; prioritize the implementation of paperwork and technology that simplifies enrolment and accountability systems; and provide support for food safety training and/or certification for non-food service personnel. PMID:22050891

  6. Mentoring and Supervision for Teacher Development.

    ERIC Educational Resources Information Center

    Reiman, Alan J.; Thies-Sprinthall, Lois

    The fields of instructional supervision, adult development, teacher education and mentoring, and ongoing professional development are synthesized in this text. Examples and case studies are drawn from local systems in North Carolina as well as state, national, and international public school/university consortia to identify emerging trends in…

  7. Networks of Professional Supervision

    ERIC Educational Resources Information Center

    Annan, Jean; Ryba, Ken

    2013-01-01

    An ecological analysis of the supervisory activity of 31 New Zealand school psychologists examined simultaneously the theories of school psychology, supervision practices, and the contextual qualities that mediated participants' supervisory actions. The findings indicated that the school psychologists worked to achieve the supervision goals of…

  8. On Defining Supervision.

    ERIC Educational Resources Information Center

    Bolin, Frances S.

    1987-01-01

    The shift of focus from teachers to curriculum has left supervision as a field struggling to find its place within its own professional organization. This article searches for a proper definition of supervision, highlighting scientific, developmental, and democratic approaches and exploring problems of perspective and common ground. Includes 48…

  9. Experiments in Virtual Supervision.

    ERIC Educational Resources Information Center

    Walker, Rob

    This paper examines the use of First Class conferencing software to create a virtual culture among research students and as a vehicle for supervision and advising. Topics discussed include: computer-mediated communication and research; entry to cyberculture, i.e., research students' induction into the research community; supervision and the…

  10. Evaluating Effective Supervision.

    ERIC Educational Resources Information Center

    Worthen, Vaughn E.; Dougher, M. Kirk

    This paper outlines the purposes, professional obligations, and key components to consider when providing effective evaluation in psychotherapy supervision. An overview of various methods for gathering supervision data for evaluation purposes is provided including self-reporting; process notes; video and audiotaping; live observation; co-therapy;…

  11. Supervision in Libraries.

    ERIC Educational Resources Information Center

    Bailey, Martha J.

    Although the literature of library administration draws extensively on that of business management, it is difficult to compare library supervision to business or industrial supervision. Library supervisors often do not have managerial training and may consider their management role as secondary. The educational level of the staff they supervise…

  12. A Comprehensive Supervision Model for Promoting Professional Development.

    ERIC Educational Resources Information Center

    Reinhartz, Judy; Beach, Don M.

    1987-01-01

    Describes the salient attributes of adult cognitive functioning and supervisory styles and integrates them within the systems of developmental and clinical supervision to create an individualized professional development plan. (FL)

  13. Improving Field Supervision through Collaborative Supervision Institutes

    ERIC Educational Resources Information Center

    Harvey, Virginia Smith; Amador, Andria; Finer, Diana; Gotthelf, David; Hintze, John; Kruger, Lou; Li, Chieh; Lichtenstein, Bob; Rogers, Laura; Struzziero, Joan; Wandle, Caroline

    2010-01-01

    Adequate and appropriate supervision of interns is frequently identified as a significant problem by training programs while, on their part, field placement sites often indicate that training programs generate expectations for interns that are not always "in synch" with district expectations of school psychologists. As a result of an increasing…

  14. Should Physical Activity Recommendations for South Asian Adults Be Ethnicity-Specific? Evidence from a Cross-Sectional Study of South Asian and White European Men and Women

    PubMed Central

    Iliodromiti, Stamatina; Ghouri, Nazim; Celis-Morales, Carlos A.; Sattar, Naveed; Lumsden, Mary Ann; Gill, Jason M. R.

    2016-01-01

    International public health guidelines recommend that adults undertake at least 150 min.week−1 of moderate-intensity physical activity. However, the underpinning evidence has largely been obtained from studies of populations of white European descent. It is unclear whether these recommendations are appropriate for other ethnic groups, particularly South Asians, who have greater cardio-metabolic risk than white Europeans. The objective of our study was to determine the level of moderate-intensity physical activity required in South Asians adults to confer a similar cardio-metabolic risk profile to that observed in Europeans of similar age and body mass index (BMI) undertaking the currently recommended levels of 150 min.week−1. 148 South Asians and 163 white Europeans aged 18 to 70 years were recruited. Physical activity was measured objectively via vertical axis accelerations from hip-worn accelerometers. Factor analysis was used to summarize the measured risk biomarkers into a single underlying latent “factor” describing overall cardio-metabolic risk. Sex did not modify the association between physical activity and the cardio-metabolic risk factor, so data for both sexes were combined and models adjusted for age, sex, BMI and accelerometer wear time. We estimated that South Asian adults needed to undertake 232 (95% Confidence interval: 200 to 268) min.week−1 in order to obtain the same cardio-metabolic risk factor score as a white European undertaking 150 minutes of moderate-equivalent physical activity per week. The present findings suggest that South Asian men and women need to undertake ~230 minutes of moderate intensity physical activity per week. This equates to South Asians undertaking an extra 10–15 minutes of moderate intensity physical activity per day on top of existing recommendations. PMID:27529339

  15. Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part VII: Insomnia.

    PubMed

    Bramoweth, Adam D; Renqvist, Jenna G; Germain, Anne; Buysse, Daniel J; Gentili, Angela; Kochersberger, Gary; Rodriguez, Eric; Rossi, Michelle I; Weiner, Debra K

    2016-05-01

    OBJECTIVE : To present the seventh in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. This article focuses on insomnia and presents a treatment algorithm for managing insomnia in older adults, along with a representative clinical case. METHODS : A modified Delphi process was used to develop the algorithm and supportive materials. A multidisciplinary expert panel representing expertise in health psychology and sleep medicine developed the algorithm and supporting documents that were subsequently refined through an iterative process of input from a primary care provider panel. RESULTS : We present an illustrative clinical case and an algorithm to help guide the care of older adults with insomnia, an important contributor to CLBP and disability. Multicomponent cognitive behavioral therapy for insomnia (CBTI) and similar treatments (e.g., brief behavioral treatment for insomnia [BBTI]) are the recommended first-line treatment. Medications should be considered only if BBTI/CBTI is suboptimal or not effective and should be prescribed at the lowest effective dose for short periods of time (< 90 days). CONCLUSIONS : Insomnia is commonly comorbid with CLBP in older adults and should be routinely evaluated and treated because it is an important contributor to pain and disability. The algorithm presented was structured to assist primary care providers in planning treatment for older adults with CLBP and insomnia. PMID:27173512

  16. Trends in Adults Receiving a Recommendation for Exercise or Other Physical Activity from a Physician or Other Health ...

    MedlinePlus

    ... a physician's advice to exercise vary by body mass index (BMI)? Adults who were obese were about ... and varies substantially across population subgroups. Definitions Body mass index : Based on respondent-reported height and weight ...

  17. AN EXPERIMENT, WITH EVALUATION, IN THE ERADICATION OF ADULT ILLITERACY BY USE OF TELEVISION INSTRUCTION OVER A STATE EDUCATIONAL TELEVISION NETWORK SUPPLEMENTED BY SUPERVISED GROUP VIEWING.

    ERIC Educational Resources Information Center

    PEERSON, NELL; AND OTHERS

    THE APPLICATION OF THE LAUBACH METHOD TO TEACH ILLITERATE ADULTS BY TELEVISION WAS REPORTED. THE PROGRAM INVOLVED 600 STUDENTS OF WHOM 250 COMPLETED THE COURSE OF STUDY. THE STUDENTS WERE ILLITERATES ABOUT 40 YEARS OF AGE WITH 2 TO 3 YEARS OF FORMAL SCHOOLING. LESSONS WERE PREPARED AND TELECAST USING MATERIAL DEVELOPED BY F.C. LAUBACH. CLASSES…

  18. Supervision in neuropsychological assessment: a survey of training, practices, and perspectives of supervisors.

    PubMed

    Shultz, Laura A Schwent; Pedersen, Heather A; Roper, Brad L; Rey-Casserly, Celiane

    2014-01-01

    Within the psychology supervision literature, most theoretical models and practices pertain to general clinical or counseling psychology. Supervision specific to clinical neuropsychology has garnered little attention. This survey study explores supervision training, practices, and perspectives of neuropsychology supervisors. Practicing neuropsychologists were invited to participate in an online survey via listservs and email lists. Of 451 respondents, 382 provided supervision to students, interns, and/or fellows in settings such as VA medical centers (37%), university medical centers (35%), and private practice (15%). Most supervisors (84%) reported supervision was discussed in graduate school "minimally" or "not at all." Although 67% completed informal didactics or received continuing education in supervision, only 27% reported receiving training specific to neuropsychology supervision. Notably, only 39% were satisfied with their training in providing supervision and 77% indicated they would likely participate in training in providing supervision, if available at professional conferences. Results indicate that clinical neuropsychology as a specialty has paid scant attention to developing supervision models and explicit training in supervision skills. We recommend that the specialty develop models of supervision for neuropsychological practice, supervision standards and competencies, training methods in provision of supervision, and benchmark measures for supervision competencies. PMID:25116655

  19. Clinical practice guidelines for the management of invasive Candida infections in adults in the Middle East region: Expert panel recommendations.

    PubMed

    Alothman, Adel F; Al-Musawi, Tariq; Al-Abdely, Hail M; Salman, Jameela Al; Almaslamani, Muna; Yared, Nadine; Butt, Adeel A; Raghubir, Nirvana; Morsi, Waleed El; Al Thaqafi, Abdulhakeem O

    2014-02-01

    Invasive Candida infections contribute to significant morbidity and mortality in patients with healthcare-associated infections. They represent a major burden on the public health system, and are challenging to diagnose and treat. A multidisciplinary expert panel critically reviewed available evidence to provide consensus recommendations for the management of invasive Candida infections in the Middle East. Based on diagnosis, recommendations were provided for the management of Candida infections in non-neutropenic and neutropenic patients. Polyenes (amphotericin B-deoxycholate [AmB-d] and lipid formulations amphotericin B [LFAmB]), triazoles (fluconazole, itraconazole and voriconazole), echinocandins (caspofungin, anidulafungin, and micafungin) and flucytosine are the recommended categories of antifungal agents for treatment of Candida infections. Echinocandins are preferred for treatment of proven and suspected Candida infections, especially in critically ill patients or those with previous exposure to azoles. Recommendations were also provided for infections caused by specific Candida species as well as management of different disease conditions. The experts highlighted that the guidelines should be used along with clinical judgment. Given the paucity of published data from the region, research in the form of randomized clinical trials should be given priority. PMID:24035607

  20. [Calculation of recommendations regarding protein intake: their application to preschool, school students and adults taking Brazilian foods].

    PubMed

    Marchini, J S; Rodrigues, M M; Cunha, S F; Fausto, M A; Vannucchi, H; de Oliveira, J E

    1994-04-01

    The recommendations for protein consumption depend on the essential amino acid and total nitrogen content of a diet, and food digestibility. International recommendations are based on egg or milk proteins. However, populations eat different food mixtures. Brazilians use rice and beans as their main protein food source. This study presents different Brazilian diets, with variable amount of rice and beans. The results show that for each diet there is a different amount of protein recommended. Pre-school children, for example, must receive from 1.15 to 1.77 g/protein/day, depending on the mixture of their dietary protein intake. Besides the diet protein's quality and quantity, the total food intake and presence of other essential nutrients, such as iron, calcium and vitamin C has also to be considered. The correct protein recommendation with respect to a diet or a mixture of food, should take into consideration: digestibility, total nitrogen, essential amino acids, presence of others nutrients and weight of food consumed. PMID:7824848

  1. Counselor Supervision: A Consumer's Guide.

    ERIC Educational Resources Information Center

    Yager, Geoffrey G.; Littrell, John M.

    This guide attempts to solve problems caused when a certain designated "brand" of supervision is forced on the counselor trainee with neither choice nor checklist of important criteria. As a tentative start on a guide to supervision the paper offers the following: a definition of supervision; a summary of the various types of supervision; a…

  2. Two Approaches to Clinical Supervision.

    ERIC Educational Resources Information Center

    Anderson, Eugene M.

    Criteria are established for a definition of "clinical supervision" and the effectiveness of such supervisory programs in a student teaching context are considered. Two differing genres of clinical supervision are constructed: "supervision by pattern analysis" is contrasted with "supervision by performance objectives." An outline of procedural…

  3. Changing Skills for a Changing World: Recommendations for Adult Literacy Policy in Aotearoa/New Zealand. Occasional Paper Series.

    ERIC Educational Resources Information Center

    Johnson, Alice H.

    This report summarizes issues facing New Zealand's modern adult literacy movement and places it in the context of the rapidly changing skill demands of the 21st century. Part I introduces political, economic, and social issues facing New Zealand. Chapter 1 provides an overview of the issues and structures that create the current climate. Part II…

  4. Pharmacotherapy for neuropathic pain in adults: systematic review, meta-analysis and updated NeuPSIG recommendations

    PubMed Central

    Finnerup, Nanna B; Attal, Nadine; Haroutounian, Simon; McNicol, Ewan; Baron, Ralf; Dworkin, Robert H; Gilron, Ian; Haanpaa, Maija; Hansson, Per; Jensen, Troels S; Kamerman, Peter R; Lund, Karen; Moore, Andrew; Raja, Srinivasa N; Rice, Andrew SC; Rowbotham, Michael; Sena, Emily; Siddall, Philip; Smith, Blair H; Wallace, Mark

    2015-01-01

    Summary Background Neuropathic pain is difficult to treat. New treatments, clinical trials and standards of quality for assessing evidence justify an update of evidence-based recommendations for its pharmacological treatment. Methods The Neuropathic Pain Special Interest Group (NeuPSIG) of the International Association for the Study of Pain conducted a systematic review of randomised double-blind studies of oral and topical pharmacotherapy for neuropathic pain, including unpublished trials (retrieved from clinicaltrials.gov and pharmaceutical websites). Meta-analysis used Numbers Needed to Treat (NNT) for 50 % pain relief as primary measure and assessed publication bias. Recommendations used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Findings In total 229 studies were included. Analysis of publication bias suggested a 10% overstatement of treatment effects. Studies published in peer-review journals reported greater effects than online studies (R2=9·3%, p<0·01). Trial outcomes were generally modest even for effective drugs : in particular NNTs were 3·6 (95 % CI 3·0–4·4) for tricyclic antidepressants (TCAs), 6·4 (95 % CI 5·2–8·4) for serotonin- noradrenaline reuptake inbibitor (SNRI) antidepressants duloxetine and venlafaxine, 7·7 (95 % CI 6·5–9·4) for pregabalin and 6·3 (95 % CI 5·0–8·3) for gabapentin. NNTs were higher for gabapentin ER/enacarbil and capsaicin high concentration patches, lower for opioids and botulinum toxin A (BTX-A) and undetermined for lidocaine patches. Final quality of evidence was lower for lidocaine patches and BTX-A. Tolerability/safety and values/preferences were high for lidocaine patches and lower for opioids and TCAs. This permitted a strong GRADE recommendation for use and proposal as first line for TCAs, SNRIs, pregabalin, gabapentin and gabapentin ER/enacarbil in neuropathic pain, a weak recommendation for use and proposal as second line for lidocaine patches, capsaicin

  5. Next steps for adolescent and young adult oncology workshop: An update on progress and recommendations for the future.

    PubMed

    Smith, Ashley Wilder; Seibel, Nita L; Lewis, Denise R; Albritton, Karen H; Blair, Donald F; Blanke, Charles D; Bleyer, W Archie; Freyer, David R; Geiger, Ann M; Hayes-Lattin, Brandon; Tricoli, James V; Wagner, Lynne I; Zebrack, Bradley J

    2016-04-01

    Each year, 70,000 adolescents and young adults (AYAs) between ages 15 and 39 years in the United States are diagnosed with cancer. In 2006, a National Cancer Institute (NCI) Progress Review Group (PRG) examined the state of science associated with cancer among AYAs. To assess the impact of the PRG and examine the current state of AYA oncology research, the NCI, with support from the LIVESTRONG Foundation, sponsored a workshop entitled "Next Steps in Adolescent and Young Adult Oncology" on September 16 and 17, 2013, in Bethesda, Maryland. This report summarizes the findings from the workshop, opportunities to leverage existing data, and suggestions for future research priorities. Multidisciplinary teams that include basic scientists, epidemiologists, trialists, biostatisticians, clinicians, behavioral scientists, and health services researchers will be essential for future advances for AYAs with cancer. Cancer 2016;122:988-999. © 2016 American Cancer Society. PMID:26849003

  6. HELPinKids&Adults Knowledge Synthesis of the Management of Vaccination Pain and High Levels of Needle Fear: Limitations of the Evidence and Recommendations for Future Research.

    PubMed

    Noel, Melanie; Taddio, Anna; McMurtry, C Meghan; Chambers, Christine T; Pillai Riddell, Rebecca; Shah, Vibhuti

    2015-10-01

    The HELPinKids&Adults knowledge synthesis for the management of vaccination-related pain and high levels of needle fear updated and expanded upon the 2010 HELPinKIDS knowledge synthesis and clinical practice guideline for pain mitigation during vaccine injections in childhood. Interventions for vaccine pain management in adults and treatment of individuals with high levels of needle fear, phobias, or both were included, thereby broadening the reach of this work. The present paper outlines the overarching limitations of this diverse evidence base and provides recommendations for future research. Consistent with the framing of clinical questions in the systematic reviews, the Participants, Intervention, Comparison, Outcome, Study design (PICOAS) framework was used to organize these predominant issues and research directions. The major limitations we identified across systematic reviews were an overall dearth of trials on vaccination, lack of methodological rigor, failure to incorporate important outcomes, poor study reporting, and various sources of heterogeneity. Future research directions in terms of conducting additional trials in the vaccination context, improving methodological quality and rigor, assessment of global acceptability and feasibility of interventions, and inclusion of outcomes that stakeholders consider to be important (eg, compliance) are recommended. Given concerns about pain and fear are known contributors to vaccine hesitancy, improving and expanding this evidence base will be integral to broader efforts to improve vaccine compliance and public health worldwide. PMID:26352918

  7. Short term treatment versus long term management of neck and back disability in older adults utilizing spinal manipulative therapy and supervised exercise: a parallel-group randomized clinical trial evaluating relative effectiveness and harms

    PubMed Central

    2014-01-01

    Background Back and neck disability are frequent in older adults resulting in loss of function and independence. Exercise therapy and manual therapy, like spinal manipulative therapy (SMT), have evidence of short and intermediate term effectiveness for spinal disability in the general population and growing evidence in older adults. For older populations experiencing chronic spinal conditions, long term management may be more appropriate to maintain improvement and minimize the impact of future exacerbations. Research is limited comparing short courses of treatment to long term management of spinal disability. The primary aim is to compare the relative effectiveness of 12 weeks versus 36 weeks of SMT and supervised rehabilitative exercise (SRE) in older adults with back and neck disability. Methods/Design Randomized, mixed-methods, comparative effectiveness trial conducted at a university-affiliated research clinic in the Minneapolis/St. Paul, Minnesota metropolitan area. Participants Independently ambulatory community dwelling adults ≥ 65 years of age with back and neck disability of minimum 12 weeks duration (n = 200). Interventions 12 weeks SMT + SRE or 36 weeks SMT + SRE. Randomization Blocked 1:1 allocation; computer generated scheme, concealed in sequentially numbered, opaque, sealed envelopes. Blinding Functional outcome examiners are blinded to treatment allocation; physical nature of the treatments prevents blinding of participants and providers to treatment assignment. Primary endpoint 36 weeks post-randomization. Data collection Self-report questionnaires administered at 2 baseline visits and 4, 12, 24, 36, 52, and 78 weeks post-randomization. Primary outcomes include back and neck disability, measured by the Oswestry Disability Index and Neck Disability Index. Secondary outcomes include pain, general health status, improvement, self-efficacy, kinesiophobia, satisfaction, and medication use. Functional outcome assessment occurs

  8. Clinical practice guidelines for the treatment of invasive Aspergillus infections in adults in the Middle East region: Expert panel recommendations.

    PubMed

    Al-Abdely, Hail M; Alothman, Adel F; Salman, Jameela Al; Al-Musawi, Tariq; Almaslamani, Muna; Butt, Adeel A; Al Thaqafi, Abdulhakeem O; Raghubir, Nirvana; Morsi, Waleed El; Yared, Nadine A

    2014-02-01

    The incidence of invasive Aspergillus infections in the Middle East continues to rise with the increase in the number of immunocompromised patients, and carries significant morbidity and mortality. A panel of experts analysed the evidence from the most recent international guidelines and relevant published literature to reach consensus and develop clear clinical practice guidelines to aid diagnosis and treatment of invasive Aspergillus infections in the Middle East. Disease-specific recommendations were provided for the management of invasive aspergillosis. The expert panel acknowledged that these guidelines should be followed as closely as possible but used alongside clinical judgement. PMID:24029495

  9. Supervising the Reading Clinician.

    ERIC Educational Resources Information Center

    Ridout, Susan Ramp; Bailey, Kevin Sue

    Designed for graduate students supervising undergraduate work in a reading clinic, this practicum manual provides guidelines and materials needed for the graduate section of the Reading Practicum (Methods of Teaching Reading II) at Indiana University Southeast. In addition to the syllabus, which includes course description and objectives, course…

  10. Handbook of Administrative Supervision.

    ERIC Educational Resources Information Center

    Falvey, Janet Elizabeth

    This handbook is one of four handbooks developed for preservice and inservice counselor preparation and professional development. It was developed as a practical guide which will provide resources for supervisors to use in the field for enhancing their own skills or for use with other counselors under their supervision. It is also appropriate for…

  11. Supervision as Cultural Inquiry.

    ERIC Educational Resources Information Center

    Flinders, David J.

    1991-01-01

    Describes a framework for "culturally responsive supervision." An understanding of analogic or iconic metaphors reveals the power of language to shape what are regarded as matters of fact. Kinesics, proxemics, and prosody bring into focus channels of nonverbal communication. The concept of "framing" calls attention to the metamessages of verbal…

  12. Supervising Graduate Assistants

    ERIC Educational Resources Information Center

    White, Jessica; Nonnamaker, John

    2011-01-01

    Discussions of personnel management in student affairs literature and at national conferences often focus on supervising new or midlevel professionals and the myriad challenges and possibilities these relationships entail (Carpenter, 2001; Winston and Creamer, 1997). Graduate students as employees and the often-complicated and ill-structured…

  13. Instructional Supervision: Dollars and Sense

    ERIC Educational Resources Information Center

    Krajewski, Robert J.

    1977-01-01

    Definitions of supervision and instructional supervision are provided, along with financial and educational rationale for better quality-control of public education through the development and maintenance of an effective instructional improvement program. A suggested supervisory model is described. (MJB)

  14. Vaccination coverage in French 17-year-old young adults: an assessment of mandatory and recommended vaccination statuses.

    PubMed

    Roblot, F; Robin, S; Chubilleau, C; Giraud, J; Bouffard, B; Ingrand, P

    2016-02-01

    We aimed to assess vaccination coverage (VC) in 17-year-old French young adults (YAs) participating in one mandatory Day of Defence and Citizenship (DDC). Between June 2010 and May 2011, YAs participating in 43 randomly selected mandatory sessions of the DDC programme in Poitou-Charentes (France) were asked to provide their personal vaccination record. Tetanus, diphtheria, polio, hepatitis B, Haemophilus influenzae b, pertussis, measles, mumps and rubella vaccination status were assessed at ages 2, 6, 13 and 17 years. Of 2610 participants, 2111 (81%) supplied documents for evaluation. Of these, 1838 (87%, M:F sex ratio 0·96) were aged 17 years (9% of the global population of this age in the area). The assessment of the 17-year-olds demonstrated the following rates of complete vaccination: diphtheria-tetanus-polio 83%; measles, mumps and rubella 83%; pertussis 69%; H. influenzae b 61%; human papillomavirus 47%; and hepatitis B 40%. At age 6 years, only 46% had received two doses of the vaccine against measles. The YAs were not aware of their status but were in favour of vaccination. VC in YAs is insufficient, particularly for hepatitis B, pertussis and measles. Combined vaccines and the simplification of vaccination schedules should improve VC. Preventive messages should focus on YAs. PMID:26159149

  15. Novice Supervisors' Understandings of Supervision.

    ERIC Educational Resources Information Center

    Waite, Duncan

    Findings of a study that examined novice supervisors' understandings of supervision are presented in this paper. Data were collected from 110 graduate-level students enrolled in an introductory supervision class. Four themes emerged from students' definitions of supervision-domains, relationships, traits, and tasks. The most surprising finding was…

  16. Outcome Evaluation in Supervision Research.

    ERIC Educational Resources Information Center

    Holloway, Elizabeth L.

    1984-01-01

    Presents a framework of different sources of outcome data in supervision, and classifies research according to this framework. Challenges assumptions of previous research in supervision. Emphasizes influences of trainee and client in supervision and counseling contexts, respectively. Supports broader definition and expanded view of outcome in…

  17. Supervision: In Retrospect and Prospect.

    ERIC Educational Resources Information Center

    Irvine, Freeman R., Jr.

    This literature review presents a concise chronology of supervision as it evolved on the American scene. It is emphasized that supervision has a unique definition for each user. Supervision in America evolved out of a basic school pattern inherited from the European school system. The early definition and concept of this position was vague. The…

  18. Recommended dairy product intake modulates circulating fatty acid profile in healthy adults: a multi-centre cross-over study.

    PubMed

    Abdullah, Mohammad M H; Cyr, Audrey; Lépine, Marie-Claude; Labonté, Marie-Ève; Couture, Patrick; Jones, Peter J H; Lamarche, Benoît

    2015-02-14

    Dairy products are rich sources of an array of fatty acids (FA) that have been shown individually and in certain clusters to exert varying effects on cardiovascular health, for which the circulating lipid profile is a powerful biomarker. Whether the profile of these FA is reflected in blood upon short terms of intake, possibly contributing to the lipid-related health impacts of dairy products, remains to be fully established. The objectives of the present study were to assess a recommended dairy product consumption in relation to circulating FA and lipid profiles, and to evaluate certain FA in dairy fat as potential biomarkers of intake. In a free-living, multi-centre, cross-over design, 124 healthy individuals consumed 3 servings/d of commercial dairy (DAIRY; 1% fat milk, 1·5% fat yogurt and 34% fat cheese) or energy-equivalent control (CONTROL; fruit and vegetable juice, cashews and a cookie) products for 4 weeks each, separated by a 4-week washout period. Plasma FA and serum lipid profiles were assessed by standard methods at the end of each dietary phase. After 4 weeks of intake, plasma levels of FA pentadecanoic acid (15 : 0) and heptadecanoic acid (17 : 0) were higher (0·26 v. 0·22% and 0·42 v. 0·39% of the total identified FA, respectively) after the DAIRY phase than after the CONTROL phase (P< 0·0001). This was accompanied by a small but significant increase in serum LDL-cholesterol levels after the DAIRY phase compared with the CONTROL phase (+0·08 mmol/l; P= 0·04). In conclusion, intake of 3 servings/d of conventional dairy products may modify certain circulating FA and lipid profiles within 4 weeks, where 15 : 0 and 17 : 0 may be potential short-term biomarkers of intake. PMID:25609231

  19. Vaccinations in adults with chronic inflammatory joint disease: Immunization schedule and recommendations for patients taking synthetic or biological disease-modifying antirheumatic drugs.

    PubMed

    Morel, Jacques; Czitrom, Séverine Guillaume; Mallick, Auriane; Sellam, Jérémie; Sibilia, Jean

    2016-03-01

    The risk of infection associated with autoimmune diseases is further increased by the use of biotherapies. Recommendations to minimize this risk include administering the full complement of vaccines on the standard immunization schedule, as well as the pneumococcal and influenza vaccines. Adults with chronic inflammatory joint disease (IJD) may receive a 13-valent pneumococcal conjugate vaccine, as well as a live attenuated vaccine against recurrent herpes zoster, recently licensed by European regulatory authorities. Live attenuated vaccines can be given only after an interval without immunosuppressant and/or glucocorticoid therapy. The effectiveness of vaccines, as assessed based on titers of protective antibodies, varies across vaccine types and disease-modifying antirheumatic drugs (DMARDs). Thus, methotrexate and rituximab are usually associated with decreased vaccine responses. The risks associated with vaccines are often considerably exaggerated by the media, which serve lobbies opposed to immunizations and make some patients reluctant to accept immunizations. Increasing immunization coverage may diminish the risk of treatment-related infections. A physician visit dedicated specifically to detecting comorbidities in patients with chronic IJD may result in improved immunization coverage. In this review, we discuss immunizations for adults with chronic IJD based on the treatments used, as well as immunization coverage. Many questions remain unanswered and warrant investigation by studies coordinated by the French networks IREIVAC (Innovative clinical research network in vaccinology) and IMIDIATE (Immune-Mediated Inflammatory Disease Alliance for Translational and Clinical Research). PMID:26453106

  20. Weakly supervised glasses removal

    NASA Astrophysics Data System (ADS)

    Wang, Zhicheng; Zhou, Yisu; Wen, Lijie

    2015-03-01

    Glasses removal is an important task on face recognition, in this paper, we provide a weakly supervised method to remove eyeglasses from an input face image automatically. We choose sparse coding as face reconstruction method, and optical flow to find exact shape of glasses. We combine the two processes iteratively to remove glasses more accurately. The experimental results reveal that our method works much better than these algorithms alone, and it can remove various glasses to obtain natural looking glassless facial images.

  1. Clinical supervision of psychotherapy: essential ethics issues for supervisors and supervisees.

    PubMed

    Barnett, Jeffrey E; Molzon, Corey H

    2014-11-01

    Clinical supervision is an essential aspect of every mental health professional's training. The importance of ensuring that supervision is provided competently, ethically, and legally is explained. The elements of the ethical practice of supervision are described and explained. Specific issues addressed include informed consent and the supervision contract, supervisor and supervisee competence, attention to issues of diversity and multicultural competence, boundaries and multiple relationships in the supervision relationship, documentation and record keeping by both supervisor and supervisee, evaluation and feedback, self-care and the ongoing promotion of wellness, emergency coverage, and the ending of the supervision relationship. Additionally, the role of clinical supervisor as mentor, professional role model, and gatekeeper for the profession are discussed. Specific recommendations are provided for ethically and effectively conducting the supervision relationship and for addressing commonly arising dilemmas that supervisors and supervisees may confront. PMID:25220636

  2. Implementing an ASCA-Informed School Counselor Supervision Model: A Qualitative Field-Based Study

    ERIC Educational Resources Information Center

    Glaes, Janet M.

    2010-01-01

    The American School Counseling Association's (ASCA) National Model has been recognized in the field of professional school counseling as an effective framework for the training and supervision of school counselor interns. Despite this recommendation, school counselor supervision models which incorporate the ASCA model have until recently been rare…

  3. Effect of fast food consumption on dietary intake and likelihood of meeting MyPyramid recommendations in adults: Results from What We Eat In America, NHANES, 2003-2004

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The purpose of this study was to determine the effect of fast food (FF) consumption on food and nutrient intakes and likelihood of meeting recommendations outlined in USDA’s MyPyramid Food Guidance System. Adults 19-50 years of age (n=2,160) who completed two 24-hour dietary recalls in the What We ...

  4. "Breakthrough" 1981 Eight Months Later. A Summary of the Presentations, Recommendations, and Outcomes of the 1981 Breakthrough Conference, to Assist Minority Women and Men and Nonminority Women Achieve Leadership Positions in Wisconsin's Vocational, Technical, and Adult Education System.

    ERIC Educational Resources Information Center

    Grengg, Dolores A., Ed.; Thompson, Mary B., Ed.

    These proceedings consist of a summary of the presentations, recommendations, and outcomes of a conference held to assist minority women and men and nonminority women achieve leadership positions in Wisconsin's vocational, technical, and adult education (VTAE) system. Following a brief introduction and copy of the conference agenda, summaries are…

  5. Recommendations for the evaluation of risk and prophylaxis of tumour lysis syndrome (TLS) in adults and children with malignant diseases: an expert TLS panel consensus.

    PubMed

    Cairo, Mitchell S; Coiffier, Bertrand; Reiter, Alfred; Younes, Anas

    2010-05-01

    Tumour lysis syndrome (TLS) is a life-threatening oncological emergency characterized by metabolic abnormalities including hyperuricaemia, hyperphosphataemia, hyperkalaemia and hypocalcaemia. These metabolic complications predispose the cancer patient to clinical toxicities including renal insufficiency, cardiac arrhythmias, seizures, neurological complications and potentially sudden death. With the increased availability of newer therapeutic targeted agents, such as rasburicase (recombinant urate oxidase), there are no published guidelines on the risk classification of TLS for individual patients at risk of developing this syndrome. We convened an international TLS expert consensus panel to develop guidelines for a medical decision tree to assign low, intermediate and high risk to patients with cancer at risk for TLS. Risk factors included biological evidence of laboratory TLS (LTLS), proliferation, bulk and stage of malignant tumour and renal impairment and/or involvement at the time of TLS diagnosis. An international TLS consensus expert panel of paediatric and adult oncologists, experts in TLS pathophysiology and experts in TLS prophylaxis and management, developed a final model of low, intermediate and high risk TLS classification and associated TLS prophylaxis recommendations. PMID:20331465

  6. Exploring Clinical Supervision as Instrument for Effective Teacher Supervision

    ERIC Educational Resources Information Center

    Ibara, E. C.

    2013-01-01

    This paper examines clinical supervision approaches that have the potential to promote and implement effective teacher supervision in Nigeria. The various approaches have been analysed based on the conceptual framework of instructional supervisory behavior. The findings suggest that a clear distinction can be made between the prescriptive and…

  7. Supervising PETE Candidates Using the Situational Supervision Model

    ERIC Educational Resources Information Center

    Levy, Linda S.; Johnson, Lynn V.

    2012-01-01

    Physical education teacher candidates (PETCs) often, as part of their curricular requirements, engage in early field experiences that prepare them for student teaching. Matching the PETC's developmental level with the mentor's supervision style enhances this experience. The situational supervision model, based on the situational leadership model,…

  8. Does "Supervise" Mean "Slanderize"? Planning for Effective Supervision.

    ERIC Educational Resources Information Center

    Blair, Billie Goode

    1991-01-01

    Discusses how administrators can help teachers and administrators become role effective. After considering what teachers need to function as professionals, the article examines the leadership function and its relationship to supervision, clarifying the use of supervision as a process, describing major supervisory functions, and noting the…

  9. Supervision of Supervised Agricultural Experience Programs: A Synthesis of Research.

    ERIC Educational Resources Information Center

    Dyer, James E.; Williams, David L.

    1997-01-01

    A review of literature from 1964 to 1993 found that supervised agricultural experience (SAE) teachers, students, parents, and employers value the teachers' supervisory role. Implementation practices vary widely and there are no cumulative data to guide policies and standards for SAE supervision. (SK)

  10. A Collaboratively Supervised Teaching Internship: Implications for Future Supervision.

    ERIC Educational Resources Information Center

    Baker, Thomas E.

    This paper describes the 5-year Austin Teacher Program (ATP) at Austin College with emphasis on the collaboratively supervised internship in the graduate year. Some results of a comprehensive survey of over 400 ATP graduates are discussed, as well as issues and needs in the supervision of interns, and implications for the future in the supervision…

  11. Group Supervision of Supervision: A Relational Approach for Training Supervisors

    ERIC Educational Resources Information Center

    DiMino, John L.; Risler, Robin

    2012-01-01

    The issue of training psychologists to become competent supervisors has only been clearly articulated in the past two decades. In this article a rationale for training supervisors in a group format is given. Then, a supervision of supervision group is presented that the authors co-led with two successive cohorts of four predoctoral interns in a…

  12. Instructional Supervision. VTAE Workshop 90 (Wisconsin Rapids, Wisconsin, March 5-7, 1990). Final Report.

    ERIC Educational Resources Information Center

    Lee, Howard D.

    This document contains an outline of a workshop on instructional supervision for vocational, technical, and adult education supervisors in Wisconsin. Materials used in the workshop, along with preparation materials, are included. Extensive appendixes include a list of workshop participants, the agenda, handouts on instructional supervision, and…

  13. Special Issue on Clinical Supervision: A Reflection

    ERIC Educational Resources Information Center

    Bernard, Janine M.

    2010-01-01

    This special issue about clinical supervision offers an array of contributions with disparate insights into the supervision process. Using a synergy of supervision model, the articles are categorized as addressing the infrastructure required for adequate supervision, the relationship dynamics endemic to supervision, or the process of delivering…

  14. Assessment of Counselors' Supervision Processes

    ERIC Educational Resources Information Center

    Ünal, Ali; Sürücü, Abdullah; Yavuz, Mustafa

    2013-01-01

    The aim of this study is to investigate elementary and high school counselors' supervision processes and efficiency of their supervision. The interview method was used as it was thought to be better for realizing the aim of the study. The study group was composed of ten counselors who were chosen through purposeful sampling method. Data were…

  15. Supervisees' Perception of Clinical Supervision

    ERIC Educational Resources Information Center

    Willis, Lisa

    2010-01-01

    Supervisors must become aware of the possible conflicts that could arise during clinical supervision. It is important that supervisors communicate their roles and expectations effectively with their supervisees. This paper supports the notion that supervision is a mutual agreement between the supervisee and the supervisor and the roles of…

  16. Unfinished Business: Subjectivity and Supervision

    ERIC Educational Resources Information Center

    Green, Bill

    2005-01-01

    Within the now burgeoning literature on doctoral research education, postgraduate research supervision continues to be a problematical issue, practically and theoretically. This paper seeks to explore and understand supervision as a distinctive kind of pedagogic practice. Informed by a larger research project, it draws on poststructuralism,…

  17. [Learning through Supervision and Mentorship.

    ERIC Educational Resources Information Center

    Pawl, Jeree, Ed.

    1991-01-01

    This newsletter theme issue focuses on the value of supervision in developing personnel in programs for infants with disabilities and their families. The first article, titled "Learning through Supervision and Mentorship To Support the Development of Infants, Toddlers and Their Families" (Emily Fenichel), is an essay explaining the thinking of the…

  18. Clinical Supervision: History, Practice, Perspective.

    ERIC Educational Resources Information Center

    Miller, Robert; Miller, Kathleen

    1987-01-01

    There is a natural link between clinical supervision and its current interest in effective teaching. Describes how the process affects practice in schools today. Lists Morris Cogan's eight phases of supervision and Madeline Hunter's seven steps in the development of an effective teaching lesson. Includes five references. (Author/MD)

  19. Functional Analytic Psychotherapy and Supervision

    ERIC Educational Resources Information Center

    Callaghan, Glenn M.

    2006-01-01

    The interpersonal behavior therapy, Functional Analytic Psychotherapy (FAP) has been empirically investigated and described in the literature for a little over a decade. Still, little has been written about the process of supervision in FAP. While there are many aspects of FAP supervision shared by other contemporary behavior therapies and…

  20. Sociodemographic and Geographic Correlates of Meeting Current Recommendations for Physical Activity in Middle-Aged French Adults: the Supplémentation en Vitamines et Minéraux Antioxydants (SUVIMAX) Study

    PubMed Central

    Bertrais, Sandrine; Preziosi, Paul; Mennen, Louise; Galan, Pilar; Hercberg, Serge; Oppert, Jean-Michel

    2004-01-01

    Objective. We evaluated the characteristics of French subjects meeting current public health recommendations for physical activity. Methods. We assessed leisure-time physical activity cross-sectionally in 7404 adults aged 45 to 68 years with applied logistic regression models. Results. Meeting the recommended physical activity levels was more likely in subjects aged 60 years and older and in women with higher education levels or living in rural areas and was less likely in smokers. No association was found with time spent watching television. The contribution of vigorous activity to total time spent being active was approximately 2 times higher in subjects meeting recommendations. Conclusions. Participation in some vigorous activity may be viewed as a “facilitator” to attain physical activity recommendations. Relationships with physical environment variables in Europe need further investigation. PMID:15333315

  1. Partially supervised speaker clustering.

    PubMed

    Tang, Hao; Chu, Stephen Mingyu; Hasegawa-Johnson, Mark; Huang, Thomas S

    2012-05-01

    Content-based multimedia indexing, retrieval, and processing as well as multimedia databases demand the structuring of the media content (image, audio, video, text, etc.), one significant goal being to associate the identity of the content to the individual segments of the signals. In this paper, we specifically address the problem of speaker clustering, the task of assigning every speech utterance in an audio stream to its speaker. We offer a complete treatment to the idea of partially supervised speaker clustering, which refers to the use of our prior knowledge of speakers in general to assist the unsupervised speaker clustering process. By means of an independent training data set, we encode the prior knowledge at the various stages of the speaker clustering pipeline via 1) learning a speaker-discriminative acoustic feature transformation, 2) learning a universal speaker prior model, and 3) learning a discriminative speaker subspace, or equivalently, a speaker-discriminative distance metric. We study the directional scattering property of the Gaussian mixture model (GMM) mean supervector representation of utterances in the high-dimensional space, and advocate exploiting this property by using the cosine distance metric instead of the euclidean distance metric for speaker clustering in the GMM mean supervector space. We propose to perform discriminant analysis based on the cosine distance metric, which leads to a novel distance metric learning algorithm—linear spherical discriminant analysis (LSDA). We show that the proposed LSDA formulation can be systematically solved within the elegant graph embedding general dimensionality reduction framework. Our speaker clustering experiments on the GALE database clearly indicate that 1) our speaker clustering methods based on the GMM mean supervector representation and vector-based distance metrics outperform traditional speaker clustering methods based on the “bag of acoustic features” representation and statistical

  2. On Recommending.

    ERIC Educational Resources Information Center

    Furner, Jonathan

    2002-01-01

    Discusses recommendation, or preference ordering, in document retrieval systems that ranks documents in order of the likelihood with which they match the preferences of any person searching the system. Describes the ERIn (Evaluation-Recommendation-Information) model, a decision-theoretic framework for understanding information-related activity…

  3. Recommender systems

    NASA Astrophysics Data System (ADS)

    Lü, Linyuan; Medo, Matúš; Yeung, Chi Ho; Zhang, Yi-Cheng; Zhang, Zi-Ke; Zhou, Tao

    2012-10-01

    The ongoing rapid expansion of the Internet greatly increases the necessity of effective recommender systems for filtering the abundant information. Extensive research for recommender systems is conducted by a broad range of communities including social and computer scientists, physicists, and interdisciplinary researchers. Despite substantial theoretical and practical achievements, unification and comparison of different approaches are lacking, which impedes further advances. In this article, we review recent developments in recommender systems and discuss the major challenges. We compare and evaluate available algorithms and examine their roles in the future developments. In addition to algorithms, physical aspects are described to illustrate macroscopic behavior of recommender systems. Potential impacts and future directions are discussed. We emphasize that recommendation has great scientific depth and combines diverse research fields which makes it interesting for physicists as well as interdisciplinary researchers.

  4. Immunization Schedules for Adults

    MedlinePlus

    ... ACIP Vaccination Recommendations Why Immunize? Vaccines: The Basics Immunization Schedules for Adults in Easy-to-read Formats ... previous immunizations. View or Print a Schedule Recommended Immunizations for Adults (19 Years and Older) by Age ...

  5. Recommended immunization schedules for adults: Clinical practice guidelines by the Escmid Vaccine Study Group (EVASG), European Geriatric Medicine Society (EUGMS) and the World Association for Infectious Diseases and Immunological Disorders (WAidid).

    PubMed

    Esposito, Susanna; Bonanni, Paolo; Maggi, Stefania; Tan, Litjan; Ansaldi, Filippo; Lopalco, Pier Luigi; Dagan, Ron; Michel, Jean-Pierre; van Damme, Pierre; Gaillat, Jacques; Prymula, Roman; Vesikari, Timo; Mussini, Cristina; Frank, Uwe; Osterhaus, Albert; Celentano, Lucia Pastore; Rossi, Marta; Guercio, Valentina; Gavazzi, Gaetan

    2016-07-01

    Rapid population aging has become a major challenge in the industrialized world and progressive aging is a key reason for making improvement in vaccination a cornerstone of public health strategy. An increase in age-related disorders and conditions is likely to be seen in the near future, and these are risk factors for the occurrence of a number of vaccine-preventable diseases. An improvement in infectious diseases prevention specifically aimed at adults and the elderly can therefore also decrease the burden of these chronic conditions by reducing morbidity, disability, hospital admissions, health costs, mortality rates and, perhaps most importantly, by improving the quality of life. Among adults, it is necessary to identify groups at increased risk of vaccine-preventable diseases and highlight the epidemiological impact and benefits of vaccinations using an evidence-based approach. This document provides clinical practice guidance on immunization for adults in order to provide recommendations for decision makers and healthcare workers in Europe. Although immunization is considered one of the most impactful and cost-effective public health measures that can be undertaken, vaccination coverage rates among adults are largely lower than the stated goal of ≥ 95% among adults, and stronger efforts are needed to increase coverage in this population. Active surveillance of adult vaccine-preventable diseases, determining the effectiveness of the vaccines approved for marketing in the last 5 y, the efficacy and safety of vaccines in immunocompromised patients, as well as in pregnant women, represent the priorities for future research. PMID:27135390

  6. 32 CFR 727.11 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Supervision. 727.11 Section 727.11 National... Supervision. The Judge Advocate General will exercise supervision over all legal assistance activities in the Department of the Navy. Subject to the supervision of the Judge Advocate General, officers in charge of...

  7. 20 CFR 656.21 - Supervised recruitment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Supervised recruitment. 656.21 Section 656.21... Supervised recruitment. (a) Supervised recruitment. Where the Certifying Officer determines it appropriate, post-filing supervised recruitment may be required of the employer for the pending application...

  8. Supervision Strategies for the First Practicum.

    ERIC Educational Resources Information Center

    Engels, Dennis W., Ed.; Dameron, Joseph D., Ed.

    Numerous researchers have recognized that supervision is critical in the preparation of counselors and psychotherapists. This supervision manual, which is organized around a coherent theory of training, is intended to help practitioners as they learn to supervise counselors and therapists. The manual is designed primarily for supervision of…

  9. Educational Supervision Appropriate for Psychiatry Trainee's Needs

    ERIC Educational Resources Information Center

    Rele, Kiran; Tarrant, C. Jane

    2010-01-01

    Objective: The authors studied the regularity and content of supervision sessions in one of the U.K. postgraduate psychiatric training schemes (Mid-Trent). Methods: A questionnaire sent to psychiatry trainees assessed the timing and duration of supervision, content and protection of supervision time, and overall quality of supervision. The authors…

  10. Joint European League Against Rheumatism and European Renal Association–European Dialysis and Transplant Association (EULAR/ERA-EDTA) recommendations for the management of adult and paediatric lupus nephritis

    PubMed Central

    Bertsias, George K; Tektonidou, Maria; Amoura, Zahir; Aringer, Martin; Bajema, Ingeborg; Berden, Jo H M; Boletis, John; Cervera, Ricard; Dörner, Thomas; Doria, Andrea; Ferrario, Franco; Floege, Jürgen; Houssiau, Frederic A; Ioannidis, John P A; Isenberg, David A; Kallenberg, Cees G M; Lightstone, Liz; Marks, Stephen D; Martini, Alberto; Moroni, Gabriela; Neumann, Irmgard; Praga, Manuel; Schneider, Matthias; Starra, Argyre; Tesar, Vladimir; Vasconcelos, Carlos; van Vollenhoven, Ronald F; Zakharova, Helena; Haubitz, Marion; Gordon, Caroline; Jayne, David; Boumpas, Dimitrios T

    2012-01-01

    Objectives To develop recommendations for the management of adult and paediatric lupus nephritis (LN). Methods The available evidence was systematically reviewed using the PubMed database. A modified Delphi method was used to compile questions, elicit expert opinions and reach consensus. Results Immunosuppressive treatment should be guided by renal biopsy, and aiming for complete renal response (proteinuria <0.5 g/24 h with normal or near-normal renal function). Hydroxychloroquine is recommended for all patients with LN. Because of a more favourable efficacy/toxicity ratio, as initial treatment for patients with class III–IVA or A/C (±V) LN according to the International Society of Nephrology/Renal Pathology Society 2003 classification, mycophenolic acid (MPA) or low-dose intravenous cyclophosphamide (CY) in combination with glucocorticoids is recommended. In patients with adverse clinical or histological features, CY can be prescribed at higher doses, while azathioprine is an alternative for milder cases. For pure class V LN with nephrotic-range proteinuria, MPA in combination with oral glucocorticoids is recommended as initial treatment. In patients improving after initial treatment, subsequent immunosuppression with MPA or azathioprine is recommended for at least 3 years; in such cases, initial treatment with MPA should be followed by MPA. For MPA or CY failures, switching to the other agent, or to rituximab, is the suggested course of action. In anticipation of pregnancy, patients should be switched to appropriate medications without reducing the intensity of treatment. There is no evidence to suggest that management of LN should differ in children versus adults. Conclusions Recommendations for the management of LN were developed using an evidence-based approach followed by expert consensus. PMID:22851469

  11. Colonoscopy and Colorectal Cancer Screening in Adults with Intellectual and Developmental Disabilities: Review of a Series of Cases and Recommendations for Examination

    ERIC Educational Resources Information Center

    Fischer, Leonard S.; Becker, Andrew; Paraguya, Maria; Chukwu, Cecilia

    2012-01-01

    Adults with intellectual and developmental disabilities (IDD) frequently have comorbidities that might interfere with colonoscopy preparation and examination. In this article, the authors review their experience with colonoscopies performed from 2002 through 2010 on adults with IDD at a state institution to evaluate quality and safety of…

  12. Recommended Paperbacks.

    ERIC Educational Resources Information Center

    Horn Book Magazine, 1980

    1980-01-01

    Lists recommended paperback books for children in the following categories: picture books; stories for younger, for intermediate, and for older readers; folklore, legend, and mythology; and nonfiction. Tells if and when the original editions were reviewed in this journal. (GT)

  13. Psychoanalytic supervision: the intersubjective development.

    PubMed

    Berman, E

    2000-04-01

    The author argues that an intersubjective perspective on the analytic process makes the notion of purely didactic supervision, avoiding countertransference issues, untenable and that countertransference is both a clue to the analysand's psychic reality and a factor in its evolution. Supervision is seen as a highly personal learning process for both supervisor and supervisee and its emotional climate as a crucial factor in its evolution into a transitional space, generating new meanings. Supervision is portrayed as the crossroads of a matrix of object relations of three persons, of a complex network of transference/countertransference patterns. The avoidance or denial of the supervisor's subjective role in it, maintaining 'a myth of the supervisory situation', may make supervision stilted or even oppressive and stand in the way of resolving supervisory crises and stalemates. It is argued that several factors contribute to the conflictuality of supervision for all partners (often including the analysand): the continuous process of mutual evaluation, the reciprocal fears of exposing one's weaknesses, the impact of the institute as a setting and the transferences it arouses and the inherent conflicts of loyalty for each participant in the analytic/supervisory triad. The resulting dynamics and relational patterns could become a legitimate and freeing topic in supervisory discourse. PMID:10889961

  14. Supervised Gamma Process Poisson Factorization

    SciTech Connect

    Anderson, Dylan Zachary

    2015-05-01

    This thesis develops the supervised gamma process Poisson factorization (S- GPPF) framework, a novel supervised topic model for joint modeling of count matrices and document labels. S-GPPF is fully generative and nonparametric: document labels and count matrices are modeled under a uni ed probabilistic framework and the number of latent topics is controlled automatically via a gamma process prior. The framework provides for multi-class classification of documents using a generative max-margin classifier. Several recent data augmentation techniques are leveraged to provide for exact inference using a Gibbs sampling scheme. The first portion of this thesis reviews supervised topic modeling and several key mathematical devices used in the formulation of S-GPPF. The thesis then introduces the S-GPPF generative model and derives the conditional posterior distributions of the latent variables for posterior inference via Gibbs sampling. The S-GPPF is shown to exhibit state-of-the-art performance for joint topic modeling and document classification on a dataset of conference abstracts, beating out competing supervised topic models. The unique properties of S-GPPF along with its competitive performance make it a novel contribution to supervised topic modeling.

  15. Evaluation of process-oriented supervision of student nurses: a Swedish case study.

    PubMed

    Lindquist, Ingegerd; Johansson, Ingrid; Severinsson, Elisabeth

    2012-03-01

    The value of supervision that is provided to student nurses during their education is high. The aim of this study was to evaluate the organizational changes in an educational program for Swedish student nurses, focusing on the content and quality of process-oriented supervision. The research question was: Do the organizational changes pertaining to the student nurses' supervision (its reduced frequency and mandatory nature) influence its content and quality and, if so, in which ways? The data were collected by focus group discussions and were analyzed by a qualitative content analysis. Three themes emerged: difficulties with the new organization, the content and learning outcomes of supervision, and the nurse supervisors' intentions. Supervision is recommended in order to achieve the goal of nursing education and to ensure that student nurses gain an understanding of their experiences, thus equipping them with the professional skills and competence that are required to meet patients' needs. PMID:21827585

  16. Adult Day Services

    MedlinePlus

    A Smart Choice Adult Day Services Comparison At-a-Glance 1 Adult Day Services Assisted Living Home Care Nursing Homes Live at home with family ... supervision Nursing care available as needed during the day Flexibility to receive care only on days when ...

  17. Challenges for Better thesis supervision

    PubMed Central

    Ghadirian, Laleh; Sayarifard, Azadeh; Majdzadeh, Reza; Rajabi, Fatemeh; Yunesian, Masoud

    2014-01-01

    Background: Conduction of thesis by the students is one of their major academic activities. Thesis quality and acquired experiences are highly dependent on the supervision. Our study is aimed at identifing the challenges in thesis supervision from both students and faculty members point of view. Methods: This study was conducted using individual in-depth interviews and Focus Group Discussions (FGD). The participants were 43 students and faculty members selected by purposive sampling. It was carried out in Tehran University of Medical Sciences in 2012. Data analysis was done concurrently with data gathering using content analysis method. Results: Our data analysis resulted in 162 codes, 17 subcategories and 4 major categories, "supervisory knowledge and skills", "atmosphere", "bylaws and regulations relating to supervision" and "monitoring and evaluation". Conclusion: This study showed that more attention and planning in needed for modifying related rules and regulations, qualitative and quantitative improvement in mentorship training, research atmosphere improvement and effective monitoring and evaluation in supervisory area. PMID:25250273

  18. Cultural Humility in Psychotherapy Supervision.

    PubMed

    Hook, Joshua N; Watkins, C Edward; Davis, Don E; Owen, Jesse; Van Tongeren, Daryl R; Ramos, Marciana J

    2016-01-01

    As a core component of multicultural orientation, cultural humility can be considered an important attitude for clinical supervisees to adopt and practically implement. How can cultural humility be most meaningfully incorporated in supervision? In what ways can supervisors stimulate the development of a culturally humble attitude in our supervisees? We consider those questions in this paper and present a model for addressing cultural humility in clinical supervision. The primary focus is given to two areas: (a) modeling and teaching of cultural humility through interpersonal interactions in supervision, and (b) teaching cultural humility through outside activities and experiences. Two case studies illustrating the model are presented, and a research agenda for work in this area is outlined. PMID:27329404

  19. Predoctoral interns' nondisclosure in supervision.

    PubMed

    Hess, Shirley A; Knox, Sarah; Schultz, Jill M; Hill, Clara E; Sloan, Lea; Brandt, Susan; Kelley, Frances; Hoffman, Mary Ann

    2008-07-01

    In interviews with 14 counseling center predoctoral interns regarding a significant nondisclosure in supervision, eight interns reported good supervisory relationships and six indicated that they experienced problematic supervisory relationships. Nondisclosures for the interns in good supervisory relationships related to personal reactions to clients, whereas nondisclosures for interns in problematic supervisory relationships related to global dissatisfaction with the supervisory relationship. In both groups, interns mentioned concerns about evaluation and negative feelings as typical reasons for nondisclosure. Additional reasons for nondisclosure for interns in problematic supervision were power dynamics, inhibiting demographic or cultural variables, and the supervisor's theoretical orientation. Both groups described negative effects of nondisclosure on themselves and their relationships with clients. Interns in problematic supervision also reported that nondisclosures had negative effects on the supervisory relationship. PMID:18815992

  20. Nursing home staffing and training recommendations for promoting older adults' quality of care and life: Part 1. Deficits in the quality of care due to understaffing and undertraining.

    PubMed

    Maas, Meridean L; Specht, Janet P; Buckwalter, Kathleen C; Gittler, Josephine; Bechen, Kate

    2008-04-01

    Caught between the inability or unwillingness of nursing home corporations and owners to redistribute revenue and the reluctance of federal and state agencies to increase payments to nursing homes, the nation's most vulnerable older adults are not receiving the care they deserve. Widespread recognition of substandard care and quality of life of older adults in nursing homes has existed for decades. In addition, there is substantial evidence that poor quality of care is related to inadequate numbers and training of nursing staff. Still, policy makers and nursing home owners have failed to take needed action. In the first article of this two-part series, major deficits in the care of older adult nursing home residents are reviewed, and research documenting the relationship between nursing home staffing and the quality of care and life of residents is summarized. PMID:20078025

  1. Adequate supervision for children and adolescents.

    PubMed

    Anderst, James; Moffatt, Mary

    2014-11-01

    Primary care providers (PCPs) have the opportunity to improve child health and well-being by addressing supervision issues before an injury or exposure has occurred and/or after an injury or exposure has occurred. Appropriate anticipatory guidance on supervision at well-child visits can improve supervision of children, and may prevent future harm. Adequate supervision varies based on the child's development and maturity, and the risks in the child's environment. Consideration should be given to issues as wide ranging as swimming pools, falls, dating violence, and social media. By considering the likelihood of harm and the severity of the potential harm, caregivers may provide adequate supervision by minimizing risks to the child while still allowing the child to take "small" risks as needed for healthy development. Caregivers should initially focus on direct (visual, auditory, and proximity) supervision of the young child. Gradually, supervision needs to be adjusted as the child develops, emphasizing a safe environment and safe social interactions, with graduated independence. PCPs may foster adequate supervision by providing concrete guidance to caregivers. In addition to preventing injury, supervision includes fostering a safe, stable, and nurturing relationship with every child. PCPs should be familiar with age/developmentally based supervision risks, adequate supervision based on those risks, characteristics of neglectful supervision based on age/development, and ways to encourage appropriate supervision throughout childhood. PMID:25369578

  2. Lecturers' accounts of facilitating clinical supervision groups within a pre-registration mental health nursing curriculum.

    PubMed

    Ashmore, Russell; Carver, Neil; Clibbens, Nicola; Sheldon, Julie

    2012-04-01

    In 1994 the Department of Health recommended that nurses be introduced to the process of clinical supervision during pre-registration training. Since then a body of literature has emerged, largely focusing on students' experiences of a variety of training initiatives in supervision. There is however a paucity of literature exploring the experiences of nursing lecturers engaged in such initiatives. This paper reports the findings from one part of a three-year prospective longitudinal study examining mental health students' and lecturers' experiences of group clinical supervision undertaken as part of a pre-registration course. In this part of the study eight mental health nursing lecturers participated in semi-structured individual interviews in which they discussed their experiences of facilitating student supervision groups. Content analysis of the interview data produced eight major categories: 'attitudes to supervision'; 'perceptions of the student experience'; 'preparation and support'; 'approaches to supervision'; 'the "good" supervisor'; 'the lecturer as supervisor'; 'the structure and process of sessions; and 'the content of supervision'. The findings suggest that the idea of undertaking supervision for students is attractive to lecturers. However, several issues need to be addressed if this type of initiative is to be successful in preparing students for their future role as supervisee. PMID:21640446

  3. Staff supervision in residential care.

    PubMed

    Myers, Peter G; Bibbs, Tonya; Orozco, Candy

    2004-04-01

    Residential care workers must be offered opportunities for formalized and systematic supervision in individual and group formats to provide the highest possible level of care to children and adolescents whom they serve. Effective supervision with residential care staff should be open to exploring issues at all levels of their experience and in relation to each component of the broader organizational structure within which they work. Systems theory offers a useful lens through which to view supervising staff in residential treatment. Systems theory proposes that human behavior is shaped by interactional processes and internal factors. Although the development of the individual occurs within intrinsic cognitive and emotional spheres, it also is believed to be related to several other elements. These additional variables include the point at which the family and system function in their own life cycle, the historical and current emotional context, the current and changing structure of the system, narratives, and the cultural context. This article discussed how methods of training and supervision would be most effective if they were designed specifically for the developmental level of the participants. Some literature reviews have concluded that youth care workers, like all professionals, pass through developmental stages and progress through them in their work. To assist youth care workers in their jobs, supervisors must understand these stages and the ways in which they may be enacted in the workplace. PMID:15062348

  4. Using Technology in School Supervision.

    ERIC Educational Resources Information Center

    Bercik, Janet T.; Blair-Larsen, Susan M.

    2000-01-01

    Notes that few college faculty use technology in their teaching despite rapid growth in technology-based instruction in K-12 education. Describes two projects using AT&T's PersonaLink Service and Sony's Magic Link PIC 1000 in field experience supervision. (SG)

  5. Bibliosupervision: A Creative Supervision Technique

    ERIC Educational Resources Information Center

    Graham, Mary Amanda; Pehrsson, Dale-Elizabeth

    2009-01-01

    This article offers a guide for bibliosupervision, a creative intervention that can be used when supervising counseling students. Bibliosupervision assists students in developing trust with the supervisor, as well as trust in their own abilities as emerging counselors. This supervisory process promotes the exploration of themes that might…

  6. How Personal Should Supervision Be?

    ERIC Educational Resources Information Center

    Huber, Charles H.

    1994-01-01

    Reviews the section on supervision in the "Ethical Code for the International Association of Marriage and Family Counselors" and a recent article from the family counseling literature that provides a schema for more specific direction, thus enhancing the ethical code. (JBJ)

  7. Transforming Staff through Clinical Supervision

    ERIC Educational Resources Information Center

    Pfeifer, Douglas

    2011-01-01

    In order to continue to do great work with challenging youth, teachers should know that learning helps them be better professionals. Clinical supervision is one of the vehicles used. In a Re-ED program, those who work directly with youth (called teacher-counselors) are the primary agents of change. This makes it necessary to equip them with the…

  8. Intervention Strategies in Counselor Supervision.

    ERIC Educational Resources Information Center

    West, John; Sonstegard, Manford

    This paper contains a model for practicum supervision developed by Dr. Manford Sonstegard. The procedure allows the supervisor, student-counselor, client, and practicum class to participate in the session. Whereas one-way mirrors, audio tapes and audio-visual tapes allow for only delayed feedback from the supervisor, Dr. Sonstegard's approach…

  9. Learning to Supervise: Four Journeys

    ERIC Educational Resources Information Center

    Turner, Gill

    2015-01-01

    This article explores the experiences of four early career academics as they begin to undertake doctoral supervision. Each supervisor focused on one of their supervisees and drew and described a Journey Plot depicting the high and low points of their supervisory experience with their student. Two questions were addressed by the research: (1) How…

  10. Intrathecal drug delivery for the management of pain and spasticity in adults: an executive summary of the British Pain Society’s recommendations for best clinical practice

    PubMed Central

    Duarte, Rui; Raphael, Jon; Eldabe, Sam

    2015-01-01

    This article provides a summary of the updated British Pain Society Guidance on Intrathecal Drug Delivery for the management of pain and spasticity in adults. We aim to highlight the areas of the guidance that have been updated and to provide a concise summary. PMID:27551415

  11. Making Sense of Federal Employment and Training Policy for Youth and Adults. Volume II: Expert Recommendations To Create a Comprehensive and Unified System.

    ERIC Educational Resources Information Center

    Moore, Kristina M., Ed.; And Others

    This document contains 27 essays and 5 policy statements regarding creation of a comprehensive and unified federal employment and training policy for youth and adults. The following essays are included: "In Search of the American Way" (Wills); "Rethink the Demand Side" (Smith); "The Federal Government as a Change Agent" (Nathan); "Making Sense of…

  12. Transferring Young People with Profound Intellectual and Multiple Disabilities from Pediatric to Adult Medical Care: Parents' Experiences and Recommendations

    ERIC Educational Resources Information Center

    Bindels-de Heus, Karen G. C. B.; van Staa, AnneLoes; van Vliet, Ingeborg; Ewals, Frans V. P. M.; Hilberink, Sander R.

    2013-01-01

    Many children with profound intellectual and multiple disabilities (PIMD) now reach adulthood. The aim of this study was to elicit parents' experiences with the transfer from pediatric to adult medical care. A convenience sample of 131 Dutch parents of young people with PIMD (16--26 years) completed a web-based questionnaire. Twenty-two…

  13. La formacion civica y la educacion de adultos; discurso de inauguracion y recomendaciones (Adult Training for Citizenship and Education; Opening Address and Recommendations).

    ERIC Educational Resources Information Center

    El Maestro, Mexico, 1970

    1970-01-01

    This document is an English-language abstract (approximately 1,500 words) of the Mexican Education Minister's remarks at a conference for adult education. He stated that educational reform was part of a far reaching plan for social reform; he characterized civic training as an all-sector task, transcending confinement to the classroom and…

  14. Study of Educational Benefits for a Pilot Adult Performance Level (APL) Educational Program with Recommendations for Instituting Cost Analysis Procedures in the Future.

    ERIC Educational Resources Information Center

    DuVall, Charles R.; Pck, John E.

    A project assessed educational effectiveness of the Adult Proficiency Level (APL) Pilot Project in Area B of the Indiana Office of Occupational Development. Activities involved design of data collection instrument, sampling and data collection at all six educational classroom sites in Area B, and data analysis. Program strengths identified were…

  15. Supervision: the process of life-long learning in social and educational professions.

    PubMed

    Zorga, Sonja

    2002-08-01

    The supervision process represents one of the possible processes of life-long learning and development of an adult. This paper presents a developmental-educational model of supervision. It is a specific learning developmental and supportive method of professional reflection and counselling used in social and educational settings in Slovenia. Different concepts that explain learning and acquiring competence in the process of supervision are discussed. Special emphasis is given to the process of experiential learning (Kolb), learning within the zone of proximal development (Vygotsky) and the process of mental adaptation leading to new cognition (Piaget). PMID:12201990

  16. A National Survey of School Counselor Supervision Practices: Administrative, Clinical, Peer, and Technology Mediated Supervision

    ERIC Educational Resources Information Center

    Perera-Diltz, Dilani M.; Mason, Kimberly L.

    2012-01-01

    Supervision is vital for personal and professional development of counselors. Practicing school counselors (n = 1557) across the nation were surveyed to explore current supervision practices. Results indicated that 41.1% of school counselors provide supervision. Although 89% receive some type of supervision, only 10.3% of school counselors receive…

  17. 48 CFR 836.572 - Government supervision.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Government supervision. 836.572 Section 836.572 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS SPECIAL... supervision. The contracting officer shall insert the clause at 852.236-78, Government supervision,...

  18. 24 CFR 200.105 - Mortgagor supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Mortgagor supervision. 200.105... supervision. (a) As long as the Commissioner is the insurer or holder of the mortgage, the Commissioner shall... Regulatory Agreement or other instrument granting the Commissioner supervision of the mortgagor....

  19. Multicultural Supervision: What Difference Does Difference Make?

    ERIC Educational Resources Information Center

    Eklund, Katie; Aros-O'Malley, Megan; Murrieta, Imelda

    2014-01-01

    Multicultural sensitivity and competency represent critical components to contemporary practice and supervision in school psychology. Internship and supervision experiences are a capstone experience for many new school psychologists; however, few receive formal training and supervision in multicultural competencies. As an increased number of…

  20. The Learning Alliance: Ethics in Doctoral Supervision

    ERIC Educational Resources Information Center

    Halse, Christine; Bansel, Peter

    2012-01-01

    This paper is concerned with the ethics of relationships in doctoral supervision. We give an overview of four paradigms of doctoral supervision that have endured over the past 25 years and elucidate some of their strengths and limitations, contextualise them historically and consider their implications for doctoral supervision in the contemporary…

  1. 19 CFR 111.28 - Responsible supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Responsible supervision. 111.28 Section 111.28... TREASURY CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.28 Responsible supervision... exercise responsible supervision and control (see § 111.1) over the transaction of the customs business...

  2. 75 FR 59799 - Office of Thrift Supervision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... Office of Thrift Supervision Purchase of Branch Office(s) and/or Transfer of Assets/Liabilities AGENCY: Office of Thrift Supervision (OTS), Treasury. ACTION: Notice and request for comment. SUMMARY: The... Supervision within the Department of the Treasury will submit the proposed information collection...

  3. Supervision Experiences of New Professional School Counselors

    ERIC Educational Resources Information Center

    Bultsma, Shawn A.

    2012-01-01

    This qualitative study examined the supervision experiences of 11 new professional school counselors. They reported that their supervision experiences were most often administrative in nature; reports of clinical and developmental supervision were limited to participants whose supervisors were licensed as professional counselors. In addition,…

  4. 32 CFR 631.3 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Supervision. 631.3 Section 631.3 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL....3 Supervision. The following will develop and have staff supervision over AFDCB and...

  5. The Effectiveness of Academic Supervision for Teachers

    ERIC Educational Resources Information Center

    Rahabav, Patris

    2016-01-01

    This research was conducted with the purpose of describing the general effectiveness of the academic supervision for teachers with three main focus, which is to analyze the competence of supervisors; academic supervision program implementation and the results and impact of academic supervision. The research location is SMU Maria Mediatrix Ambon,…

  6. 27 CFR 46.79 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Supervision. 46.79 Section... § 46.79 Supervision. Before payment is made under this subpart in respect of the tax, or tax and duty... under the supervision of an appropriate TTB officer who will be assigned for that purpose by...

  7. 76 FR 2197 - Office of Thrift Supervision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... Office of Thrift Supervision Identity Theft Red Flags and Address Discrepancies Under the Fair and Accurate Credit Transactions Act of 2003 AGENCY: Office of Thrift Supervision (OTS), Treasury. ACTION... Office, Office of Thrift Supervision, 1700 G Street, NW., Washington, DC 20552, by fax to (202)...

  8. 9 CFR 354.13 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Supervision. 354.13 Section 354.13... CERTIFICATION VOLUNTARY INSPECTION OF RABBITS AND EDIBLE PRODUCTS THEREOF Basis of Service § 354.13 Supervision. All inspection service shall be subject to supervision at all times by the station supervisor,...

  9. 7 CFR 56.6 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Supervision. 56.6 Section 56.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections... Grading of Shell Eggs General § 56.6 Supervision. All grading service shall be subject to supervision...

  10. 28 CFR 2.91 - Supervision responsibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Supervision responsibility. 2.91 Section 2.91 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND RECOMMITMENT OF....91 Supervision responsibility. (a) Pursuant to D.C. Code 24-133(c), the District of Columbia...

  11. 7 CFR 70.12 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Supervision. 70.12 Section 70.12 Agriculture... PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products General § 70.12 Supervision. All grading service shall be subject to supervision at all times by the responsible State...

  12. Developing a Critical Practice of Clinical Supervision.

    ERIC Educational Resources Information Center

    Smyth, W. John

    1985-01-01

    The etymology of the term "clinical supervision" is discussed. How clinical supervision can be used with teachers as an active force toward reform and change is then examined. Through clinical supervision teachers can assist each other to gain control over their own professional lives and destinies. (RM)

  13. Enriching Student Teaching Relationships. Supervising Teacher Edition.

    ERIC Educational Resources Information Center

    Clothier, Grant; Kingsley, Elizabeth

    This training series was developed to improve the working relationships between supervising teachers and their student teachers. This supervising teacher's edition contains suggestions for such teachers as regards various activities dealing with the supervising/teaching situation, behavior problems, change, conference sessions, communication,…

  14. Exploring the Black Box of Community Supervision

    ERIC Educational Resources Information Center

    Bonta, James; Rugge, Tanya; Scott, Terri-Lynne; Bourgon, Guy; Yessine, Annie K.

    2008-01-01

    Community supervision has been an integral part of corrections since the establishment of probation more than 100 years ago. It has commonly been assumed that offenders benefit from community supervision much more than if they were incarcerated. However, empirical evidence in support of the effectiveness of community supervision in reducing…

  15. 20 CFR 655.30 - Supervised recruitment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Supervised recruitment. 655.30 Section 655.30... Workers) § 655.30 Supervised recruitment. (a) Supervised recruitment. Where an employer is found to have... failed to adequately conduct recruitment activities or failed in any obligation of this part, the CO...

  16. Identifying Challenges in Supervising School Psychologists

    ERIC Educational Resources Information Center

    Harvey, Virginia Smith; Pearrow, Melissa

    2010-01-01

    Previous studies suggest that the majority of school psychologists do not believe they receive sufficient supervision, despite a growing body of research providing empirical support for supervision to maintain and improve skills. This study explores the dynamics underlying the challenges of providing adequate supervision to school psychologists.…

  17. 19 CFR 111.28 - Responsible supervision.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Responsible supervision. 111.28 Section 111.28... TREASURY CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.28 Responsible supervision... exercise responsible supervision and control (see § 111.1) over the transaction of the customs business...

  18. 19 CFR 111.28 - Responsible supervision.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Responsible supervision. 111.28 Section 111.28... TREASURY CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.28 Responsible supervision... exercise responsible supervision and control (see § 111.1) over the transaction of the customs business...

  19. 19 CFR 111.28 - Responsible supervision.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Responsible supervision. 111.28 Section 111.28... TREASURY CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.28 Responsible supervision... exercise responsible supervision and control (see § 111.1) over the transaction of the customs business...

  20. Competency-Based Student-Teacher Supervision

    ERIC Educational Resources Information Center

    Spanjer, R. Allan

    1975-01-01

    This author contends that student-teacher supervision cannot be done effectively in traditional ways. He discusses five myths of supervision and explains a program developed at Portland (Ore.) State University that puts the emphasis where it should be--on the supervising teacher. (Editor)

  1. 48 CFR 836.572 - Government supervision.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Government supervision... CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Contract Clauses 836.572 Government supervision. The contracting officer shall insert the clause at 852.236-78, Government supervision,...

  2. 48 CFR 836.572 - Government supervision.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Government supervision... CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Contract Clauses 836.572 Government supervision. The contracting officer shall insert the clause at 852.236-78, Government supervision,...

  3. 48 CFR 836.572 - Government supervision.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Government supervision... CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Contract Clauses 836.572 Government supervision. The contracting officer shall insert the clause at 852.236-78, Government supervision,...

  4. 48 CFR 836.572 - Government supervision.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Government supervision... CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Contract Clauses 836.572 Government supervision. The contracting officer shall insert the clause at 852.236-78, Government supervision,...

  5. The association between fruit and vegetable intake, knowledge of the recommendations, and health information seeking within adults in the U.S. mainland and in Puerto Rico.

    PubMed

    Colón-Ramos, Uriyoán; Finney Rutten, Lila J; Moser, Richard P; Colón-Lopez, Vivian; Ortiz, Ana P; Yaroch, Amy Lazarus

    2015-01-01

    Health information correlates of fruit and vegetable intake and of knowledge of the fruit and vegetable recommendations were examined using bivariate and multivariate regressions with data from the 2007-2008 U.S. National Cancer Institute's Health Information National Trends Survey in the United States and in Puerto Rico. Residents from Puerto Rico had the lowest reported fruit and vegetable intake and the lowest knowledge of the recommended servings of fruits and vegetables to maintain good health, compared with U.S. Hispanics, non-Hispanic Whites, and Blacks. Sixty-seven percent of Puerto Rican residents and 62% of U.S. Hispanics reported never seeking information on health or medical topics. In multivariate analysis, those who never sought information on health or medical topics reported significantly lower fruit and vegetable intake (coefficient = -0.24; 95% CI [-0.38, -0.09]), and were less likely to know the fruit and vegetable recommendations (OR = 0.32; 95% CI [0.20, 0.52]), compared with those who obtained information from their health care providers. Health promotion initiatives in the United States and Puerto Rico have invested in mass media campaigns to increase consumption of and knowledge about fruit and vegetables, but populations with the lowest intake are less likely to seek information. Strategies must be multipronged to address institutional, economic, and behavioral constraints of populations who do not seek out health information from any sources. PMID:25204843

  6. Evaluating Barriers to Adherence to Dietary Recommendations in Iranian Adults with Metabolic Syndrome: A Qualitative Study Using the Theory of Reasoned Action

    PubMed Central

    ESMAEILI, Naseh; ALIZADEH, Mohammad; TARIGHAT ESFANJANI, Ali; KHEIROURI, Sorayya

    2016-01-01

    Background: Metabolic syndrome (MS) is defined as a pattern of metabolic disorders including central obesity, insulin resistance or hyperglycemia, high blood pressure, and dyslipidemia. Many studies show a clear relationship between diet and components of MS. The aim of the current study was to identify barriers to adherence to dietary recommendations among Iranian MS patients. Methods: The theory of reasoned action (TRA) served as the framework for this qualitative study. Data collection was conducted through six semi-structured focus group discussions, from Apr to Jun 2013. Subjects included 36 married men and women with different levels of education between the ages of 20–50 with MS diagnosed based on IDF’s (International Diabetes federation) criteria. All focus group discussions were audio recorded and transcribed. The thematic content analysis method was used to analyze the study data. Results: This study identified the most important barriers to adherence to dietary recommendations. MS patients have problems in their attitude toward MS components and their relationship to nutrition. They also had wrong attitudes toward fats and oils, salt, dairy products, cereals, and sugary drinks and sweets. Subjective norms that affects patient eating identifies too. Conclusion: We identified barriers to adherence to dietary recommendations in MS patients that could be used to prevent MS consequences and provide patients with nutrition education. PMID:27517000

  7. Supervision Experiences of Professional Counselors Providing Crisis Counseling

    ERIC Educational Resources Information Center

    Dupre, Madeleine; Echterling, Lennis G.; Meixner, Cara; Anderson, Robin; Kielty, Michele

    2014-01-01

    In this phenomenological study, the authors explored supervision experiences of 13 licensed professional counselors in situations requiring crisis counseling. Five themes concerning crisis and supervision were identified from individual interviews. Findings support intensive, immediate crisis supervision and postlicensure clinical supervision.

  8. Young Adult Cancer Survivors' Experience with Cancer Treatment and Follow-Up Care and Perceptions of Barriers to Engaging in Recommended Care.

    PubMed

    Berg, Carla J; Stratton, Erin; Esiashvili, Natia; Mertens, Ann

    2016-09-01

    We examined correlates of low engagement in the healthcare system, experiences with survivorship care, barriers to follow-up care, and potential resources for promoting follow-up care among young adult survivors of childhood cancers. We conducted a mixed-method study involving surveys of 106 survivors of childhood cancer aged 18-34 recruited from a university-affiliated children's hospital and an NCI-designated cancer center in the Southeastern USA. Phone-based semistructured interviews were then conducted in a subset of 26. Assessments included health factors, psychosocial factors, healthcare system interaction, and interest in resources to promote engagement in healthcare. Survey participants were on average 22.14 (SD = 3.16) years old, 50.0 % female, and 77.4 % White. Overall, 46.0 % had attended survivorship clinic, 47.2 % reported receiving a treatment summary, 68.9 % had a primary care provider, and 17.0 % reported no interaction with healthcare in the past 2 years. Correlates of less than annual healthcare provider visits included being older (p = 0.003), being male (p < 0.001), lack of insurance (p = 0.002), and having had chemotherapy (p = 0.05). Participants reported varied experiences in terms of how health and treatment information was presented, from none or too little to overwhelming or anxiety-provoking amounts. Barriers to engaging in survivorship care included no/limited insurance, time, or transportation; major life changes; anxiety; and difficulty transitioning from pediatrics to adult care. Participants highlighted the need for educational and psychosocial resources, particularly technology-based resources. Multilevel interventions are needed to increase engagement in survivorship care among young adult cancer survivors. Technology-based resources addressing social support and mental well-being are intervention possibilities. PMID:25948413

  9. Young Adult Cancer Survivors’ Experience with Cancer Treatment and Follow-Up Care and Perceptions of Barriers to Engaging in Recommended Care

    PubMed Central

    Stratton, Erin; Esiashvili, Natia; Mertens, Ann

    2016-01-01

    We examined correlates of low engagement in the healthcare system, experiences with survivorship care, barriers to follow-up care, and potential resources for promoting follow-up care among young adult survivors of childhood cancers. We conducted a mixed-method study involving surveys of 106 survivors of childhood cancer aged 18–34 recruited from a university-affiliated children’s hospital and an NCI-designated cancer center in the Southeastern USA. Phone-based semistructured interviews were then conducted in a subset of 26. Assessments included health factors, psychosocial factors, healthcare system interaction, and interest in resources to promote engagement in healthcare. Survey participants were on average 22.14(SD=3.16) years old, 50.0 % female, and 77.4 % White. Overall, 46.0 % had attended survivorship clinic, 47.2 % reported receiving a treatment summary, 68.9 % had a primary care provider, and 17.0 % reported no interaction with healthcare in the past 2 years. Correlates of less than annual healthcare provider visits included being older (p=0.003), being male (p<0.001), lack of insurance (p=0.002), and having had chemotherapy (p=0.05). Participants reported varied experiences in terms of how health and treatment information was presented, from none or too little to overwhelming or anxiety-provoking amounts. Barriers to engaging in survivorship care included no/limited insurance, time, or transportation; major life changes; anxiety; and difficulty transitioning from pediatrics to adult care. Participants highlighted the need for educational and psychosocial resources, particularly technology-based resources. Multilevel interventions are needed to increase engagement in survivor-ship care among young adult cancer survivors. Technology-based resources addressing social support and mental well-being are intervention possibilities. PMID:25948413

  10. The Supervised Hierarchical Dirichlet Process.

    PubMed

    Dai, Andrew M; Storkey, Amos J

    2015-02-01

    We propose the supervised hierarchical Dirichlet process (sHDP), a nonparametric generative model for the joint distribution of a group of observations and a response variable directly associated with that whole group. We compare the sHDP with another leading method for regression on grouped data, the supervised latent Dirichlet allocation (sLDA) model. We evaluate our method on two real-world classification problems and two real-world regression problems. Bayesian nonparametric regression models based on the Dirichlet process, such as the Dirichlet process-generalised linear models (DP-GLM) have previously been explored; these models allow flexibility in modelling nonlinear relationships. However, until now, hierarchical Dirichlet process (HDP) mixtures have not seen significant use in supervised problems with grouped data since a straightforward application of the HDP on the grouped data results in learnt clusters that are not predictive of the responses. The sHDP solves this problem by allowing for clusters to be learnt jointly from the group structure and from the label assigned to each group. PMID:26353239

  11. Illuminating dissertation supervision through reflection.

    PubMed

    Snowball, J; Ross, K; Murphy, K

    1994-06-01

    This paper describes a small research study designed to explore the role of the dissertation supervisor and to examine the potential of using reflection as a tool for learning and for enhancing professional educational practice. The authors met to discuss and reflect upon the processes of supervision and the role of the supervisor throughout the period of supervising three dissertation students. Each author maintained individual reflective written accounts of supervisory meetings with students. These accounts and the transcribed tape-recordings of the group meetings provided two sets of data which were analysed using qualitative techniques. From the data analysis the authors were able to identify various phases in dissertation supervision--partnership; setting the learning contract; signposting; ownership of the dissertation; letting go; the rush at the end; maintaining the balance--and also contextual issues of humanness; time; and energy, which were needed to sustain the supervisory processes. The role of the dissertation supervisor was illuminated and the potential of using reflection as a tool for developing professional educational practice was realized. The importance of constructive support while engaged in processes of reflection cannot be underestimated. PMID:7930105

  12. Safety-aware semi-supervised classification.

    PubMed

    Wang, Yunyun; Chen, Songcan

    2013-11-01

    Though semi-supervised classification learning has attracted great attention over past decades, semi-supervised classification methods may show worse performance than their supervised counterparts in some cases, consequently reducing their confidence in real applications. Naturally, it is desired to develop a safe semi-supervised classification method that never performs worse than the supervised counterparts. However, to the best of our knowledge, few researches have been devoted to safe semi-supervised classification. To address this problem, in this paper, we invent a safety-control mechanism for safe semi-supervised classification by adaptive tradeoff between semi-supervised and supervised classification in terms of unlabeled data. In implementation, based on our recent semi-supervised classification method based on class memberships (SSCCM), we develop a safety-aware SSCCM (SA-SSCCM). SA-SSCCM, on the one hand, exploits the unlabeled data to help learning (as SSCCM does) under the assumption that unlabeled data can help learning, and on the other hand, restricts its prediction to approach that of its supervised counterpart least-square support vector machine (LS-SVM) under the assumption that unlabeled data can hurt learning. Therefore, prediction by SA-SSCCM becomes a tradeoff between those by semi-supervised SSCCM and supervised LS-SVM, respectively, in terms of the unlabeled data. As in SSCCM, the optimization problem in SA-SSCCM can be efficiently solved by the alternating iterative strategy, and the iteration convergence can theoretically be guaranteed. Experiments over several real datasets show the promising performance of SA-SSCCM compared with LS-SVM, SSCCM, and off-the-shelf safe semi-supervised classification methods. PMID:24808610

  13. Evidence-based guidelines for management of attention-deficit/hyperactivity disorder in adolescents in transition to adult services and in adults: recommendations from the British Association for Psychopharmacology.

    PubMed

    Nutt, D J; Fone, K; Asherson, P; Bramble, D; Hill, P; Matthews, K; Morris, K A; Santosh, P; Sonuga-Barke, E; Taylor, E; Weiss, M; Young, S

    2007-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is an established diagnosis in children, associated with a large body of evidence on the benefits of treatment. Adolescents with ADHD are now leaving children's services often with no readily identifiable adult service to support them, which presents problems as local pharmacy regulations often preclude the prescription of stimulant drugs by general practitioners (GPs). In addition, adults with ADHD symptoms are now starting to present to primary care and psychiatry services requesting assessment and treatment. For these reasons, the British Association for Psychopharmacology (BAP) thought it timely to hold a consensus conference to review the body of evidence on childhood ADHD and the growing literature on ADHD in older age groups. Much of this initial guidance on managing ADHD in adolescents in transition and in adults is based on expert opinion derived from childhood evidence. We hope that, by the time these guidelines are updated, much evidence will be available to address the many directions for future research that are detailed here. PMID:17092962

  14. User views on supervised methadone consumption.

    PubMed

    Stone, Elizabeth; Fletcher, Keron

    2003-03-01

    To assess the views of opiate-dependent individuals about supervised methadone consumption. Three groups of opinions were sought: (i). new patients referred for assessment and treatment, using rating scales; (ii). the consensus view of the Methadone Alliance (a national users' forum); and (iii). the consensus view of a local service users' forum. All three groups expressed the view that supervised consumption has an important place in methadone treatments. Users understand the need for daily supervision of methadone and are generally willing to accept it. Users' views provide support for the introduction of flexible methadone prescribing regimes incorporating supervised consumption. Privacy in pharmacies and the possibility of moving away from supervision are important elements in an acceptable programme. Supervised consumption is an important component of safe, effective and responsible methadone prescribing. PMID:12745415

  15. Self-Supervised Dynamical Systems

    NASA Technical Reports Server (NTRS)

    Zak, Michail

    2003-01-01

    Some progress has been made in a continuing effort to develop mathematical models of the behaviors of multi-agent systems known in biology, economics, and sociology (e.g., systems ranging from single or a few biomolecules to many interacting higher organisms). Living systems can be characterized by nonlinear evolution of probability distributions over different possible choices of the next steps in their motions. One of the main challenges in mathematical modeling of living systems is to distinguish between random walks of purely physical origin (for instance, Brownian motions) and those of biological origin. Following a line of reasoning from prior research, it has been assumed, in the present development, that a biological random walk can be represented by a nonlinear mathematical model that represents coupled mental and motor dynamics incorporating the psychological concept of reflection or self-image. The nonlinear dynamics impart the lifelike ability to behave in ways and to exhibit patterns that depart from thermodynamic equilibrium. Reflection or self-image has traditionally been recognized as a basic element of intelligence. The nonlinear mathematical models of the present development are denoted self-supervised dynamical systems. They include (1) equations of classical dynamics, including random components caused by uncertainties in initial conditions and by Langevin forces, coupled with (2) the corresponding Liouville or Fokker-Planck equations that describe the evolutions of probability densities that represent the uncertainties. The coupling is effected by fictitious information-based forces, denoted supervising forces, composed of probability densities and functionals thereof. The equations of classical mechanics represent motor dynamics that is, dynamics in the traditional sense, signifying Newton s equations of motion. The evolution of the probability densities represents mental dynamics or self-image. Then the interaction between the physical and

  16. All change! Supervision in action.

    PubMed

    Lythgoe, Jeanne; Bacon, Lisa

    2012-02-01

    Making it Better' (MiB) is a programme of reorganisation of future women and children's services in Greater Manchester (Children and Young People's Network (CYPN) 2011). The challenge for midwifery supervision is to maintain the safety and quality of services whilst managing the emotional needs of those involved. A consultation with midwives revealed they wanted an opportunity away from the clinical area to create a positive way forward. A study day was developed entitled 'Midwives building a future within reconfiguration'. Midwives shared their experiences and plans for the future, strengthening their resolve to continue being the advocates for women and the profession. PMID:22720443

  17. Low vaccination coverage for seasonal influenza and pneumococcal disease among adults at-risk and health care workers in Ireland, 2013: The key role of GPs in recommending vaccination.

    PubMed

    Giese, Coralie; Mereckiene, Jolita; Danis, Kostas; O'Donnell, Joan; O'Flanagan, Darina; Cotter, Suzanne

    2016-07-12

    The World Health Organization (WHO), and European Agencies recommend influenza vaccination for individuals at-risk due to age (≥65 years), underlying diseases, pregnancy and for health care workers (HCWs) in Europe. Pneumococcal vaccine is recommended for those at-risk of pneumococcal disease. In Ireland, vaccination uptake among at-risk adults is not routinely available. In 2013, we conducted a national survey among Irish residents ≥18 years of age, to estimate size and vaccination coverage of at-risk groups, and identify predictive factors for influenza vaccination. We used computer assisted telephone interviews to collect self-reported information on health, vaccination status, attitudes towards vaccination. We calculated prevalence and prevalence ratios (PR) using binomial regression. Overall, 1770 individuals participated. For influenza, among those aged 18-64 years, 22% (325/1485) [95%CI: 17%-20%] were at-risk; 28% [95%CI: 23%-33%] were vaccinated. Among those aged ≥65 years, 60% [95%CI: 54%-66%] were vaccinated. Influenza vaccine uptake among HCWs was 28% [95%CI: 21%-35%]. For pneumococcal disease, among those aged 18-64 years, 18% [95%CI: 16%-20%] were at-risk; 16% [95%CI: 12%-21%] reported ever-vaccination; among those aged ≥65 years, 36% [95%CI: 30%-42%] reported ever-vaccination. Main reasons for not receiving influenza vaccine were perceptions of not being at-risk, or not thinking of it; and among HCWs thinking that vaccination was not necessary or they were not at-risk. At-risk individuals were more likely to be vaccinated if their doctor had recommended it (PR 3.2; [95%CI: 2.4%-4.4%]) or they had access to free medical care or free vaccination services (PR 2.0; [95%CI: 1.5%-2.8%]). Vaccination coverage for both influenza and pneumococcal vaccines in at-risk individuals aged 18-64 years was very low. Influenza vaccination coverage among individuals ≥65 years was moderate. Influenza vaccination status was associated with GP vaccination

  18. Part 3: Adult Basic Life Support and Automated External Defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.

    PubMed

    Travers, Andrew H; Perkins, Gavin D; Berg, Robert A; Castren, Maaret; Considine, Julie; Escalante, Raffo; Gazmuri, Raul J; Koster, Rudolph W; Lim, Swee Han; Nation, Kevin J; Olasveengen, Theresa M; Sakamoto, Tetsuya; Sayre, Michael R; Sierra, Alfredo; Smyth, Michael A; Stanton, David; Vaillancourt, Christian

    2015-10-20

    This review comprises the most extensive literature search and evidence evaluation to date on the most important international BLS interventions, diagnostics, and prognostic factors for cardiac arrest victims. It reemphasizes that the critical lifesaving steps of BLS are (1) prevention, (2) immediate recognition and activation of the emergency response system, (3) early high-quality CPR, and (4) rapid defibrillation for shockable rhythms. Highlights in prevention indicate the rational and judicious deployment of search-and-rescue operations in drowning victims and the importance of education on opioid-associated emergencies. Other 2015 highlights in recognition and activation include the critical role of dispatcher recognition and dispatch-assisted chest compressions, which has been demonstrated in multiple international jurisdictions with consistent improvements in cardiac arrest survival. Similar to the 2010 ILCOR BLS treatment recommendations, the importance of high quality was reemphasized across all measures of CPR quality: rate, depth, recoil, and minimal chest compression pauses, with a universal understanding that we all should be providing chest compressions to all victims of cardiac arrest. This review continued to focus on the interface of BLS sequencing and ensuring high-quality CPR with other important BLS interventions, such as ventilation and defibrillation. In addition, this consensus statement highlights the importance of EMS systems, which employ bundles of care focusing on providing high-quality chest compressions while extricating the patient from the scene to the next level of care. Highlights in defibrillation indicate the global importance of increasing the number of sites with public-access defibrillation programs. Whereas the 2010 ILCOR Consensus on Science provided important direction for the “what” in resuscitation (ie, what to do), the 2015 consensus has begun with the GRADE methodology to provide direction for the quality of

  19. Global epidemiology of drug resistance after failure of WHO recommended first-line regimens for adult HIV-1 infection: a multicentre retrospective cohort study

    PubMed Central

    2016-01-01

    Summary Background Antiretroviral therapy (ART) is crucial for controlling HIV-1 infection through wide-scale treatment as prevention and pre-exposure prophylaxis (PrEP). Potent tenofovir disoproxil fumarate-containing regimens are increasingly used to treat and prevent HIV, although few data exist for frequency and risk factors of acquired drug resistance in regions hardest hit by the HIV pandemic. We aimed to do a global assessment of drug resistance after virological failure with first-line tenofovir-containing ART. Methods The TenoRes collaboration comprises adult HIV treatment cohorts and clinical trials of HIV drug resistance testing in Europe, Latin and North America, sub-Saharan Africa, and Asia. We extracted and harmonised data for patients undergoing genotypic resistance testing after virological failure with a first-line regimen containing tenofovir plus a cytosine analogue (lamivudine or emtricitabine) plus a non-nucleotide reverse-transcriptase inhibitor (NNRTI; efavirenz or nevirapine). We used an individual participant-level meta-analysis and multiple logistic regression to identify covariates associated with drug resistance. Our primary outcome was tenofovir resistance, defined as presence of K65R/N or K70E/G/Q mutations in the reverse transcriptase (RT) gene. Findings We included 1926 patients from 36 countries with treatment failure between 1998 and 2015. Prevalence of tenofovir resistance was highest in sub-Saharan Africa (370/654 [57%]). Pre-ART CD4 cell count was the covariate most strongly associated with the development of tenofovir resistance (odds ratio [OR] 1·50, 95% CI 1·27–1·77 for CD4 cell count <100 cells per μL). Use of lamivudine versus emtricitabine increased the risk of tenofovir resistance across regions (OR 1·48, 95% CI 1·20–1·82). Of 700 individuals with tenofovir resistance, 578 (83%) had cytosine analogue resistance (M184V/I mutation), 543 (78%) had major NNRTI resistance, and 457 (65%) had both. The mean plasma

  20. Problems in the Research Problem: Critical Feedback and Resistance in Academic Supervision

    ERIC Educational Resources Information Center

    Vehvilainen, Sanna

    2009-01-01

    The paper focuses on a routine activity of academic supervision: Giving and receiving feedback based on the student's master's thesis manuscript. Two case analyses are presented on fundamentally critical feedback. Such feedback constitutes a recommendation to the student to seriously rethink the thesis, but there are various interactional…

  1. Motivational Interviewing as a Supervision Strategy in Probation: A Randomized Effectiveness Trial

    ERIC Educational Resources Information Center

    Walters, Scott T.; Vader, Amanda M.; Nguyen, Norma; Harris, T. Robert; Eells, Jennifer

    2010-01-01

    Motivational interviewing (MI) has been recommended as a supervision style in probation. This project examined the effectiveness of an MI training curriculum on probation officer MI skill and subsequent probationer outcome. Twenty probation officers were randomized to receive MI training, or to a waiting list control, while an additional group of…

  2. ICT Strategies and Tools for the Improvement of Instructional Supervision. The Virtual Supervision

    ERIC Educational Resources Information Center

    Cano, Esteban Vazquez; Garcia, Ma. Luisa Sevillano

    2013-01-01

    This study aims to evaluate and analyze strategies, proposals, and ICT tools to promote a paradigm shift in educational supervision that enhances the schools of this century involved not only in teaching-face learning, but e-learning and blended learning. Traditional models of educational supervision do not guarantee adequate supervision of the…

  3. Effective Supervision and Consultation: A Model for the Development of Functional Supervision and Consultation Programs.

    ERIC Educational Resources Information Center

    Harvey, David R.; Schramski, Thomas G.

    1984-01-01

    Proposes the Effective Supervision and Consultation (ESC) model as a guide for counselor educators who are helping agencies build effective supervision programs. The ESC model is presented with an emphasis on the assessment, training, and evaluation components of consultation services in counselor supervision. (JAC)

  4. Supervision, Mentoring, and Self-Discovery: A Case Study of a First-Year Teacher.

    ERIC Educational Resources Information Center

    Bullough, Robert V., Jr.

    1990-01-01

    Presents the case study of Heidi, a beginning Spanish teacher struggling with self-definition while shifting from content-area expert to friend to caring adult. The technical approach to supervision failed Heidi. To discover Heidi's actual experiences would have required relating to her in ways not encouraged by the existing evaluation system.…

  5. Closing the Barn Door: The Effect of Parental Supervision on Canadian Children's Online Privacy

    ERIC Educational Resources Information Center

    Steeves, Valerie; Webster, Cheryl

    2008-01-01

    Empirical data from a large sample of Canadian youth aged 13 to 17 years suggest that, although the current privacy policy framework is having a positive effect on the extent to which young people are complying with the types of behavior promoted by adults as privacy protective, its primary focus on parental supervision is inadequate to fully…

  6. Seeking Supervision: Local Implementation of the TANF Minor Teen Parent Living Arrangement Rules.

    ERIC Educational Resources Information Center

    Batten, Susan; Koenig, Stephanie L.

    Under the 1996 federal welfare law, Temporary Assistance for Needy Families (TANF), an unmarried minor parent with a child generally cannot receive federal welfare assistance unless she is living with her family or in some type of adult-supervised arrangement. Exemptions are available and states have flexibility in designing their policies and…

  7. 21 CFR 640.62 - Medical supervision.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Medical supervision. 640.62 Section 640.62 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS Source Plasma § 640.62 Medical supervision....

  8. 21 CFR 640.62 - Medical supervision.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 7 2012-04-01 2012-04-01 false Medical supervision. 640.62 Section 640.62 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS Source Plasma § 640.62 Medical supervision....

  9. 21 CFR 640.62 - Medical supervision.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 7 2013-04-01 2013-04-01 false Medical supervision. 640.62 Section 640.62 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS Source Plasma § 640.62 Medical supervision....

  10. 21 CFR 640.62 - Medical supervision.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 7 2014-04-01 2014-04-01 false Medical supervision. 640.62 Section 640.62 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS Source Plasma § 640.62 Medical supervision....

  11. 32 CFR 552.65 - Command supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Command supervision. 552.65 Section 552.65 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY MILITARY RESERVATIONS AND....65 Command supervision. (a) All insurance business conducted on Army installation will be...

  12. 36 CFR 25.3 - Supervision; suspensions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Supervision; suspensions. 25.3 Section 25.3 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR NATIONAL MILITARY PARKS; LICENSED GUIDE SERVICE REGULATIONS § 25.3 Supervision; suspensions. (a) The...

  13. 28 CFR 551.32 - Staff supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Staff supervision. 551.32 Section 551.32 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MISCELLANEOUS Inmate Organizations § 551.32 Staff supervision. (a) The Warden shall appoint a staff member as...

  14. How Does Supervision Support Inclusive Teacherhood?

    ERIC Educational Resources Information Center

    Alila, Sanna; Määttä, Kaarina; Uusiautti, Satu

    2016-01-01

    Supervision is a multidimensional concept and phenomenon. In this study, the advantages of supervision and its development in inclusive teacherhood was studied. Inclusive teacherhood means a teacher's professional development and the school culture's change toward participatory school for all students. The study analyzed the views of supervisors…

  15. 17 CFR 166.3 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Supervision. 166.3 Section 166.3 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION CUSTOMER PROTECTION RULES § 166.3 Supervision. Each Commission registrant, except an associated person who has no...

  16. 27 CFR 70.609 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Supervision. 70.609... From Disaster, Vandalism, or Malicious Mischief Destruction of Liquors § 70.609 Supervision. When... official or made unmarketable, the liquors shall be destroyed by suitable means under...

  17. Teacher Supervision Practices and Principals' Characteristics

    ERIC Educational Resources Information Center

    April, Daniel; Bouchamma, Yamina

    2015-01-01

    A questionnaire was used to determine the individual and collective teacher supervision practices of school principals and vice-principals in Québec (n = 39) who participated in a research-action study on pedagogical supervision. These practices were then analyzed in terms of the principals' sociodemographic and socioprofessional characteristics…

  18. The School Counselor, the Cactus, and Supervision

    ERIC Educational Resources Information Center

    Boyd, John D.; Walter, Paul B.

    1975-01-01

    The authors suggest that counselor supervision is a viable way to assist school counselors in dealing with lack of professional development opportunities. Supervision can facilitate the counselor's personal and professional development and can promote counselor competencies, accountability and the improvement of guidance services and programs. (SE)

  19. 19 CFR 19.34 - Customs supervision.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Wheat § 19.34 Customs supervision. Port directors shall exercise such supervision and control over the... imported wheat and no unauthorized mixing, blending, or commingling of such imported wheat. Importers... wheat in continuous Customs custody shall maintain such records as will enable Customs officers...

  20. 19 CFR 19.34 - Customs supervision.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Wheat § 19.34 Customs supervision. Port directors shall exercise such supervision and control over the... imported wheat and no unauthorized mixing, blending, or commingling of such imported wheat. Importers... wheat in continuous Customs custody shall maintain such records as will enable Customs officers...

  1. 19 CFR 19.34 - Customs supervision.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Wheat § 19.34 Customs supervision. Port directors shall exercise such supervision and control over the... imported wheat and no unauthorized mixing, blending, or commingling of such imported wheat. Importers... wheat in continuous Customs custody shall maintain such records as will enable Customs officers...

  2. 19 CFR 19.34 - Customs supervision.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Wheat § 19.34 Customs supervision. Port directors shall exercise such supervision and control over the... imported wheat and no unauthorized mixing, blending, or commingling of such imported wheat. Importers... wheat in continuous Customs custody shall maintain such records as will enable Customs officers...

  3. Research Supervision: An Important Site of Teaching

    ERIC Educational Resources Information Center

    McMichael, M. Jane; McKee, Margaret

    2008-01-01

    Supervision of students engaged in research projects and theses is an important site of teaching. Schon's (1987) well-known framework-educating for reflective practice-proves aptly suited for this teaching forum, offering insights for research supervision at multiple university levels. Conceptually, a research and writing studio where a practicum…

  4. Applying Services Marketing Principles to Postgraduate Supervision

    ERIC Educational Resources Information Center

    Dann, Stephen

    2008-01-01

    Purpose: The paper aims to describe the application of two key service quality frameworks for improving the delivery of postgraduate research supervision. The services quality frameworks are used to identify key areas of overlap between services marketing practice and postgraduate supervision that can be used by the supervisor to improve research…

  5. 40 CFR 35.935-8 - Supervision.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Supervision. 35.935-8 Section 35.935-8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-8 Supervision. In the case...

  6. 40 CFR 35.935-8 - Supervision.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Supervision. 35.935-8 Section 35.935-8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-8 Supervision. In the case...

  7. 40 CFR 35.935-8 - Supervision.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Supervision. 35.935-8 Section 35.935-8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-8 Supervision. In the case...

  8. 40 CFR 35.935-8 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Supervision. 35.935-8 Section 35.935-8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-8 Supervision. In the case...

  9. 40 CFR 35.935-8 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Supervision. 35.935-8 Section 35.935-8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-8 Supervision. In the case...

  10. 19 CFR 146.3 - Customs supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Customs supervision. 146.3 Section 146.3 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.3 Customs supervision. (a) Assignment of...

  11. Effective Clinical Supervision for Professional School Counsellors

    ERIC Educational Resources Information Center

    Oberman, Aaron

    2005-01-01

    A long-standing problem for practising professional school counsellors is the lack of clinical supervision. Many school counsellors receive supervision from inadequate sources, such as principals and guidance directors, who often lack training and experience in the field of counselling. School counsellors are more skilled in assisting students…

  12. 9 CFR 146.10 - Supervision.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Supervision. 146.10 Section 146.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE LIVESTOCK IMPROVEMENT NATIONAL POULTRY IMPROVEMENT PLAN FOR COMMERCIAL POULTRY General Provisions § 146.10 Supervision. (a) The Official State Agency...

  13. Exploring Supervision History: An Invitation and Agenda.

    ERIC Educational Resources Information Center

    Glanz, Jeffrey

    1995-01-01

    The paucity of historical research in supervision can be attributed to marginalization of historical inquiry, lack of clarity about supervisory duties, a positivistic model of social research, and unfavorable images of supervision and supervisors. Research needs include accounts of early 20th-century practicing supervisors, educational biographies…

  14. Reviewing Videotape in Supervision: A Developmental Approach

    ERIC Educational Resources Information Center

    Huhra, Rachel L.; Yamokoski-Maynhart, Cynthia A.; Prieto, Loreto R.

    2008-01-01

    The authors review the extant literature on the use of videotape technology in supervision and, on the basis of an empirically supported developmental model of supervision, offer guidelines to supervisors on the use of videotape feedback. Suggestions are also offered for future research in this area.

  15. Managing Difficulties in Supervision: Supervisors' Perspectives

    ERIC Educational Resources Information Center

    Grant, Jan; Schofield, Margot J.; Crawford, Sarah

    2012-01-01

    Few studies have examined the practice wisdom of expert supervisors. This study addresses this gap by exploring how experienced supervisors manage difficulties in supervision in the context of the supervisory relationship. The supervisors were a purposive sample of 16 senior members of the profession with considerable expertise in supervision.…

  16. 19 CFR 146.3 - Customs supervision.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Customs supervision. 146.3 Section 146.3 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.3 Customs supervision. (a) Assignment of...

  17. 19 CFR 146.3 - Customs supervision.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Customs supervision. 146.3 Section 146.3 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.3 Customs supervision. (a) Assignment of...

  18. 19 CFR 146.3 - Customs supervision.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Customs supervision. 146.3 Section 146.3 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.3 Customs supervision. (a) Assignment of...

  19. 19 CFR 146.3 - Customs supervision.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Customs supervision. 146.3 Section 146.3 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.3 Customs supervision. (a) Assignment of...

  20. The Agile Approach with Doctoral Dissertation Supervision

    ERIC Educational Resources Information Center

    Tengberg, Lars Göran Wallgren

    2015-01-01

    Several research findings conclude that many doctoral students fail to complete their studies within the allowable time frame, in part because of problems related to the research and supervision process. Surveys show that most doctoral students are generally satisfied with their dissertation supervision. However, these surveys also reveal some…

  1. Overcoming the barriers to effective clinical supervision.

    PubMed

    Bush, Tony

    Clinical supervision remains one of the most misunderstood practices in modern nursing. It provides a nurturing and supportive service for nurses, helping them to reflect critically on their actions in the provision of patient care. The aim of this article is to explore and examine the current role and status of clinical supervision in the NHS. PMID:15688921

  2. Experiencing Higher Degree Research Supervision as Teaching

    ERIC Educational Resources Information Center

    Bruce, Christine; Stoodley, Ian

    2013-01-01

    This article describes higher degree research supervisors' experiences of supervision as teaching. While research education is considered central to the higher degree research experience, comparatively little is known to date of the teaching lenses adopted by supervisors as they go about their supervision. We worked with 35 supervisors…

  3. 21 CFR 640.62 - Medical supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Medical supervision. 640.62 Section 640.62 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS ADDITIONAL STANDARDS FOR HUMAN BLOOD AND BLOOD PRODUCTS Source Plasma § 640.62 Medical supervision....

  4. Case Studies: Windows onto Clinical Supervision.

    ERIC Educational Resources Information Center

    Nolan, Jim; And Others

    1993-01-01

    By examining the structures and activities common to six case studies of clinical teacher supervision, this article identifies five conditions that facilitate changes in teacher thinking and behavior: development of a supportive, collegial relationship; teacher control over supervision products; continuity over time; focused, descriptive records…

  5. The Electronic Enhancement of Supervision Project (EESP).

    ERIC Educational Resources Information Center

    Shea, Catherine; Babione, Carolyn

    To address the shortage of special education teachers in rural areas, Indiana University Southeast designed the Electronic Enhancement of Supervision Project (EESP) to integrate technology with supervision training of special education teachers. The goal of EESP is to strengthen the supply and quality of special education teachers through better…

  6. 19 CFR 111.28 - Responsible supervision.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Responsible supervision. 111.28 Section 111.28 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS BROKERS Duties and Responsibilities of Customs Brokers § 111.28 Responsible supervision. (a) General. Every individual...

  7. Family Nurse Partnership: why supervision matters.

    PubMed

    Andrews, Lindsayws

    First-time teenage mothers and their babies are likely to have increased levels of need. This article explores how supervision supports Family Nurse Partnership (FNP) nurses to undertake complex work with teenage, first-time mothers and their babies. Careful application of a supervision model can provide the structure for a safe, containing, reflective space. PMID:27145652

  8. Supervision as a Contested Space: A Response

    ERIC Educational Resources Information Center

    Manathunga, Catherine

    2009-01-01

    Exploring postgraduate supervision practices with supervisors is a complex and contested endeavour. The growing body of literature on approaches to working with supervisors attests to this. Unlike some areas of higher education research, studies of supervision span theoretical spectrums from liberal approaches (e.g. Ballard and Clanchy 1991; Bruce…

  9. A Gestalt Approach to Group Supervision

    ERIC Educational Resources Information Center

    Melnick, Joseph; Fall, Marijane

    2008-01-01

    The authors define and then describe the practice of group supervision. The role of creative experiment in assisting supervisees who perceive themselves as confused, moving in circles, or immobilized is described. Fictional case examples illustrate these issues in supervision. The authors posit the "good fit" of Gestalt theory and techniques with…

  10. Wellness Model of Supervision: A Comparative Analysis

    ERIC Educational Resources Information Center

    Lenz, A. Stephen; Sangganjanavanich, Varunee Faii; Balkin, Richard S.; Oliver, Marvarene; Smith, Robert L.

    2012-01-01

    This quasi-experimental study compared the effectiveness of the Wellness Model of Supervision (WELMS; Lenz & Smith, 2010) with alternative supervision models for developing wellness constructs, total personal wellness, and helping skills among counselors-in-training. Participants were 32 master's-level counseling students completing their…

  11. Educational Supervision: Perspectives, Issues, and Controversies.

    ERIC Educational Resources Information Center

    Glanz, Jeffrey, Ed.; Neville, Richard F., Ed.

    Educational supervision has historically sought to improve the quality of teaching. This book is a text for undergraduate and graduate students who are engaged in the study of issues in educational supervision; it is a compendium of informed commentaries on current issues written by prominent scholars in the field. The first part (12 chapters)…

  12. Issues and Ideas: Organization, Administration and Supervision.

    ERIC Educational Resources Information Center

    Miller, Irving

    1982-01-01

    This article discusses the basic characteristics of organization, administration, supervision, and specific problems of human service organizations and relates them to the concept of power. The author proposes an integration of the two models of supervision so that the administrative and teaching functions will both be served. (Author)

  13. The Elements: A Model of Mindful Supervision

    ERIC Educational Resources Information Center

    Sturm, Deborah C.; Presbury, Jack; Echterling, Lennis G.

    2012-01-01

    Mindfulness, based on an ancient spiritual practice, is a core quality and way of being that can deepen and enrich the supervision of counselors. This model of mindful supervision incorporates Buddhist and Hindu conceptualizations of the roles of the five elements--space, earth, water, fire, air--as they relate to adhikara or studentship, the…

  14. Ethical Issues in the Conduct of Supervision.

    ERIC Educational Resources Information Center

    Sherry, Patrick

    1991-01-01

    Uses American Psychological Association code of ethics to understand ethical issues present in the conduct of supervision. Discusses ethical issues of responsibility, client and supervisee welfare, confidentiality, competency, moral and legal standards, public statements, and professional relationships in relation to supervision. (Author/NB)

  15. 12 CFR 240.14 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... institution. A banking institution engaging in retail forex transactions shall diligently supervise the... similar function) of all retail forex accounts carried, operated, or advised by the banking institution... performing a similar function) relating to its retail forex business. (b) Supervision by officers,...

  16. 12 CFR 349.14 - Supervision.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... institution. An FDIC-supervised insured depository institution engaging in retail forex transactions shall... status or performing a similar function) of all retail forex accounts carried, operated, or advised by at... forex business. (b) Supervision by officers, employees, or agents. An officer, employee, or agent of...

  17. 12 CFR 349.14 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... institution. An FDIC-supervised insured depository institution engaging in retail forex transactions shall... status or performing a similar function) of all retail forex accounts carried, operated, or advised by at... forex business. (b) Supervision by officers, employees, or agents. An officer, employee, or agent of...

  18. 12 CFR 48.14 - Supervision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....14 Supervision. (a) Supervision by the national bank. A national bank engaging in retail forex... occupying a similar status or performing a similar function) of all retail forex accounts carried, operated... persons occupying a similar status or performing a similar function) relating to its retail forex...

  19. 12 CFR 48.14 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ....14 Supervision. (a) Supervision by the national bank. A national bank engaging in retail forex... occupying a similar status or performing a similar function) of all retail forex accounts carried, operated... persons occupying a similar status or performing a similar function) relating to its retail forex...

  20. 12 CFR 349.14 - Supervision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... institution. An FDIC-supervised insured depository institution engaging in retail forex transactions shall... status or performing a similar function) of all retail forex accounts carried, operated, or advised by at... forex business. (b) Supervision by officers, employees, or agents. An officer, employee, or agent of...

  1. 12 CFR 48.14 - Supervision.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....14 Supervision. (a) Supervision by the national bank. A national bank engaging in retail forex... occupying a similar status or performing a similar function) of all retail forex accounts carried, operated... persons occupying a similar status or performing a similar function) relating to its retail forex...

  2. Effects of physical activity on health status in older adults. II. Intervention studies.

    PubMed

    Buchner, D M; Beresford, S A; Larson, E B; LaCroix, A Z; Wagner, E H

    1992-01-01

    This review has focused on a specific part of the relationship of exercise to health. The overall evidence supporting the health benefits of exercise is substantial and has been critically reviewed recently (18, 94). Thus, the United States Preventive Services Task Force recommends that all adults exercise regularly (94). The conclusions summarized below regarding older adults do not affect this basic recommendation. There is solid evidence that exercise can improve measures of fitness in older adults, particularly strength and aerobic capacity. These exercise effects occur in chronically ill adults, as well as in healthy adults. Because physical fitness is a determinant of functional status, it is logical to ask whether exercise can prevent or improve impairments in functional status in older adults. The evidence that exercise improves functional status is promising, but inconclusive. Problems with existing studies include a lack of randomized controlled trials, a lack of evidence that effects of exercise can be sustained over long periods of time, inadequate statistical power, and failure to target physically unfit individuals. Existing studies suggest that exercise may produce improvements in gait and balance. Arthritis patients may experience long-term functional status benefits from exercise, including improved mobility and decreased pain symptoms. Nonrandomized trials suggest exercise promotes bone mineral density and thereby decreases fracture risk. Recent studies have generally concluded that short-term exercise does not improve cognitive function. Yet the limited statistical power of these studies does not preclude what may be a modest, but functionally meaningful, effect of exercise on cognition. Future research, beyond correcting methodologic deficiencies in existing studies, should systematically study how functional status effects of exercise vary with the type, intensity, and duration of exercise. It should address issues in recruiting functionally

  3. Task Force: Routine Genital Herpes Screening Not Recommended

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_160205.html Task Force: Routine Genital Herpes Screening Not Recommended Unless someone ... 2, 2016 (HealthDay News) -- A U.S. federal task force is prepared to recommend that teens, adults and ...

  4. Providing effective supervision in clinical neuropsychology.

    PubMed

    Stucky, Kirk J; Bush, Shane; Donders, Jacobus

    2010-01-01

    A specialty like clinical neuropsychology is shaped by its selection of trainees, educational standards, expected competencies, and the structure of its training programs. The development of individual competency in this specialty is dependent to a considerable degree on the provision of competent supervision to its trainees. In clinical neuropsychology, as in other areas of professional health-service psychology, supervision is the most frequently used method for teaching a variety of skills, including assessment, report writing, differential diagnosis, and treatment. Although much has been written about the provision of quality supervision in clinical and counseling psychology, very little published guidance is available regarding the teaching and provision of supervision in clinical neuropsychology. The primary focus of this article is to provide a framework and guidance for the development of suggested competency standards for training of neuropsychological supervisors, particularly at the residency level. In this paper we outline important components of supervision for neuropsychology trainees and suggest ways in which clinicians can prepare for supervisory roles. Similar to Falender and Shafranske (2004), we propose a competency-based approach to supervision that advocates for a science-informed, formalized, and objective process that clearly delineates the competencies required for good supervisory practice. As much as possible, supervisory competencies are related to foundational and functional competencies in professional psychology, as well as recent legislative initiatives mandating training in supervision. It is our hope that this article will foster further discussion regarding this complex topic, and eventually enhance training in clinical neuropsychology. PMID:20582855

  5. Supervised practice: a midwife's reflective journey.

    PubMed

    Davidson, Sue; Raynor, Maureen

    2012-09-01

    The Nursing and Midwifery Council (NMC) (2007) defines supervised practice as a structured and formal programme, devised to provide a midwife whose practice falls short of the required professional standards, with learning opportunities to enrich his/her clinical experience and improve practice. The primary aim is to ensure that the period of development agreed by the Local Supervising Authority Midwifery Officer (LSAMO) in supporting the midwife to improve their knowledge and skills, is subject to scrutiny through assessment, evaluation and reflection. The importance of reflective learning in midwifery practice is well recognised. This article provides the reflective account of a midwife's personal experience of supervised practice. PMID:23082405

  6. Vitamin D recommendations for older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Many randomized, controlled trials indicate that vitamin D will lower falls and fractures, so it was reasonable for Sanders et al. to hypothesize that a single annual 500,000 IU oral dose of vitamin D3 would be effective in reducing falls and fractures in older women with one or more risk factors fo...

  7. A Classification-based Review Recommender

    NASA Astrophysics Data System (ADS)

    O'Mahony, Michael P.; Smyth, Barry

    Many online stores encourage their users to submit product/service reviews in order to guide future purchasing decisions. These reviews are often listed alongside product recommendations but, to date, limited attention has been paid as to how best to present these reviews to the end-user. In this paper, we describe a supervised classification approach that is designed to identify and recommend the most helpful product reviews. Using the TripAdvisor service as a case study, we compare the performance of several classification techniques using a range of features derived from hotel reviews. We then describe how these classifiers can be used as the basis for a practical recommender that automatically suggests the mosthelpful contrasting reviews to end-users. We present an empirical evaluation which shows that our approach achieves a statistically significant improvement over alternative review ranking schemes.

  8. Weakly Supervised Human Fixations Prediction.

    PubMed

    Zhang, Luming; Li, Xuelong; Nie, Liqiang; Yang, Yi; Xia, Yingjie

    2016-01-01

    Automatically predicting human eye fixations is a useful technique that can facilitate many multimedia applications, e.g., image retrieval, action recognition, and photo retargeting. Conventional approaches are frustrated by two drawbacks. First, psychophysical experiments show that an object-level interpretation of scenes influences eye movements significantly. Most of the existing saliency models rely on object detectors, and therefore, only a few prespecified categories can be discovered. Second, the relative displacement of objects influences their saliency remarkably, but current models cannot describe them explicitly. To solve these problems, this paper proposes weakly supervised fixations prediction, which leverages image labels to improve accuracy of human fixations prediction. The proposed model hierarchically discovers objects as well as their spatial configurations. Starting from the raw image pixels, we sample superpixels in an image, thereby seamless object descriptors termed object-level graphlets (oGLs) are generated by random walking on the superpixel mosaic. Then, a manifold embedding algorithm is proposed to encode image labels into oGLs, and the response map of each prespecified object is computed accordingly. On the basis of the object-level response map, we propose spatial-level graphlets (sGLs) to model the relative positions among objects. Afterward, eye tracking data is employed to integrate these sGLs for predicting human eye fixations. Thorough experiment results demonstrate the advantage of the proposed method over the state-of-the-art. PMID:26168451

  9. The Moral Side of Supervision.

    ERIC Educational Resources Information Center

    Lipton, Laura; Starratt, Robert J.

    Students' decisions are influenced by the moral climate of their school. Changing social, economical, and traditional family structures have contributed to an upheaval of moral foundations. As a result, schools are becoming a critical arena for students to develop into morally responsible adults. Consequently, the moral growth of teachers is an…

  10. Adult Education. Annual Report, National Advisory Council on Adult Education.

    ERIC Educational Resources Information Center

    National Advisory Council on Adult Education, Washington, DC.

    Recommendations of the President's National Advisory Council on Adult Education are the subject of this first annual report. The activities of the Council during its first year are listed. Recommendations for Action are: (1) a higher budget priority for adult education in Fiscal Year 1973, and the development of a Comprehensive Adult Education…

  11. Supervision: Needed Research. A Research Agenda.

    ERIC Educational Resources Information Center

    Alfonso, Robert J.; Firth, Gerald R.

    1990-01-01

    The lack of research and continuing disagreement on the definition and the purposes of supervision in education have stifled the identification and development of skills and have contributed to weak preparation programs for instructional supervisors. (SI)

  12. Maintaining professional resilience through group restorative supervision.

    PubMed

    Wallbank, Sonya

    2013-08-01

    Restorative clinical supervision has been delivered to over 2,500 professionals and has shown to be highly effective in reducing burnout, stress and increasing compassion satisfaction. Demand for the programme has shown that a sustainable model of implementation is needed for organisations who may not be able to invest in continued individual sessions. Following the initial six sessions, group restorative supervision has been developed and this paper reports on the programme's success in maintaining and continuing to improve compassion satisfaction, stress and burnout through the process of restorative group supervision. This means that organisations can continue to maintain the programme once the initial training has been completed and have confidence within the restorative group supervision to support professionals in managing the emotional demands of their role. The restorative groups have also had inadvertent positive benefits in workplace functioning. The paper outlines how professionals have been able to use this learning to support them in being more effective. PMID:23986988

  13. Teachers of the Gifted: Preparation and Supervision.

    ERIC Educational Resources Information Center

    Feldhusen, John; Hansen, Jan

    1988-01-01

    This paper reviews the research on effective teachers of the gifted, focusing on teacher characteristics, expected competencies, selection, training, and supervision. The research is applied to practice within the framework of Purdue University's Super Saturday Program. (Author/JDD)

  14. Assessment of Student Teachers by Supervising Teachers.

    ERIC Educational Resources Information Center

    Hattie, John; And Others

    1982-01-01

    Supervising teachers appear to reliably evaluate student teachers and tend to perceive student teachers in terms of two major factors: preparation and presentation. There were differences between primary and secondary level supervisors. (Author/PN)

  15. On psychoanalytic supervision as signature pedagogy.

    PubMed

    Watkins, C Edward

    2014-04-01

    What is signature pedagogy in psychoanalytic education? This paper examines that question, considering why psychoanalytic supervision best deserves that designation. In focusing on supervision as signature pedagogy, I accentuate its role in building psychoanalytic habits of mind, habits of hand, and habits of heart, and transforming theory and self-knowledge into practical product. Other facets of supervision as signature pedagogy addressed in this paper include its features of engagement, uncertainty, formation, and pervasiveness, as well as levels of surface, deep, and implicit structure. Epistemological, ontological, and axiological in nature, psychoanalytic supervision engages trainees in learning to do, think, and value what psychoanalytic practitioners in the field do, think, and value: It is, most fundamentally, professional preparation for competent, "good work." In this paper, effort is made to shine a light on and celebrate the pivotal role of supervision in "making" or developing budding psychoanalysts and psychoanalytic psychotherapists. Now over a century old, psychoanalytic supervision remains unparalleled in (1) connecting and integrating conceptualization and practice, (2) transforming psychoanalytic theory and self-knowledge into an informed analyzing instrument, and (3) teaching, transmitting, and perpetuating the traditions, practice, and culture of psychoanalytic treatment. PMID:24731044

  16. Managing difficulties in supervision: supervisors' perspectives.

    PubMed

    Grant, Jan; Schofield, Margot J; Crawford, Sarah

    2012-10-01

    Few studies have examined the practice wisdom of expert supervisors. This study addresses this gap by exploring how experienced supervisors manage difficulties in supervision in the context of the supervisory relationship. The supervisors were a purposive sample of 16 senior members of the profession with considerable expertise in supervision. In-depth interviews were first conducted with the supervisors. An interpersonal process recall method was then used to explore their reflections on one of their DVD-recorded supervision sessions. Analysis of transcripts was completed using a modified consensual qualitative research method. Major difficulties included the broad domains of supervisee competence and ethical behavior, supervisee characteristics, supervisor countertransference, and problems in the supervisory relationship. Supervisors managed these difficulties using 4 key approaches: relational (naming, validating, attuning, supporting, anticipating, exploring parallel process, acknowledging mistakes, and modeling); reflective (facilitating reflectivity, remaining mindful and monitoring, remaining patient and transparent, processing countertransference, seeking supervision, and case conceptualizing); confrontative (confronting tentatively, confronting directly, refusing/terminating supervision, taking formal action, referring to personal therapy, and becoming directive); and avoidant interventions (struggling on, withholding, and withdrawing). Two brief case studies illustrate the process of applying these strategies sequentially in managing difficulties. The study highlights the importance of relational strategies to maintain an effective supervisory alliance, reflective strategies-particularly when difficulties pertain to clinical material and the supervisory relationship-and confrontative strategies with unhelpful supervisee characteristics and behaviors that impede supervision. PMID:23088684

  17. Opportunities to Learn Scientific Thinking in Joint Doctoral Supervision

    ERIC Educational Resources Information Center

    Kobayashi, Sofie; Grout, Brian W.; Rump, Camilla Østerberg

    2015-01-01

    Research into doctoral supervision has increased rapidly over the last decades, yet our understanding of how doctoral students learn scientific thinking from supervision is limited. Most studies are based on interviews with little work being reported that is based on observation of actual supervision. While joint supervision has become widely…

  18. A Model for Using Triadic Supervision in Counselor Preparation Programs

    ERIC Educational Resources Information Center

    Lawson, Gerard; Hein, Serge F.; Getz, Hildy

    2009-01-01

    The Council for Accreditation of Counseling and Related Educational Programs (2001) has approved the use of triadic supervision as an alternative to individual supervision in clinical instruction. However, literature describing this mode of supervision is very limited. A model for triadic supervision is described, including presession planning,…

  19. 28 CFR 2.207 - Supervision reports to Commission.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Supervision reports to Commission. 2.207 Section 2.207 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND RECOMMITMENT....207 Supervision reports to Commission. A regular supervision report shall be submitted to...

  20. 9 CFR 355.31 - Supervision by inspector.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Supervision by inspector. 355.31..., CERTIFICATION, AND IDENTIFICATION AS TO CLASS, QUALITY, QUANTITY, AND CONDITION Supervision § 355.31 Supervision... filled in whole or in part and no such label shall be affixed thereto except under the supervision of...

  1. 48 CFR 52.247-12 - Supervision, Labor, or Materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Supervision, Labor, or....247-12 Supervision, Labor, or Materials. As prescribed in 47.207-5(b), insert a clause substantially... when the contractor is required to furnish supervision, labor, or materials: Supervision, Labor,...

  2. 28 CFR 810.1 - Supervision contact requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Supervision contact requirements. 810.1 Section 810.1 Judicial Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA COMMUNITY SUPERVISION: ADMINISTRATIVE SANCTIONS § 810.1 Supervision contact requirements. If...

  3. 28 CFR 2.94 - Supervision reports to Commission.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Supervision reports to Commission. 2.94 Section 2.94 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND RECOMMITMENT... Parolees § 2.94 Supervision reports to Commission. An initial supervision report to confirm...

  4. Supervision in AAMFT Accredited Programs: Supervisee Perceptions and Preferences.

    ERIC Educational Resources Information Center

    Brock, Gregory W.; Sibbald, Sally

    1988-01-01

    Assessed supervisees' (N=72) perceptions of supervision in American Association for Marriage and Family Therapy-accredited programs. Supervisees from 14 programs described actual and preferred supervision. Most reported mixed didactic-experiential supervision style. Supervisees considered quality of supervision good, some reported not receiving…

  5. 20 CFR 702.407 - Supervision of medical care.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Supervision of medical care. 702.407 Section... Care and Supervision § 702.407 Supervision of medical care. The Director, OWCP, through the district directors and their designees, shall actively supervise the medical care of an injured employee covered...

  6. 7 CFR 1902.6 - Establishing supervised bank accounts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Establishing supervised bank accounts. 1902.6 Section... AGRICULTURE PROGRAM REGULATIONS SUPERVISED BANK ACCOUNTS Supervised Bank Accounts of Loan, Grant, and Other Funds § 1902.6 Establishing supervised bank accounts. (a) Each borrower will be given an opportunity...

  7. 7 CFR 761.55 - Closing a supervised bank account.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 7 2014-01-01 2014-01-01 false Closing a supervised bank account. 761.55 Section 761..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS FARM LOAN PROGRAMS; GENERAL PROGRAM ADMINISTRATION Supervised Bank Accounts § 761.55 Closing a supervised bank account. (a) If the supervised bank account is no longer...

  8. 7 CFR 1902.6 - Establishing supervised bank accounts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 12 2014-01-01 2013-01-01 true Establishing supervised bank accounts. 1902.6 Section... AGRICULTURE PROGRAM REGULATIONS SUPERVISED BANK ACCOUNTS Supervised Bank Accounts of Loan, Grant, and Other Funds § 1902.6 Establishing supervised bank accounts. (a) Each borrower will be given an opportunity...

  9. 7 CFR 1902.6 - Establishing supervised bank accounts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false Establishing supervised bank accounts. 1902.6 Section... AGRICULTURE PROGRAM REGULATIONS SUPERVISED BANK ACCOUNTS Supervised Bank Accounts of Loan, Grant, and Other Funds § 1902.6 Establishing supervised bank accounts. (a) Each borrower will be given an opportunity...

  10. 7 CFR 761.55 - Closing a supervised bank account.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 7 2012-01-01 2012-01-01 false Closing a supervised bank account. 761.55 Section 761..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS FARM LOAN PROGRAMS; GENERAL PROGRAM ADMINISTRATION Supervised Bank Accounts § 761.55 Closing a supervised bank account. (a) If the supervised bank account is no longer...

  11. 7 CFR 761.55 - Closing a supervised bank account.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Closing a supervised bank account. 761.55 Section 761..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS GENERAL PROGRAM ADMINISTRATION Supervised Bank Accounts § 761.55 Closing a supervised bank account. (a) If the supervised bank account is no longer needed and the...

  12. 7 CFR 1902.6 - Establishing supervised bank accounts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false Establishing supervised bank accounts. 1902.6 Section... AGRICULTURE PROGRAM REGULATIONS SUPERVISED BANK ACCOUNTS Supervised Bank Accounts of Loan, Grant, and Other Funds § 1902.6 Establishing supervised bank accounts. (a) Each borrower will be given an opportunity...

  13. 7 CFR 1902.6 - Establishing supervised bank accounts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 12 2013-01-01 2013-01-01 false Establishing supervised bank accounts. 1902.6 Section... AGRICULTURE PROGRAM REGULATIONS SUPERVISED BANK ACCOUNTS Supervised Bank Accounts of Loan, Grant, and Other Funds § 1902.6 Establishing supervised bank accounts. (a) Each borrower will be given an opportunity...

  14. 7 CFR 800.215 - Activities that shall be supervised.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Activities that shall be supervised. 800.215 Section... REGULATIONS Supervision, Monitoring, and Equipment Testing § 800.215 Activities that shall be supervised. (a) General. Supervision of the activities described in this section shall be performed in accordance with...

  15. Evaluation of a youth agency's supervision practices: A mixed-method approach.

    PubMed

    Gosselin, Julie; Valiquette-Tessier, Sophie-Claire; Vandette, Marie-Pier; Romano, Elisa

    2015-10-01

    This research presents the findings from an evaluation and organizational development initiative that was requested by a Canadian youth agency working in a large urban setting. A team of four researchers affiliated with the Center for Research on Educational and Community Services (CRECS) at the University of Ottawa conducted the evaluation. The purpose of the evaluation was to identify the supervision needs and challenges of coordinators and front line staff, assess the efficiency of the current supervision practices, and evaluate the supervisors' and supervisees' satisfaction with these current practices. A literature review was performed to help provide a clear definition of 'supervision' and the different professional roles it encompasses. Additionally, research evidence pertaining both to what contributes to supervision efficacy and supervisor competency was reviewed to distill the most robust findings in the existing literature. The lines of evidence consisted of a document and file review, an online employee survey, group discussions (i.e. focus groups), and interviews with key informants. The results of the evaluation helped the research team formulate recommendations to the agency for the development of enhanced supervision practices across its various service areas. PMID:25931387

  16. Effects of Anxiety on Novice Genetic Counseling Students' Experience of Supervised Clinical Rotations.

    PubMed

    MacFarlane, Ian M; McCarthy Veach, Pat; Grier, Janelle E; Meister, Derek J; LeRoy, Bonnie S

    2016-08-01

    Supervised clinical experiences with patients comprise a critical component of genetic counseling student education. Previous research has found genetic counseling students tend to be more anxiety prone than the general population, and anxiety related to supervision has been found in genetic counseling and related fields. The present study investigated how anxiety affects the experience of supervision for genetic counseling students. Second year genetic counseling students were invited to participate through email invitations distributed via training directors of the 33 programs accredited at the time of the study by the American Board of Genetic Counseling. An initial online survey contained the trait scale of the State-Trait Anxiety Inventory to estimate anxiety proneness in this population and an invitation to participate in a 45-minute semi-structured phone interview focusing on students' experiences of supervision during their clinical rotations. High and low trait anxiety groups were created using STAI scores, and the groups' interview responses were compared using consensual qualitative research methodology (CQR; Hill 2012). The high anxiety group was more likely to describe problematic supervisory relationships, appreciate the supervisor's ability to help them when they get stuck in sessions, and feel their anxiety had a negative effect on their performance in general and in supervision. Common themes included supervisors' balancing support and guidance, the importance of feedback, ego-centric responses, and supervisors as focal points. The results of the present study are largely consistent with current literature. Further research findings and research, practice, and training recommendations are provided. PMID:27098419

  17. Training for Geropsychology Supervision and Practice: Perspectives of Geropsychology Program Graduates

    PubMed Central

    Karel, Michele J.; Sakai, Erin Y.; Molinari, Victor; Moye, Jennifer; Carpenter, Brian

    2016-01-01

    Addressing the geropsychology workforce shortage requires ongoing training of psychologists to develop geropsychology competencies, as well as expanding the number of geropsychology supervisors to train them. This study surveyed graduates of geropsychology doctoral and postdoctoral training programs regarding their current geropsychology practice and supervision activities and perceptions of their own training preparation for these activities. One hundred psychologists (87 who had completed all formal training and 13 current postdoctoral fellows) responded to an online survey. Of those who had completed geropsychology training, 82% reported currently engaging in clinical care, and 55% reported providing supervision; more than half of clinical and supervision activities focused on older adults. Participants reported generally strong quality of training to prepare them for providing geropsychology services; areas of more uneven preparation included family and group interventions and select consultation activities. Participants reported quite variable preparation for general supervision practice, and desire for more training and practice in supervisory roles. Geropsychology training programs may use feedback from graduates for ongoing program development, and professional geropsychology may wish to consider forums for enhancing geropsychology supervision skills. PMID:27594967

  18. Physiotherapy-supervised mobilization and exercise following cardiac surgery: a national questionnaire survey in Sweden

    PubMed Central

    2010-01-01

    Background Limited published data are available on how patients are mobilized and exercised during the postoperative hospital stay following cardiac surgery. The aim of this survey was to determine current practice of physiotherapy-supervised mobilization and exercise following cardiac surgery in Sweden. Methods A prospective survey was carried out among physiotherapists treating adult cardiac surgery patients. A total population sample was identified and postal questionnaires were sent to the 33 physiotherapists currently working at the departments of thoracic surgery in Sweden. In total, 29 physiotherapists (response rate 88%) from eight hospitals completed the survey. Results The majority (90%) of the physiotherapists offered preoperative information. The main rationale of physiotherapy treatment after cardiac surgery was to prevent and treat postoperative complications, improve pulmonary function and promote physical activity. In general, one to three treatment sessions were given by a physiotherapist on postoperative day 1 and one to two treatment sessions were given during postoperative days 2 and 3. During weekends, physiotherapy was given to a lesser degree (59% on Saturdays and 31% on Sundays to patients on postoperative day 1). No physiotherapy treatment was given in the evenings. The routine use of early mobilization and shoulder range of motion exercises was common during the first postoperative days, but the choice of exercises and duration of treatment varied. Patients were reminded to adhere to sternal precautions. There were great variations of instructions to the patients concerning weight bearing and exercises involving the sternotomy. All respondents considered physiotherapy necessary after cardiac surgery, but only half of them considered the physiotherapy treatment offered as optimal. Conclusions The results of this survey show that there are small variations in physiotherapy-supervised mobilization and exercise following cardiac surgery in

  19. The Tao of Supervision: Taoist Insights into the Theory and Practice of Educational Supervision.

    ERIC Educational Resources Information Center

    Glanz, Jeffrey

    1997-01-01

    There are three approaches to educational supervision: the applied science approach, the interpretive-practical approach, and the critical/emancipatory approach. From a Taoist perspective, conflicting supervision theories or proposals should be welcomed, not resisted. By accepting a diversity of views to inform practice, a balance or centeredness…

  20. Ensemble learning with trees and rules: supervised, semi-supervised, unsupervised

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In this article, we propose several new approaches for post processing a large ensemble of conjunctive rules for supervised and semi-supervised learning problems. We show with various examples that for high dimensional regression problems the models constructed by the post processing the rules with ...

  1. Group Supervision in Graduate Education: A Process of Supervision Skill Development and Text Improvement

    ERIC Educational Resources Information Center

    Samara, Akylina

    2006-01-01

    This paper is an investigation of group supervision of the Master of Education thesis at the University of Bergen, Norway. Four recorded group supervision sessions are analysed. The group participants are five students and three supervisors. The sessions are analysed from a qualitative, phenomenological perspective. The results show that group…

  2. When Educational Supervision Meets Clinical Supervision: What Can We Learn from the Discrepancies?

    ERIC Educational Resources Information Center

    Cornforth, Sue; Claiborne, Lise Bird

    2008-01-01

    The authors question the taken-for-granted notion of supervision. Their concerns arose out of an attempt to introduce "clinical" supervision into academia as a way of addressing an increasing number of the ethical issues which confront lecturers. They recognise that knowledge can impact adversely on students and that lecturers at times find…

  3. SUPERVISED FIELD EXPERIENCE AND INTERNSHIP PROGRAMS IN EDUCATIONAL ADMINISTRATION AND SUPERVISION IN THE CALIFORNIA STATE COLLEGES.

    ERIC Educational Resources Information Center

    JOHNS, W. LLOYD

    A SURVEY OF EXISTING FIELD EXPERIENCE PROGRAMS IN THE 18 CALIFORNIA STATE COLLEGES WAS CONDUCTED TO IDENTIFY THE CHARACTERISTICS OF A HIGH-QUALITY SUPERVISED FIELD-EXPERIENCE PROGRAM IN EDUCATIONAL ADMINISTRATION AND SUPERVISION. DATA FOR MAJOR FINDINGS WERE COLLECTED FROM (1) A REVIEW OF THE LITERATURE, (2) AN EXAMINATION OF FIELD-EXPERIENCE…

  4. Supervision of Student Teachers: Practices of Cooperating Teachers Prepared in a Clinical Supervision Course.

    ERIC Educational Resources Information Center

    Kent, Susan I.

    2001-01-01

    Summarizes a study following 16 teachers who had completed a graduate-level course in clinical supervision through their experiences as cooperating teachers paired with full-time student teachers. Although all cooperating teachers implemented some aspects of clinical supervision, they did not conduct clinical cycles often, due to time constraints.…

  5. Supportive supervision for medicines management in government health facilities in Kiambu County, Kenya: a health workers’ perspective

    PubMed Central

    Agoro, Oscar Otieno; Osuga, Ben Onyango; Adoyo, Maureen

    2015-01-01

    Introduction Effective supportive supervision is widely recognized as essential for optimal management of medicines in government health facilities and also in contributing towards improved access and utilization of health services. This study sought to examine the extent supportive supervision for medicines management in government health facilities from a health worker perspective. Methods A cross-sectional study was done targeting health workers managing medicines in government health facilities in Kiambu County. One hundred and thirty eight respondents took part in the study which explored the quality of supportive supervision from a health worker's perspective, and also examined the factors influencing their contentment with the level of supervision received. A statistical analysis was done using SPSS 21 and Excel 2013. Results Supervisory visits from all levels of health management were not regularly done, standard checklists were not routinely used, and action plans irregularly developed and followed up. Only 54 (38.6%) respondents were satisfied with the levels of supportive supervision that they received, with satisfaction significantly differing across the professional cadres, χ2 (12, n = 138) = 29.762, p = .003; across the different tiers of health facilities, rs (138) = 0.341, p < .001; and with the education levels of the respondents, rs (138) = 0.381, p < .001. Conclusion The study concluded that supportive supervision for medicines management that government health facilities received was still inadequate, and health workers were dissatisfied with the level of supervision that they received. The study recommends a review of the support supervision policy at the county level to address the unearthed inefficiencies and improve supervision for medicines management in government health facilities.

  6. The role of the nurse lecturer in the supervision of students' essays, projects and assignments: results of an all Wales questionnaire survey.

    PubMed

    Mansell, Ian; Bennett, Glynis; Torrance, Colin; Fairbairn, Gavin

    2002-10-01

    This study explores the role of the lecturer in nursing and midwifery education in the supervision of students' essays, projects and assignments. Three methods were used within the study; semi-structured interviews, questionnaires and focus groups. The results from the semi-structured interviews were used to develop a questionnaire which was distributed to the population of lecturers in nursing and midwifery education (n=285) within Wales. This article reports some of the key findings of the questionnaire survey. Lecturers report a directive style of supervision with a considerable amount of time being invested in the supervision process. The production of guidelines for good supervision practice is recommended as a way of providing consistent and fair supervision for students. PMID:12384031

  7. Guidelines for clinical supervision in health service psychology.

    PubMed

    2015-01-01

    This document outlines guidelines for supervision of students in health service psychology education and training programs. The goal was to capture optimal performance expectations for psychologists who supervise. It is based on the premises that supervisors (a) strive to achieve competence in the provision of supervision and (b) employ a competency-based, meta-theoretical approach to the supervision process. The Guidelines on Supervision were developed as a resource to inform education and training regarding the implementation of competency-based supervision. The Guidelines on Supervision build on the robust literatures on competency-based education and clinical supervision. They are organized around seven domains: supervisor competence; diversity; relationships; professionalism; assessment/evaluation/feedback; problems of professional competence, and ethical, legal, and regulatory considerations. The Guidelines on Supervision represent the collective effort of a task force convened by the American Psychological Association (APA) Board of Educational Affairs (BEA). PMID:25581007

  8. Renal Disease and Adult Vaccination

    MedlinePlus

    ... Resources for Healthcare Professionals Renal Disease and Adult Vaccination Recommend on Facebook Tweet Share Compartir Vaccines are ... have immunity to this disease Learn about adult vaccination and other health conditions Asplenia Diabetes Type 1 ...

  9. Liver Disease and Adult Vaccination

    MedlinePlus

    ... Resources for Healthcare Professionals Liver Disease and Adult Vaccination Recommend on Facebook Tweet Share Compartir Vaccines are ... have immunity to this disease Learn about adult vaccination and other health conditions Asplenia Diabetes Type 1 ...

  10. HIV Infection and Adult Vaccination

    MedlinePlus

    ... Resources for Healthcare Professionals HIV Infection and Adult Vaccination Recommend on Facebook Tweet Share Compartir Vaccines are ... percentage is less than 15%. Learn about adult vaccination and other health conditions Asplenia Diabetes Type 1 ...

  11. Near Vision Test for Adults

    MedlinePlus

    ... Eyes Education Series Online Training and Certification Patient Education Materials Star Pupils ... Test for Adults Testing Near Vision and Distance Vision Prevent Blindness does NOT recommend that you ...

  12. Semi-supervised Learning for Phenotyping Tasks

    PubMed Central

    Dligach, Dmitriy; Miller, Timothy; Savova, Guergana K.

    2015-01-01

    Supervised learning is the dominant approach to automatic electronic health records-based phenotyping, but it is expensive due to the cost of manual chart review. Semi-supervised learning takes advantage of both scarce labeled and plentiful unlabeled data. In this work, we study a family of semi-supervised learning algorithms based on Expectation Maximization (EM) in the context of several phenotyping tasks. We first experiment with the basic EM algorithm. When the modeling assumptions are violated, basic EM leads to inaccurate parameter estimation. Augmented EM attenuates this shortcoming by introducing a weighting factor that downweights the unlabeled data. Cross-validation does not always lead to the best setting of the weighting factor and other heuristic methods may be preferred. We show that accurate phenotyping models can be trained with only a few hundred labeled (and a large number of unlabeled) examples, potentially providing substantial savings in the amount of the required manual chart review. PMID:26958183

  13. Core competencies in social constructionist supervision?

    PubMed

    Sutherland, Olga; Fine, Marshall; Ashbourne, Lynda

    2013-07-01

    Family therapy is moving increasingly toward evidence-based practice and competency-based training. This article explores what might seem to be an unlikely link between social constructionist supervision, which is based on dialogic and fluid processes of meaning-making, and the increasing reliance on discrete core competencies in the education and training of family therapists. We propose an alternate approach to competencies for supervision with therapists in training that, among other things, invites accountability and provides evaluative props. The approach we propose is based on a set of orientations that we hope reflect the dialogic and contextual nature of social constructionist practice and supervision. These orientations consist of reflexivity and attention to power, fostering polyphony and generativity, collaborative stance, and focus on client resourcefulness. Ideas and questions for supervisors and therapists in training to address the orientations are articulated. PMID:25059303

  14. Learning through Supervision and Mentorship To Support the Development of Infants, Toddlers and Their Families: A Source Book.

    ERIC Educational Resources Information Center

    Fenichel, Emily, Ed.

    Eighteen work group papers, several of which previously appeared in "Zero to Three," the Bulletin of the National Center for Infant Clinical Progams, are presented under four headings. Under the heading "Findings and Recommendations of ZERO TO THREE/National center for Clinical Infant Programs' Work Group on Supervision and Mentorship" are the…

  15. Barriers to Successful Supervised Agricultural Experience Programs in Semi-Rural and Urban High School Agricultural Education Programs.

    ERIC Educational Resources Information Center

    Whaley, David C.; Lucero, Dan

    1993-01-01

    Interviews with educators and students examined the value of and identified barriers to effective use of supervised agricultural experiences (SAE) in a Los Angeles high school and a semirural Colorado high school. Both programs overcame diverse challenges to develop valuable experiential learning through SAEs. Recommendations provide strategies…

  16. Abusive supervision and subordinates' organizational citizenship behavior.

    PubMed

    Zellars, Kelly L; Tepper, Bennett J; Duffy, Michelle K

    2002-12-01

    The relationship between subordinates' perceptions of abusive supervision and supervisors' evaluations of subordinates' organizational citizenship behavior (OCB) was explored among a sample of 373 Air National Guard members and their military supervisors. As predicted, the relationship between abusive supervision and subordinates' OCB was stronger among subordinates who defined OCB as extra-role behavior (compared with those defining OCB as in-role behavior), and this effect was fully mediated by the interactive effect of procedural justice and OCB role definitions. The study's implications for theory and research are discussed, its limitations are identified, and directions for future research are suggested. PMID:12558214

  17. Appropriate uses of fluorides for children: guidelines from the Canadian Workshop on the Evaluation of Current Recommendations Concerning Fluorides.

    PubMed Central

    Clark, D C

    1993-01-01

    OBJECTIVE: To prevent fluorosis caused by excessive fluoride ingestion by revising recommendations for fluoride intake by children. OPTIONS: Limiting fluoride ingestion from fluoridated water, fluoride supplements and fluoride dentifrices. OUTCOMES: Reduction in the prevalence of dental fluorosis and continued prevention of dental caries. EVIDENCE: Before the workshop, experts prepared comprehensive literature reviews of fluoride therapies, fluoride ingestion and the prevalence and causes of dental fluorosis. The papers, which were peer-reviewed, revised and circulated to the workshop participants, formed the basis of the workshop discussions. VALUES: Recommendations to limit fluoride intake were vigorously debated before being adopted as the consensus opinion of the workshop group. BENEFITS, HARMS AND COSTS: Decrease in the prevalence of dental fluorosis with continuing preventive effects of fluoride use. The only significant cost would be in preparing new, low-concentration fluoride products for distribution. RECOMMENDATIONS: Fluoride supplementation should be limited to children 3 years of age and older in areas where there is less than 0.3 ppm of fluoride in the water supply. Children in all areas should use only a "pea-sized" amount of fluoride dentifrice no more than twice daily under the supervision of an adult. VALIDATION: These recommendations are almost identical to changes to recommendations for the use of fluoride supplements recently proposed by a group of European countries. SPONSORS: The workshop was organized by Dr. D. Christopher Clark, of the University of British Columbia, and Drs. Hardy Limeback and Ralph C. Burgess, of the University of Toronto, and funded by Proctor and Gamble Inc., Toronto, the Medical Research Council of Canada and Health Canada (formerly the Department of National Health and Welfare). The recommendations were formally adopted by the Canadian Dental Association in April 1993. PMID:8261348

  18. Measles -- Recommendations for Prevention

    MedlinePlus

    ... Prevent News and Media Resources News Newsletters Events Measles - Recommendations for Prevention Recommend on Facebook Tweet Share ... safest protection you can give your child against measles. Children should be given the first dose of ...

  19. Clinical recommendation: pediatric lichen sclerosus.

    PubMed

    Bercaw-Pratt, Jennifer L; Boardman, Lori A; Simms-Cendan, Judith S

    2014-04-01

    Lichen sclerosus is a chronic inflammatory condition affecting the anogenital region that may present in the prepubertal or adolescent patient. Clinical presentations include significant pruritus, labial adhesions, and loss of pigmentation. Treatment includes topical anti-inflammatory agents and long-term follow-up as there is a high risk of recurrence and an increased risk of vulvar cancer in adult women with history of lichen sclerosus. These recommendations are intended for pediatricians, gynecologists, nurse practitioners and others who care for pediatric/adolescent girls in order to facilitate diagnosis and treatment. PMID:24602304

  20. Robust Collaborative Recommendation

    NASA Astrophysics Data System (ADS)

    Burke, Robin; O'Mahony, Michael P.; Hurley, Neil J.

    Collaborative recommender systems are vulnerable to malicious users who seek to bias their output, causing them to recommend (or not recommend) particular items. This problem has been an active research topic since 2002. Researchers have found that the most widely-studied memory-based algorithms have significant vulnerabilities to attacks that can be fairly easily mounted. This chapter discusses these findings and the responses that have been investigated, especially detection of attack profiles and the implementation of robust recommendation algorithms.

  1. Research Supervision: The Research Management Matrix

    ERIC Educational Resources Information Center

    Maxwell, T. W.; Smyth, Robyn

    2010-01-01

    We briefly make a case for re-conceptualising research project supervision/advising as the consideration of three inter-related areas: the learning and teaching process; developing the student; and producing the research project/outcome as a social practice. We use this as our theoretical base for an heuristic tool, "the research management…

  2. 27 CFR 24.30 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Supervision. 24.30 Section 24.30 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS WINE Administrative and Miscellaneous Provisions Authorities § 24.30...

  3. Supervision: Trainer's Manual and Resource Manual.

    ERIC Educational Resources Information Center

    Eliasoph, Beverly; And Others

    This manual is designed to train those helping professionals who carry supervisory responsibility for the work of counselors in drug or other substance abuse programs. The purpose of this training course include identification and desceiption of supervision forms, processes and skills, and development of supervisory competencies useful in the work…

  4. Spirituality and School Counselor Education and Supervision

    ERIC Educational Resources Information Center

    Gallo, Laura L.

    2014-01-01

    Spirituality is an area that has not received a great deal of attention in supervision, yet it can have substantial effects on the counseling process. A definition of spirituality that allows for a variety of worldviews can be useful to both counselor and client as it helps strengthen the counseling relationship and lessen differences between…

  5. Peer Supervision: Toward More Effective Training.

    ERIC Educational Resources Information Center

    Wagner, Carol A.; Smith, James P., Jr.

    1979-01-01

    Discusses peer supervision as a vehicle for increasing student responsibility for self-assessment and peer assessment, and increasing independence and interdependence among students for professional and personal growth. The article also explains a model of a master's degree program in counseling and includes rationale, definition, implementation,…

  6. Supervision, Staff Development, and Evaluation Connections.

    ERIC Educational Resources Information Center

    McQuarrie, Frank O.; Wood, Fred H.

    1991-01-01

    Examines the relationship between supervision, staff development, and teacher evaluation, discussing why educators must strive to make connections among the three, identifying important misunderstandings about them, and describing the purposes of each process and the similarities, differences, and connections between them. Together, they can be…

  7. Supportive Supervision: Becoming a Teacher of Teachers

    ERIC Educational Resources Information Center

    Coppola, Albert J.; Scricca, Diane B.; Connors, Gerard E.

    2004-01-01

    As an administrator, new or experienced, you are faced with a myriad of administrative, curricular, and supervisory tasks, while at the same time expected to provide ongoing professional training for your staff. How well prepared are you to deal effectively with the day-to-day business of supervising teachers? What specific support and training…

  8. 19 CFR 19.34 - Customs supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Customs supervision. 19.34 Section 19.34 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY CUSTOMS WAREHOUSES, CONTAINER STATIONS AND CONTROL OF MERCHANDISE THEREIN Space Bonded for the Storage...

  9. Teachers' Perceptions of Collaboration and Clinical Supervision.

    ERIC Educational Resources Information Center

    Riordan, G. P.

    This paper reports on a study of teachers involved in a collaborative model of clinical supervision. Study participants were interviewed in order to ascertain their perceptions of their collaborative relationship and the focus and effect of their collaboration. The study found that the most effective collaborations were characterized by…

  10. 9 CFR 146.10 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Supervision. 146.10 Section 146.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... authorize qualified persons as State Inspectors to perform the selecting and testing of participating...

  11. 9 CFR 146.10 - Supervision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Supervision. 146.10 Section 146.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... authorize qualified persons as State Inspectors to perform the selecting and testing of participating...

  12. 9 CFR 146.10 - Supervision.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Supervision. 146.10 Section 146.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... authorize qualified persons as State Inspectors to perform the selecting and testing of participating...

  13. 9 CFR 145.11 - Supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Supervision. 145.11 Section 145.11 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... sample collecting provided for in § 145.14 and may designate qualified persons as Authorized...

  14. 9 CFR 145.11 - Supervision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Supervision. 145.11 Section 145.11 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... sample collecting provided for in § 145.14 and may designate qualified persons as Authorized...

  15. 9 CFR 145.11 - Supervision.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Supervision. 145.11 Section 145.11 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... sample collecting provided for in § 145.14 and may designate qualified persons as Authorized...

  16. Magazine Picture Collage in Group Supervision

    ERIC Educational Resources Information Center

    Shepard, Blythe C.; Guenette, Francis L.

    2010-01-01

    A magazine picture collage activity was used with three female counsellor education students as a vehicle to support them in processing their experience as counsellors in training. The use of magazine picture collage in group supervision is described, and the benefits and challenges are presented. The collages served as jumping-off points for…

  17. Situational Supervision for Athletic Training Clinical Education

    ERIC Educational Resources Information Center

    Levy, Linda S.; Gardner, Greg; Barnum, Mary G.; Willeford, K. Sean; Sexton, Patrick; Guyer, M. Susan; Fincher, A. Louise

    2009-01-01

    Introduction: The medical education model provides the basis for athletic training students to learn theoretical and practical skills. Clinical rotations are completed where they apply what they have learned under the direct supervision of a clinical instructor (CI) or approved clinical instructor (ACI). Approved clinical instructors are taught…

  18. Defending Effective Supervision in a Litigious Climate.

    ERIC Educational Resources Information Center

    Marczely, Bernadette

    1998-01-01

    Legislation and case law addressing discrimination in the workplace are not inimical to ethical supervision; the threat of litigation should never be an excuse for accepting mediocre or marginal teaching. Several significant Supreme Court decisions show that (nondiscriminating) employers retain the right to set and enforce high performance…

  19. A Hermeneutic Perspective on Supervision Scholarship. Response.

    ERIC Educational Resources Information Center

    Holland, Patricia E.

    1990-01-01

    Responding to Arthur Blumberg's article, this article claims that Blumberg misses the opportunity to ground his argument in an already existing tradition of interpretive or hermeneutic research in supervision. The hermeneutic perspective studies human intentionality and seeks shared understanding as a goal. Includes eight references. (MLH)

  20. Rx Instructional Supervision: Look to the Physician.

    ERIC Educational Resources Information Center

    Phelps, Patricia H.

    1990-01-01

    To get beyond prescriptive supervision, principals should consider physicians' behaviors. Effective principals respect teachers' autonomy, encourage the expression of feelings, educate teachers in self-monitoring skills, value second opinions, use research wisely, gather thorough data, provide follow-up contact, reinforce teachers' efforts and…

  1. 23 CFR 635.105 - Supervising agency.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... CONSTRUCTION AND MAINTENANCE Contract Procedures § 635.105 Supervising agency. (a) The STD has responsibility... authorizing performance of the work by a local public agency or other Federal agency. The STD shall be... projects are completed in conformance with approved plans and specifications. (b) Although the STD...

  2. 23 CFR 635.105 - Supervising agency.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... CONSTRUCTION AND MAINTENANCE Contract Procedures § 635.105 Supervising agency. (a) The STD has responsibility... authorizing performance of the work by a local public agency or other Federal agency. The STD shall be... projects are completed in conformance with approved plans and specifications. (b) Although the STD...

  3. 23 CFR 635.105 - Supervising agency.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... CONSTRUCTION AND MAINTENANCE Contract Procedures § 635.105 Supervising agency. (a) The STD has responsibility... authorizing performance of the work by a local public agency or other Federal agency. The STD shall be... projects are completed in conformance with approved plans and specifications. (b) Although the STD...

  4. 23 CFR 635.105 - Supervising agency.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... CONSTRUCTION AND MAINTENANCE Contract Procedures § 635.105 Supervising agency. (a) The STD has responsibility... authorizing performance of the work by a local public agency or other Federal agency. The STD shall be... projects are completed in conformance with approved plans and specifications. (b) Although the STD...

  5. 7 CFR 550.33 - Administrative supervision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Program Management § 550.33 Administrative supervision. REE employees are prohibited from engaging in matters related to cooperator employer/employee relations such as personnel, performance and...

  6. 7 CFR 550.33 - Administrative supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Program Management § 550.33 Administrative supervision. REE employees are prohibited from engaging in matters related to cooperator employer/employee relations such as personnel, performance and...

  7. 7 CFR 550.33 - Administrative supervision.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Program Management § 550.33 Administrative supervision. REE employees are prohibited from engaging in matters related to cooperator employer/employee relations such as personnel, performance and...

  8. 7 CFR 550.33 - Administrative supervision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Program Management § 550.33 Administrative supervision. REE employees are prohibited from engaging in matters related to cooperator employer/employee relations such as personnel, performance and...

  9. 20 CFR 655.30 - Supervised recruitment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Supervised recruitment. 655.30 Section 655.30 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process and Enforcement of Attestations for Temporary Employment in Occupations...

  10. Supervision-Yesterday, Today, and Tomorrow

    ERIC Educational Resources Information Center

    St. John, Edwin

    1970-01-01

    Techniques of supervision must change to provide more effective leadership and reduce present duplication of effort. Supervisors should be specialists in program areas. Group meetings can be used to efficiently handle routine activities. Leaders should devote more time to planning, innovating, coordinating and improving programs and less time to…

  11. Remote Video Supervision in Adapted Physical Education

    ERIC Educational Resources Information Center

    Kelly, Luke; Bishop, Jason

    2013-01-01

    Supervision for beginning adapted physical education (APE) teachers and inservice general physical education teachers who are learning to work with students with disabilities poses a number of challenges. The purpose of this article is to describe a project aimed at developing a remote video system that could be used by a university supervisor to…

  12. 9 CFR 146.10 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Supervision. 146.10 Section 146.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... authorize qualified persons as State Inspectors to perform the selecting and testing of participating...

  13. Semi-Supervised Kernel Mean Shift Clustering.

    PubMed

    Anand, Saket; Mittal, Sushil; Tuzel, Oncel; Meer, Peter

    2014-06-01

    Mean shift clustering is a powerful nonparametric technique that does not require prior knowledge of the number of clusters and does not constrain the shape of the clusters. However, being completely unsupervised, its performance suffers when the original distance metric fails to capture the underlying cluster structure. Despite recent advances in semi-supervised clustering methods, there has been little effort towards incorporating supervision into mean shift. We propose a semi-supervised framework for kernel mean shift clustering (SKMS) that uses only pairwise constraints to guide the clustering procedure. The points are first mapped to a high-dimensional kernel space where the constraints are imposed by a linear transformation of the mapped points. This is achieved by modifying the initial kernel matrix by minimizing a log det divergence-based objective function. We show the advantages of SKMS by evaluating its performance on various synthetic and real datasets while comparing with state-of-the-art semi-supervised clustering algorithms. PMID:26353281

  14. Exploring Principals' Perceptions of Supervised Agricultural Experience

    ERIC Educational Resources Information Center

    Rayfield, John; Wilson, Elizabeth

    2009-01-01

    This study explored the perceptions of principals at high schools with agricultural education programs in regard to Supervised Agricultural Experience (SAE). There is evidence that suggests that high school principals' attitudes may both directly and indirectly affect factors that influence school climate and student achievement. In this study,…

  15. Evaluation of a Diagnostic Instrument of Supervision.

    ERIC Educational Resources Information Center

    Seager, G. Bradley, Jr.

    Instructional supervision is regarded as a resource to be managed by teachers for the improvement of instruction. Major problems in research on teaching effectiveness--operational definition of teaching effectiveness; systematic description and observation of teaching behavior; and systematic modification of teaching behavior in specified…

  16. 9 CFR 145.11 - Supervision.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Supervision. 145.11 Section 145.11 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE LIVESTOCK IMPROVEMENT NATIONAL POULTRY IMPROVEMENT PLAN FOR BREEDING POULTRY General Provisions §...

  17. 9 CFR 145.11 - Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Supervision. 145.11 Section 145.11 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE LIVESTOCK IMPROVEMENT NATIONAL POULTRY IMPROVEMENT PLAN FOR BREEDING POULTRY General Provisions §...

  18. A New Vision for Supervision of Principals

    ERIC Educational Resources Information Center

    Vitcov, Barry J.; Bloom, Gary S.

    2010-01-01

    Principal leadership is second only to teacher quality in influencing student achievement. A national effort exists to retool teacher supervision by linking student outcomes to teacher evaluation. There is growing interest in raising the level of professional practice by building local, practical, honest and collegial professional learning…

  19. Implementing Clinical Supervision: A District Approach.

    ERIC Educational Resources Information Center

    Blake, Norine; DeMont, Roger A.

    This paper describes the Avondale School District's approach to incorporating clinical supervision within the teacher evaluation process. The development of major teacher appraisal systems, their underlying philosophies, and their characteristics are reviewed. In addition, specific processes and training activities used to develop a district model…

  20. Making Supervision Relationships Accountable: Graduate Student Logs.

    ERIC Educational Resources Information Center

    Yeatman, Anna

    1995-01-01

    Graduate student journals of research projects and their supervision are suggested as a means of structuring the supervisory process, making it more accountable, and facilitating students' successful completion of their academic and research tasks. However, the method also requires skill in successful thesis production on the supervisor's part.…

  1. A Feminist Multicultural Perspective on Supervision

    ERIC Educational Resources Information Center

    Nelson, Mary Lee; Gizara, Sharon; Hope, Anna Crombach; Phelps, Rosemary; Steward, Robbie; Weitzman, Lauren

    2006-01-01

    Sixteen members of the Section for the Advancement of Women conference work group identified themes and issues relevant to a feminist multicultural perspective on supervision. Issues raised included feminist silence and White privilege, the importance of self-examination, the courage to be anxious, personal commitment to uncertainty, and isolation…

  2. Rural School Supervision. Bulletin, 1916, No. 48

    ERIC Educational Resources Information Center

    Cook, Katherine M.; Monahan, A. C.

    1917-01-01

    The demand for efficiency in the schools and for the best possible use of money expended for schools and of the time of the children in school has given rise to a demand for expert supervision by men and women competent to give to all teachers, and especially to young and inexperienced teachers, help in those phases of their work in which they…

  3. Human Supervision of Robotic Site Surveys

    NASA Astrophysics Data System (ADS)

    Schreckenghost, Debra; Fong, Terrence; Milam, Tod

    2008-01-01

    Ground operators will interact remotely with robots on the lunar surface to support site preparation and survey. Astronauts will interact with robots to support outpost buildup and maintenance, as well as mission operations. One mode of interaction required for such operations is the ability to supervise robots performing routine autonomous tasks. Supervision of autonomous robotic activities requires monitoring the robot's performance of tasks with minimal human effort. This includes understanding its progress on tasks, awareness when important milestones are achieved or problems impede tasks, and reconstructing situations after the fact by relating task events to recorded data. We are developing a software framework to support such interaction among distributed human teams and robots. We are evaluating our framework for human supervision of mobile robots performing routine site survey operations. We are prototyping a system that (1) monitors data from the K10 robot performing surveys to determine the depth of permafrost at the Haughton Crater on Devon Island, (2) computes performance measures about how well the survey is going, (3) builds summaries of these performance measures, and (4) notifies to appropriate personnel when milestones are achieved or performance indicates a problem. We will evaluate our prototype using data collected during Operational Readiness Tests for the Haughton Crater field test to be conducted in July 2007. In this paper we describe our approach for human supervision of robotic activities and report the results of our evaluation with the K10 robot.

  4. Transferring Knowledge and Experience: Training and Supervision

    ERIC Educational Resources Information Center

    Yablon, Yaacov B.; Noam, Gil G.

    2008-01-01

    The authors describe practitioners' professional development, the challenges and dilemmas that they confront, and the support they receive in their work. They focus on examples of supervision sessions and describe typical dilemmas and solutions that come up during these sessions. These examples reflect four main themes that were identified as…

  5. On Training Targets for Supervised Speech Separation

    PubMed Central

    Wang, Yuxuan; Narayanan, Arun; Wang, DeLiang

    2014-01-01

    Formulation of speech separation as a supervised learning problem has shown considerable promise. In its simplest form, a supervised learning algorithm, typically a deep neural network, is trained to learn a mapping from noisy features to a time-frequency representation of the target of interest. Traditionally, the ideal binary mask (IBM) is used as the target because of its simplicity and large speech intelligibility gains. The supervised learning framework, however, is not restricted to the use of binary targets. In this study, we evaluate and compare separation results by using different training targets, including the IBM, the target binary mask, the ideal ratio mask (IRM), the short-time Fourier transform spectral magnitude and its corresponding mask (FFT-MASK), and the Gammatone frequency power spectrum. Our results in various test conditions reveal that the two ratio mask targets, the IRM and the FFT-MASK, outperform the other targets in terms of objective intelligibility and quality metrics. In addition, we find that masking based targets, in general, are significantly better than spectral envelope based targets. We also present comparisons with recent methods in non-negative matrix factorization and speech enhancement, which show clear performance advantages of supervised speech separation. PMID:25599083

  6. Cognitive Dissonance, Supervision, and Administrative Team Conflict

    ERIC Educational Resources Information Center

    Zepeda, Sally J.

    2006-01-01

    Purpose: The purpose of this paper is to record and summarize the tensions and problems experienced by a high school administrative team as they attempted to change supervision alongside instruction in a transition to a new block schedule. Design/methodology/approach: A case study method was used. As a case study, the research is contextual in…

  7. Interdisciplinary Doctoral Research Supervision: A Scoping Review

    ERIC Educational Resources Information Center

    Vanstone, Meredith; Hibbert, Kathy; Kinsella, Elizabeth Anne; McKenzie, Pam; Pitman, Allan; Lingard, Lorelei

    2013-01-01

    This scoping literature review examines the topic of interdisciplinary doctoral research supervision. Interdisciplinary doctoral research programs are expanding in response to encouragement from funding agencies and enthusiasm from faculty and students. In an acknowledgement that the search for creative and innovative solutions to complex problems…

  8. Supervision in Family Therapy: A Decade Restudy.

    ERIC Educational Resources Information Center

    Nichols, William C.; And Others

    1990-01-01

    Replicated Everett's (1980) survey of Approved Supervisors of American Association for Marriage and Family Therapy (AAMFT). Found significant differences in today's supervision including increase in female supervisors, shift toward systemic theoretical orientation, more supervisors in formal training settings, increase in video recording usage,…

  9. Supervisee Countertransference: A Holistic Supervision Approach

    ERIC Educational Resources Information Center

    Ponton, Richard F.; Sauerheber, Jill Duba

    2014-01-01

    Countertransference (CT) has been recognized as a significant variable in the process and outcome of therapy and counseling for over 100 years. A review of the literature suggests that little attention has been devoted to strategies that supervisors can use to address CT in supervision with novice counselors. Informed by models of CT proposed by…

  10. Response of Vocational Students to Supervision.

    ERIC Educational Resources Information Center

    Stogdill, Ralph M.

    The subjects were boys in two vocational high schools who had been rated by their teachers as responding favorably or unfavorably to supervision. Small groups were shown one film daily over a period of five days and discussed the role behavior of the supervisor shown in the film. In one group of experimental subjects, positive attitudes toward…

  11. Relationship between Instructional Supervision and Professional Development

    ERIC Educational Resources Information Center

    Tesfaw, Tadele Akalu; Hofman, Roelande H.

    2014-01-01

    The main purpose of this study was to examine the existing perceptions of teachers toward instructional supervision in secondary schools of Addis Ababa, Ethiopia. It also explore if there were differences between beginner and experienced teachers in their attitudes toward and satisfaction with supervisory practices and (possible) relationships…

  12. Psychotherapy Supervision: A Model for Professional Training.

    ERIC Educational Resources Information Center

    McElfresh, Thomas A.

    Effective psychotherapy supervision calls for a variety of supervisory roles and addresses a range of student needs. The particular student need should be the determining factor in selecting an appropriate supervisory role. The supervisor needs a range of role alternatives, a framework in which to fit student needs, a specified area of focus…

  13. The art of the tincture: analytical supervision.

    PubMed

    Cwik, August J

    2006-04-01

    Using the alchemical metaphor, effective supervision can be seen as an excellent example of the tincture: a little goes a long way. This paper offers a model of the dynamics in analytical supervision: a mirroring of the professional-self of the supervisee, the opportunity to learn through empirical factual knowledge, and, most importantly, experiential, interactive and dynamic learning. The container of supervision will be amplified using an image of the triple vessel of alchemy. The materia of supervision is discussed as 'amalgams' of complex related material. The supervisory field is seen in a triadic intersubjective and interimaginal manner. Jung's diagram of all the possible conscious and unconscious connections between patient and therapist is expanded to include the supervisory situation. Moving beyond projective identification as explanatory process, the concept of the mundus imaginalis is used as the medium for this triadic structure. The 'analytic third' expands to include the 'supervisory fourth' while incorporating the supervisor's imaginings of the patient as the quintessential experience of the imaginal other. The supervisor's attitude and state of mind are seen through the paradigm of active imagination. This state of mind is called supervisory reverie. PMID:16573748

  14. Keys to Successful Community Health Worker Supervision

    ERIC Educational Resources Information Center

    Duthie, Patricia; Hahn, Janet S.; Philippi, Evelyn; Sanchez, Celeste

    2012-01-01

    For many years community health workers (CHW) have been important to the implementation of many of our health system's community health interventions. Through this experience, we have recognized some unique challenges in community health worker supervision and have highlighted what we have learned in order to help other organizations effectively…

  15. 20 CFR 655.30 - Supervised recruitment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Supervised recruitment. 655.30 Section 655.30 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process and Enforcement of Attestations for Temporary Employment in Occupations...

  16. Supervision That Improves Teaching: Strategies and Techniques.

    ERIC Educational Resources Information Center

    Sullivan, Susan; Glanz, Jeffrey

    This book offers a plan for improved classroom practice through the supervisory process. It includes hands-on practices for developing a personalized supervision strategy, research-based and empirically tested strategies, field-tested tools and techniques for qualitative and quantitative observation, a comprehensive resource of traditional and…

  17. Expanding the Education Agenda. Meeting the Lifelong Learning Needs of North Dakota's Work Force. A Report on the Recommendations of the Working Conference on Adult/Industry Education and Training (Bismarck, North Dakota, November 14-15, 1988).

    ERIC Educational Resources Information Center

    North Dakota State Council on Vocational Education, Bismarck.

    This report provides the text of panel discussions from a working conference on adult/industry education and training. Four key issues facing North Dakota's education providers are identified: (1) the need for expanded leadership, planning, and a vision for adult and industry education and training; (2) the need for increased financing, both in…

  18. Development of well construction and workover supervising in Russian Federation

    NASA Astrophysics Data System (ADS)

    Sizov, A.; Boyarko, G.; Shenderova, I.

    2014-08-01

    Despite long history of drilling supervising it still has a number of uncertainties. The period of rapid rise in supervising development at the beginning of the 90's changed in the 2000's. The necessity in the development of this sphere is obvious. The author describes the history of supervising, period of its market condition adaptation. The research also gives principles methods of supervising development and first steps for its position improvement.

  19. Recommendations for the management of autoinflammatory diseases.

    PubMed

    ter Haar, Nienke M; Oswald, Marlen; Jeyaratnam, Jerold; Anton, Jordi; Barron, Karyl S; Brogan, Paul A; Cantarini, Luca; Galeotti, Caroline; Grateau, Gilles; Hentgen, Veronique; Hofer, Michael; Kallinich, Tilmann; Kone-Paut, Isabelle; Lachmann, Helen J; Ozdogan, Huri; Ozen, Seza; Russo, Ricardo; Simon, Anna; Uziel, Yosef; Wouters, Carine; Feldman, Brian M; Vastert, Sebastiaan J; Wulffraat, Nico M; Benseler, Susanne M; Frenkel, Joost; Gattorno, Marco; Kuemmerle-Deschner, Jasmin B

    2015-09-01

    : Autoinflammatory diseases are characterised by fever and systemic inflammation, with potentially serious complications. Owing to the rarity of these diseases, evidence-based guidelines are lacking. In 2012, the European project Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) was launched to optimise and disseminate regimens for the management of children and young adults with rheumatic diseases, facilitating the clinical practice of paediatricians and (paediatric) rheumatologists. One of the aims of SHARE was to provide evidence-based recommendations for the management of the autoinflammatory diseases cryopyrin-associated periodic syndromes (CAPS), tumour necrosis factor (TNF) receptor-associated periodic syndrome (TRAPS) and mevalonate kinase deficiency (MKD). These recommendations were developed using the European League Against Rheumatism standard operating procedure. An expert committee of paediatric and adult rheumatologists was convened. Recommendations derived from the systematic literature review were evaluated by an online survey and subsequently discussed at a consensus meeting using Nominal Group Technique. Recommendations were accepted if more than 80% agreement was reached. In total, four overarching principles, 20 recommendations on therapy and 14 recommendations on monitoring were accepted with ≥80% agreement among the experts. Topics included (but were not limited to) validated disease activity scores, therapy and items to assess in monitoring of a patient. By developing these recommendations, we aim to optimise the management of patients with CAPS, TRAPS and MKD. PMID:26109736

  20. Abusive supervision and subordinate performance: Instrumentality considerations in the emergence and consequences of abusive supervision.

    PubMed

    Walter, Frank; Lam, Catherine K; van der Vegt, Gerben S; Huang, Xu; Miao, Qing

    2015-07-01

    Drawing from moral exclusion theory, this article examines outcome dependence and interpersonal liking as key boundary conditions for the linkage between perceived subordinate performance and abusive supervision. Moreover, it investigates the role of abusive supervision for subordinates' subsequent, objective work performance. Across 2 independent studies, an experimental scenario study (N = 157; Study 1) and a time-lagged field study (N = 169; Study 2), the negative relationship between perceived subordinate performance and abusive supervision was found to hinge on a supervisor's outcome dependence on subordinates but not on a supervisor's liking of subordinates. Furthermore, Study 2 demonstrated (a) a negative association between abusive supervision and subordinates' subsequent objective performance and (b) a conditional indirect effect of perceived performance on subsequent objective performance, through abusive supervision, contingent on the degree of outcome dependence, although these relationships did not reach conventional significance levels when controlling for prior objective performance. All in all, the findings highlight the role of instrumentality considerations in relation to abusive supervision and promote new knowledge on both origins and consequences of such supervisory behavior. PMID:25664469

  1. 18 CFR 367.9110 - Account 911, Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., Supervision. 367.9110 Section 367.9110 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... ACT Operation and Maintenance Expense Chart of Accounts § 367.9110 Account 911, Supervision. This account must include the cost of labor and expenses incurred in the general direction and supervision...

  2. 48 CFR 852.236-78 - Government supervision.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Government supervision. 852.236-78 Section 852.236-78 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS... Government supervision. As prescribed in 836.572, insert the following clause: Government Supervision...

  3. 28 CFR 570.44 - Supervision and restraint requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Supervision and restraint requirements... PROGRAMS AND RELEASE COMMUNITY PROGRAMS Escorted Trips § 570.44 Supervision and restraint requirements. Inmates under escort will be within the constant and immediate visual supervision of escorting staff...

  4. 18 CFR 367.9010 - Account 901, Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., Supervision. 367.9010 Section 367.9010 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... ACT Operation and Maintenance Expense Chart of Accounts § 367.9010 Account 901, Supervision. This account must include the cost of labor and expenses incurred in the general direction and supervision...

  5. 34 CFR 303.501 - Supervision and monitoring of programs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Supervision and monitoring of programs. 303.501 Section... INFANTS AND TODDLERS WITH DISABILITIES State Administration General § 303.501 Supervision and monitoring... supervision of programs and activities receiving assistance under this part; and (2) The monitoring...

  6. 30 CFR 250.1616 - Supervision, surveillance, and training.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Supervision, surveillance, and training. 250.1616 Section 250.1616 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR... Supervision, surveillance, and training. (a) The lessee shall provide onsite supervision of...

  7. 7 CFR 1822.279 - Loan supervision and servicing.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Loan Policies, Procedures, and Authorizations § 1822.279 Loan supervision and servicing. Loan supervision and loan servicing will be provided according to 7 CFR part 3560. ... 7 Agriculture 12 2010-01-01 2010-01-01 false Loan supervision and servicing. 1822.279 Section...

  8. 34 CFR 300.149 - SEA responsibility for general supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false SEA responsibility for general supervision. 300.149... EDUCATION OF CHILDREN WITH DISABILITIES State Eligibility Sea Responsibility for General Supervision and Implementation of Procedural Safeguards § 300.149 SEA responsibility for general supervision. (a) The SEA...

  9. Testing Group Supervision in Fieldwork Training for Social Work Students

    ERIC Educational Resources Information Center

    Zeira, Anat; Schiff, Miriam

    2010-01-01

    This study monitors group supervision for students' field training in a Bachelor's Degree in Social Work (BSW) program and compares it with the experience of the students receiving the traditional individual supervision. The experimental group supervision model is implemented in two consecutive years. Students' experiences are compared at three…

  10. 7 CFR 27.16 - Inspection; weighing; samples; supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Inspection; weighing; samples; supervision. 27.16... Samples § 27.16 Inspection; weighing; samples; supervision. The inspection, weighing, and sampling of... Services Office shall be (a) under the supervision of a supervisor of cotton inspection, or (b) by or...

  11. 18 CFR 367.9070 - Account 907, Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., Supervision. 367.9070 Section 367.9070 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... ACT Operation and Maintenance Expense Chart of Accounts § 367.9070 Account 907, Supervision. This account must include the cost of labor and expenses incurred in the general direction and supervision...

  12. 7 CFR 27.80 - Fees; classification, Micronaire, and supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Fees; classification, Micronaire, and supervision. 27... Classification and Micronaire § 27.80 Fees; classification, Micronaire, and supervision. For services rendered by... classification and Micronaire determination results certified on cotton class certificates.) (e) Supervision,...

  13. 48 CFR 32.503-2 - Supervision of progress payments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Supervision of progress... GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Progress Payments Based on Costs 32.503-2 Supervision of progress payments. (a) The extent of progress payments supervision, by prepayment review...

  14. Integrating Creativity into Supervision Using Bernard's Discrimination Model

    ERIC Educational Resources Information Center

    Koltz, Rebecca L.

    2008-01-01

    Clinical supervision is an important aspect of counselor education. Much of traditional supervision is conducted from a logical standpoint; however, some supervisees may be better served when supervisors integrate both logic and creativity. This article presents the integration of creative activities into supervision using Bernard's Discrimination…

  15. 7 CFR 1944.665 - Supervision and inspection of work.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Supervision and inspection of work. 1944.665 Section 1944.665 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... Supervision and inspection of work. Grantees are responsible for supervising all rehabilitation and...

  16. 27 CFR 19.970 - Supervision of operations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Supervision of operations..., DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Distilled Spirits For Fuel Use Supervision § 19.970 Supervision of operations. The appropriate TTB officer may assign appropriate TTB officers...

  17. Status of Clinical Supervision among School Counselors in Southeast Georgia

    ERIC Educational Resources Information Center

    Black, Anna Lila; Bailey, Carrie Lynn; Bergin, James J.

    2011-01-01

    Previous studies have investigated the role of clinical supervision in school counseling practice. This research explored the status and meaning of clinical supervision to school counselors employed in two southeastern Georgia counties. Results indicate that participants value clinical supervision even though their employers did not necessarily…

  18. 25 CFR 213.43 - Relinquishment of Government supervision.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Relinquishment of Government supervision. 213.43 Section... Relinquishment of Government supervision. All oil and gas leases hereafter executed shall contain the following relinquishment of supervision clause and terms operative after such relinquishment, or other provisions...

  19. 12 CFR 905.13 - Office of Supervision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Office of Supervision. 905.13 Section 905.13... OPERATIONS DESCRIPTION OF ORGANIZATION AND FUNCTIONS General Organization § 905.13 Office of Supervision. (a) General. The Office of Supervision is responsible for conducting on-site examinations of the...

  20. 46 CFR 380.23 - Supervision of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Supervision of records. 380.23 Section 380.23 Shipping... § 380.23 Supervision of records. (a) Contractors and others subject to the provisions of this subpart... shall be responsible for supervision of its document retention and disposal program. Immediately...

  1. Higher Degree Research Supervision: From Practice toward Theory

    ERIC Educational Resources Information Center

    Maxwell, T. W.; Smyth, Robyn

    2011-01-01

    This paper presents our theorizing about the complex nature of higher degree research supervision. The intent is to make a contribution to the current debates about higher education generally, and supervision of higher degree research students in particular. We add to the pedagogy of supervision by extending its scope to and beyond the supervisory…

  2. 7 CFR 58.6 - Supervision of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Supervision of service. 58.6 Section 58.6 Agriculture... Grading Service § 58.6 Supervision of service. All inspection or grading service shall be subject to supervision by a supervisory inspector or grader, Area Supervisor, or by the Chief, or such other person...

  3. Supervision Travelling Incognito: The Forgotten Sister Discipline of Educational Administration.

    ERIC Educational Resources Information Center

    Hazi, Helen M.; Glanz, Jeffrey

    The field of instructional supervision in schools has a history of being misunderstood and devalued, having been beset by problems of definition and purpose. This paper examines the history of supervision and its ties with educational administration, and describes implications for supervision and administration. There is a history of tension…

  4. Understanding Supervision: An Exploration of Aspiring Supervisors' Definitions.

    ERIC Educational Resources Information Center

    Waite, Duncan

    1994-01-01

    Summarizes results of a study offering both retrospective and prospective views of supervision, based on graduate students' definitions of supervision. Four emergent themes included the domains of supervision, supervisory tasks, supervisory relationships, and supervisor traits. Findings suggest that aspiring supervisors confuse administration with…

  5. Supervision of Marriage and Family Counselors. ERIC Digest.

    ERIC Educational Resources Information Center

    Cryder, Annette Petro; And Others

    This digest focuses on issues of importance to the supervision of marriage and family counselors. A brief overview notes that the defining hallmark of marriage and family supervision has been a systemic orientation. Other distinguishing features include a reliance on live forms of supervision, and the viewing of ethical issues within larger…

  6. Attitudes and Satisfaction with a Hybrid Model of Counseling Supervision

    ERIC Educational Resources Information Center

    Conn, Steven R.; Roberts, Richard L.; Powell, Barbara M.

    2009-01-01

    The authors investigated the relationship between type of group supervision (hybrid model vs. face-to-face) and attitudes toward technology, toward use of technology in professional practice, and toward quality of supervision among a sample of school counseling interns. Participants (N = 76) experienced one of two types of internship supervision:…

  7. Supervision: A Guide to Instructional Leadership-2nd Edition

    ERIC Educational Resources Information Center

    Burke, Peter J.; Krey, Robert D.

    2005-01-01

    The first edition of this book, titled "A Design for Instructional Supervision", provided a structural framework for an effective program of instructional supervision. The basic cognitive thrust of this second edition, "Supervision: A Guide to Instructional Leadership", remains the same as the first. What has changed is the attention to the…

  8. Counseling Supervision within a Feminist Framework: Guidelines for Intervention

    ERIC Educational Resources Information Center

    Degges-White, Suzanne E.; Colon, Bonnie R.; Borzumato-Gainey, Christine

    2013-01-01

    Feminist supervision is based on the principles of feminist theory. Goals include sharing responsibility for the supervision process, empowering the supervisee, attending to the contextual assumptions about clients, and analyzing gender roles. This article explores feminist supervision and guidelines for providing counseling supervision…

  9. Supervision: Don't Discount the Value of the Modern.

    ERIC Educational Resources Information Center

    Glanz, Jeffrey

    Postmodernists have criticized modern conceptions of supervision as bureaucratic, hierarchical, and oppressive. This paper asserts that the postmodern proclivity to completely eschew expert supervision, evaluation, and judicious use of directive supervision is misguided, potentially limiting, and dangerous. The paper argues that collegial…

  10. Supervision Styles in Probation and Parole: An Analysis of Activities

    ERIC Educational Resources Information Center

    Seiter, Richard P.; West, Angela D.

    2003-01-01

    Supervision of offenders in the community remains a critical component of the correctional processes in the United States. With almost six million offenders under correctional supervision in the community, there has been relatively little attention and few resources devoted to the style and quality of supervision received by these offenders. As a…

  11. Supervising development in petroleum industry of the Russian Federation

    NASA Astrophysics Data System (ADS)

    Sizov, A.; Tretyakov, K.; Boyarko, G.; Shenderova, I.; Shakirov, A.

    2015-11-01

    Supervising has strongly consolidated in the domestic petroleum services market of the Russian Federation. But despite the rapid growth of the supervising services market, there is a definite need for its further development. In the article, the developments of supervising in petroleum industry of the Russian Federation, as well as possible ways of its improvement are considered.

  12. 7 CFR 761.51 - Establishing a supervised bank account.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... the supervised bank account in accordance with 31 CFR part 202 (Treasury Circular 176). (2) When the... 7 Agriculture 7 2010-01-01 2010-01-01 false Establishing a supervised bank account. 761.51 Section..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS GENERAL PROGRAM ADMINISTRATION Supervised Bank Accounts §...

  13. A Descriptive Exploration of Practicum Supervision in Jamaica

    ERIC Educational Resources Information Center

    Stupart, Yvette V.

    2010-01-01

    A marked increase in the number counseling programs in Jamaica and the concomitant need for practicum supervision warrants an exploration of the practice of supervision within the context. Besides, the multicultural literature within counseling supervision focuses predominantly on diverse identities within the United States and other developed…

  14. 46 CFR 131.420 - Manning and supervision.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Manning and supervision. 131.420 Section 131.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS OPERATIONS Sufficiency and Supervision of Crew of Survival Craft § 131.420 Manning and supervision. (a) There must be enough trained persons aboard each survival...

  15. 46 CFR 131.420 - Manning and supervision.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Manning and supervision. 131.420 Section 131.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS OPERATIONS Sufficiency and Supervision of Crew of Survival Craft § 131.420 Manning and supervision. (a) There must be enough trained persons aboard each survival...

  16. 46 CFR 131.420 - Manning and supervision.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Manning and supervision. 131.420 Section 131.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS OPERATIONS Sufficiency and Supervision of Crew of Survival Craft § 131.420 Manning and supervision. (a) There must be enough trained persons aboard each survival...

  17. 46 CFR 131.420 - Manning and supervision.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Manning and supervision. 131.420 Section 131.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS OPERATIONS Sufficiency and Supervision of Crew of Survival Craft § 131.420 Manning and supervision. (a) There must be enough trained persons aboard each survival...

  18. 46 CFR 131.420 - Manning and supervision.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Manning and supervision. 131.420 Section 131.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS OPERATIONS Sufficiency and Supervision of Crew of Survival Craft § 131.420 Manning and supervision. (a) There must be enough trained persons aboard each survival...

  19. 20 CFR 702.407 - Supervision of medical care.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Supervision of medical care. 702.407 Section...'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Medical Care and Supervision § 702.407 Supervision of medical care. The Director, OWCP, through the...

  20. Developments in Postgraduate Education and Their Implications for Research Supervision

    ERIC Educational Resources Information Center

    Lee, Anne

    2009-01-01

    The author's proposition is that there is a pedagogy of supervision, not that "this" is it in its entirety but that there is a pedagogy of supervision, that it has relevance for other levels of the curriculum, and that this pedagogy of supervision provides an entry point for academics to become involved in the scholarship of research, teaching and…

  1. The Doctoral Thesis and Supervision: The Student Perspective

    ERIC Educational Resources Information Center

    Kiguwa, Peace; Langa, Malose

    2009-01-01

    The doctoral thesis constitutes both a negotiation of the supervision relationship as well as mastery and skill in participating in a specific community of practice. Two models of supervision are discussed: the technical rationality model with its emphasis on technical aspects of supervision, and the negotiated order model with an emphasis on…

  2. 20 CFR 702.407 - Supervision of medical care.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Supervision of medical care. 702.407 Section...'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Medical Care and Supervision § 702.407 Supervision of medical care. The Director, OWCP, through the...

  3. 20 CFR 702.407 - Supervision of medical care.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Supervision of medical care. 702.407 Section... AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Medical Care and Supervision § 702.407 Supervision of medical care. The Director, OWCP, through the...

  4. Peer Supervision: An Experimental Scheme for Nurse Lecturers.

    ERIC Educational Resources Information Center

    Claveirole, Anne; Mathers, Morgan

    2003-01-01

    A peer supervision program for mental health nursing lecturers was implemented to help them develop new skills, avoid isolation, and enhance teamwork. Participants found it had supportive value and enhanced problem solving. Issues included distinguishing between counseling and supervising, potential of supervision to become management control, and…

  5. A Delphi Study and Initial Validation of Counselor Supervision Competencies

    ERIC Educational Resources Information Center

    Neuer Colburn, Anita A.; Grothaus, Tim; Hays, Danica G.; Milliken, Tammi

    2016-01-01

    The authors addressed the lack of supervision training standards for doctoral counseling graduates by developing and validating an initial list of supervision competencies. They used content analysis, Delphi polling, and content validity methods to generate a list, vetted by 2 different panels of supervision experts, of 33 competencies grouped…

  6. To Be or Not to Be: Community Supervision Deja Vu

    ERIC Educational Resources Information Center

    Taxman, Faye S.

    2008-01-01

    Supervision is an undervalued part of the correctional services. Over the last three decades, innovations have focused on increasing the number of contacts between the offender and the supervision employee, to little avail. A new generation of innovations is occurring in the supervision field that is directed at changing the interaction between…

  7. Multiplicity in Supervision Relationships: A Factor in Improving throughput Success?

    ERIC Educational Resources Information Center

    van Biljon, J. A.; de Kock, E.

    2011-01-01

    Supervision has been identified as an important factor in the success of postgraduate students, even as the most significant variable and a large number of studies have been conducted to identify factors that contribute to supervision success. However the dependent variable in these studies--supervision success--has been an elusive one to define.…

  8. 48 CFR 852.236-78 - Government supervision.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Government supervision. 852.236-78 Section 852.236-78 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS... Government supervision. As prescribed in 836.572, insert the following clause: Government Supervision...

  9. 48 CFR 852.236-78 - Government supervision.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Government supervision. 852.236-78 Section 852.236-78 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS... Government supervision. As prescribed in 836.572, insert the following clause: Government Supervision...

  10. 48 CFR 852.236-78 - Government supervision.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Government supervision. 852.236-78 Section 852.236-78 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS... Government supervision. As prescribed in 836.572, insert the following clause: Government Supervision...

  11. 48 CFR 852.236-78 - Government supervision.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Government supervision. 852.236-78 Section 852.236-78 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS... Government supervision. As prescribed in 836.572, insert the following clause: Government Supervision...

  12. The Dimensionality of Supervisor Roles: Counselor Trainees' Perceptions of Supervision.

    ERIC Educational Resources Information Center

    Ellis, Michael V.; And Others

    A study was conducted which continued the investigation of the underlying structure of supervision by empirically testing Bernard's (1979) model of supervision using a confirmatory multidimensional scaling paradigm. To accomplish this, counselor trainees' perceptions of the underlying structure (dimensionality or cognitive map) of supervision were…

  13. Cognitive-Behavioral Techniques and Interventions for Application in Counselor Supervision.

    ERIC Educational Resources Information Center

    Kurpius, DeWayne J.; Morran, D. Keith

    1988-01-01

    Presents research supporting cognitive-behavioral model for counselor supervision and gives conceptual and procedural base for defining and implementing cognitive-behavioral supervision approach. Describes three supervision techniques (mental practice, covert modeling, cognitive modeling) and three supervision interventions (cognitive…

  14. Retooling for an aging America: building the healthcare workforce. A white paper regarding implementation of recommendation 4.2 of this Institute of Medicine Report of April 14, 2008, that "All licensure, certification and maintenance of certification for healthcare professionals should include demonstration of competence in care of older adults as a criterion.".

    PubMed

    2011-08-01

    In Chicago, Illinois, on May 7, 2009, a group of 53 medical educators representing many U.S. certification boards, residency review committees, and medical societies met to review and approve a white paper intended to promote Recommendation 4.2 of the Institute of Medicine report of April 14, 2008, "Retooling for an Aging America: Building the Healthcare Workforce." This recommendation is one of 14 and states: "All licensure, certification and maintenance of certification for healthcare professionals should include demonstration of competence in care of older adults as a criterion." Background information given included the growing numbers of older adults, review of a 15-year initiative by a section of the American Geriatrics Society (AGS) to include geriatric education in all surgical and some related medical specialties, a recent announcement of 26 elder care competencies to be expected of graduating medical students from association of American Medical Colleges (AAMC) affiliated schools, and the American Board of Medical Specialties (ABMS) approach to 'Reinforcing Geriatric Competencies through Licensure and Certification Examinations." Nine points involved in the implementation of this recommendation received discussion, and approaches to realization were presented. In conclusion, this white paper, which those listed as being in attendance approved, proposes hat all ABMS member boards whose diplomates participate in the care of older adults select the floor competencies enumerated by the AAMC that apply to their specialty and add or subtract those completed during their trainees' initial (intern) year and then define those needed in subsequent years of residency and ultimate practice. This would fulfill the requirements of Recommendation 4.2 above. PMID:21797833

  15. Impact of a physician recommendation

    PubMed Central

    Darden, Paul M; Jacobson, Robert M

    2014-01-01

    HPV vaccination has failed to achieve uptake comparable to the other adolescent-specific vaccines. Gargano et al. conducted a survey of parents of adolescents in a single Georgia county and found uptake similar to national surveys. They also found among the most commonly cited reasons for receiving vaccines a recommendation from a health care provider and among the most commonly cited reasons for not getting any of the adolescent vaccines were concerns for adverse effects. Of note, they found that the recommendation for any one vaccine had a positive effect on the uptake of other vaccines. Their findings of the importance of provider recommendations matched findings from other studies of adolescent vaccines, infant vaccines, and adult vaccines. This is despite flaws in their study including a very poor response rate (effectively 4.5%) of those surveyed and in their reporting including a lack of details of survey methods. Local surveys of vaccination have much to offer the national and local discussion about immunization delivery and how delivery should be optimized, but such surveys should use standardized approaches as well as pursue more comprehensive investigations at the local level to address the nuances national complex-cluster surveys cannot. PMID:25483503

  16. 28 CFR 2.206 - Travel approval and transfers of supervision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... supervision. 2.206 Section 2.206 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION... Supervised Releasees § 2.206 Travel approval and transfers of supervision. (a) A releasee's supervision officer may approve travel outside the district of supervision without approval of the Commission in...

  17. Liability of physicians supervising nonphysician clinicians.

    PubMed

    Paterick, Barbara B; Waterhouse, Blake E; Paterick, Timothy E; Sanbar, Sandy S

    2014-01-01

    Physicians confront a variety of liability issues when supervising nonphysician clinicians (NPC) including: (1) direct liability resulting from a failure to meet the state-defined standards of supervision/collaboration with NPCs; (2) vicarious liability, arising from agency law, where physicians are held accountable for NPC clinical care that does not meet the national standard of care; and (3) responsibility for medical errors when the NPC and physician are co-employees of the corporate enterprise. Physician-NPC co-employee relationships are highlighted because they are new and becoming predominant in existing healthcare models. Because of their novelty, there is a paucity of judicial decisions determining liability for NPC errors in this setting. Knowledge of the existence of these risks will allow physicians to make informed decisions on what relationships they will enter with NPCs and how these relationships will be structured and monitored. PMID:24873129

  18. The integrated model of restorative supervision for use within safeguarding.

    PubMed

    Wallbank, Sonya; Wonnacott, Jane

    2015-05-01

    This paper offers a review of a new model of supervision; the integrated restorative model, to underpin effective safeguarding supervision in health settings. This seeks to capitalize on the benefits of using both restorative supervision (Wallbank, 2010) and an integrated model commonly referred to as the 4x4x4 model (Morrison 2005, Wonnacott, 2012). It challenges the notion that restorative supervision is a stand- alone supervisory process sitting outside of safeguarding supervision and demonstrates how effective safeguarding supervision needs to combine critical reflective practice and critical thinking with a restorative experience in order for the professional to feel supported and maintain their capacity to think. The paper urges health settings to ensure that individuals undertaking safeguarding supervision are appropriately trained to identify how those sessions can support professionals to retain their reflective capacity and decision-making skills. PMID:26364336

  19. Organizing and maintaining peer supervision groups.

    PubMed

    Counselman, Eleanor F; Weber, Robert L

    2004-04-01

    Peer supervision groups (PSGs) are attractive to psychotherapists for many reasons, including ongoing consultation and support, networking, and combating professional isolation. These leaderless groups offer opportunities for interpersonal learning from peers, and the parallel process within PSGs can be an important consultative tool. Unfortunately, many PSGs fail. PSGs benefit from careful attention to contract, task, gatekeeping, and group process, including resistances and dynamics of competition, and shame. PMID:15103999

  20. Optimizing Average Precision Using Weakly Supervised Data.

    PubMed

    Behl, Aseem; Mohapatra, Pritish; Jawahar, C V; Kumar, M Pawan

    2015-12-01

    Many tasks in computer vision, such as action classification and object detection, require us to rank a set of samples according to their relevance to a particular visual category. The performance of such tasks is often measured in terms of the average precision (ap). Yet it is common practice to employ the support vector machine ( svm) classifier, which optimizes a surrogate 0-1 loss. The popularity of svmcan be attributed to its empirical performance. Specifically, in fully supervised settings, svm tends to provide similar accuracy to ap-svm, which directly optimizes an ap-based loss. However, we hypothesize that in the significantly more challenging and practically useful setting of weakly supervised learning, it becomes crucial to optimize the right accuracy measure. In order to test this hypothesis, we propose a novel latent ap-svm that minimizes a carefully designed upper bound on the ap-based loss function over weakly supervised samples. Using publicly available datasets, we demonstrate the advantage of our approach over standard loss-based learning frameworks on three challenging problems: action classification, character recognition and object detection. PMID:26539857

  1. Supervised hub-detection for brain connectivity

    NASA Astrophysics Data System (ADS)

    Kasenburg, Niklas; Liptrot, Matthew; Reislev, Nina Linde; Garde, Ellen; Nielsen, Mads; Feragen, Aasa

    2016-03-01

    A structural brain network consists of physical connections between brain regions. Brain network analysis aims to find features associated with a parameter of interest through supervised prediction models such as regression. Unsupervised preprocessing steps like clustering are often applied, but can smooth discriminative signals in the population, degrading predictive performance. We present a novel hub-detection optimized for supervised learning that both clusters network nodes based on population level variation in connectivity and also takes the learning problem into account. The found hubs are a low-dimensional representation of the network and are chosen based on predictive performance as features for a linear regression. We apply our method to the problem of finding age-related changes in structural connectivity. We compare our supervised hub-detection (SHD) to an unsupervised hub-detection and a linear regression using the original network connections as features. The results show that the SHD is able to retain regression performance, while still finding hubs that represent the underlying variation in the population. Although here we applied the SHD to brain networks, it can be applied to any network regression problem. Further development of the presented algorithm will be the extension to other predictive models such as classification or non-linear regression.

  2. Design of Supervision Systems: Theory and Practice

    NASA Astrophysics Data System (ADS)

    Bouamama, Belkacem Ould

    2008-06-01

    The term "supervision" means a set of tools and methods used to operate an industrial process in normal situation as well as in the presence of failures or undesired disturbances. The activities concerned with the supervision are the Fault Detection and Isolation (FDI) in the diagnosis level, and the Fault Tolerant Control (FTC) through necessary reconfiguration, whenever possible, in the fault accommodation level. The final goal of a supervision platform is to provide the operator a set of tools that helps to safely run the process and to take appropriate decision in the presence of faults. Different approaches to the design of such decision making tools have been developed in the past twenty years, depending on the kind of knowledge (structural, statistical, fuzzy, expert rules, functional, behavioural…) used to describe the plant operation. How to elaborate models for FDI design, how to develop the FDI algorithm, how to avoid false alarms, how to improve the diagnosability of the faults for alarm management design, how to continue to control the process in failure mode, what are the limits of each method,…?. Such are the main purposes concerned by the presented plenary session from an industrial and theoretical point of view.

  3. Distributed semi-supervised support vector machines.

    PubMed

    Scardapane, Simone; Fierimonte, Roberto; Di Lorenzo, Paolo; Panella, Massimo; Uncini, Aurelio

    2016-08-01

    The semi-supervised support vector machine (S(3)VM) is a well-known algorithm for performing semi-supervised inference under the large margin principle. In this paper, we are interested in the problem of training a S(3)VM when the labeled and unlabeled samples are distributed over a network of interconnected agents. In particular, the aim is to design a distributed training protocol over networks, where communication is restricted only to neighboring agents and no coordinating authority is present. Using a standard relaxation of the original S(3)VM, we formulate the training problem as the distributed minimization of a non-convex social cost function. To find a (stationary) solution in a distributed manner, we employ two different strategies: (i) a distributed gradient descent algorithm; (ii) a recently developed framework for In-Network Nonconvex Optimization (NEXT), which is based on successive convexifications of the original problem, interleaved by state diffusion steps. Our experimental results show that the proposed distributed algorithms have comparable performance with respect to a centralized implementation, while highlighting the pros and cons of the proposed solutions. To the date, this is the first work that paves the way toward the broad field of distributed semi-supervised learning over networks. PMID:27179615

  4. The benefits of strength training for older adults.

    PubMed

    Seguin, Rebecca; Nelson, Miriam E

    2003-10-01

    Aging is associated with a number of physiologic and functional declines that can contribute to increased disability, frailty, and falls. Contributing factors are the loss of muscle mass and strength as age increases, a phenomenon called sarcopenia. Sarcopenia can result or be exacerbated by certain chronic conditions, and can also increase the burden of chronic disease. Current research has demonstrated that strength-training exercises have the ability to combat weakness and frailty and their debilitating consequences. Done regularly (e.g., 2 to 3 days per week), these exercises build muscle strength and muscle mass and preserve bone density, independence, and vitality with age. In addition, strength training also has the ability to reduce the risk of osteoporosis and the signs and symptoms of numerous chronic diseases such as heart disease, arthritis, and type 2 diabetes, while also improving sleep and reducing depression. This paper reviews the current research on strength training and older adults, evaluating exercise protocols in a variety of populations. It is clear that a variety of strength-training prescriptions from highly controlled laboratory-based to minimally supervised home-based programs have the ability to elicit meaningful health benefits in older adults. The key challenges as this field of exercise science moves forward are to best identify the most appropriate strength-training recommendations for older adults and to greatly increase the access to safe and effective programs in a variety of settings. PMID:14552938

  5. Recommendation Knowledge Discovery

    NASA Astrophysics Data System (ADS)

    McSherry, David; Stretch, Christopher

    Recently we presented a novel approach to the discovery of recommendation rules from a product case base that take account of all features of a recommended product, including those with respect to which the user's preferences are unknown. In this paper, we investigate the potential role of default preferences in the discovery of recommendation rules. As we show in the domain of digital cameras, the potential benefits include a dramatic reduction in the effective length of the discovered rules and increased coverage of queries representing the user's personal preferences. Another important finding of the research presented is that in a recommender system that takes account of default preferences, many of the products in the case base may never be recommended.

  6. Renal replacement therapy in adult and pediatric intensive care : Recommendations by an expert panel from the French Intensive Care Society (SRLF) with the French Society of Anesthesia Intensive Care (SFAR) French Group for Pediatric Intensive Care Emergencies (GFRUP) the French Dialysis Society (SFD).

    PubMed

    Vinsonneau, Christophe; Allain-Launay, Emma; Blayau, Clarisse; Darmon, Michael; Ducheyron, Damien; Gaillot, Theophile; Honore, Patrick M; Javouhey, Etienne; Krummel, Thierry; Lahoche, Annie; Letacon, Serge; Legrand, Matthieu; Monchi, Mehran; Ridel, Christophe; Robert, René; Schortgen, Frederique; Souweine, Bertrand; Vaillant, Patrick; Velly, Lionel; Osman, David; Van Vong, Ly

    2015-12-01

    Acute renal failure (ARF) in critically ill patients is currently very frequent and requires renal replacement therapy (RRT) in many patients. During the last 15 years, several studies have considered important issues regarding the use of RRT in ARF, like the time to initiate the therapy, the dialysis dose, the types of catheter, the choice of technique, and anticoagulation. However, despite an abundant literature, conflicting results do not provide evidence on RRT implementation. We present herein recommendations for the use of RRT in adult and pediatric intensive care developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of French Intensive Care Society (SRLF), with the participation of the French Society of Anesthesia and Intensive Care (SFAR), the French Group for Pediatric Intensive Care and Emergencies (GFRUP), and the French Dialysis Society (SFD). The recommendations cover 4 fields: criteria for RRT initiation, technical aspects (access routes, membranes, anticoagulation, reverse osmosis water), practical aspects (choice of the method, peritoneal dialysis, dialysis dose, adjustments), and safety (procedures and training, dialysis catheter management, extracorporeal circuit set-up). These recommendations have been designed on a practical point of view to provide guidance for intensivists in their daily practice. PMID:26714808

  7. Exercise and Physical Activity Recommendations for People with Cerebral Palsy

    PubMed Central

    Peterson, Mark D.; Balemans, Astrid C.J.; Hurvitz, Edward A.

    2016-01-01

    Physical activity (PA) and its promotion, as well as the avoidance of sedentary behaviour play important roles in health promotion and prevention of lifestyle-related diseases. Guidelines for typically developing youth and adults published by the World Health Organization and American College of Sports Medicine are available. However, detailed recommendations for PA and sedentary behaviour have not been established for children, adolescents and adults with cerebral palsy (CP). This paper presents the first CP-specific PA and exercise recommendations. The recommendations are based on (1) a comprehensive review and analysis of the literature, (2) expert opinion and (3) extensive clinical experience. The evidence supporting these recommendations are based on randomized controlled trials and observational studies involving children, adolescents and adults with CP, and buttressed by the previous guidelines for the general population. These recommendations may be used to guide healthcare providers on exercise and daily PA prescription for individuals with CP. PMID:26853808

  8. Exercise and physical activity recommendations for people with cerebral palsy.

    PubMed

    Verschuren, Olaf; Peterson, Mark D; Balemans, Astrid C J; Hurvitz, Edward A

    2016-08-01

    Physical activity and its promotion, as well as the avoidance of sedentary behaviour, play important roles in health promotion and prevention of lifestyle-related diseases. Guidelines for young people and adults with typical development are available from the World Health Organisation and American College of Sports Medicine. However, detailed recommendations for physical activity and sedentary behaviour have not been established for children, adolescents, and adults with cerebral palsy (CP). This paper presents the first CP-specific physical activity and exercise recommendations. The recommendations are based on (1) a comprehensive review and analysis of the literature, (2) expert opinion, and (3) extensive clinical experience. The evidence supporting these recommendations is based on randomized controlled trials and observational studies involving children, adolescents, and adults with CP, and buttressed by the previous guidelines for the general population. These recommendations may be used to guide healthcare providers on exercise and daily physical activity prescription for individuals with CP. PMID:26853808

  9. The role of supportive supervision on immunization program outcome - a randomized field trial from Georgia

    PubMed Central

    2009-01-01

    's access to health care. Conclusion Provider-based interventions such as supportive supervision can have independent positive effects on immunization program indicators. Thus, it is recommended to implement supportive supervision within the framework of national immunization programs in Georgia and other countries in transition with similar institutional arrangements for health services organization. Abstract in Russian See the full article online for a translation of this abstract in Russian. PMID:19828055

  10. Addressing the Training and Employment Needs of Youth with Mental Health Disabilities in the Juvenile Justice System. Conference Proceedings with Recommendations to the Presidential Task Force on Employment of Adults with Disabilities (March 3-4, 2000).

    ERIC Educational Resources Information Center

    Cagungun, Hazel

    This document contains information about and from a conference on addressing the training and employment needs of youth with mental health disabilities in the juvenile justice system that was held by the National Mental Health Association (NMHA). The document begins with an executive summary and nine recommendations for the Youth Subcommittee of…

  11. Updated Lightning Safety Recommendations.

    ERIC Educational Resources Information Center

    Vavrek, R. James; Holle, Ronald L.; Lopez, Raul E.

    1999-01-01

    Summarizes the recommendations of the Lightning Safety Group (LSG), which was first convened during the 1998 American Meteorological Society Conference. Findings outline appropriate actions under various circumstances when lightning threatens. (WRM)

  12. Supervised autonomous robotic soft tissue surgery.

    PubMed

    Shademan, Azad; Decker, Ryan S; Opfermann, Justin D; Leonard, Simon; Krieger, Axel; Kim, Peter C W

    2016-05-01

    The current paradigm of robot-assisted surgeries (RASs) depends entirely on an individual surgeon's manual capability. Autonomous robotic surgery-removing the surgeon's hands-promises enhanced efficacy, safety, and improved access to optimized surgical techniques. Surgeries involving soft tissue have not been performed autonomously because of technological limitations, including lack of vision systems that can distinguish and track the target tissues in dynamic surgical environments and lack of intelligent algorithms that can execute complex surgical tasks. We demonstrate in vivo supervised autonomous soft tissue surgery in an open surgical setting, enabled by a plenoptic three-dimensional and near-infrared fluorescent (NIRF) imaging system and an autonomous suturing algorithm. Inspired by the best human surgical practices, a computer program generates a plan to complete complex surgical tasks on deformable soft tissue, such as suturing and intestinal anastomosis. We compared metrics of anastomosis-including the consistency of suturing informed by the average suture spacing, the pressure at which the anastomosis leaked, the number of mistakes that required removing the needle from the tissue, completion time, and lumen reduction in intestinal anastomoses-between our supervised autonomous system, manual laparoscopic surgery, and clinically used RAS approaches. Despite dynamic scene changes and tissue movement during surgery, we demonstrate that the outcome of supervised autonomous procedures is superior to surgery performed by expert surgeons and RAS techniques in ex vivo porcine tissues and in living pigs. These results demonstrate the potential for autonomous robots to improve the efficacy, consistency, functional outcome, and accessibility of surgical techniques. PMID:27147588

  13. 12 CFR 508.12 - Proposed findings and conclusions and recommended decision.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 6 2012-01-01 2012-01-01 false Proposed findings and conclusions and recommended decision. 508.12 Section 508.12 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY REMOVALS, SUSPENSIONS, AND PROHIBITIONS WHERE A CRIME IS CHARGED OR PROVEN § 508.12...

  14. 12 CFR 508.12 - Proposed findings and conclusions and recommended decision.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 5 2011-01-01 2011-01-01 false Proposed findings and conclusions and recommended decision. 508.12 Section 508.12 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY REMOVALS, SUSPENSIONS, AND PROHIBITIONS WHERE A CRIME IS CHARGED OR PROVEN § 508.12...

  15. 12 CFR 508.12 - Proposed findings and conclusions and recommended decision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Proposed findings and conclusions and recommended decision. 508.12 Section 508.12 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY REMOVALS, SUSPENSIONS, AND PROHIBITIONS WHERE A CRIME IS CHARGED OR PROVEN § 508.12...

  16. 12 CFR 508.12 - Proposed findings and conclusions and recommended decision.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 6 2014-01-01 2012-01-01 true Proposed findings and conclusions and recommended decision. 508.12 Section 508.12 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY REMOVALS, SUSPENSIONS, AND PROHIBITIONS WHERE A CRIME IS CHARGED OR PROVEN § 508.12...

  17. Entanglement in Self-Supervised Dynamics

    NASA Technical Reports Server (NTRS)

    Zak, Michail

    2011-01-01

    A new type of correlation has been developed similar to quantum entanglement in self-supervised dynamics (SSD). SSDs have been introduced as a quantum-classical hybrid based upon the Madelung equation in which the quantum potential is replaced by an information potential. As a result, SSD preserves the quantum topology along with superposition, entanglement, and wave-particle duality. At the same time, it can be implemented in any scale including the Newtonian scale. The main properties of SSD associated with simulating intelligence have been formulated. The attention with this innovation is focused on intelligent agents interaction based upon the new fundamental non-New tonian effect; namely, entanglement.

  18. Interesting examples of supervised continuous variable systems

    NASA Technical Reports Server (NTRS)

    Chase, Christopher; Serrano, Joe; Ramadge, Peter

    1990-01-01

    The authors analyze two simple deterministic flow models for multiple buffer servers which are examples of the supervision of continuous variable systems by a discrete controller. These systems exhibit what may be regarded as the two extremes of complexity of the closed loop behavior: one is eventually periodic, the other is chaotic. The first example exhibits chaotic behavior that could be characterized statistically. The dual system, the switched server system, exhibits very predictable behavior, which is modeled by a finite state automaton. This research has application to multimodal discrete time systems where the controller can choose from a set of transition maps to implement.

  19. Supervised ensemble classification of Kepler variable stars

    NASA Astrophysics Data System (ADS)

    Bass, G.; Borne, K.

    2016-07-01

    Variable star analysis and classification is an important task in the understanding of stellar features and processes. While historically classifications have been done manually by highly skilled experts, the recent and rapid expansion in the quantity and quality of data has demanded new techniques, most notably automatic classification through supervised machine learning. We present an expansion of existing work on the field by analysing variable stars in the Kepler field using an ensemble approach, combining multiple characterization and classification techniques to produce improved classification rates. Classifications for each of the roughly 150 000 stars observed by Kepler are produced separating the stars into one of 14 variable star classes.

  20. Supervised Ensemble Classification of Kepler Variable Stars

    NASA Astrophysics Data System (ADS)

    Bass, G.; Borne, K.

    2016-04-01

    Variable star analysis and classification is an important task in the understanding of stellar features and processes. While historically classifications have been done manually by highly skilled experts, the recent and rapid expansion in the quantity and quality of data has demanded new techniques, most notably automatic classification through supervised machine learning. We present an expansion of existing work on the field by analyzing variable stars in the Kepler field using an ensemble approach, combining multiple characterization and classification techniques to produce improved classification rates. Classifications for each of the roughly 150,000 stars observed by Kepler are produced separating the stars into one of 14 variable star classes.