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Sample records for african information exchange

  1. U.S. Foundation Funding for Change in South Africa: An Update. South African Information Exchange Working Paper Number 10.

    ERIC Educational Resources Information Center

    Micou, Ann M.

    The South African Information Exchange (SAIE) has published an update of 35 existing organizations who are engaged in funding initiatives for specific areas of South African and United States educational exchange programs. One list is alphabetical by such program categories as: academic exchange, academic support, adult education, advocacy,…

  2. U.S. College and University Initiatives for Change in South Africa: An Update. South African Information Exchange Working Paper Number 11.

    ERIC Educational Resources Information Center

    Micou, Ann M.

    This document offers two lists of universities within the United States that are participating, with the South African Information Exchange (SAIE) program. The SAIE was created to facilitate the sharing of experiences and expertise both among academic institutions in the United States in South Africa, and in other countries and among assistance…

  3. U.S. Support Organizations Raising Money for South African Causes: An Introduction and a Directory: South African Information Exchange Working Paper #6.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry; McLean, Sheila Arvin

    This working paper provides information on 29 U.S. support organizations raising money for South African causes. Usually provided for each organization are a mission statement; a description of program areas and specific activities; and names of directors, trustees, and contacts. The organizations listed are: the Africa Fund; the African Arts…

  4. Indiana Health Information Exchange

    Cancer.gov

    The Indiana Health Information Exchange is comprised of various Indiana health care institutions, established to help improve patient safety and is recognized as a best practice for health information exchange.

  5. Educational Initiatives at the Tertiary Level for Black South Africans: Constraints, Changes, and Challenges. South African Information Exchange, Working Paper Number 23.

    ERIC Educational Resources Information Center

    Samuel, John, Ed.; Micou, Ann McKinstry, Ed.

    Looking primarily at the issues of black students at South African universities and of access and bursaries, the seven articles contained in this document focus on access to tertiary education, the kind of support provided to students once they have gained access, and the roles for which people are being educated. Following an introduction by John…

  6. U.S. Church-Related Funding for Change in South Africa: An Analysis and an Inventory. South African Information Exchange Working Paper Number 7.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry

    A working paper on U.S. church-related funding for (or sponsorship of) South African programs is presented to guide support-seeking organizations in South Africa to appropriate resources and to inform interested parties outside South Africa about potential resources and ways in which they might cooperate or assist. Information is provided in two…

  7. U.S. College and University Initiatives To Expand Educational Opportunities for Black South Africans: A Models Workshop. Information Exchange: Working Paper #3.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry, Ed.

    In 1979 the Institute of International Education (IIE), a nonprofit organization that works on education programs in 145 countries and with U.S. colleges and universities, began a scholarship program for black South Africans wanting to study in the United States. The models workshop, held at the offices of the IIE in 1987, was made possible by the…

  8. Selective Incentives and Generalized Information Exchange

    ERIC Educational Resources Information Center

    Cheshire, Coye

    2007-01-01

    The goal of this research is to understand how generalized exchange systems emerge when information, as the object of exchange, produces a collective good. When individuals contribute information for a collective benefit, it can create a group-generalized exchange system that involves a social dilemma. I argue that two properties of information,…

  9. 47 CFR 22.973 - Information exchange.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Information exchange. 22.973 Section 22.973... Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII... information to the public safety/CII licensee at least 10 business days before a new cell site is activated...

  10. 47 CFR 22.973 - Information exchange.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 2 2013-10-01 2013-10-01 false Information exchange. 22.973 Section 22.973... Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII... information to the public safety/CII licensee at least 10 business days before a new cell site is activated...

  11. 47 CFR 22.880 - Information exchange.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Information exchange. 22.880 Section 22.880...-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...-ground system licensee must provide the following information to the public safety/CII licensee at...

  12. 47 CFR 22.880 - Information exchange.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Information exchange. 22.880 Section 22.880...-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...-ground system licensee must provide the following information to the public safety/CII licensee at...

  13. 47 CFR 22.880 - Information exchange.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 2 2012-10-01 2012-10-01 false Information exchange. 22.880 Section 22.880...-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...-ground system licensee must provide the following information to the public safety/CII licensee at...

  14. 47 CFR 22.973 - Information exchange.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 2 2012-10-01 2012-10-01 false Information exchange. 22.973 Section 22.973... Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII... information to the public safety/CII licensee at least 10 business days before a new cell site is activated...

  15. 47 CFR 22.880 - Information exchange.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 2 2013-10-01 2013-10-01 false Information exchange. 22.880 Section 22.880...-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...-ground system licensee must provide the following information to the public safety/CII licensee at...

  16. 47 CFR 22.973 - Information exchange.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Information exchange. 22.973 Section 22.973... Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII... information to the public safety/CII licensee at least 10 business days before a new cell site is activated...

  17. Information Exchange Procedures: Overview and General Approach.

    ERIC Educational Resources Information Center

    Romney, Leonard C.

    The Information Exchange Procedures (IEP) project creates the capability for exchange and reporting of that information, both financial and otherwise, necessary to calculate and evaluate costs (1) by discipline and course level, (2) by student major and student level, and (3) per unit of output. Most uses of comparable information and analysis can…

  18. 47 CFR 22.973 - Information exchange.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Information exchange. 22.973 Section 22.973... Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII... information to the public safety/CII licensee at least 10 business days before a new cell site is activated...

  19. 47 CFR 22.880 - Information exchange.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Information exchange. 22.880 Section 22.880...-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...-ground system licensee must provide the following information to the public safety/CII licensee at...

  20. 47 CFR 27.70 - Information exchange.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Information exchange. 27.70 Section 27.70 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES Technical Standards § 27.70 Information exchange. (a) Prior notification. Public...

  1. 47 CFR 27.70 - Information exchange.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Information exchange. 27.70 Section 27.70 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES Technical Standards § 27.70 Information exchange. (a) Prior notification. Public...

  2. 47 CFR 27.70 - Information exchange.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 2 2013-10-01 2013-10-01 false Information exchange. 27.70 Section 27.70 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES Technical Standards § 27.70 Information exchange. (a) Prior notification. Public...

  3. 47 CFR 27.70 - Information exchange.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 2 2012-10-01 2012-10-01 false Information exchange. 27.70 Section 27.70 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES Technical Standards § 27.70 Information exchange. (a) Prior notification. Public...

  4. 47 CFR 27.70 - Information exchange.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Information exchange. 27.70 Section 27.70 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES Technical Standards § 27.70 Information exchange. (a) Prior notification. Public...

  5. Patient Matching within a Health Information Exchange

    PubMed Central

    Godlove, Tim; Ball, Adrian W.

    2015-01-01

    The purpose of this article is to describe the patient matching problems resulting from the Nationwide Health Information Network's automated patient discovery specification and propose a more effective and secure approach for patient matching between health information organizations participating in a health information exchange. This proposed approach would allow the patient to match his or her identity between a health information organization's electronic health records (EHRs) at the same time the patient identifies which EHR data he or she consents to share between organizations. The patient's EHR username/password combination would be the credential used to establish and maintain health information exchange identity and consent data. The software developed to support this approach (e.g., an EHR health information exchange module) could also allow a patient to see what health information was shared when and with whom. PMID:26755901

  6. Patient Matching within a Health Information Exchange.

    PubMed

    Godlove, Tim; Ball, Adrian W

    2015-01-01

    The purpose of this article is to describe the patient matching problems resulting from the Nationwide Health Information Network's automated patient discovery specification and propose a more effective and secure approach for patient matching between health information organizations participating in a health information exchange. This proposed approach would allow the patient to match his or her identity between a health information organization's electronic health records (EHRs) at the same time the patient identifies which EHR data he or she consents to share between organizations. The patient's EHR username/password combination would be the credential used to establish and maintain health information exchange identity and consent data. The software developed to support this approach (e.g., an EHR health information exchange module) could also allow a patient to see what health information was shared when and with whom.

  7. Ideologically Structured Information Exchange among Environmental Groups

    ERIC Educational Resources Information Center

    Lhotka, Laura; Bailey, Conner; Dubois, Mark

    2008-01-01

    We use social network analysis to test the hypothesis that group ideology affects information exchange among environmental groups. The analysis is based on interviews with leaders of 136 environmental groups in Alabama. This paper adds to the literature on resource mobilization among social movement organizations by exploring information exchange…

  8. Communicate with me: Information Exchanges between Nurses.

    PubMed

    2015-03-01

    Patient safety and continuity of quality care are dependent on effective communication. Clinical nurse specialists at the Health Sciences Centre in Winnipeg were finding that when they sought out essential patient information from front-line nurses, they sometimes encountered gaps in knowledge about the patient. Having to acquire this information elsewhere was causing unnecessary delays in care. The authors, members of an advanced practice nurses group at the Health Sciences Centre in Winnipeg, undertook a quality improvement project to gain an understanding of the problems in information exchanges between nurses. Through interviews with front-line nurses on four units, they found that many factors contributed to the lack of knowledge nurses had about patients, such as inconsistent documentation, poorly defined plans of care and variable communication patterns. This project highlighted the need to develop a standardized handoff template to aid in information exchanges.

  9. Factors influencing medical information seeking among African American cancer patients.

    PubMed

    Matthews, Alicia K; Sellergren, Sarah A; Manfredi, Clara; Williams, Maryann

    2002-01-01

    Qualitative research methods were used to explore factors that may affect medical information seeking, treatment engagement, and emotional adjustment among African American cancer patients. Focus group findings suggest that an array of cultural and socioeconomic factors plays important roles in the behavior of African American cancer patients. Participants described a number of important barriers and facilitators of medical information seeking and treatment participation. Factors linked to the health care-related behaviors and adjustment of African American cancer patients included limited knowledge and misinformation about cancer, mistrust of the medical community, concerns about privacy, lack of insurance, religious beliefs, and emotional issues such as fear and stigma associated with seeking emotional support. Recommendations are made that may assist mental and physical health providers in improving patient information and mental and physical health outcomes of African American cancer patients.

  10. Qualitative Evaluation of Health Information Exchange Efforts

    PubMed Central

    Ash, Joan S.; Guappone, Kenneth P.

    2007-01-01

    Because most health information exchange (HIE) initiatives are as yet immature, formative evaluation is recommended so that what is learned through evaluation can be immediately applied to assist in HIE development efforts. Qualitative methods can be especially useful for formative evaluation because they can guide ongoing HIE growth while taking context into consideration. This paper describes important HIE-related research questions and outlines appropriate qualitative research techniques for addressing them. PMID:17904914

  11. 40 CFR 22.52 - Information exchange and discovery.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Procedure Act § 22.52 Information exchange and discovery. Respondent's information exchange pursuant to § 22.19(a) shall include information on any economic benefit resulting from any activity or failure to act... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Information exchange and discovery....

  12. Choice and social exchange theory and the rewards of African American caregivers.

    PubMed

    Picot, S J

    1994-01-01

    Exploration of the perceived rewards of African American caregivers has received little attention, but is of acute importance because of their potential effects on symptoms of depression. In this non-experimental, cross-sectional study, the investigator used choice and social exchange theory as a framework for identifying potential rewards of African American caregivers of demented elders. Study findings indicated that African Americans perceived rewards which were internal or external in source and short-term or long-term in timing. With the exception of caregivers age and education, these rewards were little affected by sociodemographic characteristics of the caregiver or care recipient. Young, more educated caregivers tended to perceive fewer rewards than old, less educated caregivers. The implications of the findings for nursing practice care are discussed.

  13. Environmental Attitudes and Information Sources among African American College Students

    ERIC Educational Resources Information Center

    Lee, E. Bun

    2008-01-01

    The author examined the environmental attitudes of African American college students by using the 15-item New Ecological Paradigm (NEP) Scale. The author also attempted to determine their everyday environmental behaviors such as recycling and conservation and investigated major information sources for local, national, and international…

  14. e-Government for Development Information Exchange (DIE): Zambia

    NASA Astrophysics Data System (ADS)

    Joseph, Bwalya Kelvin

    In most parts of the world, political systems which utilize authoritative rule and mostly employ top-down decision-making processes are slowly transcending towards democratic norms. Information Technology Systems have been identified and adopted as one of the most efficient vehicles for appropriate, transparent and inclusive / participatory decision making. Zambia has shown a higher propensity to indigenous knowledge systems which are full of inefficiencies, a lot of red tape in public service delivery, and prone to corrupt practices. Despite that being the case, it is slowly trying to implement e-government. The adoption of e-government promises a sharp paradigm shift where public institutions will be more responsive and transparent, promote efficient PPP (Public Private Partnerships), and empower citizens by making knowledge and other resources more directly accessible. This paper examines three cases from Zambia where ICT in support of e-government has been implemented for Development Information Exchange (DIE) - knowledge-based decision making. The paper also assesses the challenges, opportunities, and issues together with e-government adoption criteria regarding successful encapsulation of e-government into the Zambian contextual environment. I propose a conceptual model which offers balanced e-government adoption criteria involving a combination of electronic and participatory services. This conceptual e-government adoption model can later be replicated to be used at the Southern African Development Community (SADC) level given the similarity in the contextual environment.

  15. Neighbourhood Book Exchanges: Localising Information Practices

    ERIC Educational Resources Information Center

    Webster, Tenny; Gollner, Kathleen; Nathan, Lisa

    2015-01-01

    Introduction: Through this paper we report on an exploratory study into the design and use of neighbourhood book exchanges in North America. We identify dominant media framings of these book exchanges in North America, along with claims made concerning the influence of the exchanges. We compare the media claims with insights from interviews with…

  16. Health information-seeking behavior and older African American women.

    PubMed

    Gollop, C J

    1997-04-01

    This study explored the ways in which urban, older, African American women obtain health information and some of the factors that influence such activity. Among the possible determinants examined were self-perceived literacy, access to health information, and mobility. The findings suggest that respondents receive health information from their physicians, the mass media, and members of their social networks. The results of this research also indicated that members of this population have a highly positive perception of the public library, although only a small segment use the library regularly, and that it may be in the interest of the library to investigate the role it could play in providing health information to older adults. PMID:9160150

  17. EXCHANGE

    SciTech Connect

    Boltz, J.C.

    1992-09-01

    EXCHANGE is published monthly by the Idaho National Engineering Laboratory (INEL), a multidisciplinary facility operated for the US Department of Energy (DOE). The purpose of EXCHANGE is to inform computer users about about recent changes and innovations in both the mainframe and personal computer environments and how these changes can affect work being performed at DOE facilities.

  18. 78 FR 14793 - Advancing Interoperability and Health Information Exchange

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... of the National Coordinator (ONC) for Health IT (HIT) Certification Program are increasing standards..., laboratories, nursing homes, home health agencies, hospices, rural health clinics, ambulatory surgical centers... Interoperability and Health Information Exchange AGENCY: Office of the National Coordinator for Health...

  19. Implementation of Medical Information Exchange System Based on EHR Standard

    PubMed Central

    Han, Soon Hwa; Kim, Sang Guk; Jeong, Jun Yong; Lee, Bi Na; Choi, Myeong Seon; Kim, Il Kon; Park, Woo Sung; Ha, Kyooseob; Cho, Eunyoung; Kim, Yoon; Bae, Jae Bong

    2010-01-01

    Objectives To develop effective ways of sharing patients' medical information, we developed a new medical information exchange system (MIES) based on a registry server, which enabled us to exchange different types of data generated by various systems. Methods To assure that patient's medical information can be effectively exchanged under different system environments, we adopted the standardized data transfer methods and terminologies suggested by the Center for Interoperable Electronic Healthcare Record (CIEHR) of Korea in order to guarantee interoperability. Regarding information security, MIES followed the security guidelines suggested by the CIEHR of Korea. This study aimed to develop essential security systems for the implementation of online services, such as encryption of communication, server security, database security, protection against hacking, contents, and network security. Results The registry server managed information exchange as well as the registration information of the clinical document architecture (CDA) documents, and the CDA Transfer Server was used to locate and transmit the proper CDA document from the relevant repository. The CDA viewer showed the CDA documents via connection with the information systems of related hospitals. Conclusions This research chooses transfer items and defines document standards that follow CDA standards, such that exchange of CDA documents between different systems became possible through ebXML. The proposed MIES was designed as an independent central registry server model in order to guarantee the essential security of patients' medical information. PMID:21818447

  20. 78 FR 76187 - 30-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

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

  1. 77 FR 72813 - Information Collection; Land Exchanges

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-06

    ... business hours. Visitors are encouraged to call ahead to 202-205-1047 to facilitate entry to the building. FOR FURTHER INFORMATION CONTACT: Vicky Wessling, Lands Staff, 202-205- 1047. Individuals who...

  2. An Information and "Cultural" Exchange between Two Middle Schools.

    ERIC Educational Resources Information Center

    Baer, Vicki E.

    A "cultural and informational exchange" between two Maryland middle schools allowed two groups of gifted students to accomplish several learning objectives while discovering new regions of their state and nurturing new acquaintances. Computers were central to the program--all information was created using word processing programs, and was…

  3. Exchanging Medical Information with Eastern Europe through the Internet.

    ERIC Educational Resources Information Center

    Daniels, Julie K.; Cronje, Ruth J.; Sokolowski, Beth C.

    1998-01-01

    Interviews foreign Information Coordinators who facilitate exchange of medical information over the Internet between healthcare providers in America and eastern Europe to learn how Internet technologies are being introduced, disseminated, and adopted in their institutions. Applies diffusion of innovations theory for interpretation. Shows technical…

  4. Orienting African American Male Adolescents toward Meaningful Literacy Exchanges with Texts

    ERIC Educational Resources Information Center

    Tatum, Alfred W.

    2014-01-01

    Drawing from a sociohistorical understanding of the roles of texts for African American males and data from a recent survey of teens' meaningful experiences with texts, the author provides a general understanding of the roles of texts among African American males and African American male adolescents' meaningful relationships with texts. These…

  5. For People of African, Mediterranean, or Southeast Asian Heritage: Important Information about Diabetes Blood Tests

    MedlinePlus

    ... p.m. eastern time, M-F For More Information American Diabetes Association National Heart, Lung, and Blood ... of African, Mediterranean, or Southeast Asian Heritage: Important Information about Diabetes Blood Tests Page Content On this ...

  6. African Americans' and Hispanics' information needs about cancer care.

    PubMed

    Muñoz-Antonia, Teresita; Ung, Danielle; Montiel-Ishino, F Alejandro; Nelson, Alison; Canales, Jorge; Quinn, Gwendolyn P

    2015-06-01

    Few studies have reported on African American and Hispanic (AA and H) populations' informational needs when seeking cancer care at an institution that offers clinical trials. Moffitt Cancer Center (MCC) sought to identify and examine the decision making process, the perceptions, and the preferred channels of communication about cancer care services for AA and H communities in order to develop a list of marketing recommendations. Five focus groups (N = 45) consisting of two AA and three H were conducted in four counties of the MCC catchment area in Tampa, FL. Participants were asked about their perceptions, knowledge, attitudes, and beliefs about cancer care and MCC. Focus groups were audio-recorded and verbatim transcripts were analyzed using content analysis. Similarities in responses were found between AA and H participants. Participants received general health and cancer information from media sources and word of mouth and preferred to hear patient testimonials. There were concerns about costs, insurance coverage, and the actual geographic location of the cancer center. In general, H participants were not opposed to participating in cancer clinical trials/research, whereas, AA participants were more hesitant. A majority of participants highly favored an institution that offered standard care and clinical trials. AA and H participants shared similar concerns and preferences in communication channels, but each group had specific informational needs. The perceptions and preferences of AA and H must be explored in order to successfully and efficiently increase cancer clinical trial participation. PMID:25189798

  7. African Americans' and Hispanics' information needs about cancer care.

    PubMed

    Muñoz-Antonia, Teresita; Ung, Danielle; Montiel-Ishino, F Alejandro; Nelson, Alison; Canales, Jorge; Quinn, Gwendolyn P

    2015-06-01

    Few studies have reported on African American and Hispanic (AA and H) populations' informational needs when seeking cancer care at an institution that offers clinical trials. Moffitt Cancer Center (MCC) sought to identify and examine the decision making process, the perceptions, and the preferred channels of communication about cancer care services for AA and H communities in order to develop a list of marketing recommendations. Five focus groups (N = 45) consisting of two AA and three H were conducted in four counties of the MCC catchment area in Tampa, FL. Participants were asked about their perceptions, knowledge, attitudes, and beliefs about cancer care and MCC. Focus groups were audio-recorded and verbatim transcripts were analyzed using content analysis. Similarities in responses were found between AA and H participants. Participants received general health and cancer information from media sources and word of mouth and preferred to hear patient testimonials. There were concerns about costs, insurance coverage, and the actual geographic location of the cancer center. In general, H participants were not opposed to participating in cancer clinical trials/research, whereas, AA participants were more hesitant. A majority of participants highly favored an institution that offered standard care and clinical trials. AA and H participants shared similar concerns and preferences in communication channels, but each group had specific informational needs. The perceptions and preferences of AA and H must be explored in order to successfully and efficiently increase cancer clinical trial participation.

  8. African Americans’ and Hispanics’ Information Needs About Cancer Care

    PubMed Central

    Muñoz-Antonia, Teresita; Ung, Danielle; Montiel-Ishino, F. Alejandro; Nelson, Alison; Canales, Jorge; Quinn, Gwendolyn P.

    2015-01-01

    Few studies have reported on African American and Hispanic (AA and H) populations’ informational needs when seeking cancer care at an institution that offers clinical trials. Moffitt Cancer Center (MCC) sought to identify and examine the decision making process, the perceptions, and the preferred channels of communication about cancer care services for AA and H communities in order to develop a list of marketing recommendations. Five focus groups (N=45) consisting of two AA and three H were conducted in four counties of the MCC catchment area in Tampa, FL. Participants were asked about their perceptions, knowledge, attitudes, and beliefs about cancer care and MCC. Focus groups were audio-recorded and verbatim transcripts were analyzed using content analysis. Similarities in responses were found between AA and H participants. Participants received general health and cancer information from media sources and word of mouth and preferred to hear patient testimonials. There were concerns about costs, insurance coverage, and the actual geographic location of the cancer center. In general, H participants were not opposed to participating in cancer clinical trials/research, whereas, AA participants were more hesitant. A majority of participants highly favored an institution that offered standard care and clinical trials. AA and H participants shared similar concerns and preferences in communication channels, but each group had specific informational needs. The perceptions and preferences of AA and H must be explored in order to successfully and efficiently increase cancer clinical trial participation. PMID:25189798

  9. Using a health information exchange system for imaging information: patterns and predictors.

    PubMed

    Vest, Joshua R; Grinspan, Zachary M; Kern, Lisa M; Campion, Thomas R; Kaushal, Rainu

    2013-01-01

    Health information exchange (HIE) systems may address the challenges that prevent easy access to patients' existing radiological information at the point of care. However, little is known about the factors associated with usage of HIE for radiology reports, nor about how reports are shared with an exchange network. We analyzed the system log files from a regional health information organization in upstate New York matched with insurance claims files using network analysis and regression modeling. The exchange network was dominated by a few key information sources. Outpatient users overall accessed 17 times more radiology reports than inpatient and ED users combined. Additionally, as the number of exchange partners increased per organization, the average number of reports exchanged by that organization also increased. Radiology reports were most likely to be accessed by physicians and other clinical users. These findings have implications for those operating and fostering exchange activity.

  10. Overcoming obstacles to the exchange of information between risk tools

    NASA Technical Reports Server (NTRS)

    Feather, Martin S.; Cornford, Steven L.; Meshkat, Leila; Voss, Luke

    2005-01-01

    Our work to date in connecting risk tools hs had successes, but also has revealed there to be significant impediments to information exchange between them. These impediments stem from the well-known phenomenon of 'semantic dissonance' - mismatch between conceptual assumptions made by the separately developed tools. This issue represents a fundamental challenge that arises regardless of the mechanism of information exchange. This paper explains the issue and illustrates it with reference to our experiences to date connecting several risk tools. We motivate this work, present and discuss the solutions we have adopted to surmount these impediments, and the implications this work has for future efforts to integrate risk tools.

  11. Minnesota clinics' adoption, use and exchange of electronic health information.

    PubMed

    Soderberg, Karen; Laventure, Marty

    2013-09-01

    In 2007, Minnesota passed a law requiring all health care providers in the state to implement an interoperable electronic health record (EHR) system by January 1, 2015. Since then, the Minnesota Department of Health has been monitoring progress each year by surveying hospitals, clinics and other health and health care facilities about their EHR use. This article summarizes findings from the 2013 survey of ambulatory clinics. Those results show Minnesota clinics are well on the way to achieving the state's goals for using EHRs to exchange information: 87% of clinics have adopted EHRs, 80% routinely use medication guides and alerts, and 36% exchange health information with unaffiliated settings.

  12. Maximizing information exchange between complex networks

    NASA Astrophysics Data System (ADS)

    West, Bruce J.; Geneston, Elvis L.; Grigolini, Paolo

    2008-10-01

    modern research overarching all of the traditional scientific disciplines. The transportation networks of planes, highways and railroads; the economic networks of global finance and stock markets; the social networks of terrorism, governments, businesses and churches; the physical networks of telephones, the Internet, earthquakes and global warming and the biological networks of gene regulation, the human body, clusters of neurons and food webs, share a number of apparently universal properties as the networks become increasingly complex. Ubiquitous aspects of such complex networks are the appearance of non-stationary and non-ergodic statistical processes and inverse power-law statistical distributions. Herein we review the traditional dynamical and phase-space methods for modeling such networks as their complexity increases and focus on the limitations of these procedures in explaining complex networks. Of course we will not be able to review the entire nascent field of network science, so we limit ourselves to a review of how certain complexity barriers have been surmounted using newly applied theoretical concepts such as aging, renewal, non-ergodic statistics and the fractional calculus. One emphasis of this review is information transport between complex networks, which requires a fundamental change in perception that we express as a transition from the familiar stochastic resonance to the new concept of complexity matching.

  13. Impact of Health Disclosure Laws on Health Information Exchanges

    PubMed Central

    Adjerid, Idris; Padman, Rema

    2011-01-01

    Health information exchanges (HIEs) are expected to facilitate data sharing between healthcare entities, thereby improving the efficiency and quality of care. Privacy concerns have been consistently cited as one of the primary challenges to HIE formation and success. Currently, it is unclear how privacy laws – in particular, legislation restricting the disclosure of health records – have shaped the development of HIEs. This preliminary study explores the landscape of state-level health privacy legislation and examines the impact of variations in such privacy and confidentiality laws on the progress of HIEs. We found that states with stronger privacy laws, limiting the disclosure of health information, had significantly more HIEs exchanging data and had fewer failed HIEs. We suggest that this counterintuitive finding may be explained by the more subtle benefits of such laws, such as increased confidence and trust of participants in an exchange. Other key contributors to this work are Alessandro Acquisti, Rahul Telang, and Julia Adler-Milstein PMID:22195054

  14. Elder abuse and neglect in African American families: informing practice based on ecological and cultural frameworks.

    PubMed

    Horsford, Sheena R; Parra-Cardona, José Rubén; Schiamberg, Larry; Post, Lori A

    2011-01-01

    Despite the rapid growth of the elderly African American population in the U.S., elder abuse and neglect in African American families continue to be underdeveloped areas of study. This article presents an ecological and culturally informed framework for the study of elder abuse in African American populations. The model was developed based on Bronfenbrenner's Human Ecological Theory. The model identifies risk factors associated with different systems that have an influence on the lives of African American families. Cultural protective factors also are identified in the model. The model is intended to provide an understanding of elder abuse and neglect in African American families by considering the influence of contextual factors such as the legacy of slavery, social exclusion, and structural segregation and racism. Specific suggestions for practice are proposed according to cultural strengths of African American communities as well as the ecological premises of the model.

  15. The African American Male Librarian: Motivational Factors in Choosing a Career in Library and Information Science

    ERIC Educational Resources Information Center

    Davis-Kendrick, Kaetrena D.

    2009-01-01

    A recent American Library Association (ALA) report has shown that less than 1% of credentialed librarians are African American males. This article discusses possible reasons for this dearth; and, in an effort to inform future LIS recruiting and marketing campaigns, the included study attempted to discover which factors lead African American males…

  16. A Global Information Exchange (GIE) Project in a Graduate Course

    ERIC Educational Resources Information Center

    Thirunarayanan, M. O.; Coccaro-Pons, Jennifer

    2016-01-01

    Graduate students who were enrolled in an introductory educational technology course that met face-to-face completed a Global Information Exchange (GIE) project. The goal of the project was to promote global awareness among the graduate students who were also classroom teachers, and by extension their K-12 students. The graduate students, who also…

  17. Understanding the Student and Exchange Visitor Information System (SEVIS).

    ERIC Educational Resources Information Center

    Croom, Patty; Bellows, Kathy

    2002-01-01

    Discusses how achieving compliance with the federal government's new Student and Exchange Visitor Information System (SEVIS) will require higher education institutions to establish, on a very tight schedule, systems to track international students and share data about them with the Immigration and Naturalization Service (INS). (EV)

  18. 21 CFR 26.71 - Exchange of information.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Exchange of information. 26.71 Section 26.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE...

  19. 21 CFR 26.71 - Exchange of information.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Exchange of information. 26.71 Section 26.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE...

  20. 41 CFR 60-742.2 - Exchange of information.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Exchange of information. 60-742.2 Section 60-742.2 Public Contracts and Property Management Other Provisions Relating to... OF LABOR 742-PROCEDURES FOR COMPLAINTS/CHARGES OF EMPLOYMENT DISCRIMINATION BASED ON DISABILITY...

  1. The MATRIX: Multicultural Alliance for Technology, Research, and Information Exchange

    ERIC Educational Resources Information Center

    Turner, Raymond E.

    2006-01-01

    Community colleges, although being a potential source of future scientists and engineers, there are certain faults in the reform approach of these colleges that need to be addressed. The Multicultural Alliance for Technology, Research, and Information Exchange (MATRIX) model is presented to energize community colleges to create a science research…

  2. Health information exchange: persistent challenges and new strategies

    PubMed Central

    Gamm, Larry D

    2010-01-01

    Recent federal policies and actions support the adoption of health information exchange (HIE) in order to improve healthcare by addressing fragmented personal health information. However, concerted efforts at facilitating HIE have existed for over two decades in this country. The lessons of these experiences include a recurrence of barriers and challenges beyond those associated with technology. Without new strategies, the current support and methods of facilitating HIE may not address these barriers. PMID:20442146

  3. 79 FR 51567 - Scientific Information Request on Health Information Exchange

    Federal Register 2010, 2011, 2012, 2013, 2014

    2014-08-29

    ... scientific information will improve the quality of this review. AHRQ is conducting this systematic review....gov/index.cfm/ioin-the-email-list1/ . The systematic review will answer the following questions. This... HUMAN SERVICES Agency for Healthcare Research and Quality Scientific Information Request on...

  4. Managing Resource Dependence Difficulties in African Higher Education: The Case of Multiple Exchange Relationships

    ERIC Educational Resources Information Center

    Wangenge-Ouma, Gerald

    2011-01-01

    The paper has a twofold structure and focus. The first part is an examination of the funding challenges facing African universities resulting mainly from public finance difficulties, and the second part is a case study of how some Kenyan and South African public universities have attempted to mitigate resource dependence difficulties through…

  5. Smart health community: the hidden value of health information exchange.

    PubMed

    Ciriello, James N; Kulatilaka, Nalin

    2010-12-01

    Investments in health information technology are accelerating the digitization of medicine. The value from these investments, however, can grow beyond efficiencies by filling the information gaps between the various stakeholders. New work processes, governance structures, and relationships are needed for the coevolution of healthcare markets and business models. But coevolution is slow, hindered by the scarcity of incentives for legacy delivery systems and constrained by the prevailing patient-healthcare paradigm. The greater opportunity lies in wellness for individuals, families, communities, and society at large: a consumer-community paradigm. Capturing new value from this opportunity can start with investment in health information exchange and the creation of Smart Health Communities. By shifting the focus of exchange from public servant to value-added service provider, these communities can serve as a platform for a wider array of wellness services from consumer care, traditional healthcare, and research. PMID:21314218

  6. Effectiveness of Smithsonian Science Information Exchange Hampered by Lack of Complete, Current Research Information.

    ERIC Educational Resources Information Center

    Comptroller General of the U.S., Washington, DC.

    The Smithsonian Science Information Exchange is intended to be a clearinghouse for information on current research in physical, biological, and social sciences. The information is compiled to facilitate more effective planning and coordination of research and development programs sponsored by Federal funds. This report informs the Congress of a…

  7. Needs and preferences for receiving mental health information in an African American focus group sample.

    PubMed

    Mishra, Shiraz I; Lucksted, Alicia; Gioia, Deborah; Barnet, Beth; Baquet, Claudia R

    2009-04-01

    The purpose of this study is to better understand the mental health/illness information and service delivery preferences among African American residents of Baltimore. We conducted four focus groups (n = 42) among African American adults currently unconnected with the mental health system. Participants expressed fear of stigma and perceptions of racism as major barriers to seeking information and/or services and discussed some normalizing strategies to address these barriers. African Americans harbor cultural and traditional beliefs regarding mental illness which could also act as barriers. Findings have implications for imparting acceptable and culturally sensitive mental health education and service delivery programs in community settings.

  8. Needs and Preferences for Receiving Mental Health Information in an African American Focus Group Sample

    PubMed Central

    Mishra, Shiraz I.; Lucksted, Alicia; Gioia, Deborah; Barnet, Beth; Baquet, Claudia R.

    2013-01-01

    The purpose of this study is to better understand the mental health/illness information and service delivery preferences among African American residents of Baltimore. We conducted four focus groups (n=42) among African American adults currently unconnected with the mental health system. Participants expressed fear of stigma and perceptions of racism as major barriers to seeking information and/or services and discussed some normalizing strategies to address these barriers. African Americans harbor cultural and traditional beliefs regarding mental illness which could also act as barriers. Findings have implications for imparting acceptable and culturally-sensitive mental health education and service delivery programs in community settings. PMID:18633704

  9. Challenges in humanitarian information management and exchange: evidence from Haiti.

    PubMed

    Altay, Nezih; Labonte, Melissa

    2014-04-01

    There is a growing recognition of the critical role information management can play in shaping effective humanitarian response, coordination and decision-making. Quality information, reaching more humanitarian actors, will result in better coordination and better decision-making, thus improving the response to beneficiaries as well as accountability to donors. The humanitarian response to the 2010 Haiti earthquake marked a watershed moment for humanitarian information management. Yet the fragmented nature of the response and the use of hierarchical models of information management, along with other factors, have led some observers to label the Haiti response a failure. Using an analytical framework often found in humanitarian emergencies, this study analyses challenges to information flow in the Haiti case and the implications for effective humanitarian response. It concludes by offering possible paths for overcoming such challenges, and for restoring the value and utility of humanitarian information management and exchange in humanitarian relief settings.

  10. Exchange of information between system and environment: Facts and myths

    NASA Astrophysics Data System (ADS)

    Wudarski, Filip A.; Petruccione, F.

    2016-03-01

    The exchange of “information” between a system and its environment based on the reduced dynamics is investigated. The association of trace distance with information cannot be stated, because of lack of symmetry between leakage from the system and absorbability by the environment. A measure of loss for the reduced dynamics is established, which may be seen as a deviation from exact unitary dynamics.

  11. Public Health Practice within a Health Information Exchange: Information Needs and Barriers to Disease Surveillance

    PubMed Central

    Reeder, Blaine; Revere, Debra; Hills, Rebecca A; Baseman, Janet G; Lober, William B

    2012-01-01

    Introduction: Public health professionals engage in frequent exchange of health information while pursuing the objectives of protecting and improving population health. Yet, there has been little study of the information work of public health workers with regard to information exchange. Our objective was to gain a better understanding of information work at a local health jurisdiction before and during the early stages of participation in a regional Health Information Exchange. Methods: We investigated the information work of public health workers engaged in disease surveillance activities at a medium-sized local health jurisdiction by conducting semi-structured interviews and thematically analyzing interview transcripts. Results: Analysis of the information work of public health workers revealed barriers in the following areas: information system usability; data timeliness, accuracy and completeness; and social interaction with clients. We illustrate these barriers by focusing on the work of epidemiologists. Conclusion: Characterizing information work and barriers to information exchange for public health workers should be part of early system design efforts. A comprehensive understanding of the information practice of public health workers will inform the design of systems that better support public health work. PMID:23569649

  12. Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers.

    PubMed

    Cummins, Mollie R; Crouch, Barbara I; Del Fiol, Guilherme; Mateos, Brenda; Muthukutty, Anusha; Wyckoff, Anastasia

    2014-01-01

    We analyzed audio recordings of telephone calls between emergency departments (EDs) and poison control centers (PCCs) in order to describe the information requirements for health information exchange. Analysis included a random sample of 120 poison exposure cases involving ED-PCC communication that occurred during 2009. We identified 52 information types characterized as patient or provider information, exposure information, ED assessment and treatment/ management, or PCC consultation. These information types constitute a focused subset of information that should be shared in the context of emergency treatment for poison exposure. Up to 60% of the information types identified in the analysis of call recordings can be represented using existing clinical terminology. In order to accomplish standards-based health information exchange between EDs and PCCs using data coded according to a standard clinical terminology system, it is necessary to define appropriate terms, information models and value sets.

  13. HIV/AIDS information by African companies: an empirical analysis.

    PubMed

    Barako, Dulacha G; Taplin, Ross H; Brown, Alistair M

    2010-01-01

    This article investigates the extent of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Disclosures (HIV/AIDSD) in online annual reports by 200 listed companies from 10 African countries for the year ending 2006. Descriptive statistics reveal a very low level of overall HIV/AIDSD practices with a mean of 6 per cent disclosure, with half (100 out of 200) of the African companies making no disclosures at all. Logistic regression analysis reveals that company size and country are highly significant predictors of any disclosure of HIV/AIDS in annual reports. Profitability is also statistically significantly associated with the extent of disclosure.

  14. Research Perspectives on African Education and the Informal Sector.

    ERIC Educational Resources Information Center

    Honig, Benson

    This paper is concerned with the human capital theory of education as it is employed in designing, justifying, and funding African educational programs. According to this theory, where the most measurable and direct relationships between the world of work and that of school are purported to exist, those individuals who invest in education are…

  15. Preparing Nursing Homes for the Future of Health Information Exchange

    PubMed Central

    Rantz, M.; Galambos, C.; Vogelsmeier, A.; Flesner, M.; Popejoy, L.; Mueller, J.; Shumate, S.; Elvin, M.

    2015-01-01

    Summary Objective Our purpose was to describe how we prepared 16 nursing homes (NHs) for health information exchange (HIE) implementation. Background NH HIE connecting internal and external stakeholders are in their infancy. U.S. initiatives are demonstrating HIE use to increase access and securely exchange personal health information to improve patient outcomes. Method To achieve our objectives we conducted readiness assessments, performed 32 hours of clinical observation and developed 6 use cases, and conducted semi-structured interviews with 230 participants during 68 site visits to validate use cases and explore HIE. Results All 16 NHs had technology available to support resident care. Resident care technologies were integrated much more with internal than external stakeholders. A wide range of technologies were accessible only during administrative office hours. Six non-emergent use cases most commonly communicated by NH staff were: 1) scheduling appointments, 2) Laboratory specimen drawing, 3) pharmacy orders and reconciliation, 4) social work discharge planning, 5) admissions and pre-admissions, and 6) pharmacy-medication reconciliation. Emerging themes from semi-structured interviews about use cases included: availability of information technology in clinical settings, accessibility of HIE at the point of care, and policies/procedures for sending/receiving secure personal health information. Conclusion We learned that every facility needed additional technological and human resources to build an HIE network. Also, use cases help clinical staff apply theoretical problems of HIE implementation and helps them think through the implications of using HIE to communicate about clinical care. PMID:26171073

  16. 40 CFR 22.19 - Prehearing information exchange; prehearing conference; other discovery.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... refused to provide voluntarily; and (iii) Seeks information that has significant probative value on a... promptly supplement or correct the exchange when the party learns that the information exchanged...

  17. What should we measure? Conceptualizing usage in health information exchange.

    PubMed

    Vest, Joshua R; Jasperson, Jon

    2010-01-01

    Under the provisions of the Health Information Technology for Economic & Clinical Health act providers need to demonstrate their 'meaningful use' of electronic health record systems' health information exchange (HIE) capability. HIE usage is not a simple construct, but the choice of its measurement must attend to the users, context, and objectives of the system being examined. This review examined how usage is reported in the existing literature and also what conceptualizations of usage might best reflect the nature and objectives of HIE. While existing literature on HIE usage included a diverse set of measures, most were theoretically weak, did not attend to the interplay of measure, level of analysis and architectural strategy, and did not reflect how HIE usage affected the actual process of care. Attention to these issues will provide greater insight into the effects of previously inaccessible information on medical decision-making and the process of care. PMID:20442148

  18. Information Exchange and Information Disclosure in Social Networking Web Sites: Mediating Role of Trust

    ERIC Educational Resources Information Center

    Mital, Monika; Israel, D.; Agarwal, Shailja

    2010-01-01

    Purpose: The purpose of this paper is to examine the mediating effect of trust on the relationship between the type of information exchange (IE) and information disclosure (ID) on social networking web sites (SNWs). Design/methodology/approach: Constructs were developed for type of IE and trust. To understand the mediating role of trust a…

  19. Consumer-mediated health information exchanges: the 2012 ACMI debate.

    PubMed

    Cimino, James J; Frisse, Mark E; Halamka, John; Sweeney, Latanya; Yasnoff, William

    2014-04-01

    The American College of Medical Informatics (ACMI) sponsors periodic debates during the American Medical Informatics Fall Symposium to highlight important informatics issues of broad interest. In 2012, a panel debated the following topic: "Resolved: Health Information Exchange Organizations Should Shift Their Principal Focus to Consumer-Mediated Exchange in Order to Facilitate the Rapid Development of Effective, Scalable, and Sustainable Health Information Infrastructure." Those supporting the proposition emphasized the need for consumer-controlled community repositories of electronic health records (health record banks) to address privacy, stakeholder cooperation, scalability, and sustainability. Those opposing the proposition emphasized that the current healthcare environment is so complex that development of consumer control will take time and that even then, consumers may not be able to mediate their information effectively. While privately each discussant recognizes that there are many sides to this complex issue, each followed the debater's tradition of taking an extreme position in order emphasize some of the polarizing aspects in the short time allotted them. In preparing this summary, we sought to convey the substance and spirit of the debate in printed form. Transcripts of the actual debate were edited for clarity, and appropriate supporting citations were added for the further edification of the reader.

  20. Information technology and knowledge exchange in health-care organizations.

    PubMed Central

    Vimarlund, V.; Timpka, T.; Patel, V. L.

    1999-01-01

    Despite the increasing global interest in information technology among health care institutions, little has been discussed about its importance for the effectiveness of knowledge management. In this study, economic theories are used to analyze and describe a theoretical framework for the use of information technology in the exchange of knowledge. The analyses show that health care institutions would benefit from developing global problem-solving collaboration, which allows practitioners to exchange knowledge unrestricted by time and geographical barriers. The use of information technology for vertical integration of health-care institutions would reduce knowledge transaction costs, i.e. decrease costs for negotiating and creating communication channels, and facilitating the determination of what, when, and how to produce knowledge. A global network would allow organizations to increase existing knowledge, and thus total productivity, while also supporting an environment where the generation of new ideas is unrestricted. Using all the intellectual potential of market actors and thereby releasing economic resources can reduce today's global budget conflicts in the public sector, i.e. the necessity to choose between health care services and, for instance, schools and support for the elderly. In conclusion, global collaboration and coordination would reduce the transaction costs inherent in knowledge administration and allow a more effective total use of scarce health-care resources. PMID:10566436

  1. Leader-Member Exchange Relationships in Health Information Management

    PubMed Central

    Hunt, T.J.

    2014-01-01

    This article seeks to raise awareness of the leader-member exchange (LMX) theory of leadership and its potential benefit to the health information management (HIM) profession. A literature review that was conducted identified a leadership challenge for HIM practitioners. The review also provides examples of leadership definitions, and potential benefits of LMX to HIM professionals in leading people and influencing leaders in their organizations. The LMX concept may be an avenue to investigate in preparing future and current HIM professionals for leadership. PMID:24808805

  2. HIE-i-health information exchange with intelligence.

    PubMed

    Nagykaldi, Zsolt J; Yeaman, Brian; Jones, Mark; Mold, James W; Scheid, Dewey C

    2014-01-01

    This article demonstrates the development and pilot testing of an innovative approach to implement health information exchange with intelligence (HIE-i) in primary care settings. Records of 346 patients were studied in 6 primary care practices. Clinical workflows were evaluated by time motion studies and observations. A viable and sustained HIE connection was adopted by primary care clinicians. Documentation and delivery of several preventive services, medication reconciliation, and workflow efficiency improved. The study was able to establish a sustained and effective HIE implementation. More research is needed to determine the clinical impact and sustainability of the HIE-i approach. PMID:24309392

  3. Leaf gas exchange in the frankincense tree (Boswellia papyrifera) of African dry woodlands.

    PubMed

    Mengistu, Tefera; Sterck, Frank J; Fetene, Masresha; Tadesse, Wubalem; Bongers, Frans

    2011-07-01

    A conceptual model was tested for explaining environmental and physiological effects on leaf gas exchange in the deciduous dry tropical woodland tree Boswellia papyrifera (Del.) Hochst. For this species we aimed at (i) understanding diurnal patterns in leaf gas exchange, (ii) exploring cause-effect relationships among external environment, internal physiology and leaf gas exchange, and (iii) exploring site differences in leaf gas exchange in response to environmental variables. Diurnal courses in gas exchange, underlying physiological traits and environmental variables were measured for 90 trees on consecutive days at two contrasting areas, one at high and the other at low altitude. Assimilation was highest in the morning and slightly decreased during the day. In contrast, transpiration increased from early morning to midday, mainly in response to an increasing vapor pressure deficit (VPD) and gradual stomatal closure. The leaf water potential varied relatively little and did not influence gas exchange during the measurement period. Our results suggest that the same cause-effect relationships function at contrasting areas. However, leaves at the higher altitude had higher photosynthetic capacity, reflecting acclimation to higher light levels. Trees at both areas nevertheless achieved similar leaf assimilation rates since assimilation was down-regulated by stomatal closure due to the higher VPD at the higher altitude, while it became more light limited at the lower altitude. Gas exchange was thus limited by a high VPD or low light levels during the wet season, despite the ability of the species to acclimate to different conditions.

  4. [Information exchange via internet--possibilities, limits, future].

    PubMed

    Schmiedl, S; Geishauser, M; Klöppel, M; Biemer, E

    1998-01-01

    Today, the exchange of information in the Internet is dominated by the WWW and e-mail. Discussion groups like mailing lists and newsgroups also permit communication in groups. Information retrieval becomes a crucial challenge in using the Internet. In the field of medicine, three more aspects are of special importance: privacy, legal requirements, and the necessity of transferring large amounts of data. For these problems, today's Internet doesn't provide a sufficient solution yet. Future developments will not only improve the existing services, but also lead to fundamental changes in the transfer technologies: Safer data transfer is to be ensured by new encrypting software together with the planned transfer protocol IPv6. Introducing the new transfer mode ATM will lead to better and resource saving transmission. Computer, telephone and TV networks will grow together, resulting in convergence of media.

  5. [Information exchange via internet--possibilities, limits, future].

    PubMed

    Schmiedl, S; Geishauser, M; Klöppel, M; Biemer, E

    1998-01-01

    Today, the exchange of information in the Internet is dominated by the WWW and e-mail. Discussion groups like mailing lists and newsgroups also permit communication in groups. Information retrieval becomes a crucial challenge in using the Internet. In the field of medicine, three more aspects are of special importance: privacy, legal requirements, and the necessity of transferring large amounts of data. For these problems, today's Internet doesn't provide a sufficient solution yet. Future developments will not only improve the existing services, but also lead to fundamental changes in the transfer technologies: Safer data transfer is to be ensured by new encrypting software together with the planned transfer protocol IPv6. Introducing the new transfer mode ATM will lead to better and resource saving transmission. Computer, telephone and TV networks will grow together, resulting in convergence of media. PMID:9931748

  6. [No exchange of information without technology : modern infrastructure in radiology].

    PubMed

    Hupperts, H; Hermann, K-G A

    2014-01-01

    Modern radiology cannot accomplish the daily numbers of examinations without supportive technology. Even though technology seems to be becoming increasingly more indispensable, business continuity should be ensured at any time and if necessary even with a limited technical infrastructure by business continuity management. An efficient information security management system forms the basis. The early radiology information systems were islands of information processing. A modern radiology department must be able to be modularly integrated into an informational network of a bigger organization. The secondary use of stored data for clinical decision-making support poses new challenges for the integrity of the data or systems because medical knowledge is displayed and provided in a context of treatment. In terms of imaging the creation and distribution radiology services work in a fully digital manner which is often different for radiology reports. Legally secure electronic diagnostic reports require a complex technical infrastructure; therefore, diagnostic findings still need to be filed as a paper document. The internal exchange and an improved dose management can be simplified by systems which continuously and automatically record the doses and thus provide the possibility of permanent analysis and reporting. Communication between patient and radiologist will gain ongoing importance. Intelligent use of technology will convey this to the radiologist and it will facilitate the understanding of the information by the patient.

  7. Agents Based e-Commerce and Securing Exchanged Information

    NASA Astrophysics Data System (ADS)

    Al-Jaljouli, Raja; Abawajy, Jemal

    Mobile agents have been implemented in e-Commerce to search and filter information of interest from electronic markets. When the information is very sensitive and critical, it is important to develop a novel security protocol that can efficiently protect the information from malicious tampering as well as unauthorized disclosure or at least detect any malicious act of intruders. In this chapter, we describe robust security techniques that ensure a sound security of information gathered throughout agent’s itinerary against various security attacks, as well as truncation attacks. A sound security protocol is described, which implements the various security techniques that would jointly prevent or at least detect any malicious act of intruders. We reason about the soundness of the protocol usingSymbolic Trace Analyzer (STA), a formal verification tool that is based on symbolic techniques. We analyze the protocol in key configurations and show that it is free of flaws. We also show that the protocol fulfils the various security requirements of exchanged information in MAS, including data-integrity, data-confidentiality, data-authenticity, origin confidentiality and data non-repudiability.

  8. The role of the OIE in information exchange and the control of animal diseases, including zoonoses.

    PubMed

    Poissonnier, C; Teissier, M

    2013-08-01

    The growing importance of animal diseases and zoonoses at a time when globalisation has increased movements of people, animals and animal products across the globe, has strengthened the role of the World Organisation for Animal Health (OIE) in animal disease control. The OIE's mandate since its establishment in 1924 has been to facilitate the exchange of public health, animal health and scientific information, and to further the control and eradication of animal diseases. The OIE is recognised by the World Trade Organization Agreement on the Application of Sanitary and Phytosanitary Measures as the international reference organisation for animal diseases and zoonoses, especially for standard setting. The standards adopted by the World Assembly of OIE Delegates on veterinary public health and animal health feature in the OlE Terrestrial Animal Health Code, the Aquatic Animal Health Code, the Manual of Diagnostic Tests and Vaccines for Terrestrial Animals and the Manual of Diagnostic Tests for Aquatic Animals. The OlE is also a reference organisation for the exchange of public and animal health information among Member Countries, through an information, reporting and warning system based on transparent communication between countries. The OIE provides scientific expertise in ascertaining countries' status with regard to notifiable diseases, enabling them to secure official recognition as being free from foot and mouth disease, African horse sickness, contagious bovine pleuropneumonia and bovine spongiform encephalopathy. The OIE also contributes its scientific expertise to stakeholder training on the surveillance and control of animal diseases and zoonoses and to the evaluation of the performance of Veterinary Services, to enhance theirwork asthe cornerstone of their countries' disease control efforts. PMID:24547648

  9. The role of the OIE in information exchange and the control of animal diseases, including zoonoses.

    PubMed

    Poissonnier, C; Teissier, M

    2013-08-01

    The growing importance of animal diseases and zoonoses at a time when globalisation has increased movements of people, animals and animal products across the globe, has strengthened the role of the World Organisation for Animal Health (OIE) in animal disease control. The OIE's mandate since its establishment in 1924 has been to facilitate the exchange of public health, animal health and scientific information, and to further the control and eradication of animal diseases. The OIE is recognised by the World Trade Organization Agreement on the Application of Sanitary and Phytosanitary Measures as the international reference organisation for animal diseases and zoonoses, especially for standard setting. The standards adopted by the World Assembly of OIE Delegates on veterinary public health and animal health feature in the OlE Terrestrial Animal Health Code, the Aquatic Animal Health Code, the Manual of Diagnostic Tests and Vaccines for Terrestrial Animals and the Manual of Diagnostic Tests for Aquatic Animals. The OlE is also a reference organisation for the exchange of public and animal health information among Member Countries, through an information, reporting and warning system based on transparent communication between countries. The OIE provides scientific expertise in ascertaining countries' status with regard to notifiable diseases, enabling them to secure official recognition as being free from foot and mouth disease, African horse sickness, contagious bovine pleuropneumonia and bovine spongiform encephalopathy. The OIE also contributes its scientific expertise to stakeholder training on the surveillance and control of animal diseases and zoonoses and to the evaluation of the performance of Veterinary Services, to enhance theirwork asthe cornerstone of their countries' disease control efforts.

  10. 22 CFR Appendix C to Part 62 - Update of Information on Exchange-Visitor Program Sponsor

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Update of Information on Exchange-Visitor Program Sponsor C Appendix C to Part 62 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Pt. 62, App. C Appendix C to Part 62—Update of Information on...

  11. 22 CFR Appendix C to Part 62 - Update of Information on Exchange-Visitor Program Sponsor

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Update of Information on Exchange-Visitor Program Sponsor C Appendix C to Part 62 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Pt. 62, App. C Appendix C to Part 62—Update of Information on...

  12. 22 CFR Appendix C to Part 62 - Update of Information on Exchange-Visitor Program Sponsor

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Update of Information on Exchange-Visitor Program Sponsor C Appendix C to Part 62 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Pt. 62, App. C Appendix C to Part 62—Update of Information on...

  13. 22 CFR Appendix C to Part 62 - Update of Information on Exchange-Visitor Program Sponsor

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Update of Information on Exchange-Visitor Program Sponsor C Appendix C to Part 62 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Pt. 62, App. C Appendix C to Part 62—Update of Information on...

  14. 22 CFR Appendix C to Part 62 - Update of Information on Exchange-Visitor Program Sponsor

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Update of Information on Exchange-Visitor Program Sponsor C Appendix C to Part 62 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Pt. 62, App. C Appendix C to Part 62—Update of Information on...

  15. 76 FR 2190 - 60-Day Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor (J-1) Status... of 1995. Title of Information Collection: Certificate of Eligibility for Exchange Visitor (J-1... the proper administration of the Exchange Visitor Program (J-Visa). Evaluate the accuracy of...

  16. Exploring Business Strategy in Health Information Exchange Organizations.

    PubMed

    Langabeer, James R; Champagne, Tiffany

    2016-01-01

    Unlike consumer goods industries, healthcare has been slow to implement technolo gies that support exchange of data in patients' health records. This results in avoid able medication errors, avoidable hospital readmissions, unnecessary duplicate testing, and other inefficient or wasteful practices. Community-based regional health information exchange (HIE) organizations have evolved in response to federal aims to encourage interoperability, yet little is known about their strategic approach. We use the lens of institutional and strategic management theories to empirically explore the differences in business strategies deployed in HIEs that are, to date, financially sustainable versus those that are not. We developed a 20-question survey targeted to CEOs to assess HIE business strategies. Our sample consisted of 60 community-based exchanges distributed throughout the United States, and we achieved a 58% response rate. Questions centered on competitive strategy and financial sustainability. We relied on logistic regression methods to explore relationships between variables. Our regression identified characteristics common to sustainable organizations. We defined sustainability as revenues exceeding operational costs. Seventeen of the 35 organizations (49%) defined themselves as currently sustainable. Focus and cost leadership strategies were significantly associated with sustainability. Growth strate gies, which were much more common than other strategies, were not associated with sustainability. We saw little evidence of a differentiation strategy (i.e., the basis of competition whereby the attributes of a product or service are unmatched by rivals). Most CEOs had a relatively optimistic outlook, with 60% stating they were confident of surviving over the next 5 years; however, nearly 9% of the organizations were in some phase of divestiture or exit from the market. HIEs are evolving differently based on local leadership decisions, yet their strategic approach is

  17. Exploring Business Strategy in Health Information Exchange Organizations.

    PubMed

    Langabeer, James R; Champagne, Tiffany

    2016-01-01

    Unlike consumer goods industries, healthcare has been slow to implement technolo gies that support exchange of data in patients' health records. This results in avoid able medication errors, avoidable hospital readmissions, unnecessary duplicate testing, and other inefficient or wasteful practices. Community-based regional health information exchange (HIE) organizations have evolved in response to federal aims to encourage interoperability, yet little is known about their strategic approach. We use the lens of institutional and strategic management theories to empirically explore the differences in business strategies deployed in HIEs that are, to date, financially sustainable versus those that are not. We developed a 20-question survey targeted to CEOs to assess HIE business strategies. Our sample consisted of 60 community-based exchanges distributed throughout the United States, and we achieved a 58% response rate. Questions centered on competitive strategy and financial sustainability. We relied on logistic regression methods to explore relationships between variables. Our regression identified characteristics common to sustainable organizations. We defined sustainability as revenues exceeding operational costs. Seventeen of the 35 organizations (49%) defined themselves as currently sustainable. Focus and cost leadership strategies were significantly associated with sustainability. Growth strate gies, which were much more common than other strategies, were not associated with sustainability. We saw little evidence of a differentiation strategy (i.e., the basis of competition whereby the attributes of a product or service are unmatched by rivals). Most CEOs had a relatively optimistic outlook, with 60% stating they were confident of surviving over the next 5 years; however, nearly 9% of the organizations were in some phase of divestiture or exit from the market. HIEs are evolving differently based on local leadership decisions, yet their strategic approach is

  18. Communicating Effectively About Clinical Trials With African American Communities: A Comparison of African American and White Information Sources and Needs.

    PubMed

    Tanner, Andrea; Bergeron, Caroline D; Zheng, Yue; Friedman, Daniela B; Kim, Sei-Hill; Foster, Caroline B

    2016-03-01

    Clinical trial (CT) participation is low among African Americans (AAs). To better communicate with AAs about the importance of CTs, the purpose of this study was to explore the communication sources and perceived effective communication channels and strategies through which the general public, AAs, and White individuals receive CT information. A quantitative telephone survey was conducted with AAs and Whites in one Southern state (N = 511). The measures assessed CT sources of information, perceived effectiveness of communication channels and strategies, CT understanding, and CT participation. Descriptive and bivariate analyses were used to compare responses overall and by race. AAs reported being exposed to more CT information than Whites. AAs received CT information most often through television, social media, and doctors compared to Whites. Perceived effectiveness of communication strategies and channels varied by race. AAs preferred simple and easy-to-understand CT information distributed through faith-based organizations. Whites preferred to receive CT information through a trustworthy source (e.g., doctor). There were no significant differences between AAs and Whites in their perceived effectiveness of media sources (e.g., Internet). Recommendations are provided to help health promotion practitioners and CT recruiters tailor information and communicate it effectively to potential AA and White CT participants. PMID:26715695

  19. Informal Learning in Science, Math, and Engineering Majors for African American Female Undergraduates

    ERIC Educational Resources Information Center

    McPherson, Ezella

    2014-01-01

    This research investigates how eight undergraduate African American women in science, math, and engineering (SME) majors accessed cultural capital and informal science learning opportunities from preschool to college. It uses the multiple case study methodological approach and cultural capital as frameworks to better understand the participants'…

  20. Discovering Africa through Internet-Based Geographic Information Systems: A Pan-African Summit Simulation

    ERIC Educational Resources Information Center

    Milson, Andrew J.; Gilbert, Kathleen M.; Earle, Brian D.

    2007-01-01

    In the United States, people get very little news about Africa, and what news they do get is about war or famine, with little historical information or context. In this article, the authors describe how they developed and implemented a Pan-African Summit simulation project in order to give their approximately 100, 9th-grade students (in five World…

  1. The impact of land use on the net ecosystem CO2 exchanges in the West African Sudanian Savannas

    NASA Astrophysics Data System (ADS)

    Mauder, Matthias; Quansah, Emmanuel; Annor, Thompson; Balogun, Ahmed A.; Amekudzi, Leonard K.; Bliefernicht, Jan; Heinzeller, Dominikus; Kunstmann, Harald

    2016-04-01

    The land surface in West Africa has been considerably changed within the past decade due to various anthropogenic measures such as an increased agricultural activity. However, the impact of these land use changes on land-atmosphere exchange processes such as net ecosystems exchange is not well known for this highly vulnerable region. To tackle this problem, the effects of land use on the net ecosystem exchange of CO2 (NEE) along a transect of three contrasting ecosystems have been investigated on seasonal and annual time scales using the Eddy Covariance method. The ecosystems were grassland (GL), a mixture of fallow and cropland (CR) in the Upper East Region of Ghana, and a nature reserve (NR) near Pô in the Nahouri Province of Burkina Faso. The results for January to December 2013 showed that the ecosystems of the three sites served as net sinks of CO2 during the rainy season (May to October) and net sources of CO2 during the dry season (November to April). However, NR was a net sink of CO2 during the wet to dry transition period (November to December). On an annual timescale, only NR served as a net sink of CO2 from the atmosphere into the ecosystem, while the others were net sources of CO2 into the atmosphere. Furthermore, the study revealed that the three contrasting ecosystems responded to environmental and physiological factors based on the ecosystem functional types. This suggests that land use and land use management may play a significant role in the diurnal to annual sequestration and efflux patterns of NEE and its composite fluxes, gross primary production (GPP) and ecosystem respiration (ER), over the West African Sudanian Savannas.

  2. Secure Information Exchange Gateway for Electric Grid Operations

    SciTech Connect

    Robertson, F. Russell; Carroll, J. Ritchie; Sanders, William; Yardley, Timothy; Heine, Erich; Hadley, Mark; McKinnon, David; Motteler, Barbara; Giri, Jay; Walker, William; McCartha, Esrick

    2014-09-30

    The major objectives of the SIEGate project were to improve the security posture and minimize the cyber-attack surface of electric utility control centers and to reduce the cost of maintaining control-room-to-control-room information exchange. Major project goals included the design, development, testing, and commercialization of a single security-hardened appliance that could meet industry needs for resisting cyber-attacks while protecting the confidentiality and integrity of a growing volume of real-time information needed to ensure the reliability of the bulk electric system and interoperating with existing data formats and networking technologies. The SIEGate project has achieved its goals and objectives. The SIEGate Design Document, issued in March 2012, presented SIEGate use cases, provided SIEGate requirements, established SIEGate design principles, and prescribed design functionality of SIEGate as well as the components that make up SIEGate. SIEGate Release Version 1.0 was posted in January 2014. Release Version 1.0.83, which was posted on March 28, 2014, fixed many issues discovered by early adopters and added several new features. Release Candidate 1.1, which added additional improvements and bug fixes, was posted in June 2014. SIEGate executables have been downloaded more than 300 times. SIEGate has been tested at PJM, Entergy, TVA, and Southern. Security testing and analysis of SIEGate has been conducted at PNNL and PJM. Alstom has provided a summary of recommended steps for commercialization of the SIEGate Appliance and identified two deployment models with immediate commercial application.

  3. Informing cancer prevention strategies for African Americans: the relationship of African American acculturation to fruit, vegetable, and fat intake.

    PubMed

    Ard, Jamy D; Skinner, Celette Sugg; Chen, Chuhe; Aickin, Mikel; Svetkey, Laura P

    2005-06-01

    Acculturation has been associated with health-related behaviors in African Americans. We sought to determine if there is a relationship between acculturation and dietary intake in African Americans. African Americans in the PREMIER trial completed the African American Acculturation Scale (AAAS) and 2 nonconsecutive 24-h dietary recalls (n = 238). Analysis of variance (ANOVA) and canonical correlation were used to assess relationships between acculturation and dietary intakes. Canonical correlation (p = 0.05) showed that traditional African Americans had lower intakes of fruits/vegetables and milk/dairy with higher intakes of fats, meat, and nuts. This pattern was supported by differences in the ANOVA. African American acculturation is related to dietary intake. These findings have implications for the design of cancer-related public health messages targeted to African Americans. PMID:16015458

  4. Health Information Seeking Among Rural African Americans, Caucasians, and Hispanics: It Is Built, Did They Come?

    PubMed

    Powe, Barbara D

    2015-09-01

    This cross-sectional study examines health information-seeking behaviors and access to and use of technology among rural African Americans, Caucasians, and Hispanics. There was a low level of health information seeking across the sample. Few used smartphones or tablets and did not endorse receiving health information from their health care provider by e-mail. Printed materials remained a source of health information as did friends and family. Information should be shared using multiple platforms including more passive methods such as television and radio. More research is needed to ensure the health literacy, numeracy, and ability to navigate the online environment. PMID:26333608

  5. 77 FR 477 - Agency Information Collection Activities: Rules Relating to Regulation of Domestic Exchange...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-05

    ... COMMISSION Agency Information Collection Activities: Rules Relating to Regulation of Domestic Exchange-Traded...., permitting electronic submission of responses. Rules Relating to Regulation of Domestic Exchange-Traded... solicits comments on rules related to risk disclosure concerning exchange traded commodity options....

  6. 76 FR 24956 - 30-Day Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

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

  7. 77 FR 50757 - 60-Day Notice of Proposed Information Collection: Exchange Visitor Program Participant Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-22

    ... Notice of Proposed Information Collection: Exchange Visitor Program Participant Survey--Summer Work... Collection: Exchange Visitor Program Participant Survey--Summer Work Travel Program. OMB Control Number: None.... Form Number: SV 2012-0004. Respondents: Exchange Visitor Program participants in the Summer Work...

  8. Health information exchange improves identification of frequent emergency department users.

    PubMed

    Shapiro, Jason S; Johnson, Sarah A; Angiollilo, John; Fleischman, William; Onyile, Arit; Kuperman, Gilad

    2013-12-01

    We hypothesized that using communitywide data from a health information exchange (HIE) could improve the ability to identify frequent emergency department (ED) users-those with four or more ED visits in thirty days-by allowing ED use to be measured across unaffiliated hospitals. When we analyzed HIE-wide data instead of site-specific data, we identified 20.3 percent more frequent ED users (5,756 versus 4,785) and 16.0 percent more visits by them to the ED (53,031 versus 45,771). Additionally, we found that 28.8 percent of frequent ED users visited multiple EDs during the twelve-month study period, versus 3.0 percent of all ED users. All three differences were significant ($$p ). An improved ability to identify frequent ED users allows better targeting of case management and other services that can improve frequent ED users' health and reduce their use of costly emergency medical services.

  9. Fish as a proxy for African paleogeography: results from both extant and fossil taxa and prospects to constrain faunal exchange pathway through time

    NASA Astrophysics Data System (ADS)

    Otero, Olga; Joordens, Josephine; Dettai, Agnès; Christ, Leemans; Pinton, Aurélie

    2016-04-01

    reveal ancient distributions. The further we are going back in time the more they will constitute most of or the whole relevant sample. Our results also suggest that information on the (paleo)ecology of the fish provides useful data notably to qualify the aquatic systems that have prevailed at the time of connection between basins. So, changes in basin geomorphology constrain fish evolution, and thus we are able to reconstruct and date these changes thanks to fish evolution studies. Since it is widely agreed that the identification of corridors and barriers is critical to understand faunal exchange, we are convinced that for each case study, we can identify the fish (either fossil or extant) that will provide a relevant "geomorphological model". To validate this approach, our current project aims to identify the exchange corridor that may have intermittently existed between the Chad and Turkana basins during the last 3 million years [6]. These corridors may have constituted possible pathways for interbasinal exchange of large mammals at a key time period of Australopithecine evolution. We will end our presentation with preliminary results concerning phylogeography of the extant catfish Synodontis schall, one of our three model species. [1] Pinton A., Otero O. in progress - How much do fish distribution depend on drainage system history? the case study of continental Africa. [2] Pinton A., Agnèse J.F., Paugy D., Otero O. 2013 - A large-scale phylogeny of Synodontis (Mochokidae, Siluriformes) reveals the influence of geological events on continental diversity during the Cenozoic. Molecular Phylogenetics and Evolution, 66 (2013): 1027-1040. [3] Otero O. 2011 - Current knowledge and new assumptions on the evolutionary history of the African lungfish, Protopterus, based on a review of its fossil record. Fish & Fisheries, 2011(12): 235-255. [4] Otero O., Pinton A., Mackaye H.T., Likius A., Vignaud P., Brunet M. 2009 - Fishes and palaeogeography of the African drainage basins

  10. Towards systematic information exchange and reuse in e-laboratories

    NASA Astrophysics Data System (ADS)

    Missier, P.; Goble, C.; de Roure, D.

    2009-12-01

    In many disciplines of sciences, technology advances in data acquisition and processing are progressively reducing the cost of producing scientific information. At the same time, the consequent proliferation of available information on a large scale poses a number of problems regarding its preservation, controlled dissemination, and reuse. While all of these areas involve interesting data management challenges, we believe that the latter two also present an opportunity for new and interesting experiments on the nature of social interactions within scientific communities. As part of its ongoing contributions in the area of cyberinfrastructure for science, the myGrid consortium (University of Manchester and University of Southampton, UK) has recently created a social networking environment, called myExperiment, where such experiments can be conducted. For the past year, myExperiment has successfully challenged the notion that scientists are reluctant to share their knowledge with their peers: the site has so far collected over a thousand artifacts, both data and processes (specifications of scientific workflows used in actual practice) from over 100 contributors, with about 2,500 registered users. We are now testing the idea that information-centric scientific interaction can be modelled around the notion of "research objects". These are compound units of information that are self-consistent, in that they aggregate data that is logically related, and that can be exchanged among peers using well-defined formats and protocols. An example is a compound that contains (i) the formal and executable specification of an experiment, encoded as a workflow; (semantic) annotations that formally describe attribution and derivation properties of the experiment; (ii) test cases with sample inputs and expected outputs; (iii) a provenance trace with the details on some past execution that led to interesting results; and possibly more related components, depending on the intended type

  11. Sexual Health Information Networks: What are Urban African American Youth Learning?

    PubMed Central

    Dolcini, M. Margaret; Catania, Joseph A.; Harper, Gary W.; Boyer, Cherrie B.; Richards, Kimberly A. M.

    2012-01-01

    This qualitative study examined sexual health information networks among urban African American youth living in low-income communities. The authors identified sources, message content, and utility of messages about sex and sexual health in a sample of 15–17-year olds (N = 81). Youth received sexual health information from a variety of sources. Messages from parents and sex education had high utility, whereas messages from the Internet and religion had low utility. Four information network patterns were identified, suggesting considerable variation in how youth are socialized regarding sex. Findings suggest that sexual information networks have the potential to affect sexual health and development. PMID:22505842

  12. The role of North African rivers in driving Mediterranean-Atlantic exchange

    NASA Astrophysics Data System (ADS)

    Flecker, Rachel; Marzocchi, Alice; van der Schee, Marlies; Meijer, Paul; Lofi, Johanna; Lunt, Dan

    2014-05-01

    The main driver for exchange through the Gibraltar Strait today is the density contrast between Mediterranean and Atlantic water. Mediterranean water is more saline than Atlantic water because the amount of water the Mediterranean loses through evaporation exceeds both precipitation and freshwater input from rivers. This means it has a negative hydrologic budget. In the Late Miocene however, a very large river known as the Esohabi River drained across North Africa and had its mouth in the Gulf of Sirt. This river was sourced in palaeo-Lake Chad and was strongly influenced by precession-driven monsoonal rainfall. Multiple General Circulation Model simulations through a single precessional cycle indicate that river water may only have reached the Mediterranean in significant quantities in summer during particular orbital configurations e.g. precession minima combined with eccentricity maxima. However, during high amplitude eccentricity maxima, the volume of water supplied through the Esohabi and Nile rivers may have been sufficient to switch the hydrologic budget from negative to positive. In doing so, the fresh water supply should have reduced the salinity of the Mediterranean and consequently the density contrast with adjacent Atlantic water leading to a reduction in exchange. In this presentation we explore the evidence for the timing and nature of freshwater input to the Mediterranean from North Africa. We also consider how relevant this freshwater flux may be in determining some of the major environmental and sedimentological changes in the Late Miocene to early Pliocene including some of the salinity changes that occurred during the Messinian Salinity Crisis.

  13. Challenges Facing Adoption of Information Communication Technology in African Universities

    ERIC Educational Resources Information Center

    Murgor, Titus Kiptoo

    2015-01-01

    A significant number of the universities and higher educational institutions have adopted the latest technology and implemented it productively, for the development of skilled human resource in respective area of specialization, as part of their responsibility. Information and communication Technology (ICT) has grown tremendously around the globe…

  14. Group Awareness and Self-Presentation in Computer-Supported Information Exchange

    ERIC Educational Resources Information Center

    Kimmerle, Joachim; Cress, Ulrike

    2008-01-01

    A common challenge in many situations of computer-supported collaborative learning is increasing the willingness of those involved to share their knowledge with other group members. As a prototypical situation of computer-supported information exchange, a shared-database setting was chosen for the current study. This information-exchange situation…

  15. Information Exchange Procedures Manual (Field Review Edition): A Synopsis. Technical Report No. 46.

    ERIC Educational Resources Information Center

    Romney, Leonard C.

    The purpose of the Information Exchange Procedures (IEP) projects is to create among higher education institutions the capability for exchanging and reporting that information, both financial and otherwise, necessary to calculate and evaluate costs (1) by discipline and course level and (2) by student program and student level. Most uses of…

  16. 77 FR 5778 - Agency Information Collection Activities: Rules Relating to Regulation of Domestic Exchange...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... COMMISSION Agency Information Collection Activities: Rules Relating to Regulation of Domestic Exchange-Traded... extension of the collection. The collection covers rules related to risk disclosure concerning exchange... INFORMATION: In the notice of Extension of an Existing Collection, FR Doc. 2011-33841, on page 477 in...

  17. 75 FR 66413 - 30-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-28

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

  18. 75 FR 25025 - 60-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration, DS-7006 ACTION... Collection: Exchange Programs Alumni Web site Registration. OMB Control Number: None. Type of Request... collection: The State Alumni Web site requires information to process users' voluntary request...

  19. 78 FR 40820 - 60-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration ACTION: Notice.... ADDRESSES: You may submit comments by any of the following methods: Web: Persons with access to the Internet... of Information Collection: Exchange Programs Alumni Web site Registration OMB Control Number:...

  20. Tweeting the Friendly Skies: Investigating Information Exchange among Twitter Users about Airlines

    ERIC Educational Resources Information Center

    Sreenivasan, Nirupama Dharmavaram; Lee, Chei Sian; Goh, Dion Hoe-Lian

    2012-01-01

    Purpose: The purpose of this study is to investigate airline users' microblog postings pertaining to their travel-related information exchange so as to assess their wants, preferences and feedback about airline products and services. Examining such real-time information exchange is important as users rely on this for various purposes such as…

  1. From the Office of the National Coordinator: the strategy for advancing the exchange of health information.

    PubMed

    Williams, Claudia; Mostashari, Farzad; Mertz, Kory; Hogin, Emily; Atwal, Parmeeth

    2012-03-01

    Electronic health information exchange addresses a critical need in the US health care system to have information follow patients to support patient care. Today little information is shared electronically, leaving doctors without the information they need to provide the best care. With payment reforms providing a strong business driver, the demand for health information exchange is poised to grow. The Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, has led the process of establishing the essential building blocks that will support health information exchange. Over the coming year, this office will develop additional policies and standards that will make information exchange easier and cheaper and facilitate its use on a broader scale.

  2. From the Office of the National Coordinator: the strategy for advancing the exchange of health information.

    PubMed

    Williams, Claudia; Mostashari, Farzad; Mertz, Kory; Hogin, Emily; Atwal, Parmeeth

    2012-03-01

    Electronic health information exchange addresses a critical need in the US health care system to have information follow patients to support patient care. Today little information is shared electronically, leaving doctors without the information they need to provide the best care. With payment reforms providing a strong business driver, the demand for health information exchange is poised to grow. The Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, has led the process of establishing the essential building blocks that will support health information exchange. Over the coming year, this office will develop additional policies and standards that will make information exchange easier and cheaper and facilitate its use on a broader scale. PMID:22392663

  3. National-scale clinical information exchange in the United Kingdom: lessons for the United States

    PubMed Central

    Detmer, Don E; Wyatt, Jeremy C; Buchan, Iain E

    2010-01-01

    Over the last four decades, the UK has made large investments in healthcare information technology. The authors conducted interviews and reviewed published and unpublished documents to describe national-scale clinical information exchange in England, how it was achieved, and the problems experienced that the USA might avoid. Clinical information exchange in the UK was accomplished by establishing a foundation of policy, infrastructure, and systems of care, by creating and acquiring clinical computing applications and with strong use of financial and clinical incentives. Many software and hardware vendors played a part in this effort; they participated in a national framework created by the NHS in which standards for exchange are specified and their applications designed to make clinical information exchange part of normal practice. Great potential exists for cost reduction, increased safety, and greater patient involvement as a result of clinical information exchange. PMID:21134976

  4. Willingness to Exchange Health Information via Mobile Devices: Findings From a Population-Based Survey

    PubMed Central

    Serrano, Katrina J.; Yu, Mandi; Riley, William T.; Patel, Vaishali; Hughes, Penelope; Marchesini, Kathryn; Atienza, Audie A.

    2016-01-01

    PURPOSE The rapid proliferation of mobile devices offers unprecedented opportunities for patients and health care professionals to exchange health information electronically, but little is known about patients’ willingness to exchange various types of health information using these devices. We examined willingness to exchange different types of health information via mobile devices, and assessed whether sociodemographic characteristics and trust in clinicians were associated with willingness in a nationally representative sample. METHODS We analyzed data for 3,165 patients captured in the 2013 Health Information National Trends Survey. Multinomial logistic regression analysis was conducted to test differences in willingness. Ordinal logistic regression analysis assessed correlates of willingness to exchange 9 types of information separately. RESULTS Participants were very willing to exchange appointment reminders (odds ratio [OR] = 6.66; 95% CI, 5.68–7.81), general health tips (OR = 2.03; 95% CI, 1.74–2.38), medication reminders (OR = 2.73; 95% CI, 2.35–3.19), laboratory/test results (OR = 1.76; 95% CI, 1.62–1.92), vital signs (OR = 1.63; 95% CI, 1.48–1.80), lifestyle behaviors (OR = 1.40; 95% CI, 1.24–1.58), and symptoms (OR = 1.62; 95% CI, 1.46–1.79) as compared with diagnostic information. Older adults had lower odds of being more willing to exchange any type of information. Education, income, and trust in health care professional information correlated with willingness to exchange certain types of information. CONCLUSIONS Respondents were less willing to exchange via mobile devices information that may be considered sensitive or complex. Age, socioeconomic factors, and trust in professional information were associated with willingness to engage in mobile health information exchange. Both information type and demographic group should be considered when developing and tailoring mobile technologies for patient-clinician communication. PMID:26755781

  5. VP2 Exchange and NS3/NS3a Deletion in African Horse Sickness Virus (AHSV) in Development of Disabled Infectious Single Animal Vaccine Candidates for AHSV

    PubMed Central

    van de Water, Sandra G. P.; van Gennip, René G. P.; Potgieter, Christiaan A.; Wright, Isabel M.

    2015-01-01

    ABSTRACT African horse sickness virus (AHSV) is a virus species in the genus Orbivirus of the family Reoviridae. There are nine serotypes of AHSV showing different levels of cross neutralization. AHSV is transmitted by species of Culicoides biting midges and causes African horse sickness (AHS) in equids, with a mortality rate of up to 95% in naive horses. AHS has become a serious threat for countries outside Africa, since endemic Culicoides species in moderate climates appear to be competent vectors for the related bluetongue virus (BTV). To control AHS, live-attenuated vaccines (LAVs) are used in Africa. We used reverse genetics to generate “synthetic” reassortants of AHSV for all nine serotypes by exchange of genome segment 2 (Seg-2). This segment encodes VP2, which is the serotype-determining protein and the dominant target for neutralizing antibodies. Single Seg-2 AHSV reassortants showed similar cytopathogenic effects in mammalian cells but displayed different growth kinetics. Reverse genetics for AHSV was also used to study Seg-10 expressing NS3/NS3a proteins. We demonstrated that NS3/NS3a proteins are not essential for AHSV replication in vitro. NS3/NS3a of AHSV is, however, involved in the cytopathogenic effect in mammalian cells and is very important for virus release from cultured insect cells in particular. Similar to the concept of the bluetongue disabled infectious single animal (BT DISA) vaccine platform, an AHS DISA vaccine platform lacking NS3/NS3a expression was developed. Using exchange of genome segment 2 encoding VP2 protein (Seg-2[VP2]), we will be able to develop AHS DISA vaccine candidates for all current AHSV serotypes. IMPORTANCE African horse sickness virus is transmitted by species of Culicoides biting midges and causes African horse sickness in equids, with a mortality rate of up to 95% in naive horses. African horse sickness has become a serious threat for countries outside Africa, since endemic Culicoides species in moderate

  6. Regional Exchanges of Information through Intermediate Linkages Affiliated with SEAs: The Research and Development Exchange (RDx).

    ERIC Educational Resources Information Center

    Kronkosky, Preston C.

    The Research and Development Exchange (RDx) is a network of eight regional educational laboratories, one university-based research and development center, and a consortium of seven state education agencies working to support state and local school improvement efforts. The RDx has four goals, designed to support dissemination and school improvement…

  7. Health information technology use and health literacy among community-dwelling African Americans.

    PubMed

    McCleary-Jones, Voncella; Scheideman-Miller, Cynthia; Rev Dorn, James A; Johnson, Birdie; Overall, Mary; Dwyer, Kathleen

    2013-01-01

    The purpose of this descriptive, cross-sectional study of African Americans was to determine the purpose and levels of health information technology (IT) use, health literacy [HL] levels, and to explore the relationship between health IT usage and HL levels. Study participants (N = 88) resided in zip codes with low wellness scores. Participants had adequate HL levels, 83% owned a computer, 65% used the Internet to access health information, those with higher education levels were more likely to use a computer to access health information, those with lower HL levels did not use a computer to access health information or to store personal health information. Participants [77%] indicated they would be willing to use a computer-based program to store their personal health information; however, concerns related to privacy were cited. Findings obtained are useful for planning and implementing health IT programs among this population to enhance health outcomes.

  8. Ancestry informative marker panels for African Americans based on subsets of commercially available SNP arrays.

    PubMed

    Tandon, Arti; Patterson, Nick; Reich, David

    2011-01-01

    Admixture mapping is a widely used method for localizing disease genes in African Americans. Most current methods for inferring ancestry at each locus in the genome use a few thousand single nucleotide polymorphisms (SNPs) that are very different in frequency between West Africans and European Americans, and that are required to not be in linkage disequilibrium in the ancestral populations. Modern SNP arrays provide data on hundreds of thousands of SNPs per sample, and to use these to infer ancestry, using many of the standard methods, it is necessary to choose subsets of the SNPs for analysis. Here we present panels of about 4,300 ancestry informative markers (AIMs) that are subsets respectively of SNPs on the Illumina 1 M, Illumina 650, Illumina 610, Affymetrix 6.0 and Affymetrix 5.0 arrays. To validate the usefulness of these panels, we applied them to samples that are different from the ones used to select the SNPs. The panels provide about 80% of the maximum information about African or European ancestry, even with up to 10% missing data.

  9. Patterns of information behavior and prostate cancer knowledge among African-American men.

    PubMed

    Ross, Levi; Dark, Tyra; Orom, Heather; Underwood, Willie; Anderson-Lewis, Charkarra; Johnson, Jarrett; Erwin, Deborah O

    2011-12-01

    The purposes of this study are to explore cancer information acquisition patterns among African-American men and to evaluate relationships between information acquisition patterns and prostate cancer prevention and control knowledge. A random sample of 268 men participated in a statewide interviewer-administered, telephone survey. Men classified as non-seekers, non-medical source seekers, and medical source seekers of prostate cancer information differed on household income, level of education, and beliefs about personal risk for developing prostate cancer. Results from multiple regression analysis indicated that age, education, and information-seeking status were associated with overall levels of prostate cancer knowledge. Results from logistic regression analyses indicated that men who included physicians as one of many information resources (medical source seekers) had superior knowledge over non-seekers and non-medical source seekers on 33% of individual knowledge details. The findings emphasize the need to connect lower-income and lower-educated African-American men to physicians as a source of prostate cancer control information.

  10. 47 CFR 36.613 - Submission of information by the National Exchange Carrier Association.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Submission of information by the National... Universal Service Fund Data Collection § 36.613 Submission of information by the National Exchange Carrier... Commission and Administrator the information listed below. Information filed with the Commission shall...

  11. 49 CFR 388.4 - Exchange of information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... information to State. Information that comes to the attention of an employee of the Federal Motor Carrier... Motor Carrier Safety Administration. Information that comes to the attention of a duly authorized...

  12. 49 CFR 388.4 - Exchange of information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... information to State. Information that comes to the attention of an employee of the Federal Motor Carrier... Motor Carrier Safety Administration. Information that comes to the attention of a duly authorized...

  13. 49 CFR 388.4 - Exchange of information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... information to State. Information that comes to the attention of an employee of the Federal Motor Carrier... Motor Carrier Safety Administration. Information that comes to the attention of a duly authorized...

  14. Impediments to the adoption of alternative sewerage in South African urban informal settlements.

    PubMed

    Ashipala, N; Armitage, N P

    2011-01-01

    In recent decades South Africa has witnessed a substantial growth in its urban population. This growth has been accompanied by the mushrooming of informal settlements (shantytowns) flanking more formal development. The lack of adequate urban drainage in many of these informal settlements has resulted in extremely polluted environments which add to the disease burden of the poor people who live there. In many instances, informal settlements in South Africa are established on marginal land that is inherently difficult to service using conventional gravity sewerage. International experience has shown that various alternative wastewater collection systems may present more appropriate ways of providing water-borne sewerage in areas that are difficult to service by conventional means. Alternative sewerage schemes have however had a poor record of success in South African informal settlements - primarily stemming from the implementing agencies' failure to adequately address various social and institutional factors. In this paper, a review of South African experiences with simplified sewerage, settled sewerage and vacuum sewerage in urban informal settlements is used to highlight the key constraints that currently impede the application of these technologies.

  15. African American perspectives: A qualitative study of an informal science enrichment program

    NASA Astrophysics Data System (ADS)

    Simpson, Jamila Rashida

    The purposes of this study were to determine what program characteristics African American parents consider when they enroll their children into an informal science education enrichment program, the parents' evaluation of a program called Jordan Academy in which they enrolled their children, and the alignment of the parents' perspectives with Black Cultural Ethos (BCE). BCE refers to nine dimensions posited by Wade Boykin, a psychologist, as comprising African American culture. Participants were parents of students that attended Jordan Academy, an informal science enrichment program designed for third through sixth grade students from underserved populations. Qualitative methodologies were utilized to perform a thorough assessment of parents' perspectives. Data sources included classroom observations, student surveys, academy curriculum, photos and video-taped class sessions. Data included teachers and parents' responses to semi-structured, audio recorded interviews and students' written responses to open-ended items on the program's evaluation instrument. The data were analyzed for themes and the findings compared to Black Cultural Ethos. Findings revealed that the participants believed that informal science education offered their children opportunities not realized in the formal school setting - a means of impacting their children holistically. The parents expressed the academic, cultural, and personal development of their children in their characterizations of the ideal informal science education experience and in their evaluations of Jordan Academy. Overall, the parents' views emphasized the BCE values of harmony, affect, verve, movement, orality and communalism. The study has important implications for practices within and research on informal science education.

  16. Impediments to the adoption of alternative sewerage in South African urban informal settlements.

    PubMed

    Ashipala, N; Armitage, N P

    2011-01-01

    In recent decades South Africa has witnessed a substantial growth in its urban population. This growth has been accompanied by the mushrooming of informal settlements (shantytowns) flanking more formal development. The lack of adequate urban drainage in many of these informal settlements has resulted in extremely polluted environments which add to the disease burden of the poor people who live there. In many instances, informal settlements in South Africa are established on marginal land that is inherently difficult to service using conventional gravity sewerage. International experience has shown that various alternative wastewater collection systems may present more appropriate ways of providing water-borne sewerage in areas that are difficult to service by conventional means. Alternative sewerage schemes have however had a poor record of success in South African informal settlements - primarily stemming from the implementing agencies' failure to adequately address various social and institutional factors. In this paper, a review of South African experiences with simplified sewerage, settled sewerage and vacuum sewerage in urban informal settlements is used to highlight the key constraints that currently impede the application of these technologies. PMID:22020469

  17. [Service Middleware of Medical Information Integration and Exchange Based on HL7 and DICOM].

    PubMed

    Huang, Mian; Liu, Lijun; Xiong, Xin; Fan, Hongbo; Jia, Lianyin; Tang, Shouguo

    2015-08-01

    Medical information exchange and integration is the effective method to solve the interoperability and medical information island, and is the basis of medical information sharing. In this paper, we take medical texts and medical images as the basic integrated objects, DICOM, HL7 messages and datasets as the integrated units, efficient DI-COM, HL7 message construction and parsing methods as basis, design and realize a universal medical information integration and exchange service middleware. Experimental results show that the prototype system could perform medical information integration and exchange among relational database, HL7 and DICOM message, provide a feasible scheme to solve the medical information island and lay a good foundation for establishing the unified medical information integration and sharing platform. The middleware has been applied in the project named "development and demonstration of opened medical information integration system".

  18. Creating sustainable local health information exchanges: can barriers to stakeholder participation be overcome?

    PubMed

    Grossman, Joy M; Kushner, Kathryn L; November, Elizabeth A

    2008-02-01

    Local health information exchanges (HIEs) hold the promise of collecting patient clinical data across sites of care to provide more complete and timely information for treatment, as well as supporting quality improvement and reporting, public health activities, and clinical research. Findings from a study of stakeholder perspectives on participation in four HIEs by the Center for Studying Health System Change (HSC) and the National Institute for Health Care Management (NIHCM) Foundation suggest, however, that barriers to achieving data exchange remain high. Concerns about loss of competitive advantage and data misuse impede provider and health plan willingness to contribute patient data. Additionally, uncertainty about who benefits from HIEs is affecting stakeholder willingness to fund the exchanges. The more mature exchanges--Cincinnati-based HealthBridge and the Indiana Health Information Exchange (IHIE)--have achieved some viability by meeting a specific business need--more efficient delivery of hospital test results to physicians. The newer exchanges--CareSpark, serving northeast Tennessee and southwest Virginia, and the Tampa Bay Regional Health Information Organization (RHIO)--have struggled to identify and finance initial services without a similar critical mass of hospital participation. While narrow data exchange efforts that improve transaction efficiency may be a pragmatic first step to overcome barriers to stakeholder participation, expanding HIEs to achieve the broad-based data exchange necessary for quality reporting and pay-for-performance (P4P) activities raises more challenges.

  19. The Development of Community-Based Health Information Exchanges: A Comparative Assessment of Organizational Models

    ERIC Educational Resources Information Center

    Champagne, Tiffany

    2013-01-01

    The purpose of this dissertation research was to critically examine the development of community-based health information exchanges (HIEs) and to comparatively analyze the various models of exchanges in operation today nationally. Specifically this research sought to better understand several aspects of HIE: policy influences, organizational…

  20. 78 FR 13141 - 30-Day Notice of Proposed Information Collection: Exchange Visitor Program Participant Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... Notice of Proposed Information Collection: Exchange Visitor Program Participant Survey--Summer Work... Participant Survey--Summer Work Travel Program. OMB Control Number: None. Type of Request: New Collection...: Exchange Visitor Program participants in the Summer Work Travel category. Estimated Number of...

  1. Effects of a Culturally Informed Intervention on Abused, Suicidal African American Women

    PubMed Central

    Taha, Farah; Zhang, Huaiyu; Snead, Kara; Jones, Ashley D.; Blackmon, Brittane; Bryant, Rachel J.; Siegelman, Asher E.; Kaslow, Nadine J.

    2014-01-01

    Background This study examined 1) the relative efficacy of a culturally-sensitive empowerment group intervention (Nia) aimed at increasing three protective factors—self-esteem, hopefulness, and effectiveness of obtaining resources—versus treatment as usual (TAU) for low-income, abused African American women who recently had attempted suicide and 2) the impact of participants’ readiness to change with regard to their abusive relationship and suicidal behavior on their levels of each protective factor in the two conditions. Methods The sample included 89 African American women who reported intimate partner violence (IPV) exposure and a recent suicide attempt. Results Multivariate general linear modeling revealed that those in Nia showed greater improvements in self-esteem, but not in hopefulness or effectiveness of obtaining resources. However, significant interactions emerged in which participants that were “less ready to change” (i.e., earlier in the stages of change process) their IPV situation and suicidal behavior endorsed greater levels of hopefulness and perceived effectiveness of obtaining resources, respectively, following Nia. Conclusion Findings suggest that abused, suicidal African American women who are more reluctant initially to changing their abusive situation and suicidal behavior may benefit from even a brief, culturally-informed intervention. PMID:25403027

  2. Managing Information for Development in the 21st Century: Prospects for African Libraries, Challenges to the World.

    ERIC Educational Resources Information Center

    Nwalo, Kenneth Ivo Ngozi

    This paper discusses the role information can play in the development of African countries in the 21st century. It stresses that development information can only be guaranteed when libraries in Africa computerize their systems, form networks for resource sharing, and take advantage of the benefits of information technology (IT), especially CD-ROM…

  3. NASA's experience in the international exchange of scientific and technical information in the aerospace field

    NASA Technical Reports Server (NTRS)

    Thibideau, Philip A.

    1990-01-01

    The early NASA international scientific and technical information exchange arrangements were usually detailed in correspondence with the librarians of the institutions involved. While this type of exchange grew to include some 200 organizations in 43 countries, NASA's main focus shifted to the relationship with the European Space Agency (ESA), which began in 1964. The NASA/ESA Tripartite Exchange Program provides more than 4000 technical reports from the NASA-produced Aerospace Database. The experience in the evolving cooperation between NASA and ESA has established the model for more recent exchange agreements with Israel, Australia, and Canada. The results of these agreements are made available to participating European organizations through the NASA File.

  4. 47 CFR 36.612 - Updating information submitted to the National Exchange Carrier Association.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Universal Service Fund Data Collection § 36.612 Updating information submitted to the National Exchange... pursuant to §§ 36.611 (a) through (h) one or more times annually on a rolling year basis according to...

  5. 47 CFR 36.612 - Updating information submitted to the National Exchange Carrier Association.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Universal Service Fund Data Collection § 36.612 Updating information submitted to the National Exchange... pursuant to §§ 36.611 (a) through (h) one or more times annually on a rolling year basis according to...

  6. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Student and Exchange Visitor Information System (SEVIS). 214.12 Section 214.12 Aliens and Nationality... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and... schools are eligible for preliminary enrollment in Student and Exchange Visitor Information System...

  7. 23 CFR 636.402 - What types of information exchange may take place after the release of the RFP document?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false What types of information exchange may take place after... What types of information exchange may take place after the release of the RFP document? Certain types.... These communication methods are optional. Type of information exchange When Purpose Parties involved...

  8. A Middleware for the Controlled Information Exchange Between Online Games and Internet Applications

    NASA Astrophysics Data System (ADS)

    Bergsträßer, Sonja; Hildebrandt, Tomas; Rensing, Christoph; Steinmetz, Ralf

    Multiplayer Online Games (MOGs) are a thriving market leading to a multiplicity of game related internet applications. Enabling information exchange between games and these applications is essential, but still an unsolved challenge. Our Virtual Context Based Service (VCBS) middleware enables such an information exchange. The VCBS middleware is an interface between games and other internet applications, which also supports community activities. In this paper we describe the architecture of the VCBS middleware and its components, and introduce our concept for generic MOG interfaces.

  9. The African Connection

    ERIC Educational Resources Information Center

    Oguntoyinbo, Lekan

    2012-01-01

    From student and faculty exchanges to joint research projects, U.S. universities maintain a broad spectrum of collaborative relationships with African universities. It's unclear how many U.S. colleges and universities have partnerships with African universities. The African Studies Association, an organization of scholars, doesn't keep that kind…

  10. Information content and acoustic structure of male African elephant social rumbles.

    PubMed

    Stoeger, Angela S; Baotic, Anton

    2016-01-01

    Until recently, the prevailing theory about male African elephants (Loxodonta africana) was that, once adult and sexually mature, males are solitary and targeted only at finding estrous females. While this is true during the state of 'musth' (a condition characterized by aggressive behavior and elevated androgen levels), 'non-musth' males exhibit a social system seemingly based on companionship, dominance and established hierarchies. Research on elephant vocal communication has so far focused on females, and very little is known about the acoustic structure and the information content of male vocalizations. Using the source and filter theory approach, we analyzed social rumbles of 10 male African elephants. Our results reveal that male rumbles encode information about individuality and maturity (age and size), with formant frequencies and absolute fundamental frequency values having the most informative power. This first comprehensive study on male elephant vocalizations gives important indications on their potential functional relevance for male-male and male-female communication. Our results suggest that, similar to the highly social females, future research on male elephant vocal behavior will reveal a complex communication system in which social knowledge, companionship, hierarchy, reproductive competition and the need to communicate over long distances play key roles. PMID:27273586

  11. Information content and acoustic structure of male African elephant social rumbles

    PubMed Central

    Stoeger, Angela S.; Baotic, Anton

    2016-01-01

    Until recently, the prevailing theory about male African elephants (Loxodonta africana) was that, once adult and sexually mature, males are solitary and targeted only at finding estrous females. While this is true during the state of ‘musth’ (a condition characterized by aggressive behavior and elevated androgen levels), ‘non-musth’ males exhibit a social system seemingly based on companionship, dominance and established hierarchies. Research on elephant vocal communication has so far focused on females, and very little is known about the acoustic structure and the information content of male vocalizations. Using the source and filter theory approach, we analyzed social rumbles of 10 male African elephants. Our results reveal that male rumbles encode information about individuality and maturity (age and size), with formant frequencies and absolute fundamental frequency values having the most informative power. This first comprehensive study on male elephant vocalizations gives important indications on their potential functional relevance for male-male and male-female communication. Our results suggest that, similar to the highly social females, future research on male elephant vocal behavior will reveal a complex communication system in which social knowledge, companionship, hierarchy, reproductive competition and the need to communicate over long distances play key roles. PMID:27273586

  12. Affording to exchange: social capital and online information sharing.

    PubMed

    Maksl, Adam; Young, Rachel

    2013-08-01

    The potential harm and benefit associated with sharing personal information online is a topic of debate and discussion. Using survey methods (n=872), we explore whether attainment of social capital online relates to greater comfort with sharing personal information. We found that perceptions of bridging and bonding social capital earned from using Facebook are significant predictors of overall comfort levels with sharing personal information. This research raises timely questions about how the perceived benefits of social networking sites influence how personal information is shared online. PMID:23600613

  13. Identity and science learning in African American students in informal science education contexts

    NASA Astrophysics Data System (ADS)

    James, Sylvia M.

    2007-12-01

    Science education researchers are recognizing the need to consider identity and other sociocultural factors when examining causes of the science achievement gap for African American students. Non-school settings may hold greater promise than formal schooling to promote identities that are conductive to science learning in African Americans. This mixed-methods study explored the relationship between participation in out-of-school-time (OST) science enrichment programs and African American middle and high school students' racial and ethnic identity (RED, social identity as science learners, and achievement. Pre-post questionnaires used a previously validated model of REI combined with an original subscale that was developed to measure social identity as science learners. Case studies of two programs allowed for an analysis of the informal learning setting. The treatment group (N = 36) consisted of African American middle and high school students in five OST science programs, while the control group (N = 54) students were enrolled in science classes in public schools in the mid-Atlantic region. Results of a t-test of independent means indicated that there was no significant difference between the treatment and control group on measures of REI or science identity. However, the treatment group earned significantly higher science grades compared to the control group, and an ANOVA revealed a significant relationship between science identity and the intention to pursue post-secondary science studies. Although not significant, MANOVA results indicated that students who participated in OST programs exhibited gradual increases in RD and science identity over time according to grade level and gender. Follow-up analysis revealed significant relationships between awareness of racism, gender, and length of time in OST programs. The case studies illustrated that a unique community of practice exists within the OST programs. Access to authentic science learning experiences, youth

  14. Sharing Information about Peer Relations: Parent and Adolescent Opinions and Behaviors in Hmong and African American Families

    ERIC Educational Resources Information Center

    Brown, B. Bradford; Bakken, Jeremy P.; Nguyen, Jacqueline; Von Bank, Heather G.

    2007-01-01

    Despite sharing similar attitudes regarding the information about peers that parents have a right to know, the strategies African American and Hmong families use to seek or censor information about peers diverge because of ethnic differences in emphasis on trust, nurturing autonomy, respect for parental authority, and maintaining cultural…

  15. Interactional Features of Repair Negotiation in NS-NNS Interaction on Two Task Types: Information Gap and Personal Information Exchange

    ERIC Educational Resources Information Center

    Kitajima, Ryu

    2013-01-01

    The studies in task-based approaches in second language acquisition claim that controlled and goal convergent tasks such as information gap tasks surpass open-ended conversations such as personal information exchange tasks for the development of the learner's interlanguage, in that the formers promote more repair negotiation. And yet, few studies…

  16. Recent Developments in the Information Sciences and Their Implications for Intergovernmental Cooperation in Communications and Exchange of Information.

    ERIC Educational Resources Information Center

    Parsons, William W.

    1968-01-01

    This paper includes (1) a review of the history and current activities in the area of intergovernmental cooperation in the exchange of information and (2) a summary of the current state of the art in the information sciences. Relevant federal legislation, dating back to the 1930's, is discussed; the April 1968 report by the Intergovernmental Task…

  17. Fish as a proxy for African paleogeography: results from both extant and fossil taxa and prospects to constrain faunal exchange pathway through time

    NASA Astrophysics Data System (ADS)

    Otero, Olga; Joordens, Josephine; Dettai, Agnès; Christ, Leemans; Pinton, Aurélie

    2016-04-01

    reveal ancient distributions. The further we are going back in time the more they will constitute most of or the whole relevant sample. Our results also suggest that information on the (paleo)ecology of the fish provides useful data notably to qualify the aquatic systems that have prevailed at the time of connection between basins. So, changes in basin geomorphology constrain fish evolution, and thus we are able to reconstruct and date these changes thanks to fish evolution studies. Since it is widely agreed that the identification of corridors and barriers is critical to understand faunal exchange, we are convinced that for each case study, we can identify the fish (either fossil or extant) that will provide a relevant "geomorphological model". To validate this approach, our current project aims to identify the exchange corridor that may have intermittently existed between the Chad and Turkana basins during the last 3 million years [6]. These corridors may have constituted possible pathways for interbasinal exchange of large mammals at a key time period of Australopithecine evolution. We will end our presentation with preliminary results concerning phylogeography of the extant catfish Synodontis schall, one of our three model species. [1] Pinton A., Otero O. in progress - How much do fish distribution depend on drainage system history? the case study of continental Africa. [2] Pinton A., Agnèse J.F., Paugy D., Otero O. 2013 - A large-scale phylogeny of Synodontis (Mochokidae, Siluriformes) reveals the influence of geological events on continental diversity during the Cenozoic. Molecular Phylogenetics and Evolution, 66 (2013): 1027-1040. [3] Otero O. 2011 - Current knowledge and new assumptions on the evolutionary history of the African lungfish, Protopterus, based on a review of its fossil record. Fish & Fisheries, 2011(12): 235-255. [4] Otero O., Pinton A., Mackaye H.T., Likius A., Vignaud P., Brunet M. 2009 - Fishes and palaeogeography of the African drainage basins

  18. Estimated financial savings associated with health information exchange and ambulatory care referral.

    PubMed

    Frisse, Mark E; Holmes, Rodney L

    2007-12-01

    Data and financial models based on an operational health information exchange suggest that health care delivery costs can be reduced by making clinical data available at the time of care in urban emergency departments. Reductions are the result of decreases in laboratory and radiographic tests, fewer admissions for observation, and lower overall emergency department costs. The likelihood of reducing these costs depends on the extent to which clinicians alter their workflow and take into account information available through the exchange from other institutions prior to initiating a treatment plan. Far greater savings can be realized in theory by identifying individuals presenting to emergency departments whose acute and long-term care needs are more suitably addressed at lower costs in ambulatory settings or medical homes. These alternative ambulatory settings can more effectively address the chronic care needs of those who receive most of their care in emergency departments. To support a shift from emergency room care to clinic care, health care information available through the health information exchange must be made available in both emergency department and ambulatory care settings. If practice workflow and patient behavior can be changed, a more effective and efficient care delivery system will be made possible through the secure exchange of clinical information across regional settings. These projections support the case for the financial viability of regional health information exchanges and motivate participation of hospitals and ambulatory care organizations-particularly in urban settings.

  19. 23 CFR 636.402 - What types of information exchange may take place after the release of the RFP document?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false What types of information exchange may take place after the release of the RFP document? 636.402 Section 636.402 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Exchanges § 636.402 What types of information exchange may...

  20. Progress in counterfeit deterrence: the contribution of information exchange

    NASA Astrophysics Data System (ADS)

    Lancaster, Ian M.; Kontnik, Lewis T.

    1996-03-01

    In this paper we establish the need for communication between organizations involved in the fight against counterfeiting crime. We also examine the paradox in providing information that could serve the criminal as well as those attempting to protect themselves from criminal activity. Counterfeiting is estimated to account for over 5% of world trade. It is a global operation with no respect for international borders. It is increasingly sophisticated and increasingly the province of organized crime, which applies the techniques developed for drug distribution to the production and distribution of counterfeit articles. To fight this crime there is an increasing plethora of authenticating features and technologies available. Many companies do not recognize the problem and the number of anticounterfeit technologies can be confusing for potential users. There is therefore a need for information about them, their comparative characteristics, to be easily available. At present there is inadequate communication between those who develop and produce anti-counterfeiting devices and those who use them, notwithstanding the marketing efforts of the former. Communication which stimulates and encourages the spread of information between those engaged in the fight against counterfeit crime can only help in that fight. But what we term 'the communication paradox' requires circumspection and care in the content and the distribution of such information. The communication paradox is that the better the channels of communication, the easier it is for criminals to get hold of that information. The challenge is to institute communications which are effective but restrictive. More communication of information between those engaged in counterfeit deterrence will enhance individual companies' and organizations' anticounterfeit efforts and thus contribute to an overall improvement in the fight against counterfeit crime.

  1. Information exchange between short term and long term operations

    NASA Astrophysics Data System (ADS)

    Weijs, Steven

    2016-04-01

    This research focuses on the interactions between optimal short term and long term operations of managed water systems. Stochastic Dynamic Programming is used as a framework to find and analyze optimal operations. When considering optimal operations under uncertainty, the short term operations are influenced by the long term optimal policy through the value function of the end-state at the short term horizon. Conversely, the optimal long-term operations are influenced by the value of future decisions, which is partly determined by the short term operations. This leads to a two-way information flow between short and long term operations. The implications of this information flow are discussed.

  2. Exchange Patterns in the Informal Support Networks of the Elderly: The Impact of Reciprocity on Morale.

    ERIC Educational Resources Information Center

    Stoller, Eleanor Palo

    1985-01-01

    Interviewed 53 noninstitutionalized elderly to examine patterns of exchange of assistance within their informal helping networks. Results suggest inability to reciprocate rather than need for assistance had a greater negative effect on morale. There was a negative relationship between formal service use and reliance on the informal network.…

  3. Health Information Exchange: The Determinants of Usage and the Impact on Utilization

    ERIC Educational Resources Information Center

    Vest, Joshua Ryan

    2010-01-01

    Health information exchange (HIE) is the process of electronically sharing patient-level information among different organizations with the objectives of quality and cost improvements. The adoption of HIE in the United States is not widespread, but numerous efforts at facilitating HIE exist and the incentives for electronic health record system…

  4. Factors Influencing Electronic Clinical Information Exchange in Small Medical Group Practices

    ERIC Educational Resources Information Center

    Kralewski, John E.; Zink, Therese; Boyle, Raymond

    2012-01-01

    Purpose: The purpose of this study was to identify the organizational factors that influence electronic health information exchange (HIE) by medical group practices in rural areas. Methods: A purposive sample of 8 small medical group practices in 3 experimental HIE regions were interviewed to determine the extent of clinical information exchange…

  5. Addressing Low Colorectal Cancer Screening in African Americans: Using Focus Groups to Inform the Development of Effective Interventions.

    PubMed

    May, Folasade P; Whitman, Cynthia B; Varlyguina, Ksenia; Bromley, Erica G; Spiegel, Brennan M R

    2016-09-01

    African Americans have the highest burden of colorectal cancer (CRC) in the United States of America (USA) yet lower CRC screening rates than whites. Although poor screening has prompted efforts to increase screening uptake, there is a persistent need to develop public health interventions in partnership with the African American community. The aim of this study was to conduct focus groups with African Americans to determine preferences for the content and mode of dissemination of culturally tailored CRC screening interventions. In June 2013, 45-75-year-old African Americans were recruited through online advertisements and from an urban Veterans Affairs system to create four focus groups. A semi-structured interview script employing open-ended elicitation was used, and transcripts were analyzed using ATLAS.ti software to code and group data into a concept network. A total of 38 participants (mean age = 54) were enrolled, and 59 ATLAS.ti codes were generated. Commonly reported barriers to screening included perceived invasiveness of colonoscopy, fear of pain, and financial concerns. Facilitators included poor diet/health and desire to prevent CRC. Common sources of health information included media and medical providers. CRC screening information was commonly obtained from medical personnel or media. Participants suggested dissemination of CRC screening education through commercials, billboards, influential African American public figures, Internet, and radio. Participants suggested future interventions include culturally specific information, including details about increased risk, accessing care, and dispelling of myths. Public health interventions to improve CRC screening among African Americans should employ media outlets, emphasize increased risk among African Americans, and address race-specific barriers. Specific recommendations are presented for developing future interventions. PMID:25963898

  6. Addressing Low Colorectal Cancer Screening in African Americans: Using Focus Groups to Inform the Development of Effective Interventions.

    PubMed

    May, Folasade P; Whitman, Cynthia B; Varlyguina, Ksenia; Bromley, Erica G; Spiegel, Brennan M R

    2016-09-01

    African Americans have the highest burden of colorectal cancer (CRC) in the United States of America (USA) yet lower CRC screening rates than whites. Although poor screening has prompted efforts to increase screening uptake, there is a persistent need to develop public health interventions in partnership with the African American community. The aim of this study was to conduct focus groups with African Americans to determine preferences for the content and mode of dissemination of culturally tailored CRC screening interventions. In June 2013, 45-75-year-old African Americans were recruited through online advertisements and from an urban Veterans Affairs system to create four focus groups. A semi-structured interview script employing open-ended elicitation was used, and transcripts were analyzed using ATLAS.ti software to code and group data into a concept network. A total of 38 participants (mean age = 54) were enrolled, and 59 ATLAS.ti codes were generated. Commonly reported barriers to screening included perceived invasiveness of colonoscopy, fear of pain, and financial concerns. Facilitators included poor diet/health and desire to prevent CRC. Common sources of health information included media and medical providers. CRC screening information was commonly obtained from medical personnel or media. Participants suggested dissemination of CRC screening education through commercials, billboards, influential African American public figures, Internet, and radio. Participants suggested future interventions include culturally specific information, including details about increased risk, accessing care, and dispelling of myths. Public health interventions to improve CRC screening among African Americans should employ media outlets, emphasize increased risk among African Americans, and address race-specific barriers. Specific recommendations are presented for developing future interventions.

  7. Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study

    PubMed Central

    2011-01-01

    Background Various countries are currently implementing a national electronic patient record (n-EPR). Despite the assumed positive effects of n-EPRs, their overall adoption remains low and meets resistance from health care providers. This study aims to increase our understanding of health care providers' attitude towards the n-EPR, by investigating their perceptions of the benefits and problems of electronic information exchange in health care and the n-EPR in particular. Methods The study was conducted in three Dutch health care settings: acute care, diabetes care, and ambulatory mental health care. Two health care organisations were included per setting. Between January and June 2010, interviews were conducted with 17 stakeholders working in these organisations. Relevant themes were deduced by means of thematic qualitative analysis. Results Health care providers perceived electronic information exchange to promote the efficiency and quality of care. The problems they perceived in electronic information exchange mainly concerned the confidentiality and safety of information exchange and the reliability and quality of patient data. Many problems perceived by health care providers did not specifically apply to the n-EPR, but to electronic information exchange in general. Conclusions The implementation of the Dutch n-EPR has mainly followed a top-down approach, thereby neglecting the fact that the perceptions and preferences of its users (health care providers) need to be addressed in order to achieve successful implementation. The results of this study provide valuable suggestions about how to promote health care providers' willingness to adopt electronic information exchange, which can be useful for other countries currently implementing an n-EPR. Apart from providing information about the benefits and usefulness of electronic information exchange, efforts should be focused on minimising the problems as perceived by health care providers. The safety and

  8. The Influence of Organizational Systems on Information Exchange in Long-Term Care Facilities: An Institutional Ethnography.

    PubMed

    Caspar, Sienna; Ratner, Pamela A; Phinney, Alison; MacKinnon, Karen

    2016-06-01

    Person-centered care is heavily dependent on effective information exchange among health care team members. We explored the organizational systems that influence resident care attendants' (RCAs) access to care information in long-term care (LTC) settings. We conducted an institutional ethnography in three LTC facilities. Investigative methods included naturalistic observations, in-depth interviews, and textual analysis. Practical access to texts containing individualized care-related information (e.g., care plans) was dependent on job classification. Regulated health care professionals accessed these texts daily. RCAs lacked practical access to these texts and primarily received and shared information orally. Microsystems of care, based on information exchange formats, emerged. Organizational systems mandated written exchange of information and did not formally support an oral exchange. Thus, oral information exchanges were largely dependent on the quality of workplace relationships. Formal systems are needed to support structured oral information exchange within and between the microsystems of care found in LTC. PMID:26758177

  9. Therapy with African Families.

    ERIC Educational Resources Information Center

    Nwadiora, Emeka

    1996-01-01

    Informs helping professionals about the unique history and challenges of African families to guide them toward providing ethnically sensitive psychological services to African immigrant families in need. African families undergo great stress when faced with the alienation of being Black and African in a Euro-American culture. (SLD)

  10. Intergroup information exchange drives cooperation in the public goods game.

    PubMed

    Gracia-Lázaro, C; Gómez-Gardeñes, J; Floría, L M; Moreno, Y

    2014-10-01

    In this paper we explore the onset of cooperative traits in the public goods game. This well-known game involves N-agent interactions and thus reproduces a large number of social scenarios in which cooperation appears to be essential. Many studies have recently addressed how the structure of the interaction patterns influences the emergence of cooperation. Here we study how information about the payoffs collected by each individual in the different groups it participates in influences the decisions made by its group partners. Our results point out that cross-information plays a fundamental and positive role in the evolution of cooperation for different versions of the public goods game and different interaction structures.

  11. Intergroup information exchange drives cooperation in the public goods game

    NASA Astrophysics Data System (ADS)

    Gracia-Lázaro, C.; Gómez-Gardeñes, J.; Floría, L. M.; Moreno, Y.

    2014-10-01

    In this paper we explore the onset of cooperative traits in the public goods game. This well-known game involves N-agent interactions and thus reproduces a large number of social scenarios in which cooperation appears to be essential. Many studies have recently addressed how the structure of the interaction patterns influences the emergence of cooperation. Here we study how information about the payoffs collected by each individual in the different groups it participates in influences the decisions made by its group partners. Our results point out that cross-information plays a fundamental and positive role in the evolution of cooperation for different versions of the public goods game and different interaction structures.

  12. Treatment of African children with severe malaria - towards evidence-informed clinical practice using GRADE

    PubMed Central

    2011-01-01

    Background Severe malaria is a major contributor of deaths in African children up to five years of age. One valuable tool to support health workers in the management of diseases is clinical practice guidelines (CPGs) developed using robust methods. A critical assessment of the World Health Organization (WHO) and Kenyan paediatric malaria treatment guidelines with quinine was undertaken, with a focus on the quality of the evidence and transparency of the shift from evidence to recommendations. Methods Systematic reviews of the literature were conducted using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool to appraise included studies. The findings were used to evaluate the WHO and Kenyan recommendations for the management of severe childhood malaria. Results The WHO 2010 malaria guidance on severe malaria in children, which informed the Kenyan guidelines, only evaluated the evidence on one topic on paediatric care using the GRADE tool. Using the GRADE tool, this work explicitly demonstrated that despite the established use of quinine in the management of paediatric cases of severe malaria for decades, low or very low quality evidence of important outcomes, but not critical outcomes such as mortality, have informed national and international guidance on the paediatric quinine dosing, route of administration and adverse effects. Conclusions Despite the foreseeable shift to artesunate as the primary drug for treatment of severe childhood malaria, the findings reported here reflect that the particulars of quinine therapeutics for the management of severe malaria in African children have historically been a neglected research priority. This work supports the application of the GRADE tool to make transparent recommendations and to inform advocacy efforts for a greater research focus in priority areas in paediatric care in Africa and other low-income settings. PMID:21777441

  13. General anesthesia reduces the information exchange between heart and circulation.

    PubMed

    Porta, Alberto; Bari, Vlasta; Marchi, Andrea; De Maria, Beatrice; Pistuddi, Valeria; Ranucci, Marco

    2015-08-01

    The study demonstrates the ability of an information-theoretic measure, such as the transfer entropy (TE), in detecting the depression of the cardiac baroreflex control and circulatory-cardio mechanical feedforward link during propofol-induced general anesthesia. TE was computed from spontaneous variability of heart period (HP) and systolic arterial pressure (SAP) in patients undergoing coronary artery bypass graft (CABG). TE from SAP to HP and from HP to SAP were evaluated by accounting for the confounding effect of respiration (R) affecting both HP and SAP (i.e. TESAP→HP|R and TEHP→SAP|R respectively). Both TESAP→HP|R and TEHP→SAP|R decreased during general anesthesia, thus suggesting that the strength of the causal relation diminished over both arms of the closed loop HP-SAP control. The squared coherence function between HP and SAP confirmed the decreased HP-SAP coupling during general anesthesia, even though it could not distinguish directionality.

  14. Thermodynamics of information exchange between two coupled quantum dots.

    PubMed

    Kutvonen, Aki; Sagawa, Takahiro; Ala-Nissila, Tapio

    2016-03-01

    We propose a setup based on two coupled quantum dots where thermodynamics of a measurement can be quantitatively characterized. The information obtained in the measurement can be utilized by performing feedback in a manner apparently breaking the second law of thermodynamics. In this way the setup can be operated as a Maxwell's demon, where both the measurement and feedback are performed separately by controlling an external parameter. This is analogous to the case of the original Szilard engine. Since the setup contains both the microscopic demon and the engine itself, the operation of the whole measurement-feedback cycle can be explained in detail at the level of single realizations. In addition, we derive integral fluctuation relations for both the bare and coarse-grained entropy productions in the setup. PMID:27078332

  15. Thermodynamics of information exchange between two coupled quantum dots

    NASA Astrophysics Data System (ADS)

    Kutvonen, Aki; Sagawa, Takahiro; Ala-Nissila, Tapio

    2016-03-01

    We propose a setup based on two coupled quantum dots where thermodynamics of a measurement can be quantitatively characterized. The information obtained in the measurement can be utilized by performing feedback in a manner apparently breaking the second law of thermodynamics. In this way the setup can be operated as a Maxwell's demon, where both the measurement and feedback are performed separately by controlling an external parameter. This is analogous to the case of the original Szilard engine. Since the setup contains both the microscopic demon and the engine itself, the operation of the whole measurement-feedback cycle can be explained in detail at the level of single realizations. In addition, we derive integral fluctuation relations for both the bare and coarse-grained entropy productions in the setup.

  16. Taxonomic information exchange and copyright: the Plazi approach

    PubMed Central

    Agosti, Donat; Egloff, Willi

    2009-01-01

    Background A large part of our knowledge on the world's species is recorded in the corpus of biodiversity literature with well over hundred million pages, and is represented in natural history collections estimated at 2 – 3 billion specimens. But this body of knowledge is almost entirely in paper-print form and is not directly accessible through the Internet. For the digitization of this literature, new territories have to be chartered in the fields of technical, legal and social issues that presently impede its advance. The taxonomic literature seems especially destined for such a transformation. Discussion Plazi was founded as an association with the primary goal of transforming both the printed and, more recently, "born-digital" taxonomic literature into semantically enabled, enhanced documents. This includes the creation of a test body of literature, an XML schema modeling its logic content (TaxonX), the development of a mark-up editor (GoldenGATE) allowing also the enhancement of documents with links to external resources via Life Science Identifiers (LSID), a repository for publications and issuance of bibliographic identifiers, a dedicated server to serve the marked up content (the Plazi Search and Retrieval Server, SRS) and semantic tools to mine information. Plazi's workflow is designed to respect copyright protection and achieves extraction by observing exceptions and limitations existent in international copyright law. Conclusion The information found in Plazi's databases – taxonomic treatments as well as the metadata of the publications – are in the public domain and can therefore be used for further scientific research without any restriction, whether or not contained in copyrighted publications. PMID:19331688

  17. Health Information-Seeking Practices of African American Young Men Who Have Sex with Men: A Qualitative Study

    ERIC Educational Resources Information Center

    Rose, India D.; Friedman, Daniela B.; Spencer, S. Melinda; Annang, Lucy; Lindley, Lisa L.

    2016-01-01

    The current study used a qualitative, phenomenological approach to investigate the health information-seeking practices of African American young men who have sex with men (AAYMSM). Forty-two self-identified AAYMSM, aged 18 to 21, residing in a Southeastern U.S. city participated in a qualitative focus group or face-to-face interview to examine…

  18. Family Planning Knowledge: The Role of Social Networks and Primary Care Providers as Information Sources for African American Women

    ERIC Educational Resources Information Center

    Blackstock, Oni J.; Mba-Jonas, Adamma; Sacajiu, Galit M.

    2010-01-01

    Disparities in the rates of unintended pregnancy have increased for low-income African American women as compared to other groups due, in part, to declining contraception use. Women obtain family planning information from diverse sources, which may ultimately influence contraceptive decision making. For this qualitative study, we conducted…

  19. Improving newborn screening laboratory test ordering and result reporting using health information exchange

    PubMed Central

    van Dyck, Peter C; Rinaldo, Piero; McDonald, Clement; Howell, R Rodrey; Zuckerman, Alan; Downing, Gregory

    2010-01-01

    Capture, coding and communication of newborn screening (NBS) information represent a challenge for public health laboratories, health departments, hospitals, and ambulatory care practices. An increasing number of conditions targeted for screening and the complexity of interpretation contribute to a growing need for integrated information-management strategies. This makes NBS an important test of tools and architecture for electronic health information exchange (HIE) in this convergence of individual patient care and population health activities. For this reason, the American Health Information Community undertook three tasks described in this paper. First, a newborn screening use case was established to facilitate standards harmonization for common terminology and interoperability specifications guiding HIE. Second, newborn screening coding and terminology were developed for integration into electronic HIE activities. Finally, clarification of privacy, security, and clinical laboratory regulatory requirements governing information exchange was provided, serving as a framework to establish pathways for improving screening program timeliness, effectiveness, and efficiency of quality patient care services. PMID:20064796

  20. Finnish physicians' experiences with computer-supported patient information exchange and communication in clinical work.

    PubMed

    Viitanen, Johanna; Nieminen, Marko; Hypponen, Hannele; Laaveri, Tinja

    2011-01-01

    Several researchers share the concern of healthcare information systems failing to support communication and collaboration in clinical practices. The objective of this paper is to investigate the current state of computer-supported patient information exchange and associated communication between clinicians. We report findings from a national survey on Finnish physicians? experiences with their currently used clinical information systems with regard to patient information documentation, retrieval, management and exchange-related tasks. The questionnaire study with 3929 physicians indicated the main concern being cross-organisational patient information delivery. In addition, physicians argued computer usage increasingly steals time and attention from caring activities and even disturbs physician?nurse collaboration. Problems in information management were particularly emphasised among those physicians working in hospitals and wards. The survey findings indicated that collaborative applications and mobile or wireless solutions have not been widely adapted in Finnish healthcare and suggested an urgent need for adopting appropriate information and communication technology applications to support information exchange and communication between physicians, and physicians and nurses.

  1. Part 1: The role of waste data in building knowledge: the South African waste information system.

    PubMed

    Godfrey, Linda; Scott, Dianne; Difford, Mark; Trois, Cristina

    2012-11-01

    An empirical study was undertaken with 31 organisations submitting data to the South African Waste Information System (SAWIS) in order to explore the relationship between data and resultant waste knowledge generated through a process of learning. The results show that of the three constructs of knowledge (experience, data/information, and theory), experience has the greatest influence on building waste knowledge, nearly twice that of data/information and three times that of theory. Together the three constructs account for 54.1% of the variance in knowledge. Respondents from municipalities and private waste organisations reflect two distinct sub-groups in the data set. While the theoretical model remains the same for the two sub-groups, the way in which knowledge is constructed, and the variance in knowledge explained by the model, differs for the two. A mixed methods research design, combining quantitative statistical analysis and rich qualitative data, contributes to a comprehensive interpretation of the role of waste data in building knowledge in South Africa. While waste data has a minor influence on building knowledge, respondents acknowledge that waste data does have a positive impact on the way their organisations manage waste. However, it is not the data, but rather the resultant waste knowledge and raised level of awareness that causes the operational response. Experience is obtained predominantly through learning from others. Respondents in municipalities, emphasised learning from consultants, landfill site contractors, and colleagues in city-twinning programmes, while respondents in private waste companies, emphasised learning from experienced, senior colleagues.

  2. Strategic Exchange in the Development of Human Resource Information Systems (HRIS).

    ERIC Educational Resources Information Center

    Tansley, Carole; Watson, Tony

    2000-01-01

    A relational rather than a systems approach was used to examine the use of strategic exchange (by which organization members aim to satisfy their own and organizational goals) in human resource information systems (HRIS). A case study illustrates how the design of HRIS is shaped by people with particular strategic aims and a constant process of…

  3. 47 CFR 36.613 - Submission of information by the National Exchange Carrier Association.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Submission of information by the National Exchange Carrier Association. 36.613 Section 36.613 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES JURISDICTIONAL SEPARATIONS PROCEDURES; STANDARD PROCEDURES FOR SEPARATING TELECOMMUNICATIONS PROPERTY...

  4. 47 CFR 54.1306 - Updating Information Submitted to the National Exchange Carrier Association.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Updating Information Submitted to the National Exchange Carrier Association. 54.1306 Section 54.1306 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE High Cost Loop Support for Rate-of-Return Carriers § 54.1306...

  5. 47 CFR 54.1307 - Submission of Information by the National Exchange Carrier Association.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Submission of Information by the National Exchange Carrier Association. 54.1307 Section 54.1307 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE High Cost Loop Support for Rate-of-Return Carriers § 54.1307 Submission...

  6. 40 CFR 22.19 - Prehearing information exchange; prehearing conference; other discovery.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... another location or by telephone. (e) Other discovery. (1) After the information exchange provided for in... upon oral questions only in accordance with paragraph (e)(1) of this section and upon an additional... paragraph (e)(1) of this section and upon an additional showing of the grounds and necessity...

  7. Development of an Exchange Format for the European Environmental Chemical Data and Information Network (ECDIN).

    ERIC Educational Resources Information Center

    And Others; Proctor, David, J.

    1978-01-01

    Uses collection and storage of data in an environmental chemicals data bank to develop an exchange format of hierarchical tree structure between network partners. Rules identify and process the nodes in the tree in such a way that information is neither lost nor degraded upon transfer between network partners. (CWM)

  8. 47 CFR 36.611 - Submission of information to the National Exchange Carrier Association (NECA).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Submission of information to the National Exchange Carrier Association (NECA). 36.611 Section 36.611 Telecommunication FEDERAL COMMUNICATIONS... July 31st filing. (e) Unseparated corporate operations expenses, operating taxes, and the benefits...

  9. Strategies for Leveraging Interoperable Health Information Exchange Systems Among Healthcare Communities.

    PubMed

    Alexander, Gregory L; Sensmeier, Joyce; McDonald, Joe; Goossen, William; Alexander, Mary M

    2016-01-01

    The panel will share international Health Information Exchange (HIE) projects to improve quality and lower costs in healthcare communities (i.e. hospitals, clinician practices, and aged care facilities). HIE allows healthcare professionals and patients to appropriately access and securely share a patient's vital medical information electronically within and across organizations. Intended audience: Researchers, consumers, practitioners, vendors, care providers, and policy makers with interests in technology design, development, implementation, and management, particularly focused on HIE. PMID:27332323

  10. Investigation of the Impact of Extracting and Exchanging Health Information by Using Internet and Social Networks

    PubMed Central

    Pistolis, John; Zimeras, Stelios; Chardalias, Kostas; Roupa, Zoe; Fildisis, George; Diomidous, Marianna

    2016-01-01

    Introduction: Social networks (1) have been embedded in our daily life for a long time. They constitute a powerful tool used nowadays for both searching and exchanging information on different issues by using Internet searching engines (Google, Bing, etc.) and Social Networks (Facebook, Twitter etc.). In this paper, are presented the results of a research based on the frequency and the type of the usage of the Internet and the Social Networks by the general public and the health professionals. Objectives: The objectives of the research were focused on the investigation of the frequency of seeking and meticulously searching for health information in the social media by both individuals and health practitioners. The exchanging of information is a procedure that involves the issues of reliability and quality of information. Methods: In this research, by using advanced statistical techniques an effort is made to investigate the participant’s profile in using social networks for searching and exchanging information on health issues. Results: Based on the answers 93 % of the people, use the Internet to find information on health-subjects. Considering principal component analysis, the most important health subjects were nutrition (0.719 %), respiratory issues (0.79 %), cardiological issues (0.777%), psychological issues (0.667%) and total (73.8%). Conclusions: The research results, based on different statistical techniques revealed that the 61.2% of the males and 56.4% of the females intended to use the social networks for searching medical information. Based on the principal components analysis, the most important sources that the participants mentioned, were the use of the Internet and social networks for exchanging information on health issues. These sources proved to be of paramount importance to the participants of the study. The same holds for nursing, medical and administrative staff in hospitals. PMID:27482135

  11. Precision medical communication to optimize stakeholder information exchange: a '4M-Quadrant' approach.

    PubMed

    Ashkenazy, Rebecca

    2016-07-01

    Personalized and precision medicine concepts have transformed the healthcare delivery environment from research and development to commercialization. Precision medical communication (PMC) represents a strategy to maximize personalized healthcare elements in medical-related exchanges to optimize value from the activity for the associated stakeholders. It is a discipline of developing the right message through the right mechanism at the right moment to the right healthcare member. PMC enhances the value of information exchange among stakeholders because it integrates data, analytics, and environmental and medical insights to efficiently disseminate more precise content to specified audiences in a balanced and compliant manner. PMID:27032622

  12. Precision medical communication to optimize stakeholder information exchange: a '4M-Quadrant' approach.

    PubMed

    Ashkenazy, Rebecca

    2016-07-01

    Personalized and precision medicine concepts have transformed the healthcare delivery environment from research and development to commercialization. Precision medical communication (PMC) represents a strategy to maximize personalized healthcare elements in medical-related exchanges to optimize value from the activity for the associated stakeholders. It is a discipline of developing the right message through the right mechanism at the right moment to the right healthcare member. PMC enhances the value of information exchange among stakeholders because it integrates data, analytics, and environmental and medical insights to efficiently disseminate more precise content to specified audiences in a balanced and compliant manner.

  13. 75 FR 9423 - Agency Information Collection Activities: African Growth and Opportunity Act Certificate of Origin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... Opportunity Act Certificate of Origin AGENCY: U.S. Customs and Border Protection (CBP), Department of Homeland... requirement concerning the African Growth and Opportunity Act Certificate of Origin (AGOA). This request for...: Title: African Growth and Opportunity Act Certificate of Origin. OMB Number: 1651-0082. Form...

  14. Anxiety Psychopathology in African American Adults: Literature Review and Development of an Empirically Informed Sociocultural Model

    ERIC Educational Resources Information Center

    Hunter, Lora Rose; Schmidt, Norman B.

    2010-01-01

    In this review, the extant literature concerning anxiety psychopathology in African American adults is summarized to develop a testable, explanatory framework with implications for future research. The model was designed to account for purported lower rates of anxiety disorders in African Americans compared to European Americans, along with other…

  15. Modelling information exchange in worker–queen conflict over sex allocation

    PubMed Central

    Pen, Ido; Taylor, Peter D

    2005-01-01

    We investigate the conflict between queen and worker over sex allocation, specifically the allocation of the queen's eggs between workers and reproductives and the allocation of the reproductive eggs between male and female. In contrast to previous models, we allow workers to observe and use information about the strategy of the queen. We consider three conflict models: simultaneous (no information exchange), sequential (a one-way information exchange) and negotiated (an iterated two-way information exchange). We find that the first model produces sex ratios intermediate between the classic queen (1 : 1) and worker (1 : 3) optima. The second model, in which the worker has information about the queen's decisions, produces a different result and one that is somewhat counter-intuitive in that the sex ratios are less female-biased than for the other two models, and in fact are often male-biased. The third model predicts sex ratios intermediate between the first two models. We discuss how these findings may shed new light on observed sex allocation patterns in social insects and we suggest some experimental tests. PMID:16243692

  16. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and private secondary schools, public high schools, post-secondary schools, language schools, and vocational schools are eligible for preliminary enrollment in Student and Exchange Visitor Information System...

  17. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and private secondary schools, public high schools, post-secondary schools, language schools, and vocational schools are eligible for preliminary enrollment in Student and Exchange Visitor Information System...

  18. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and private secondary schools, public high schools, post-secondary schools, language schools, and vocational schools are eligible for preliminary enrollment in Student and Exchange Visitor Information System...

  19. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and private secondary schools, public high schools, post-secondary schools, language schools, and vocational schools are eligible for preliminary enrollment in Student and Exchange Visitor Information System...

  20. 23 CFR 636.402 - What types of information exchange may take place after the release of the RFP document?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false What types of information exchange may take place after... What types of information exchange may take place after the release of the RFP document? Certain types.... The following table summarizes the types of communications that will be discussed in this...

  1. 23 CFR 636.402 - What types of information exchange may take place after the release of the RFP document?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false What types of information exchange may take place after... What types of information exchange may take place after the release of the RFP document? Certain types.... The following table summarizes the types of communications that will be discussed in this...

  2. 23 CFR 636.402 - What types of information exchange may take place after the release of the RFP document?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false What types of information exchange may take place after... What types of information exchange may take place after the release of the RFP document? Certain types.... The following table summarizes the types of communications that will be discussed in this...

  3. Approaches to patient health information exchange and their impact on emergency medicine.

    PubMed

    Shapiro, Jason S; Kannry, Joseph; Lipton, Mark; Goldberg, Eric; Conocenti, Paul; Stuard, Susan; Wyatt, Brian M; Kuperman, Gilad

    2006-10-01

    Regional health information organizations and electronic health information exchange may have an important impact on the practice of emergency medicine in the United States. Regional health information organizations are local or regional information-sharing networks that enable electronic data interchange among stakeholders in a given geographic area. These stakeholders may include hospitals, skilled nursing facilities, clinics, private physicians' offices, pharmacies, laboratories, radiology facilities, health departments, payers, and possibly the patients themselves. Regional health information organizations are being formed across the country to improve the safety and efficiency of clinical care; improve public health efforts, biosurveillance, and disaster management response; and potentially create large databases of deidentified aggregate data for research. Because of the unique need for rapid access to information and the acuity of the clinical environment, few areas of the health care delivery system stand to change and benefit more from health information exchange than our nation's emergency departments. This article will explain the motivation for the development of regional health information organizations, identify some of the important issues in their formation, and discuss how their development might affect the practice of emergency medicine. PMID:16997679

  4. Approaches to patient health information exchange and their impact on emergency medicine.

    PubMed

    Shapiro, Jason S; Kannry, Joseph; Lipton, Mark; Goldberg, Eric; Conocenti, Paul; Stuard, Susan; Wyatt, Brian M; Kuperman, Gilad

    2006-10-01

    Regional health information organizations and electronic health information exchange may have an important impact on the practice of emergency medicine in the United States. Regional health information organizations are local or regional information-sharing networks that enable electronic data interchange among stakeholders in a given geographic area. These stakeholders may include hospitals, skilled nursing facilities, clinics, private physicians' offices, pharmacies, laboratories, radiology facilities, health departments, payers, and possibly the patients themselves. Regional health information organizations are being formed across the country to improve the safety and efficiency of clinical care; improve public health efforts, biosurveillance, and disaster management response; and potentially create large databases of deidentified aggregate data for research. Because of the unique need for rapid access to information and the acuity of the clinical environment, few areas of the health care delivery system stand to change and benefit more from health information exchange than our nation's emergency departments. This article will explain the motivation for the development of regional health information organizations, identify some of the important issues in their formation, and discuss how their development might affect the practice of emergency medicine.

  5. NASA's experience in the international exchange of scientific and technical information in the aerospace field

    NASA Technical Reports Server (NTRS)

    Thibideau, Philip A.

    1989-01-01

    The early NASA international scientific and technical information (STI) exchange arrangements were usually detailed in correspondence with the librarians of the institutions involved. While this type of exchange, which involved only hardcopy (paper) products, grew to include some 220 organization in 43 countries, NASA's main focus shifted substantially to the STI relationship with the European Space Agency (ESA) which began in 1964. The NASA/ESA Tripartite Exchange Program, which now has more than 500 participants, provides more than 4,000 highly-relevant technical reports, fully processed, for the NASA produced 'Aerospace Database'. In turn, NASA provides an updated copy of this Database, known in Europe as the 'NASA File', for access, through ESA's Information Retrieval Service, by participating European organizations. Our experience in the evolving cooperation with ESA has established the 'model' for our more recent exchange agreements with Israel, Australia, Canada, and one under negotiation with Japan. The results of these agreements are made available to participating European organizations through the NASA File.

  6. Measuring embeddedness: Hierarchical scale-dependent information exchange efficiency of the human brain connectome.

    PubMed

    Ye, Allen Q; Zhan, Liang; Conrin, Sean; GadElKarim, Johnson; Zhang, Aifeng; Yang, Shaolin; Feusner, Jamie D; Kumar, Anand; Ajilore, Olusola; Leow, Alex

    2015-09-01

    This article presents a novel approach for understanding information exchange efficiency and its decay across hierarchies of modularity, from local to global, of the structural human brain connectome. Magnetic resonance imaging techniques have allowed us to study the human brain connectivity as a graph, which can then be analyzed using a graph-theoretical approach. Collectively termed brain connectomics, these sophisticated mathematical techniques have revealed that the brain connectome, like many networks, is highly modular and brain regions can thus be organized into communities or modules. Here, using tractography-informed structural connectomes from 46 normal healthy human subjects, we constructed the hierarchical modularity of the structural connectome using bifurcating dendrograms. Moving from fine to coarse (i.e., local to global) up the connectome's hierarchy, we computed the rate of decay of a new metric that hierarchically preferentially weighs the information exchange between two nodes in the same module. By computing "embeddedness"-the ratio between nodal efficiency and this decay rate, one could thus probe the relative scale-invariant information exchange efficiency of the human brain. Results suggest that regions that exhibit high embeddedness are those that comprise the limbic system, the default mode network, and the subcortical nuclei. This supports the presence of near-decomposability overall yet relative embeddedness in select areas of the brain. The areas we identified as highly embedded are varied in function but are arguably linked in the evolutionary role they play in memory, emotion and behavior.

  7. Health Information Exchange Implementation: Lessons Learned and Critical Success Factors From a Case Study

    PubMed Central

    2014-01-01

    Background Much attention has been given to the proposition that the exchange of health information as an act, and health information exchange (HIE), as an entity, are critical components of a framework for health care change, yet little has been studied to understand the value proposition of implementing HIE with a statewide HIE. Such an organization facilitates the exchange of health information across disparate systems, thus following patients as they move across different care settings and encounters, whether or not they share an organizational affiliation. A sociotechnical systems approach and an interorganizational systems framework were used to examine implementation of a health system electronic medical record (EMR) system onto a statewide HIE, under a cooperative agreement with the Office of the National Coordinator for Health Information Technology, and its collaborating organizations. Objective The objective of the study was to focus on the implementation of a health system onto a statewide HIE; provide insight into the technical, organizational, and governance aspects of a large private health system and the Virginia statewide HIE (organizations with the shared goal of exchanging health information); and to understand the organizational motivations and value propositions apparent during HIE implementation. Methods We used a formative evaluation methodology to investigate the first implementation of a health system onto the statewide HIE. Qualitative methods (direct observation, 36 hours), informal information gathering, semistructured interviews (N=12), and document analysis were used to gather data between August 12, 2012 and June 24, 2013. Derived from sociotechnical concepts, a Blended Value Collaboration Enactment Framework guided the data gathering and analysis to understand organizational stakeholders’ perspectives across technical, organizational, and governance dimensions. Results Several challenges, successes, and lessons learned during the

  8. Developing the Foundation for Syndromic Surveillance and Health Information Exchange for Yolo County, California

    PubMed Central

    Chaudhary, Osama

    2012-01-01

    This report delineates Yolo County Health Department’s process to ascertain its optimal methods of participation in syndromic surveillance and health information exchange. As a health department serving a county of just 200,000 residents, Yolo County Health Department needed to operate within strict financial constraints. Meaningful Use legislation enabled it to pursue both syndromic surveillance and health information exchange participation whilst complying with its budgetary restrictions. The Health Information Technology for Economic and Clinical Health (HITECH), a segment of the American Recovery and Reinvestment Act of 2009, has incentivized the ‘Meaningful Use’ of electronic health records (EHRs) by providing incentive reimbursements and non-compliance penalties. The Meaningful Use of EHRs is to take place over 3 Stages: Stage 1 has begun, Stage 2 is imminent, and Stage 3 is currently being discussed. Having been solicited by both health information exchange and syndromic surveillance options which were cost-prohibitive, Yolo County Health Department focused attention on BioSense 2.0, a Meaningul Use-ready and virtually free syndromic surveillance program developed by the Federal Centers for Disease Control and Prevention. In collaboration with Sacramento County Department of Health and Human Services, and with support from several other area counties, Yolo County Health Department submitted a Funding Opportunity application for BioSense 2.0 regional implementation. Through this collaboration, Yolo County Health Department has begun participating in the formative stages of the Sacramento Area Center for Advanced Biosurveillance (SAC-B). Via SAC-B, Yolo County Health Department will be able to participate in syndromic surveillance in the BioSense 2.0 program, and simultaneously expand its electronic health data sharing towards a more comprehensive health information exchange. Lastly, over the course of these projects, three other methods of participating

  9. Developing the foundation for syndromic surveillance and health information exchange for yolo county, california.

    PubMed

    Chaudhary, Osama

    2012-01-01

    This report delineates Yolo County Health Department's process to ascertain its optimal methods of participation in syndromic surveillance and health information exchange. As a health department serving a county of just 200,000 residents, Yolo County Health Department needed to operate within strict financial constraints. Meaningful Use legislation enabled it to pursue both syndromic surveillance and health information exchange participation whilst complying with its budgetary restrictions. The Health Information Technology for Economic and Clinical Health (HITECH), a segment of the American Recovery and Reinvestment Act of 2009, has incentivized the 'Meaningful Use' of electronic health records (EHRs) by providing incentive reimbursements and non-compliance penalties. The Meaningful Use of EHRs is to take place over 3 Stages: Stage 1 has begun, Stage 2 is imminent, and Stage 3 is currently being discussed. Having been solicited by both health information exchange and syndromic surveillance options which were cost-prohibitive, Yolo County Health Department focused attention on BioSense 2.0, a Meaningul Use-ready and virtually free syndromic surveillance program developed by the Federal Centers for Disease Control and Prevention. In collaboration with Sacramento County Department of Health and Human Services, and with support from several other area counties, Yolo County Health Department submitted a Funding Opportunity application for BioSense 2.0 regional implementation. Through this collaboration, Yolo County Health Department has begun participating in the formative stages of the Sacramento Area Center for Advanced Biosurveillance (SAC-B). Via SAC-B, Yolo County Health Department will be able to participate in syndromic surveillance in the BioSense 2.0 program, and simultaneously expand its electronic health data sharing towards a more comprehensive health information exchange. LASTLY, OVER THE COURSE OF THESE PROJECTS, THREE OTHER METHODS OF PARTICIPATING IN

  10. Research on What the International Exchange and Communication of Scientific and Technical Information Should Be

    NASA Astrophysics Data System (ADS)

    Murakami, Masakazu; Ashizaki, Tatsuo

    The Japanese scientific and technological information amounts to about 20% of the worldwide occurrence. According to the questionnaires about 70% of the respondants abroad experienced the use of literature written by Japanese within two months back from the date of answering. Japan is highly paid attention in a sense that she follows U.S. who is a leader in scientific and technological fields. Nevertherless only 5% of the total Japanese information has been introduced in major journals and international conferences of western world. Even information vendors have not provided information abroad actively. On the other hand it is necessary not only to provide information but also to promote mutual exchange of human resources concerning Southeast Asian countries. Considering the result of this questionnaires and trend in technology development the authors made the report on what international distribution of scientific and technological information should be. The outline of this report is described.

  11. A Panel of Ancestry Informative Markers for the Complex Five-Way Admixed South African Coloured Population

    PubMed Central

    Daya, Michelle; van der Merwe, Lize; Galal, Ushma; Möller, Marlo; Salie, Muneeb; Chimusa, Emile R.; Galanter, Joshua M.; van Helden, Paul D.; Henn, Brenna M.; Gignoux, Chris R.; Hoal, Eileen

    2013-01-01

    Admixture is a well known confounder in genetic association studies. If genome-wide data is not available, as would be the case for candidate gene studies, ancestry informative markers (AIMs) are required in order to adjust for admixture. The predominant population group in the Western Cape, South Africa, is the admixed group known as the South African Coloured (SAC). A small set of AIMs that is optimized to distinguish between the five source populations of this population (African San, African non-San, European, South Asian, and East Asian) will enable researchers to cost-effectively reduce false-positive findings resulting from ignoring admixture in genetic association studies of the population. Using genome-wide data to find SNPs with large allele frequency differences between the source populations of the SAC, as quantified by Rosenberg et. al's -statistic, we developed a panel of AIMs by experimenting with various selection strategies. Subsets of different sizes were evaluated by measuring the correlation between ancestry proportions estimated by each AIM subset with ancestry proportions estimated using genome-wide data. We show that a panel of 96 AIMs can be used to assess ancestry proportions and to adjust for the confounding effect of the complex five-way admixture that occurred in the South African Coloured population. PMID:24376522

  12. HTML5 microdata as a semantic container for medical information exchange.

    PubMed

    Kimura, Eizen; Kobayashi, Shinji; Ishihara, Ken

    2014-01-01

    Achieving interoperability between clinical electronic medical records (EMR) systems and cloud computing systems is challenging because of the lack of a universal reference method as a standard for information exchange with a secure connection. Here we describe an information exchange scheme using HTML5 microdata, where the standard semantic container is an HTML document. We embed HL7 messages describing laboratory test results in the microdata. We also annotate items in the clinical research report with the microdata. We mapped the laboratory test result data into the clinical research report using an HL7 selector specified in the microdata. This scheme can provide secure cooperation between the cloud-based service and the EMR system.

  13. HTML5 microdata as a semantic container for medical information exchange.

    PubMed

    Kimura, Eizen; Kobayashi, Shinji; Ishihara, Ken

    2014-01-01

    Achieving interoperability between clinical electronic medical records (EMR) systems and cloud computing systems is challenging because of the lack of a universal reference method as a standard for information exchange with a secure connection. Here we describe an information exchange scheme using HTML5 microdata, where the standard semantic container is an HTML document. We embed HL7 messages describing laboratory test results in the microdata. We also annotate items in the clinical research report with the microdata. We mapped the laboratory test result data into the clinical research report using an HL7 selector specified in the microdata. This scheme can provide secure cooperation between the cloud-based service and the EMR system. PMID:25160218

  14. Repeated Diagnostic Imaging Studies in Ontario and the Impact of Health Information Exchange Systems.

    PubMed

    Welk, Blayne; Liu, Kuan; Al-Jaishi, Ahmed; McArthur, Eric; Jain, Arsh K; Ordon, Michael

    2016-01-01

    Health information exchange systems can link the results of diagnostic imaging tests across hospitals and geographic areas. One of the potential benefits of these systems is a reduction in imaging studies ordered by physicians who do not know about or have access to the previous imaging results. We used administrative data from Ontario, Canada (from the year 2013), to measure how frequently the same cross-sectional imaging study is repeated in a patient. Overall, 12.8% of the specified imaging tests were repeated within 90 days. An area of Southwestern Ontario with a health information exchange system for diagnostic imaging tests had a 13% lower rate of repeat cross-sectional imaging compared with the rest of the province (11.2 vs 12.8%, p < 0.01). The use of linked radiology systems may be able to reduce the number of repeated imaging tests and improve patient safety and hospital efficiency. PMID:27133604

  15. Anxiety psychopathology in African American adults: literature review and development of an empirically informed sociocultural model.

    PubMed

    Hunter, Lora Rose; Schmidt, Norman B

    2010-03-01

    In this review, the extant literature concerning anxiety psychopathology in African American adults is summarized to develop a testable, explanatory framework with implications for future research. The model was designed to account for purported lower rates of anxiety disorders in African Americans compared to European Americans, along with other ethnoracial differences reported in the literature. Three specific beliefs or attitudes related to the sociocultural experience of African Americans are identified: awareness of racism, stigma of mental illness, and salience of physical illnesses. In our model, we propose that these psychological processes influence interpretations and behaviors relevant to the expression of nonpathological anxiety as well as features of diagnosable anxiety conditions. Moreover, differences in these processes may explain the differential assessed rates of anxiety disorders in African Americans. The model is discussed in the context of existing models of anxiety etiology. Specific follow-up research is also suggested, along with implications for clinical assessment, diagnosis, and treatment.

  16. What is the role of information in matter and energy exchanges?

    NASA Astrophysics Data System (ADS)

    Kim, Joon; Kang, Minseok; Yun, Juyeol; Kim, Sehee

    2014-05-01

    Understanding matter and energy exchange across the living earth's surface requires the consideration of information flow. Terrestrial ecosystems are open, self-organizing systems and energy of different quantity and quality provides the stimulus for organization, enabling different processes to progress at different rates. Information acts internally within the system to constrain its behavior, which can also flow into the system from outside, thereby prompting the direction of self-organization. The interplay of environmental conditions, matter, energy and information defines the context and constraints for the set of processes and structures that may emerge during self-organization in living systems on earth's surface. Using the multi-year tower-based flux measurements of energy and matter at the forest-atmosphere interface and the resulting network statistics (following Ruddell and Kumar 2009), we have examined statistical measures of characterizing the organization of the information flow in a process network. The goal of this study is to better understand the role of information in matter and energy exchanges based on an attempt to connect complex systems thinking to information theory and the thermodynamic principle.

  17. WaterML, an Information Standard for the Exchange of in-situ hydrological observations

    NASA Astrophysics Data System (ADS)

    Valentine, D.; Taylor, P.; Zaslavsky, I.

    2012-04-01

    The WaterML 2.0 Standards Working Group (SWG), working within the Open Geospatial Consortium (OGC) and in cooperation with the joint OGC-World Meteorological Organization (WMO) Hydrology Domain Working Group (HDWG), has developed an open standard for the exchange of water observation data; WaterML 2.0. The focus of the standard is time-series data, commonly generated from in-situ style monitoring. This is high value data for hydrological applications such as flood forecasting, environmental reporting and supporting hydrological infrastructure (e.g. dams, supply systems), which is commonly exchanged, but a lack of standards inhibits efficient reuse and automation. The process of developing WaterML required doing a harmonization analysis of existing standards to identify overlapping concepts and come to agreement on a harmonized definition. Generally the formats captured similar requirements, all with subtle differences, such as how time-series point metadata was handled. The in-progress standard WaterML 2.0 incorporates the semantics of the hydrologic information: location, procedure, and observations, and is implemented as an application schema of the Geography Markup Language version 3.2.1, making use of the OGC Observations & Measurements standards. WaterML2.0 is designed as an extensible schema to allow encoding of data to be used in a variety of exchange scenarios. Example areas of usage are: exchange of data for operational hydrological monitoring programs; supporting operation of infrastructure (e.g. dams, supply systems); cross-border exchange of observational data; release of data for public dissemination; enhancing disaster management through data exchange; and exchange in support of national reporting The first phase of WaterML2.0 focused on structural definitions allowing for the transfer of time-series, with less work on harmonization of vocabulary items such as quality codes. Vocabularies from various organizations tend to be specific and take time to

  18. Privacy as an enabler, not an impediment: building trust into health information exchange.

    PubMed

    McGraw, Deven; Dempsey, James X; Harris, Leslie; Goldman, Janlori

    2009-01-01

    Building privacy and security protections into health information technology systems will bolster trust in such systems and promote their adoption. The privacy issue, too long seen as a barrier to electronic health information exchange, can be resolved through a comprehensive framework that implements core privacy principles, adopts trusted network design characteristics, and establishes oversight and accountability mechanisms. The public policy challenges of implementing this framework in a complex and evolving environment will require improvements to existing law, new rules for entities outside the traditional health care sector, a more nuanced approach to the role of consent, and stronger enforcement mechanisms.

  19. Aeronautical Satellite-Assisted Process for Information Exchange Through Network Technologies (Aero-SAPIENT) Conducted

    NASA Technical Reports Server (NTRS)

    Zernic, Michael J.

    2002-01-01

    Broadband satellite communications for aeronautics marries communication and network technologies to address NASA's goals in information technology base research and development, thereby serving the safety and capacity needs of the National Airspace System. This marriage of technology increases the interactivity between airborne vehicles and ground systems. It improves decision-making and efficiency, reduces operation costs, and improves the safety and capacity of the National Airspace System. To this end, a collaborative project called the Aeronautical Satellite Assisted Process for Information Exchange through Network Technologies, or Aero-SAPIENT, was conducted out of Tinker AFB, Oklahoma, during November and December 2000.

  20. The strategic use of standardized information exchange technology in a university health system.

    PubMed

    Cheng, Po-Hsun; Chen, Heng-Shuen; Lai, Feipei; Lai, Jin-Shin

    2010-04-01

    This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day. To evaluate the effectiveness of this system, user surveys were performed, which revealed that the average score of user satisfaction increased from 2.80 to 3.18 on a 4-point scale. Among the items, especially e-learning for training service, courtesy communications for system requests, and courtesy communications for system operations showed statistically significant improvement. From this study, the authors concluded that standardized information exchange technologies can be used to create a brand new enterprise value and steadily obtain more competitive advantages for a prestige healthcare system.

  1. Owner controlled data exchange in nutrigenomic collaborations: the NuGO information network.

    PubMed

    Harttig, Ulrich; Travis, Anthony J; Rocca-Serra, Philippe; Renkema, Marten; van Ommen, Ben; Boeing, Heiner

    2009-06-01

    New 'omics' technologies are changing nutritional sciences research. They enable to tackle increasingly complex questions but also increase the need for collaboration between research groups. An important challenge for successful collaboration is the management and structured exchange of information that accompanies data-intense technologies. NuGO, the European Nutrigenomics Organization, the major collaborating network in molecular nutritional sciences, is supporting the application of modern information technologies in this area. We have developed and implemented a concept for data management and computing infrastructure that supports collaboration between nutrigenomics researchers. The system fills the gap between "private" storing with occasional file sharing by email and the use of centralized databases. It provides flexible tools to share data, also during experiments, while preserving ownership. The NuGO Information Network is a decentral, distributed system for data exchange based on standard web technology. Secure access to data, maintained by the individual researcher, is enabled by web services based on the the BioMoby framework. A central directory provides information about available web services. The flexibility of the infrastructure allows a wide variety of services for data processing and integration by combining several web services, including public services. Therefore, this integrated information system is suited for other research collaborations. PMID:19408032

  2. The strategic use of standardized information exchange technology in a university health system.

    PubMed

    Cheng, Po-Hsun; Chen, Heng-Shuen; Lai, Feipei; Lai, Jin-Shin

    2010-04-01

    This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day. To evaluate the effectiveness of this system, user surveys were performed, which revealed that the average score of user satisfaction increased from 2.80 to 3.18 on a 4-point scale. Among the items, especially e-learning for training service, courtesy communications for system requests, and courtesy communications for system operations showed statistically significant improvement. From this study, the authors concluded that standardized information exchange technologies can be used to create a brand new enterprise value and steadily obtain more competitive advantages for a prestige healthcare system. PMID:20406119

  3. (Interagency Information Exchange (IIE) and a work program and agenda for fiscal year 1982)

    SciTech Connect

    Not Available

    1981-01-01

    The purpose of the Interagency Information Exchange is to: facilitate joint and cooperative development, transfer and utilization of information applications and computer-based technology among Federal Departments and Agencies. Achievement of this purpose would assist in improving general management and policymaking within the Executive Branch, improving the productivity of Federal personnel, reducing duplication and achieving economies in ADP development and utilization, and improving the capacity of Federal Departments and Agencies to communicate with each other. The Interagency Information Exchange (IIE) was established on an informal basis with support from the Executive Office of the President. IIE presently consists of representatives from the Departments of Agriculture, Commerce, Defense, Energy, Housing and Urban Development, Interior, Justice, and Transportation. In addition, the following offices and agencies are represented: Office of Administration, Executive Office of the President; Office of Management and Budget; US Regulatory Council; Environmental Protection Agency; National Aeronautics and Space Administration; US Geological Survey; Social Security Administration; Government Printing Office; and the Library of Congress. IIE is chaired by the Deputy Assistant Attorney General for Data Systems and Litigation of the Department of Justice. During the past year, IIE has sponsored several meetings to exchange information among its members and has pursued the joint procurement of commercially available services. Aside from these activities, IIE has been essentially in a planning phase. Much of the planning for IIE has been led by a long-range planning committee which has identified six major categories of applications, including over 20 individual systems or services of potential use to member Departments and Agencies.

  4. The DELPHI distributed information system for exchanging LEP machine related information

    NASA Astrophysics Data System (ADS)

    Dönszelmann, M.; Gaspar, C.

    1994-12-01

    An information management system was designed and implemented to interchange information between the DELPHI experiment at CERN and the monitoring/control system for the LEP (Large Electron Positron Collider) accelerator. This system is distributed and communicates with many different sources and destinations (LEP) using different types of communication. The system itself communicates internally via a communication system based on a publish-and-subscribe mechanism, DIM (Distributed Information Manager). The information gathered by this system is used for on-line as well as off-line data analysis. Therefore it logs the information to a database and makes it available to operators and users via DUI (DELPHI User Interface). The latter was extended to be capable of displaying "time-evolution" plots. It also handles a protocol, implemented using a finite state machine, SMI (State Management Interface), for (semi-)automatic running of the Data Acquisition System and the Slow Controls System.

  5. A security framework for nationwide health information exchange based on telehealth strategy.

    PubMed

    Zaidan, B B; Haiqi, Ahmed; Zaidan, A A; Abdulnabi, Mohamed; Kiah, M L Mat; Muzamel, Hussaen

    2015-05-01

    This study focuses on the situation of health information exchange (HIE) in the context of a nationwide network. It aims to create a security framework that can be implemented to ensure the safe transmission of health information across the boundaries of care providers in Malaysia and other countries. First, a critique of the major elements of nationwide health information networks is presented from the perspective of security, along with such topics as the importance of HIE, issues, and main approaches. Second, a systematic evaluation is conducted on the security solutions that can be utilized in the proposed nationwide network. Finally, a secure framework for health information transmission is proposed within a central cloud-based model, which is compatible with the Malaysian telehealth strategy. The outcome of this analysis indicates that a complete security framework for a global structure of HIE is yet to be defined and implemented. Our proposed framework represents such an endeavor and suggests specific techniques to achieve this goal.

  6. Bridging Organizational Divides in Health Care: An Ecological View of Health Information Exchange

    PubMed Central

    Johnson, Kevin B; Gadd, Cynthia S; Lorenzi, Nancy M

    2013-01-01

    Background The fragmented nature of health care delivery in the United States leads to fragmented health information and impedes patient care continuity and safety. Technologies to support interorganizational health information exchange (HIE) are becoming more available. Understanding how HIE technology changes health care delivery and affects people and organizations is crucial to long-term successful implementation. Objective Our study investigated the impacts of HIE technology on organizations, health care providers, and patients through a new, context-aware perspective, the Regional Health Information Ecology. Methods We conducted more than 180 hours of direct observation, informal interviews during observation, and 9 formal semi-structured interviews. Data collection focused on workflow and information flow among health care team members and patients and on health care provider use of HIE technology. Results We structured the data analysis around five primary information ecology components: system, locality, diversity, keystone species, and coevolution. Our study identified three main roles, or keystone species, involved in HIE: information consumers, information exchange facilitators, and information repositories. The HIE technology impacted patient care by allowing providers direct access to health information, reducing time to obtain health information, and increasing provider awareness of patient interactions with the health care system. Developing the infrastructure needed to support HIE technology also improved connections among information technology support groups at different health care organizations. Despite the potential of this type of technology to improve continuity of patient care, HIE technology adoption by health care providers was limited. Conclusions To successfully build a HIE network, organizations had to shift perspectives from an ownership view of health data to a continuity of care perspective. To successfully integrate external health

  7. Information-seeking coping behaviors during painful procedures in African-American children with sickle cell disease.

    PubMed

    Schlenz, Alyssa M; Schatz, Jeffrey; McClellan, Catherine B; Sweitzer, Sarah M; Roberts, Carla W

    2013-09-01

    This study examined the frequency of information-seeking coping behaviors in 37 African-American children (ages 5-17 years) with sickle cell disease during venipuncture. The relationships between coping behaviors and child- and parent-reported pain and observational distress were also assessed. The majority of children attended to the procedure, but did not seek information via questions. This pattern of coping was only partially effective at reducing distress and had no relation to pain. This pattern of coping is discussed within the context of cultural factors that may be important in understanding responses to procedural pain in pediatric sickle cell disease.

  8. Complex lives: resiliency of African American Women with HIV/AIDS serving as informal kinship care providers.

    PubMed

    Stokes, Charu

    2014-01-01

    Using the resiliency model as a framework, this qualitative description study was designed to elicit the experiences of African American women living with HIV/AIDS serving as informal kinship care providers. Themes emerging from the interviews included (a) strengths of informal social supports, (b) benefits of living with HIV as opposed to women who are not HIV positive, and (c) negative experiences of child welfare services. Findings suggest a plethora of resources women accessed through community-based agencies because of their HIV/AIDS status, as opposed to child welfare agencies.

  9. African-German Cooperation in Educational Research and Planning.

    ERIC Educational Resources Information Center

    Sachsenmeier, Peter

    The report presents background information and proceedings from a conference held in Bonn, Germany, in September 1977 to encourage exchange of ideas between African and German educators and government officials. Specifically, the conference served to document the increasing interest of German educators to interact with educators from the third…

  10. Exploring Cost Exchange at Colleges and Universities. A Report on the 1973 Field Test of NCHEMS' Preliminary Information Exchange and Reporting Procedures at 70 Institutions.

    ERIC Educational Resources Information Center

    Collard, William; Huff, Robert

    The Preliminary Information Exchange Procedures (IEP) cost study project was undertaken as a joint venture by a group of colleges and universities and the National Center for Higher Education Management Systems (NCHEMS). The project was initiated and sponsored by NCHEMS to accomplish six objectives that would benefit both the institutions and…

  11. Primer in health information exchange for the emergency physician: benefits and barriers.

    PubMed

    Carr, Christine M; DiGioia, Christina Hope; Wagner, Joseph; Saef, Steven H

    2013-06-01

    For various reasons, patients seek care at different hospitals within a region, resulting in fragmented medical records at the point of care. In the emergency department, this is a particularly important issue because the emergency department provides open access to all patients and requires rapid high-stakes decision making to function well. To address these issues and as a result of federal initiatives, health information exchanges (HIEs) have been designed and implemented in various regions throughout the United States to promote health information sharing. The use of HIEs has been demonstrated to lower costs and avoid duplicative testing and treatment; however, obstacles such as physician usage characteristics and institutional concerns regarding information sharing exist and must be addressed before full implementation and adoption of HIEs among institutions take place. Further research is needed to describe the benefits of HIEs and how they can affect these barriers. PMID:23736180

  12. Towards an optimal flow: Density-of-states-informed replica-exchange simulations

    SciTech Connect

    Vogel, Thomas; Perez, Danny

    2015-11-05

    Here we learn that replica exchange (RE) is one of the most popular enhanced-sampling simulations technique in use today. Despite widespread successes, RE simulations can sometimes fail to converge in practical amounts of time, e.g., when sampling around phase transitions, or when a few hard-to-find configurations dominate the statistical averages. We introduce a generalized RE scheme, density-of-states-informed RE, that addresses some of these challenges. The key feature of our approach is to inform the simulation with readily available, but commonly unused, information on the density of states of the system as the RE simulation proceeds. This enables two improvements, namely, the introduction of resampling moves that actively move the system towards equilibrium and the continual adaptation of the optimal temperature set. As a consequence of these two innovations, we show that the configuration flow in temperature space is optimized and that the overall convergence of RE simulations can be dramatically accelerated.

  13. Effects of moisture and burning on soil-atmosphere exchange of trace carbon gases in a southern African savanna

    NASA Astrophysics Data System (ADS)

    Zepp, Richard G.; Miller, William L.; Burke, Roger A.; Parsons, Dirk A. B.; Scholes, Mary C.

    1996-10-01

    Soil fluxes of carbon dioxide (CO2), methane (CH4), and carbon monoxide (CO) were measured during a period of extreme drought at semi-arid savanna sites located in the Kruger National Park (KNP), South Africa, as part of the SAFARI-92 experiments (Sept., 1992). Soil respiration in this savanna was little affected by burning, but was strongly stimulated by addition of moisture. Mean soil respiration from the dry soil was 0.4 g C m-2 d-1 in open savanna plots that had been burned biennially and 0.5 g C m-2 d-1 in woody savanna plots. A light natural rain (about 0.6 mm) increased the CO2 flux in the open savanna sites by 5-fold but the effect was short-lived. A simulated heavy rain (25 mm of added distilled water) increased CO2 fluxes by over an order of magnitude in both burned and control sites and the emissions remained over 5 times pre-wetting values during a week of drying. Over 65% of our measurements indicated no significant soil-atmosphere methane exchange; most of the few non-zero measurements indicated a small (<1 mg CH4-C m-2 d-1) flux of methane to the atmosphere. Soil-atmosphere CH4 exchange was not significantly affected by either burning the grass layer or by the addition of distilled water to the soil. The net soil CO fluxes, which generally increased with increasing soil temperature, were positive up to 356 × 109 molecules cm-2 s-1 with an average of 8.8 × 1010 molecules cm-2 s-1 for the untreated open savanna plots. After burning, the fluxes rose by over an order of magnitude but dropped back to preburn levels within a few days. Observed CO fluxes were higher than those previously reported for southern Africa savannas during non-drought conditions. Added moisture had little effect on CO fluxes during the 3-week period of SAFARI-92.

  14. 23 CFR 636.401 - What types of information exchange may take place prior to the release of the RFP document?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false What types of information exchange may take place prior... What types of information exchange may take place prior to the release of the RFP document? Verbal or written information exchanges (such as in the first-phase of a two-phase selection procedure) must...

  15. Sources for the Study of East African Cultures and Development; A Bibliography of Social Scientific Bibliographies, Abstracts, Reference Works, Catalogues, Directories, Writings on Archives, Bibliographies, Book Production, Libraries, and Museums, With Special Reference to Kenya, Tanzania and Uganda 1946-1966 (1967-1968).

    ERIC Educational Resources Information Center

    Molnos, Angela, Comp.

    The East African Research Information Centre (EARIC), sponsored by the East African Academy and financed by the Ford Foundation, is a new institution intended to promote efficient information exchange within the field of the social sciences and development. Its immediate objectives are to collect, collate and disseminate information on past and…

  16. Closed-Loop Brain Model of Neocortical Information-Based Exchange

    PubMed Central

    Kozloski, James

    2016-01-01

    Here we describe an “information-based exchange” model of brain function that ascribes to neocortex, basal ganglia, and thalamus distinct network functions. The model allows us to analyze whole brain system set point measures, such as the rate and heterogeneity of transitions in striatum and neocortex, in the context of neuromodulation and other perturbations. Our closed-loop model is grounded in neuroanatomical observations, proposing a novel “Grand Loop” through neocortex, and invokes different forms of plasticity at specific tissue interfaces and their principle cell synapses to achieve these transitions. By implementing a system for maximum information-based exchange of action potentials between modeled neocortical areas, we observe changes to these measures in simulation. We hypothesize that similar dynamic set points and modulations exist in the brain's resting state activity, and that different modifications to information-based exchange may shift the risk profile of different component tissues, resulting in different neurodegenerative diseases. This model is targeted for further development using IBM's Neural Tissue Simulator, which allows scalable elaboration of networks, tissues, and their neural and synaptic components toward ever greater complexity and biological realism. PMID:26834573

  17. A computer-tailored intervention to promote informed decision making for prostate cancer screening among African-American men

    PubMed Central

    Allen, Jennifer D.; Mohllajee, Anshu P.; Shelton, Rachel C.; Drake, Bettina F.; Mars, Dana R.

    2010-01-01

    African-American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed “informed decision making” (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre/post test design. African-American men aged 40+ recruited from a variety of community settings (n=108). At pre-test, 43% of men reported having made a screening decision; at post-test 47% reported this to be the case (p=0.39). Significant improvements were observed on scores (0–100%) of knowledge (54% vs 72%; p<0.001), decision self-efficacy (87% vs 89%; p<0.01), and decisional conflict (21% vs 13%; p<0.001). Men were also more likely to want an active role in decision-making after using the tool (67% vs 75%; p=0.03). These results suggest that use of a computer-tailored decision-aid is a promising strategy to promote IDM for CaP screening among African-American men. PMID:19477736

  18. The Role of Cooperation and Information Exchange in Transnational River Basins: the Zambezi River case

    NASA Astrophysics Data System (ADS)

    Castelletti, A.; Giuliani, M.; Soncini-Sessa, R.

    2012-12-01

    The presence of multiple, institutionally independent but physically interconnected decision-makers is a distinctive features of many water resources systems, especially of transnational river basins. The adoption of a centralized approach to study the optimal operation of these systems, as mostly done in the water resources literature, is conceptually interesting to quantify the best achievable performance, but of little practical impact given the real political and institutional setting. Centralized management indeed assumes a cooperative attitude and full information exchange by the involved parties. However, when decision-makers belong to different countries or institutions, it is very likely that they act considering only their local objectives, producing global externalities that negatively impact on other objectives. In this work we adopt a Multi-Agent Systems framework, which naturally allows to represent a set of self-interested agents (decision-makers and/or stakeholders) acting in a distributed decision-making process. According to this agent-based approach, each agent represents a decision-maker, whose decisions are defined by an explicit optimization problem considering only the agent's local interests. In particular, this work assesses the role of information exchange and increasing level of cooperation among originally non-cooperative agents. The Zambezi River basin is used to illustrate the methodology: the four largest reservoirs in the basin (Ithezhithezhi, Kafue-Gorge, Kariba and Cahora Bassa) are mainly operated for maximizing the economic revenue from hydropower energy production with considerably negative effects on the aquatic ecosystem in the Zambezi delta due to the alteration of the natural flow regime. We comparatively analyse the ideal centralized solution and the current situation where all the decision-makers act independently and non-cooperatively. Indeed, although a new basin-level institution called Zambezi Watercourse Commission

  19. Model of Wikipedia growth based on information exchange via reciprocal arcs

    NASA Astrophysics Data System (ADS)

    Zlatić, V.; Štefančić, H.

    2011-03-01

    We show how reciprocal arcs significantly influence the structural organization of Wikipedias, online encyclopedias. It is shown that random addition of reciprocal arcs in the static network cannot explain the observed reciprocity of Wikipedias. A model of Wikipedia growth based on preferential attachment and on information exchange via reciprocal arcs is presented. An excellent agreement between in-degree distributions of our model and real Wikipedia networks is achieved without fitting the distributions, but by merely extracting a small number of model parameters from the measurement of real networks.

  20. Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data.

    PubMed

    Nordmark, Sofi; Söderberg, Siv; Skär, Lisa

    2015-01-01

    Objectives: Discharge planning is an important care process for managing transitions from the hospital to the community. It has been studied for >20 years, but few studies clarify the information exchanged between healthcare providers. This study aimed to describe nurses' experiences and perceptions of information exchange during the discharge planning process, focused on what, when and how information is exchanged between the hospital and primary healthcare. Method: A web-based census survey was used to collect data; the data were analyzed using descriptive statistics and chi-squared test. A questionnaire was distributed to 194 registered nurses (129 respondents) from a central county hospital and 67 district nurses (42 respondents) working in 13 primary healthcare centres. Results: The results show a significant difference between given and received information between the two groups. Both groups thought the information exchange worked best when all participants met at the discharge planning conference and that the electronic information system was difficult to use. Conclusion: This study shows difficulties knowing what patient-related information needs to give and not receiving the expected information. These results can be used to develop knowledge about roles, work tasks and needs to enhance the outcome of the process and the information exchanged.

  1. Understanding ICT Integration in South African Classrooms. Research: Information and Communication Technologies

    ERIC Educational Resources Information Center

    Wilson-Strydom, Merridy; Thomson, Janet; Hodgkinson-Williams, Cheryl

    2005-01-01

    Integration of ICT into teaching and learning has risen on the South African education agenda, particularly with the release of the White Paper on e-Education in 2003. This empirical paper draws on survey data from the evaluation of the Intel[R] Teach to the Future programme in South Africa to reflect on ICT integration in South African…

  2. Sexuality Information Needs of Latino and African American Ninth Graders: A Content Analysis of Anonymous Questions

    ERIC Educational Resources Information Center

    Angulo-Olaiz, Francisca; Goldfarb, Eva S.; Constantine, Norman A.

    2014-01-01

    This study used qualitative content analysis to examine anonymous questions about sex and sexuality submitted by Latino and African American adolescents in Los Angeles, California, classrooms. The majority of questions asked about sexuality and sexual behavior, or anatomy and physiology, with fewer questions about pregnancy and pregnancy…

  3. Working with Twice-Exceptional African American Students: Information for School Counselors

    ERIC Educational Resources Information Center

    Mayes, Renae D.; Hines, Erik M.; Harris, Paul C.

    2014-01-01

    This qualitative study examined the perceptions, attitudes, and experiences of eight twice-exceptional African American gifted students who attended the same K-12 urban school district in the Midwest. Four major themes emerged--academic supports, personal and social challenges, career worries, and experience with school counselors. Findings…

  4. 78 FR 42103 - Agency Information Collection Activities: African Growth and Opportunity Act Certificate of Origin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ... Opportunity Act Certificate of Origin AGENCY: U.S. Customs and Border Protection, Department of Homeland... accordance with the Paperwork Reduction Act: African Growth and Opportunity Act Certificate of Origin (AGOA... previously published in the Federal Register (78 FR 26650) on May 7, 2013, allowing for a 60-day...

  5. 78 FR 26650 - Agency Information Collection Activities: African Growth and Opportunity Act Certificate of Origin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... Opportunity Act Certificate of Origin AGENCY: U.S. Customs and Border Protection, Department of Homeland... Certificate of Origin (AGOA). This request for comments is being made pursuant to the Paperwork Reduction Act...: Title: African Growth and Opportunity Act Certificate of Origin. OMB Number: 1651-0082. Form...

  6. Preliminary Information on Stuttering Characteristics Contrasted between African American and White Children.

    ERIC Educational Resources Information Center

    Olsen, Lisa Taylor; Steelman, Mary Lynn; Buffalo, M. D.; Montague, Jim

    1999-01-01

    This study compared verbal disfluency and accessory characteristics of 15 African-American and 15 White male stutterers (ages 8-12). Overall, no significant differences were found in verbal- or visual-disfluency behaviors on either reading or conversation tasks between the two groups. Also, no significant differences were found in attitudes toward…

  7. The NASA Scientific and Technical Information (STI) Program's Implementation of Open Archives Initiative (OAI) for Data Interoperability and Data Exchange.

    ERIC Educational Resources Information Center

    Rocker, JoAnne; Roncaglia, George J.; Heimerl, Lynn N.; Nelson, Michael L.

    Interoperability and data-exchange are critical for the survival of government information management programs. E-government initiatives are transforming the way the government interacts with the public. More information is to be made available through Web-enabled technologies. Programs such as the NASA's Scientific and Technical Information (STI)…

  8. Assessing the value of cooperation and information exchange in large water resources systems by agent-based optimization

    NASA Astrophysics Data System (ADS)

    Giuliani, M.; Castelletti, A.

    2013-07-01

    Many large-scale water resources systems, especially in transboundary contexts, are characterized by the presence of several and conflicting interests and managed by multiple, institutionally independent decision makers. These systems are often studied adopting a centralized approach based on the assumption of full cooperation and information exchange among the involved parties. Such a perspective is conceptually interesting to quantify the best achievable performance but might have little practical impact given the real political and institutional setting. In this work, we propose a novel decision-analytic framework based on multiagent systems to model and analyze different levels of cooperation and information exchange among multiple decision makers. The Zambezi River basin is used as a case study. According to the proposed agent-based optimization approach, each agent represents a decision maker, whose decisions are defined by an explicit optimization problem considering only the agent's local interests. The economic value of information exchange is estimated comparing a noncooperative setting, where agents act independently, with the first basic level of cooperation, i.e., coordination, characterized by full information exchange. The economic value of cooperation is also estimated by comparison with the ideal, fully cooperative management of the system. Results show that coordination, obtained with complete information exchange, allows the downstream agents to better adapt to the upstream behaviors. The impact of information exchange depends on the objective considered, and we show coordination to be particularly beneficial to environmental interests.

  9. Toward a formalization of a two traders market with information exchange

    NASA Astrophysics Data System (ADS)

    Bagarello, F.; Haven, E.

    2015-01-01

    This paper shows that Hamiltonians and operators can also be put to good use even in contexts which are not purely physics based. Consider the world of finance. The work presented here models a two traders system with information exchange with the help of four fundamental operators: cash and share operators, a portfolio operator, and an operator reflecting the loss of information. An information Hamiltonian is considered and an additional Hamiltonian is presented which reflects the dynamics of selling/buying shares between traders. An important result of the paper is that when the information Hamiltonian is zero, portfolio operators commute with the Hamiltonian and this suggests that the dynamics are really due to the information. Under the assumption that the interaction and information terms in the Hamiltonian have similar strength, a perturbation scheme is considered on the interaction parameter. Contrary to intuition, the paper shows that up to a second order in the interaction parameter, a key factor in the computation of the portfolios of traders will be the initial values of the loss of information (rather than the initial conditions on the cash and shares). Finally, the paper shows that a natural outcome from the inequality of the variation of the portfolio of trader one versus the variation of the portfolio of trader two, begs for the introduction of ‘good’ and ‘bad’ information. It is shown that ‘good’ information is related to the reservoirs (where an infinite set of bosonic operators are used) which model rumors/news and external facts, whilst ‘bad’ information is associated with a set of two modes bosonic operators.

  10. Adoption of Health Information Exchange by Emergency Physicians at Three Urban Academic Medical Centers

    PubMed Central

    Genes, N.; Shapiro, J.; Vaidya, S.; Kuperman, G.

    2011-01-01

    Objectives Emergency physicians are trained to make decisions quickly and with limited patient information. Health Information Exchange (HIE) has the potential to improve emergency care by bringing relevant patient data from non-affiliated organizations to the bedside. NYCLIX (New York CLinical Information eXchange) offers HIE functionality among multiple New York metropolitan area provider organizations and has pilot users in several member emergency departments (EDs). Methods We conducted semi-structured interviews at three participating EDs with emergency physicians trained to use NYCLIX. Among “users” with > 1 login, responses to questions regarding typical usage scenarios, successful retrieval of data, and areas for improving the interface were recorded. Among “non-users” with ≤1 login, questions about NYCLIX accessibility and utility were asked. Both groups were asked to recall items from prior training regarding data sources and availability. Results Eighteen NYCLIX pilot users, all board certified emergency physicians, were interviewed. Of the 14 physicians with more than one login ,half estimated successful retrieval of HIE data affecting patient care. Four non-users (one login or less) cited forgotten login information as a major reason for non-use. Though both groups made errors, users were more likely to recall true NYCLIX member sites and data elements than non-users. Improvements suggested as likely to facilitate usage included a single automated login to both the ED information system (EDIS) and HIE, and automatic notification of HIE data availability in the EDIS All respondents reported satisfaction with their training. Conclusions Integrating HIE into existing ED workflows remains a challenge, though a substantial fraction of users report changes in management based on HIE data. Though interviewees believed their training was adequate, significant errors in their understanding of available NYCLIX data elements and participating sites

  11. Real Time Alert System: A Disease Management System Leveraging Health Information Exchange

    PubMed Central

    Anand, Vibha; Sheley, Meena E.; Xu, Shawn; Downs, Stephen M.

    2012-01-01

    Background Rates of preventive and disease management services can be improved by providing automated alerts and reminders to primary care providers (PCPs) using of health information technology (HIT) tools. Methods: Using Adaptive Turnaround Documents (ATAD), an existing Health Information Exchange (HIE) infrastructure and office fax machines, we developed a Real Time Alert (RTA) system. RTA is a computerized decision support system (CDSS) that is able to deliver alerts to PCPs statewide for recommended services around the time of the patient visit. RTA is also able to capture structured clinical data from providers using existing fax technology. In this study, we evaluate RTA’s performance for alerting PCPs when their patients with asthma have an emergency room visit anywhere in the state. Results: Our results show that RTA was successfully able to deliver “just in time” patient-relevant alerts to PCPs across the state. Furthermore, of those ATADs faxed back and automatically interpreted by the RTA system, 35% reported finding the provided information helpful. The PCPs who reported finding information helpful also reported making a phone call, sending a letter or seeing the patient for follow up care. Conclusions: We have successfully demonstrated the feasibility of electronically exchanging important patient related information with the PCPs statewide. This is despite a lack of a link with their electronic health records. We have shown that using our ATAD technology, a PCP can be notified quickly of an important event such as a patient’s asthma related emergency room admission so further follow up can happen in near real time. PMID:23569648

  12. Socioeconomic inequalities in informal payments for health care: An assessment of the 'Robin Hood' hypothesis in 33 African countries.

    PubMed

    Kankeu, Hyacinthe Tchewonpi; Ventelou, Bruno

    2016-02-01

    In almost all African countries, informal payments are frequently made when accessing health care. Some literature suggests that the informal payment system could lead to quasi-redistribution among patients, with physicians playing a 'Robin Hood' role, subsidizing the poor at the expense of the rich. We empirically tested this assumption with data from the rounds 3 and 5 of the Afrobarometer surveys conducted in 18 and 33 African countries respectively, from 2005 to 2006 for round 3 and from 2011 to 2013 for round 5. In these surveys, nationally representative samples of people aged 18 years or more were randomly selected in each country, with sizes varying between 1048 and 2400 for round 3 and between 1190 and 2407 for round 5. We used the 'normalized' concentration index, the poor/rich gap and the odds ratio to assess the level of inequality in the payment of bribes to access care at the local public health facility and implemented two decomposition techniques to identify the contributors to the observed inequalities. We obtained that: i) the socioeconomic gradient in informal payments is in favor of the rich in almost all countries, indicating a rather regressive system; ii) this is mainly due to the socioeconomic disadvantage itself, to poor/rich differences in supply side factors like lack of medicines, absence of doctors and long waiting times, as well as regional disparities. Although essentially empirical, the paper highlights the need for African health systems to undergo substantial country-specific reforms in order to better protect the worse-off from financial risk when they seek care. PMID:26808336

  13. The Earth Information Exchange: A Portal for Earth Science From the ESIP Federation

    NASA Astrophysics Data System (ADS)

    Wertz, R.; Hutchinson, C.; Hardin, D.

    2006-12-01

    The Federation of Earth Science Information Partners is a unique consortium of more than 90 organizations that collect, interpret and develop applications for remotely sensed Earth Observation Information. Included in the ESIP network are NASA, NOAA and USGS data centers, research universities, government research laboratories, supercomputer facilities, education resource providers, information technology innovators, nonprofit organizations and commercial enterprises. The consortium's work is dedicated to providing the most up-to-date, science-based information to researchers and decision-makers who are working to understand and address the environmental, economic and social challenges facing our planet. By increasing the use and usability of Earth observation data and linking it with decision-making tools, the Federation partners leverage the value of these important data resources for the betterment of society and our planet. To further the dissemination of Earth Science data, the Federation is developing the Earth Information Exchange (EIE). The EIE is a portal that will provide access to the vast information holdings of the members' organizations in one web-based location and will provides a robust marketplace in which the products and services needed to use and understand this information can be readily acquired. Since the Federation membership includes the federal government's Earth observing data centers, we believe that the impact of the EIE on Earth science research and education and environmental policy making will be profound. In the EIE, Earth observation data, products and services, are organized by the societal benefits categories defined by the international working group developing the Global Earth Observation System of Systems (GEOSS). The quality of the information is ensured in each of the Exchange's issue areas by maintaining working groups of issue area researchers and practitioners who serve as stewards for their respective communities. The

  14. Learning from health information exchange technical architecture and implementation in seven beacon communities.

    PubMed

    McCarthy, Douglas B; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A; Rein, Alison L

    2014-01-01

    As health care providers adopt and make "meaningful use" of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population health management, patient engagement in care, and continuous learning and improvement. The diverse experiences of seven communities that participated in the three-year federal Beacon Community Program offer practical insight into factors influencing the technical architecture of exchange infrastructure and its role in supporting improved care, reduced cost, and a healthier population. The case studies also document challenges faced by the communities, such as significant time and resources required to harmonize variations in the interpretation of data standards. Findings indicate that their progress developing community-based HIE strategies, while driven by local needs and objectives, is also influenced by broader legal, policy, and market conditions.

  15. Learning from Health Information Exchange Technical Architecture and Implementation in Seven Beacon Communities

    PubMed Central

    McCarthy, Douglas B.; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A.; Rein, Alison L.

    2014-01-01

    As health care providers adopt and make “meaningful use” of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population health management, patient engagement in care, and continuous learning and improvement. The diverse experiences of seven communities that participated in the three-year federal Beacon Community Program offer practical insight into factors influencing the technical architecture of exchange infrastructure and its role in supporting improved care, reduced cost, and a healthier population. The case studies also document challenges faced by the communities, such as significant time and resources required to harmonize variations in the interpretation of data standards. Findings indicate that their progress developing community-based HIE strategies, while driven by local needs and objectives, is also influenced by broader legal, policy, and market conditions. PMID:25848591

  16. The role of conflict minerals, artisanal mining, and informal trading networks in African intrastate and regional conflicts

    USGS Publications Warehouse

    Chirico, Peter G.; Malpeli, Katherine C.

    2014-01-01

    The relationship between natural resources and armed conflict gained public and political attention in the 1990s, when it became evident that the mining and trading of diamonds were connected with brutal rebellions in several African nations. Easily extracted resources such as alluvial diamonds and gold have been and continue to be exploited by rebel groups to fund their activities. Artisanal and small-scale miners operating under a quasi-legal status often mine these mineral deposits. While many African countries have legalized artisanal mining and established flow chains through which production is intended to travel, informal trading networks frequently emerge in which miners seek to evade taxes and fees by selling to unauthorized buyers. These networks have the potential to become international in scope, with actors operating in multiple countries. The lack of government control over the artisanal mining sector and the prominence of informal trade networks can have severe social, political, and economic consequences. In the past, mineral extraction fuelled violent civil wars in Sierra Leone, Liberia, and Angola, and it continues to do so today in several other countries. The significant influence of the informal network that surrounds artisanal mining is therefore an important security concern that can extend across borders and have far-reaching impacts.

  17. Information exchange within the U.S. Department of Energy pollution prevention community

    SciTech Connect

    Thuot, J.R.

    1995-07-01

    Improving Pollution Prevention and Waste Minimization Program (PP/WMIN) technologies, actions, and culture could be an important cost-cutting step for the US Department of Energy (DOE). Communicating ideas, concepts, process changes, and achievements is essential for the success of this program. The need to openly communicate ideas and concepts in a cost-effective manner is essential in an organization that has such diverse components as research and development, weapons production, and power generation. This approach is in contrast to the historic DOE culture developed within the cold war period in which compartmentalization, independence, and secrecy were stressed. DOE has now recognized that for any pollution prevention program to be successful, the many diverse elements of the organization must share information. Avenues for such information exchange are examined in this report.

  18. Barriers to cross--institutional health information exchange: a literature review.

    PubMed

    Edwards, Ashley; Hollin, Ilene; Barry, Jeffrey; Kachnowski, Stan

    2010-01-01

    While the development of health information technology, particularly electronic health records (EHR), is a triumph for the advancement of healthcare, non-interoperable clinical data systems lead to fragmented communication and incomplete records. If interoperable HIT systems could be achieved integrated HIT could be leveraged to lessen medical errors, improve patient care and optimize epidemiological research. To understand the barriers to interoperability or health information exchange (HIE), we reviewed the literature on HIT and barriers to HIE. Our search yielded 492 articles, 25 meeting our inclusion criteria. In general, we found that the predominant barriers to HIE are need for standards, security concerns, economic loss to competitors, and federated systems. Research on interoperability is limited because most HIE programs are still in formative stages. More research is needed to fully understand interoperability of HIT, how to overcome the barriers to interoperability, and how to design HIT to better facilitate HIE.

  19. Validating Health Information Exchange (HIE) Data For Quality Measurement Across Four Hospitals

    PubMed Central

    Garg, Nupur; Kuperman, Gil; Onyile, Arit; Lowry, Tina; Genes, Nicholas; DiMaggio, Charles; Richardson, Lynne; Husk, Gregg; Shapiro, Jason S

    2014-01-01

    Health information exchange (HIE) provides an essential enhancement to electronic health records (EHR), allowing information to follow patients across provider organizations. There is also an opportunity to improve public health surveillance, quality measurement, and research through secondary use of HIE data, but data quality presents potential barriers. Our objective was to validate the secondary use of HIE data for two emergency department (ED) quality measures: identification of frequent ED users and early (72-hour) ED returns. We compared concordance of various demographic and encounter data from an HIE for four hospitals to data provided by the hospitals from their EHRs over a two year period, and then compared measurement of our two quality measures using both HIE and EHR data. We found that, following data cleaning, there was no significant difference in the total counts for frequent ED users or early ED returns for any of the four hospitals (p<0.001). PMID:25954362

  20. Microbiological Common Language (MCL): a standard for electronic information exchange in the Microbial Commons.

    PubMed

    Verslyppe, Bert; Kottmann, Renzo; De Smet, Wim; De Baets, Bernard; De Vos, Paul; Dawyndt, Peter

    2010-01-01

    Although Biological Resource Centers (BRCs) traditionally have open catalogs of their holdings, it is quite cumbersome to access meta-information about microorganisms electronically due to the variety of access methods used by those catalogs. Therefore, we propose Microbiological Common Language (MCL), aimed at standardizing the electronic exchange of meta-information about microorganisms. Its application ranges from representing the online catalog of a single collection to accessing the results of StrainInfo integration and ad hoc use in other contexts. The abstract model of the standard precisely defines the elements of the standard, which enables implementation using a variety of representation technologies. Currently, XML and RDF/XML implementations are readily available. MCL is an open standard, and therefore greatly encourages input from the microbiological community. PMID:20211251

  1. Integration of IEEE 1451 and HL7 Exchanging Information for Patients’ Sensor Data

    PubMed Central

    Lim, Suyoung; Ahn, Jinsoo; Nah, Jiyoung; Kim, Namhyun

    2009-01-01

    HL7 (Health Level 7) is a standard developed for exchanging incompatible healthcare information generated from programs or devices among heterogenous medical information systems. At present, HL7 is growing as a global standard. However, the HL7 standard does not support effective methods for treating data from various medical sensors, especially from mobile sensors. As ubiquitous systems are growing, HL7 must communicate with various medical transducers. In the area of sensor fields, IEEE 1451 is a group of standards for controlling transducers and for communicating data from/to various transducers. In this paper, we present the possibility of interoperability between the two standards, i.e., HL7 and IEEE 1451. After we present a method to integrate them and show the preliminary results of this approach. PMID:20703604

  2. Westinghouse Savannah River Site Supplier Environmental Restoration and Waste Management Information Exchange Forum

    SciTech Connect

    Sturm, H.F. Jr.; Hottel, R.E.; Christoper, N.

    1994-06-01

    The Savannah River Site conducted its first Supplier Information Exchange in September 1993. The intent of the conference was to inform potential suppliers of the Savannah River Sites mission and research and development program objectives in the areas of environmental restoration and waste management, and to solicit proposals for innovative research in those areas. Major areas addressed were Solid Waste, Environmental Restoration, Environmental Monitoring, Transition/Decontamination and Decommissioning, and the Savannah River Technology Center. A total of 1062 proposals were received addressing the 89 abstracts presented. This paper will describe the forum the process for solicitation, the process for proposal review and selection, and review the overall results and benefits to Savannah River.

  3. Integration of IEEE 1451 and HL7 exchanging information for patients' sensor data.

    PubMed

    Kim, Wooshik; Lim, Suyoung; Ahn, Jinsoo; Nah, Jiyoung; Kim, Namhyun

    2010-12-01

    HL7 (Health Level 7) is a standard developed for exchanging incompatible healthcare information generated from programs or devices among heterogenous medical information systems. At present, HL7 is growing as a global standard. However, the HL7 standard does not support effective methods for treating data from various medical sensors, especially from mobile sensors. As ubiquitous systems are growing, HL7 must communicate with various medical transducers. In the area of sensor fields, IEEE 1451 is a group of standards for controlling transducers and for communicating data from/to various transducers. In this paper, we present the possibility of interoperability between the two standards, i.e., HL7 and IEEE 1451. After we present a method to integrate them and show the preliminary results of this approach.

  4. International data- and information exchange for off-site emergency management--where to go?

    PubMed

    Höbler, Christian; Hable, Kathrin; Baig, Sandra; Zähringer, Matthias

    2004-01-01

    The communication and exchange of views and opinions between decision makers and their advisers is crucial for coherent crisis management. As a vision, the concept of a 'Virtual Round Table' is proposed. It stands for the dedication of all accountable authorities to cross border cooperation and should provide a comprehensive technical infrastructure enabling decision makers and experts to communicate with their colleagues in neighbouring countries as if they were sitting at the same table. Organisational arrangements must be in place for coordinating decisions. The technical infrastructure should comprise modern communication technologies such as video conferencing and a 'Common Information Board', which presents all relevant information and documents in a structured way, manages alerting, decision journaling, data distribution and access control. In order to achieve this goal in an evolutionary approach, existing procedures of good practice are analysed and helpful features are identified. PMID:15238657

  5. Open exchange of scientific knowledge and European copyright: The case of biodiversity information.

    PubMed

    Egloff, Willi; Patterson, David J; Agosti, Donat; Hagedorn, Gregor

    2014-01-01

    Background. The 7(th) Framework Programme for Research and Technological Development is helping the European Union to prepare for an integrative system for intelligent management of biodiversity knowledge. The infrastructure that is envisaged and that will be further developed within the Programme "Horizon 2020" aims to provide open and free access to taxonomic information to anyone with a requirement for biodiversity data, without the need for individual consent of other persons or institutions. Open and free access to information will foster the re-use and improve the quality of data, will accelerate research, and will promote new types of research. Progress towards the goal of free and open access to content is hampered by numerous technical, economic, sociological, legal, and other factors. The present article addresses barriers to the open exchange of biodiversity knowledge that arise from European laws, in particular European legislation on copyright and database protection rights. We present a legal point of view as to what will be needed to bring distributed information together and facilitate its re-use by data mining, integration into semantic knowledge systems, and similar techniques. We address exceptions and limitations of copyright or database protection within Europe, and we point to the importance of data use agreements. We illustrate how exceptions and limitations have been transformed into national legislations within some European states to create inconsistencies that impede access to biodiversity information. Conclusions. The legal situation within the EU is unsatisfactory because there are inconsistencies among states that hamper the deployment of an open biodiversity knowledge management system. Scientists within the EU who work with copyright protected works or with protected databases have to be aware of regulations that vary from country to country. This is a major stumbling block to international collaboration and is an impediment to the

  6. Open exchange of scientific knowledge and European copyright: The case of biodiversity information

    PubMed Central

    Egloff, Willi; Patterson, David J.; Agosti, Donat; Hagedorn, Gregor

    2014-01-01

    Abstract Background. The 7th Framework Programme for Research and Technological Development is helping the European Union to prepare for an integrative system for intelligent management of biodiversity knowledge. The infrastructure that is envisaged and that will be further developed within the Programme “Horizon 2020” aims to provide open and free access to taxonomic information to anyone with a requirement for biodiversity data, without the need for individual consent of other persons or institutions. Open and free access to information will foster the re-use and improve the quality of data, will accelerate research, and will promote new types of research. Progress towards the goal of free and open access to content is hampered by numerous technical, economic, sociological, legal, and other factors. The present article addresses barriers to the open exchange of biodiversity knowledge that arise from European laws, in particular European legislation on copyright and database protection rights. We present a legal point of view as to what will be needed to bring distributed information together and facilitate its re-use by data mining, integration into semantic knowledge systems, and similar techniques. We address exceptions and limitations of copyright or database protection within Europe, and we point to the importance of data use agreements. We illustrate how exceptions and limitations have been transformed into national legislations within some European states to create inconsistencies that impede access to biodiversity information. Conclusions. The legal situation within the EU is unsatisfactory because there are inconsistencies among states that hamper the deployment of an open biodiversity knowledge management system. Scientists within the EU who work with copyright protected works or with protected databases have to be aware of regulations that vary from country to country. This is a major stumbling block to international collaboration and is an

  7. BNL ALARA Center experience with an information exchange system on dose control at nuclear power plants

    SciTech Connect

    Baum, J.W.; Khan, T.A.

    1992-04-01

    The essential elements of an international information exchange system on dose control at nuclear power plants are summarized. Information was collected from literature abstracting services, by attending technical meetings, by circulating data collection forms, and through personal contacts. Data are assembled in various databases and periodically disseminated to several hundred interested participants through a variety of publications and at technical meetings. Immediate on-line access to the data is available to participants with modems, commercially available communications software, and a password that is provided by the Brookhaven National Laboratory (BNL) ALARA Center to authorized users of the system. Since January 1992, rapid access also has been provided to persons with fax machines. Some information is available for ``polling`` the BNL system at any time, and other data can be installed for polling on request. Most information disseminated to data has been through publications; however, new protocols, simplified by the ALARA Center staff, and the convenience of fax machines are likely to make the earlier availability of information through these mechanisms increasingly important.

  8. Consumer Opinions of Health Information Exchange, e-Prescribing, and Personal Health Records

    PubMed Central

    Cochran, Gary L.; Lander, Lina; Morien, Marsha; Lomelin, Daniel E.; Brittin, Jeri; Reker, Celeste; Klepser, Donald G.

    2015-01-01

    Background Consumer satisfaction is a crucial component of health information technology (HIT) utilization, as high satisfaction is expected to increase HIT utilization among providers and to allow consumers to become full participants in their own healthcare management. Objective The primary objective of this pilot study was to identify consumer perspectives on health information technologies including health information exchange (HIE), e-prescribing (e-Rx), and personal health records (PHRs). Methods Eight focus groups were conducted in seven towns and cities across Nebraska in 2013. Each group consisted of 10–12 participants. Discussions were organized topically in the following categories: HIE, e-Rx, and PHR. The qualitative analysis consisted of immersion and crystallization to develop a coding scheme that included both preconceived and emergent themes. Common themes across focus groups were identified and compiled for each discussion category. Results The study had 67 participants, of which 18 (27 percent) were male. Focus group findings revealed both perceived barriers and benefits to the adoption of HIT. Common HIT concerns expressed across focus groups included privacy and security of medical information, decreases in quality of care, inconsistent provider participation, and the potential cost of implementation. Positive expectations regarding HIT included better accuracy and completeness of information, and improved communication and coordination between healthcare providers. Improvements in patient care were expected as a result of easy physician access to consolidated information across providers as well as the speed of sharing and availability of information in an emergency. In addition, participants were optimistic about patient empowerment and convenient access to and control of personal health data. Conclusion Consumer concerns focused on privacy and security of the health information, as well as the cost of implementing the technologies and the

  9. Developing a Common Health Information Exchange Platform to Implement a Nationwide Health Information Network in South Korea

    PubMed Central

    Lee, Minho; Heo, Eunyoung; Lim, Heesook; Lee, Jun Young; Weon, Sangho; Chae, Hoseok; Hwang, Hee

    2015-01-01

    Objectives We aimed to develop a common health information exchange (HIE) platform that can provide integrated services for implementing the HIE infrastructure in addition to guidelines for participating in an HIE network in South Korea. Methods By exploiting the Health Level 7 (HL7) Clinical Document Architecture (CDA) and Integrating the Healthcare Enterprise (IHE) Cross-enterprise Document Sharing-b (XDS.b) profile, we defined the architectural model, exchanging data items and their standardization, messaging standards, and privacy and security guidelines, for a secure, nationwide, interoperable HIE. We then developed a service-oriented common HIE platform to minimize the effort and difficulty of fulfilling the standard requirements for participating in the HIE network. The common platform supports open application program interfaces (APIs) for implementing a document registry, a document repository, a document consumer, and a master patient index. It could also be used for testing environments for the implementation of standard requirements. Results As the initial phase of implementing a nationwide HIE network in South Korea, we built a regional network for workers' compensation (WC) hospitals and their collaborating clinics to share referral and care record summaries to ensure the continuity of care for industrially injured workers, using the common HIE platform and verifying the feasibility of our technologies. Conclusions We expect to expand the HIE network on a national scale with rapid support for implementing HL7 and IHE standards in South Korea. PMID:25705554

  10. Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative

    PubMed Central

    2013-01-01

    Background Weak health information systems (HIS) are a critical challenge to reaching the health-related Millennium Development Goals because health systems performance cannot be adequately assessed or monitored where HIS data are incomplete, inaccurate, or untimely. The Population Health Implementation and Training (PHIT) Partnerships were established in five sub-Saharan African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) to catalyze advances in strengthening district health systems. Interventions were tailored to the setting in which activities were planned. Comparisons across strategies All five PHIT Partnerships share a common feature in their goal of enhancing HIS and linking data with improved decision-making, specific strategies varied. Mozambique, Ghana, and Tanzania all focus on improving the quality and use of the existing Ministry of Health HIS, while the Zambia and Rwanda partnerships have introduced new information and communication technology systems or tools. All partnerships have adopted a flexible, iterative approach in designing and refining the development of new tools and approaches for HIS enhancement (such as routine data quality audits and automated troubleshooting), as well as improving decision making through timely feedback on health system performance (such as through summary data dashboards or routine data review meetings). The most striking differences between partnership approaches can be found in the level of emphasis of data collection (patient versus health facility), and consequently the level of decision making enhancement (community, facility, district, or provincial leadership). Discussion Design differences across PHIT Partnerships reflect differing theories of change, particularly regarding what information is needed, who will use the information to affect change, and how this change is expected to manifest. The iterative process of data use to monitor and assess the health system has been heavily communication

  11. A product lifecycle management framework to support the exchange of prototyping and testing information

    NASA Astrophysics Data System (ADS)

    Toche Fumchum, Luc Boris

    2011-12-01

    The modern perspective on product life cycle and the rapid evolution of Information and Communication Technologies in general have opened a new era in product representation and product information sharing between participants, both inside and outside the enterprise and throughout the product life. In particular, the Product Development Process relies on cross-functional activities involving different domains of expertise that each have their own dedicated tools. This has generated new challenges in terms of collaboration and dissemination of information at large between companies or even within the same organization. Within this context, the work reported herein focuses on a specific stakeholder within product development activities - the prototyping and testing department. Its business is typically related to the planning and building of prototypes in order to perform specific tests on the future product or one of its sub-assemblies. The research project aims at investigating an appropriate framework that leverages configured engineering product information, based on complementary information structures, to share and exchange prototyping and testing information in a Product Lifecycle Management (PLM) perspective. As a first step, a case study based on the retrofit of an aircraft engine is deployed to implement a scenario demonstrating the functionalities to be available within the intended framework. For this purpose, complementary and configurable structures are simulated within the project's PLM system. In a second step are considered the software interoperability issues that don't only affect Design -- Testing interactions, but many other interfaces within either the company -- due to the silo-arrangement -- or the consortiums with partners, in which case the whole PLM platforms could simply be incompatible. A study based on an open source initiative and relying on an improved model of communication is described to show how two natively disparate PLM tools can

  12. Newly available technologies present expanding opportunities for scientific and technical information exchange

    NASA Technical Reports Server (NTRS)

    Tolzman, Jean M.

    1993-01-01

    The potential for expanded communication among researchers, scholars, and students is supported by growth in the capabilities for electronic communication as well as expanding access to various forms of electronic interchange and computing capabilities. Increased possibilities for information exchange, collegial dialogue, collaboration, and access to remote resources exist as high-speed networks, increasingly powerful workstations, and large, multi-user computational facilities are more frequently linked and more commonly available. Numerous writers speak of the telecommunications revolution and its impact on the development and dissemination of knowledge and learning. One author offers the phrase 'Scholarly skywriting' to represent a new form of scientific communication that he envisions using electronic networks. In the United States (U.S.), researchers associated with the National Science Foundation (NSF) are exploring 'nationwide collaboratories' and 'digital collaboration.' Research supported by the U.S. National Aeronautics and Space Administration (NASA) points to a future where workstations with built-in audio, video monitors, and screen sharing protocols are used to support collaborations with colleagues located throughout the world. Instruments and sensors located worldwide will produce data streams that will be brought together, analyzed, and distributed as new findings. Researchers will have access to machines that can supply domain-specific information in addition to locator and directory assistance. New forms of electronic journals will emerge and provide opportunities for researchers and scientists to exchange information electronically and interactively in a range of structures and formats. Ultimately, the wide-scale use of these technologies in the dissemination of research results and the stimulation of collegial dialogue will change the way we represent and express our knowledge of the world. A new paradigm will evolve--perhaps a truly worldwide

  13. [The organization of veterinary services in African animal husbandry systems: chances for the exchange of interdisciplinary learning processes].

    PubMed

    Kirk, M

    1995-12-01

    The structure of the veterinary services to date hinders--together with massive intervention in the land tenure systems and the animal keepers' rights in arid and semi-arid areas--the future organization of productive animal-keeping systems adapted to the ecological conditions. The consensus of the findings of research in the social as well as in the natural sciences, is that state (agrarian) policies and international development cooperation have led to centralism and authoritarian administrations which formalize formerly informal, locally specific rules for securing the health of the animals and the maintenance of grazing and water resources. As a result, the animal-keeping groups have lost their rights, social conflicts arose and the environment suffered. Thus, decentralization, subsidarity and--above all--comprehensive participation on the part of the animal keepers are regarded as the guidelines for the future organization of state and/or private services for maintaining the health of the animals. Thereby, the planning at the various administrative levels is faced by great challenges in view of the progressing differentiation in the animal-keeping systems (e.g. peri-urban systems; urban absentee herd owners; marginalized, subsistence-oriented households). PMID:8651895

  14. [The organization of veterinary services in African animal husbandry systems: chances for the exchange of interdisciplinary learning processes].

    PubMed

    Kirk, M

    1995-12-01

    The structure of the veterinary services to date hinders--together with massive intervention in the land tenure systems and the animal keepers' rights in arid and semi-arid areas--the future organization of productive animal-keeping systems adapted to the ecological conditions. The consensus of the findings of research in the social as well as in the natural sciences, is that state (agrarian) policies and international development cooperation have led to centralism and authoritarian administrations which formalize formerly informal, locally specific rules for securing the health of the animals and the maintenance of grazing and water resources. As a result, the animal-keeping groups have lost their rights, social conflicts arose and the environment suffered. Thus, decentralization, subsidarity and--above all--comprehensive participation on the part of the animal keepers are regarded as the guidelines for the future organization of state and/or private services for maintaining the health of the animals. Thereby, the planning at the various administrative levels is faced by great challenges in view of the progressing differentiation in the animal-keeping systems (e.g. peri-urban systems; urban absentee herd owners; marginalized, subsistence-oriented households).

  15. Local Health Departments' Partners and Challenges in Electronic Exchange of Health Information

    PubMed Central

    Vest, Joshua R.; Lovelace, Kay; McCullough, J. Mac

    2016-01-01

    Background: Unprecedented amounts of data are produced by the health care and other sectors, presenting opportunities for local health departments (LHDs) to access these data. LHDs will need to participate in health information exchange (HIE) with a number of partners in order to benefit from these data resources. LHDs' participation in HIEs with specific partners has not been studied. Objectives: To describe the level of and challenges in LHD participation in HIE with other partners, and variation by LHD population size and governance type. Data and Methods: This research uses data from the 2015 Informatics Capacity and Needs Assessment Survey, with a target population of all LHDs in the United States. A representative sample of 650 LHDs was drawn using a stratified random sampling design. A total of 324 completed responses were received with a 50% response rate. Survey data were cleaned, and bivariate comparisons were conducted using χ2 and Somer's D. Results: Substantial variation existed in LHDs' participation in HIE by type of exchange partner. Although 71% participated in HIE with the state departments of health, only 12% with jail/correctional health, 14% with health or county-based purchasing plans, and 15% with home health agencies. Compared with large LHDs (jurisdiction populations of ≥500 000), smaller LHDs were more likely to participate in HIE with state departments of health, but less likely with other exchange partners. The challenges to HIE participation were technological, and organizational/interorganizational in nature and variation existed by LHDs' population size and governance structure with respect to state authority. Conclusions: Local public health agencies more commonly participate in HIE with some partners, but may need to improve HIE with many others. National strategies targeting an increase in HIE of LHDs may use our findings to focus those initiatives. PMID:27684617

  16. The African American Student Network: An Informal Networking Group as a Therapeutic Intervention for Black College Students on a Predominantly White Campus

    ERIC Educational Resources Information Center

    Grier-Reed, Tabitha

    2013-01-01

    Informal support networks as opposed to formal mental health counseling may represent a culture-specific, indigenous style of coping for Black college students. Using the African American Student Network (or as students refer to it AFAM), this article comments on the potential of an informal networking group as a culturally sensitive therapeutic…

  17. Is this what you need? Direct feedback help climate change information exchange

    NASA Astrophysics Data System (ADS)

    Bachelet, D. M.; Brown, M.; Gough, M.; Basin, D.

    2015-12-01

    The combination of projected climate change and land use adds uncertainty to the long-term effectiveness of current management strategies. Managers need reliable information to adjust their strategies as population density increases. However they are currently overwhelmed by the diversity of available information and the multiplicity of sources. CBI's goal is to centralize and package effectively the usable information for land managers and for the general public in order to increase awareness and promote preparation for the challenges ahead. We are designing conservation planning atlases in Data Basin for a number of landscape conservation cooperatives to address this need. We are adding some user-friendly tools to specifically serve the available climate projections and land use data in a meaningful way. By working closely with a group of managers, our goal is to understand how consideration of these projections figures into the decision-making process and refine the ways we can deliver relevant metrics. We have been holding interviews to gather information and critical feedback on existing climate-related web pages and tools, providing us with benchmarks for improvement. As it turned out, the student-manager dialogue added a component of climate change education and awareness of available tools to the project. Through an iterative process we plan to continue this exchange and address the variety of issues managers continually have to face to maintain healthy ecosystems.

  18. On-Line Learning Technologies: Networking in the Classroom. Rural, Small Schools Network Information Exchange No. 16, Summer 1994.

    ERIC Educational Resources Information Center

    Regional Laboratory for Educational Improvement of the Northeast & Islands, Andover, MA.

    This packet includes reprints of articles and other information concerning the use of computer networks in small, rural schools. Computer networks can minimize isolation; develop stronger links to the community; access reference information from remote sources; and create professional and academic exchanges for teachers, administrators, and…

  19. 77 FR 20687 - 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-05

    ... Visitor Information System (SEVIS) and then printed and signed by a sponsor official, and sent to the... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual Report,...

  20. Scalable and Resilient Middleware to Handle Information Exchange during Environment Crisis

    NASA Astrophysics Data System (ADS)

    Tao, R.; Poslad, S.; Moßgraber, J.; Middleton, S.; Hammitzsch, M.

    2012-04-01

    The EU FP7 TRIDEC project focuses on enabling real-time, intelligent, information management of collaborative, complex, critical decision processes for earth management. A key challenge is to promote a communication infrastructure to facilitate interoperable environment information services during environment events and crises such as tsunamis and drilling, during which increasing volumes and dimensionality of disparate information sources, including sensor-based and human-based ones, can result, and need to be managed. Such a system needs to support: scalable, distributed messaging; asynchronous messaging; open messaging to handling changing clients such as new and retired automated system and human information sources becoming online or offline; flexible data filtering, and heterogeneous access networks (e.g., GSM, WLAN and LAN). In addition, the system needs to be resilient to handle the ICT system failures, e.g. failure, degradation and overloads, during environment events. There are several system middleware choices for TRIDEC based upon a Service-oriented-architecture (SOA), Event-driven-Architecture (EDA), Cloud Computing, and Enterprise Service Bus (ESB). In an SOA, everything is a service (e.g. data access, processing and exchange); clients can request on demand or subscribe to services registered by providers; more often interaction is synchronous. In an EDA system, events that represent significant changes in state can be processed simply, or as streams or more complexly. Cloud computing is a virtualization, interoperable and elastic resource allocation model. An ESB, a fundamental component for enterprise messaging, supports synchronous and asynchronous message exchange models and has inbuilt resilience against ICT failure. Our middleware proposal is an ESB based hybrid architecture model: an SOA extension supports more synchronous workflows; EDA assists the ESB to handle more complex event processing; Cloud computing can be used to increase and

  1. Perceived health status and health-promoting behaviors of African-American and White informal caregivers of impaired elders.

    PubMed

    McDonald, Patricia E; Brennan, Patricia Flatley; Wykle, May L

    2005-07-01

    Caregiving and its consequences are major concerns for nurses. Many studies have examined health-promoting behaviors in general (Duffy, 1993; Walker, Volkan, Sechrist, & Pender, 1988), but few studies have explored health-promoting behaviors of caregivers. The purpose of this study was to examine the effects of age, gender, race, and length of caregiving on perceived health status and health-promoting behaviors of African-American and White informal caregivers of impaired elders. Data from a larger study was used to examine a conceptual model linking perceived health status and health-promoting behavior. A sample of 136 (n = 136) African-American and 257 (n = 257) White caregivers was recruited from northeastern Ohio through random digit dialing and interviewed face to face. English-speaking caregivers were selected for study who provided unpaid assistance or care for a minimum of five hours a week to an impaired person 60 years of age or older living in the community. The Health-Promoting Behavior Questionnaire, perceived health status, and a demographic profile were used to measure the study variables. Data were analyzed using hierarchical multiple regression. Findings from this study suggest that the overall fit of the conceptual model was significant, and that moreover, the relationship found between perceived health status and health-promoting behaviors supported Pender's model of health promotion (Pender, 1987). The relationship between perceived health status and health-promoting behaviors has not been documented in prior studies of caregivers, or in studies comparing the two racial groups of African-Americans and Whites. PMID:16255310

  2. Health and Environment Linked for Information Exchange in Atlanta (HELIX-Atlanta): A Pilot Tracking System

    NASA Technical Reports Server (NTRS)

    Rickman, Doug; Shire, J.; Qualters, J.; Mitchell, K.; Pollard, S.; Rao, R.; Kajumba, N.; Quattrochi, D.; Estes, M., Jr.; Meyer, P.; Crosson, W.; Limaye, A.; Al-Hamdan, M.; Khan, M.; Bayakly, R.; Staley, F.; Hallisey, E.; Young, J.; Ward, K.; Tolbert, P.; Tolsma, D.; Sinclair, A.; Strickland, M.; Adeniyi, K.; Rainisch, G.

    2009-01-01

    Objectives. To provide an overview of four environmental public health surveillance projects developed by CDC and its partners for the Health and Environment Linked for Information Exchange, Atlanta (HELIX-Atlanta) and to illustrate common issues and challenges encountered in developing an environmental public health tracking system. Methods. HELIX-Atlanta, initiated in October 2003 to develop data linkage and analysis methods that can be used by the National Environmental Public Health Tracking Network (Tracking Network), conducted four projects. We highlight the projects' work, assess attainment of the HELIX-Atlanta goals and discuss three surveillance attributes. Results. Among the major challenges was the complexity of analytic issues which required multidiscipline teams with technical expertise. This expertise and the data resided across multiple organizations. Conclusions:Establishing formal procedures for sharing data, defining data analysis standards and automating analyses, and committing staff with appropriate expertise is needed to support wide implementation of environmental public health tracking.

  3. Primary care providers' acceptance of health information exchange utilizing IHE XDS.

    PubMed

    Haarbrandt, Birger; Schwartze, Jonas; Gusew, Nathalie; Seidel, Christoph; Haux, Reinhold

    2013-01-01

    We assessed primary care providers' perception of a health information exchange system (HIE) based on IHE XDS. The HIE will be part of a regional health network in the metropolitan area of Braunschweig, Lower Saxony, Germany. An application enabling access to medical documents in an XDS Affinity Domain was developed. We examined usability and factors related to user acceptance. User perception was probed using system usability scale (SUS) and semi-structured interviews. The evaluation was performed on 7 participants. The SUS showed an above average usability with a median score of 77.5. During interviews, participants submitted suggestions for additional features and improvement of usability. Poor integration of functionality into existing workflows was most frequently criticized. While usability was well perceived by primary care providers, challenges remain in adoption of XDS based IHE. To speed up document access in time-critical domains, we suggest use of complementary methods, enabling directed communication flows.

  4. Primary care providers' acceptance of health information exchange utilizing IHE XDS.

    PubMed

    Haarbrandt, Birger; Schwartze, Jonas; Gusew, Nathalie; Seidel, Christoph; Haux, Reinhold

    2013-01-01

    We assessed primary care providers' perception of a health information exchange system (HIE) based on IHE XDS. The HIE will be part of a regional health network in the metropolitan area of Braunschweig, Lower Saxony, Germany. An application enabling access to medical documents in an XDS Affinity Domain was developed. We examined usability and factors related to user acceptance. User perception was probed using system usability scale (SUS) and semi-structured interviews. The evaluation was performed on 7 participants. The SUS showed an above average usability with a median score of 77.5. During interviews, participants submitted suggestions for additional features and improvement of usability. Poor integration of functionality into existing workflows was most frequently criticized. While usability was well perceived by primary care providers, challenges remain in adoption of XDS based IHE. To speed up document access in time-critical domains, we suggest use of complementary methods, enabling directed communication flows. PMID:23823391

  5. Anonymous Three-Party Password-Authenticated Key Exchange Scheme for Telecare Medical Information Systems

    PubMed Central

    Xie, Qi; Hu, Bin; Dong, Na; Wong, Duncan S.

    2014-01-01

    Telecare Medical Information Systems (TMIS) provide an effective way to enhance the medical process between doctors, nurses and patients. For enhancing the security and privacy of TMIS, it is important while challenging to enhance the TMIS so that a patient and a doctor can perform mutual authentication and session key establishment using a third-party medical server while the privacy of the patient can be ensured. In this paper, we propose an anonymous three-party password-authenticated key exchange (3PAKE) protocol for TMIS. The protocol is based on the efficient elliptic curve cryptosystem. For security, we apply the pi calculus based formal verification tool ProVerif to show that our 3PAKE protocol for TMIS can provide anonymity for patient and doctor while at the same time achieves mutual authentication and session key security. The proposed scheme is secure and efficient, and can be used in TMIS. PMID:25047235

  6. Event Detection: A Clinical Notification Service on a Health Information Exchange Platform

    PubMed Central

    Moore, Thomas; Shapiro, Jason S.; Doles, Luke; Calman, Neil; Camhi, Eli; Check, Thomas; Onyile, Arit; Kuperman, Gilad

    2012-01-01

    Notifying ambulatory providers when their patients visit the hospital is a simple concept but potentially a powerful tool for improving care coordination. A health information exchange (HIE) can provide automatic notifications to its members by building services on top of their existing infrastructure. NYCLIX, Inc., a functioning HIE in New York City, has developed a system that detects hospital admissions, discharges and emergency department visits and notifies their providers. The system has been in use since November 2010. Out of 63,305 patients enrolled 6,913 (11%) had one or more events in the study period and on average there were 238 events per day. While event notifications have a clinical value, their use also involves non-clinical care coordination; new workflows should be designed to incorporate a broader care team in their use. This paper describes the user requirements for the notification system, system design, current status, lessons learned and future directions. PMID:23304336

  7. Towards an optimal flow: Density-of-states-informed replica-exchange simulations

    DOE PAGES

    Vogel, Thomas; Perez, Danny

    2015-11-05

    Here we learn that replica exchange (RE) is one of the most popular enhanced-sampling simulations technique in use today. Despite widespread successes, RE simulations can sometimes fail to converge in practical amounts of time, e.g., when sampling around phase transitions, or when a few hard-to-find configurations dominate the statistical averages. We introduce a generalized RE scheme, density-of-states-informed RE, that addresses some of these challenges. The key feature of our approach is to inform the simulation with readily available, but commonly unused, information on the density of states of the system as the RE simulation proceeds. This enables two improvements, namely,more » the introduction of resampling moves that actively move the system towards equilibrium and the continual adaptation of the optimal temperature set. As a consequence of these two innovations, we show that the configuration flow in temperature space is optimized and that the overall convergence of RE simulations can be dramatically accelerated.« less

  8. Use patterns of health information exchange through a multidimensional lens: conceptual framework and empirical validation.

    PubMed

    Politi, Liran; Codish, Shlomi; Sagy, Iftach; Fink, Lior

    2014-12-01

    Insights about patterns of system use are often gained through the analysis of system log files, which record the actual behavior of users. In a clinical context, however, few attempts have been made to typify system use through log file analysis. The present study offers a framework for identifying, describing, and discerning among patterns of use of a clinical information retrieval system. We use the session attributes of volume, diversity, granularity, duration, and content to define a multidimensional space in which each specific session can be positioned. We also describe an analytical method for identifying the common archetypes of system use in this multidimensional space. We demonstrate the value of the proposed framework with a log file of the use of a health information exchange (HIE) system by physicians in an emergency department (ED) of a large Israeli hospital. The analysis reveals five distinct patterns of system use, which have yet to be described in the relevant literature. The results of this study have the potential to inform the design of HIE systems for efficient and effective use, thus increasing their contribution to the clinical decision-making process. PMID:25034041

  9. Buying and selling "loosies" in Baltimore: the informal exchange of cigarettes in the community context.

    PubMed

    Smith, Katherine Clegg; Stillman, Frances; Bone, Lee; Yancey, Norman; Price, Emmanuel; Belin, Precilla; Kromm, Elizabeth Edsall

    2007-07-01

    Since the release of the first Surgeon General's report, the proportion of adult smokers in the U.S. has been reduced by half (U.S. Department of Health and Human Services, 2004). This success has not, however, been equally felt across all social strata. Recent survey data from Baltimore show considerably elevated smoking rates within urban, African-American communities. Of particular concern was that in some communities, over half of the young adults (18-24 years old) smoke cigarettes. As yet, there has been little focus on understanding or preventing cigarette smoking among young adults, particularly for those seeking entry into the workforce rather than being engaged in higher education. In this paper, we explore community factors contributing to high young adult smoking prevalence. Our analysis is based on data from four focus groups conducted in 2004 as part of a community-based participatory research project with two urban education and job training organizations. The focus group data reflect the experiences and opinions of 28 young adult program participants (23 smokers and 5 nonsmokers). The data highlight a normalized practice of buying and selling single cigarettes ("loosies") within the community, with participants describing buying loose cigarettes as a preferred acquisition practice. We apply theories of informal economy and suggest that this alternative purchasing option may influence the smoking behavior of these young adults. We argue that public health efforts need to more closely consider the impact of community structures on program implementation. Overlooking key community characteristics such as the availability of single cigarettes may serve to intensify health disparities.

  10. Buying and selling "loosies" in Baltimore: the informal exchange of cigarettes in the community context.

    PubMed

    Smith, Katherine Clegg; Stillman, Frances; Bone, Lee; Yancey, Norman; Price, Emmanuel; Belin, Precilla; Kromm, Elizabeth Edsall

    2007-07-01

    Since the release of the first Surgeon General's report, the proportion of adult smokers in the U.S. has been reduced by half (U.S. Department of Health and Human Services, 2004). This success has not, however, been equally felt across all social strata. Recent survey data from Baltimore show considerably elevated smoking rates within urban, African-American communities. Of particular concern was that in some communities, over half of the young adults (18-24 years old) smoke cigarettes. As yet, there has been little focus on understanding or preventing cigarette smoking among young adults, particularly for those seeking entry into the workforce rather than being engaged in higher education. In this paper, we explore community factors contributing to high young adult smoking prevalence. Our analysis is based on data from four focus groups conducted in 2004 as part of a community-based participatory research project with two urban education and job training organizations. The focus group data reflect the experiences and opinions of 28 young adult program participants (23 smokers and 5 nonsmokers). The data highlight a normalized practice of buying and selling single cigarettes ("loosies") within the community, with participants describing buying loose cigarettes as a preferred acquisition practice. We apply theories of informal economy and suggest that this alternative purchasing option may influence the smoking behavior of these young adults. We argue that public health efforts need to more closely consider the impact of community structures on program implementation. Overlooking key community characteristics such as the availability of single cigarettes may serve to intensify health disparities. PMID:17431795

  11. Short-Term Medical Costs of a VHA Health Information Exchange: A CHEERS-Compliant Article

    PubMed Central

    French, Dustin D.; Dixon, Brian E.; Perkins, Susan M.; Myers, Laura J.; Weiner, Michael; Zillich, Allan J.; Haggstrom, David A.

    2016-01-01

    Abstract The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans’ electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bi-directional health information exchange (HIE) between VHA and non-VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patients were enrolled in the VLER program onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. There were 6104 patients enrolled in VLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807–1433) (P < 0.01) (in 2014 dollars) than VLER nonenrollees. Short-term evaluation of this demonstration project did not show immediate reductions in healthcare cost as might be expected if HIE decreased redundant medical tests and treatments. Cost reductions from shared health information may be realized with longer time horizons. PMID:26765453

  12. Short-Term Medical Costs of a VHA Health Information Exchange: A CHEERS-Compliant Article.

    PubMed

    French, Dustin D; Dixon, Brian E; Perkins, Susan M; Myers, Laura J; Weiner, Michael; Zillich, Allan J; Haggstrom, David A

    2016-01-01

    The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans' electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bi-directional health information exchange (HIE) between VHA and non-VHA providers.The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs.A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation.Patients were enrolled in the VLER program onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office.VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment.There were 6104 patients enrolled in VLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807-1433) (P < 0.01) (in 2014 dollars) than VLER nonenrollees.Short-term evaluation of this demonstration project did not show immediate reductions in healthcare cost as might be expected if HIE decreased redundant medical tests and treatments. Cost reductions from shared health information may be realized with longer time horizons. PMID:26765453

  13. Behavioral health providers' beliefs about health information exchange: a statewide survey

    PubMed Central

    2011-01-01

    Objective To assess behavioral health providers' beliefs about the benefits and barriers of health information exchange (HIE). Methods Survey of a total of 2010 behavioral health providers in a Midwestern state (33% response rate), with questions based on previously reported open-ended beliefs elicitation interviews. Results Factor analysis resulted in four groupings: beliefs that HIE would improve care and communication, add cost and time burdens, present access and vulnerability concerns, and impact workflow and control (positively and negatively). A regression model including all four factors parsimoniously predicted attitudes toward HIE. Providers clustered into two groups based on their beliefs: a majority (67%) were positive about the impact of HIE, and the remainder (33%) were negative. There were some professional/demographic differences between the two clusters of providers. Discussion Most behavioral health providers are supportive of HIE; however, their adoption and use of it may continue to lag behind that of medical providers due to perceived cost and time burdens and concerns about access to and vulnerability of information. PMID:22184253

  14. A Comparison Between Caucasians and African Americans in Willingness to Participate in Cancer Clinical Trials: The Roles of Knowledge, Distrust, Information Sources, and Religiosity.

    PubMed

    Meng, Jingbo; McLaughlin, Margaret; Pariera, Katrina; Murphy, Sheila

    2016-06-01

    This study aims to (a) examine the roles of knowledge, distrust in medical professionals, information sources, and 2 dimensions of religiosity (i.e., religious activity and religious belief) in influencing willingness to participate (WTP) in cancer clinical trials and to (b) compare the results for Caucasians and African Americans in order to inform future recruitment. An online survey was fielded via a Knowledge Networks panel with a nationally representative sample including 478 Caucasians and 173 African Americans. The results showed that distrust in medical professionals was a strong barrier to WTP for both ethnic groups, whereas factual knowledge about trial procedures was not associated with WTP for either ethnic group. Seeking trial information from doctors was positively associated with WTP for Caucasians; seeking trial information from hospitals was positively associated with WTP for African Americans. More interestingly, levels of religious activity negatively predicted WTP for Caucasians but positively predicted WTP for African Americans. Self-reported religious belief was not associated with WTP for either ethnic group. In sum, although distrust is a common barrier to WTP, the influence of preferred information sources and religious activity on WTP varies as a function of ethnicity. PMID:27175604

  15. Information Anxiety and African-American Students in a Graduate Education Program

    ERIC Educational Resources Information Center

    Katopol, Patricia Fields

    2012-01-01

    Library anxiety has been cited as one factor affecting academic performance, but library use is only part of obtaining information for academic needs. This paper expands the concept of library anxiety to "information anxiety" by an examination of the information behavior of black graduate students when using a variety of information resources,…

  16. How can knowledge exchange portals assist in knowledge management for evidence-informed decision making in public health?

    PubMed Central

    2014-01-01

    Background Knowledge exchange portals are emerging as web tools that can help facilitate knowledge management in public health. We conducted a review to better understand the nature of these portals and their contribution to knowledge management in public health, with the aim of informing future development of portals in this field. Methods A systematic literature search was conducted of the peer-reviewed and grey literature to identify articles that described the design, development or evaluation of Knowledge Exchange Portals KEPs in the public health field. The content of the articles was analysed, interpreted and synthesised in light of the objectives of the review. Results The systematic search yielded 2223 articles, of which fifteen were deemed eligible for review, including eight case studies, six evaluation studies and one commentary article. Knowledge exchange portals mainly included design features to support knowledge access and creation, but formative evaluation studies examining user needs suggested collaborative features supporting knowledge exchange would also be useful. Overall web usage statistics revealed increasing use of some of these portals over time; however difficulties remain in retaining users. There is some evidence to suggest that the use of a knowledge exchange portal in combination with tailored and targeted messaging can increase the use of evidence in policy and program decision making at the organisational level. Conclusions Knowledge exchange portals can be a platform for providing integrated access to relevant content and resources in one location, for sharing and distributing information and for bringing people together for knowledge exchange. However more performance evaluation studies are needed to determine how they can best support evidence-informed decision making in public health. PMID:24884530

  17. The FDI African Strategy for Oral Health: addressing the specific needs of the continent.

    PubMed

    Hescot, Patrick; China, Emile; Bourgeois, Denis; Maina, Susan; Monteiro da Silva, Orlando; Luc Eiselé, Jean; Simpson, Christopher; Horn, Virginie

    2013-06-01

    The FDI World Dental Federation has defined a strategy for the development of oral health in Africa during the "African Summit" held in Cape Town, South Africa. The summit gathered presidents from 16 African National Dental Associations, FDI stakeholders, the World Health Organisation and government delegates. The outcomes of this summit were stated in a Declaration, defining the functional principles of the African strategy as three priorities: To establish and reinforce the credibility of NDAs To acquire and develop leadership and management skills Effective peer-to-peer exchange of information.

  18. From Thunder Rose to when Marian Sang . . . Behold the Power of African American Female Characters! Reading to Encourage Self-Worth, Inform/Inspire, and Bring Pleasure

    ERIC Educational Resources Information Center

    Brinson, Sabrina A.

    2009-01-01

    Stories are important teaching tools. To ensure that young children are informed and experience more than a handful of African American women and girls' stories and authors, this article showcases notable and little-known accomplishments of exceptional women, real and imaginary. Brinson offers an annotated list of children's literature, fiction…

  19. Information Exchange Procedures for Fiscal 1976-77 and Comparisons of IEP Data for 1974-77.

    ERIC Educational Resources Information Center

    Dock, S.; Morris, H.

    As part of a continuing series of studies conducted at Delaware County Community College since 1974, this Information Exchange Procedures study presents direct and full costs per full-time equivalent (FTE) enrollment in broad instructional areas, unit costs per credit hour by discipline and by program, program full costs per student credit hour,…

  20. Science and Technology Policies Information Exchange System (SPINES) Feasibility Study. Science Policy Studies and Documents No. 33(1).

    ERIC Educational Resources Information Center

    Coblans, H.; And Others

    A feasibility study was made to define, within the conceptual framework and in accordance with the recommendations of the UNISIST program, the managerial, technical, legal, and financial framework for the setting up of an International Science and Technology Policies Information Exchange System (SPINES). This report describes in some detail the…

  1. 17 CFR 240.24b-2 - Nondisclosure of information filed with the Commission and with any exchange.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... rules and regulations adopted under the Freedom of Information Act (17 CFR 200.80), and a justification... ACT OF 1934 Rules and Regulations Under the Securities Exchange Act of 1934 Inspection and Publication..., the Commission will attempt to give the person requesting confidential treatment advance...

  2. 17 CFR 240.24b-2 - Nondisclosure of information filed with the Commission and with any exchange.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... rules and regulations adopted under the Freedom of Information Act (17 CFR 200.80), and a justification... ACT OF 1934 Rules and Regulations Under the Securities Exchange Act of 1934 Inspection and Publication..., the Commission will attempt to give the person requesting confidential treatment advance...

  3. 17 CFR 240.24b-2 - Nondisclosure of information filed with the Commission and with any exchange.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... rules and regulations adopted under the Freedom of Information Act (17 CFR 200.80), and a justification... ACT OF 1934 Rules and Regulations Under the Securities Exchange Act of 1934 Inspection and Publication..., the Commission will attempt to give the person requesting confidential treatment advance...

  4. An Innovative Approach for Promoting Information Exchanges and Sharing in a Web 2.0-Based Learning Environment

    ERIC Educational Resources Information Center

    Chu, Hui-Chun; Hwang, Gwo-Jen; Tsai, Chin-Chung; Chen, Nian-Shing

    2009-01-01

    Although Web 2.0 technologies have been recognized as effective means of conducting group learning activities, a critical and challenging issue of Web 2.0-based learning is the lack of mechanisms for promoting information exchanges and sharing among participating students. To cope with this problem, an intelligent blog system is proposed in this…

  5. 17 CFR 240.17a-25 - Electronic submission of securities transaction information by exchange members, brokers, and...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Preservation of Records and Reports of Certain Stabilizing Activities § 240.17a-25 Electronic submission of... 17 Commodity and Securities Exchanges 3 2012-04-01 2012-04-01 false Electronic submission of..., information containing the full name, title, address, telephone number(s), facsimile number(s), and...

  6. 17 CFR 240.17a-25 - Electronic submission of securities transaction information by exchange members, brokers, and...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Preservation of Records and Reports of Certain Stabilizing Activities § 240.17a-25 Electronic submission of... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Electronic submission of..., information containing the full name, title, address, telephone number(s), facsimile number(s), and...

  7. Examining the role of information exchange in residential aged care work practices-a survey of residential aged care facilities

    PubMed Central

    2012-01-01

    Background The provision of residential aged care is underpinned by information, and is reliant upon systems that adequately capture and effectively utilise and communicate this information. The aim of this study was to explicate and quantify the volume and method by which information is collected, exchanged within facilities and with external providers, and retrieved from facility information systems and hospitals. Methods A survey of staff (n = 119), including managers, health informatics officers (HIOs), quality improvement staff, registered nurses (RNs), enrolled nurses (ENs)/endorsed enrolled nurses (EENs) and assistants in nursing (AINs) was carried out in four residential aged care facilities in New South Wales and Victoria, Australia. Sites varied in size and displayed a range of information technology (IT) capabilities. The survey investigated how and by whom information is collected, retrieved and exchanged, and the frequency and amount of time devoted to these tasks. Descriptive analysis was performed using SPSS, and open responses to questions were coded into key themes. Results Staff completed a median of six forms each, taking a median of 30 min per shift. 68.8% of staff reported transferring information from paper to a computer system, which took a median of 30 min per shift. Handover and face-to-face communication was the most frequently used form of information exchange within facilities. There was a large amount of faxing and telephone communication between facility staff and General Practitioners and community pharmacists, with staff reporting sending a median of 2 faxes to pharmacy and 1.5 faxes to General Practitioners, and initiating 2 telephone calls to pharmacies and 1.5 calls to General Practitioners per shift. Only 38.5% of respondents reported that they always had information available at the point-of-care and only 35.4% of respondents reported that they always had access to hospital stay information of residents after hospital

  8. Investing in International Information Exchange Activities to Improve the Safety, Cost Effectiveness and Schedule of Cleanup - 13281

    SciTech Connect

    Seed, Ian; James, Paula; Mathieson, John; Judd, Laurie; Elmetti-Ramirez, Rosa; Han, Ana

    2013-07-01

    With decreasing budgets and increasing pressure on completing cleanup missions as quickly, safely and cost-effectively as possible, there is significant benefit to be gained from collaboration and joint efforts between organizations facing similar issues. With this in mind, the US Department of Energy (DOE) and the UK Nuclear Decommissioning Authority (NDA) have formally agreed to share information on lessons learned on the development and application of new technologies and approaches to improve the safety, cost effectiveness and schedule of the cleanup legacy wastes. To facilitate information exchange a range of tools and methodologies were established. These included tacit knowledge exchange through facilitated meetings, conference calls and Site visits as well as explicit knowledge exchange through document sharing and newsletters. A DOE web-based portal has been established to capture these exchanges and add to them via discussion boards. The information exchange is operating at the Government-to-Government strategic level as well as at the Site Contractor level to address both technical and managerial topic areas. This effort has resulted in opening a dialogue and building working relationships. In some areas joint programs of work have been initiated thus saving resource and enabling the parties to leverage off one another activities. The potential benefits of high quality information exchange are significant, ranging from cost avoidance through identification of an approach to a problem that has been proven elsewhere to cost sharing and joint development of a new technology to address a common problem. The benefits in outcomes significantly outweigh the costs of the process. The applicability of the tools and methods along with the lessons learned regarding some key issues is of use to any organization that wants to improve value for money. In the waste management marketplace, there are a multitude of challenges being addressed by multiple organizations and

  9. Race and medication adherence and glycemic control: findings from an operational health information exchange.

    PubMed

    Zhu, Vivienne J; Tu, Wanzhu; Marrero, David G; Rosenman, Marc B; Overhage, J Marc

    2011-01-01

    The Central Indiana Beacon Community leads efforts for improving adherence to oral hypoglycemic agents (OHA) to achieve improvements in glycemic control for patients with type 2 diabetes. In this study, we explored how OHA adherence affected hemoglobin A1C (HbA1c) level in different racial groups. OHA adherence was measured by 6-month proportion of days covered (PDC). Of 3,976 eligible subjects, 12,874 pairs of 6-month PDC and HbA1c levels were formed between 2002 and 2008. The average HbA1c levels were 7.4% for African-Americans and 6.5% for Whites. The average 6-month PDCs were 40% for African-Americans and 50% for Whites. In mixed effect generalized linear regression analyses, OHA adherence was inversely correlated with HbA1c level for both African-Americans (-0.80, p<0.0001) and Whites (-0.53, p<0.0001). The coefficient was -0.26 (p<0.0001) for the interaction of 6-month PDC and African-Americans. Significant risk factors for OHA non-adherence were race, young age, non-commercial insurance, newly-treated status, and polypharmacy.

  10. Supporting multi-state collaboration on privacy and security to foster health IT and health information exchange.

    PubMed

    Banger, Alison K; Alakoye, Amoke O; Rizk, Stephanie C

    2008-01-01

    As part of the HHS funded contract, Health Information Security and Privacy Collaboration, 41 states and territories have proposed collaborative projects to address cross-state privacy and security challenges related to health IT and health information exchange. Multi-state collaboration on privacy and security issues remains complicated, and resources to support collaboration around these topics are essential to the success of such collaboration. The resources outlined here offer an example of how to support multi-stakeholder, multi-state projects.

  11. Tandem anchoring: informational and politeness effects of range offers in social exchange.

    PubMed

    Ames, Daniel R; Mason, Malia F

    2015-02-01

    We examined whether and why range offers (e.g., "I want $7,200 to $7,600 for my car") matter in negotiations. A selective-attention account predicts that motivated and skeptical offer-recipients focus overwhelmingly on the attractive endpoint (i.e., a buyer would hear, in effect, "I want $7,200"). In contrast, we propose a tandem anchoring account, arguing that offer-recipients are often influenced by both endpoints as they judge the offer-maker's reservation price (i.e., bottom line) as well as how polite they believe an extreme (nonaccommodating) counteroffer would be. In 5 studies, featuring scripted negotiation scenarios and live dyadic negotiations, we find that certain range offers yield improved settlement terms for offer-makers without relational costs, whereas others may yield relationship benefits without deal costs. We clarify the types of range offers that evoke these benefits and identify boundaries to their impact, including range width and extremity. In addition, our studies reveal evidence consistent with 2 proposed mechanisms, one involving an informational effect (both endpoints of range offers can be taken as signals of an offer-maker's reservation price) and another involving a politeness effect (range offers can make extreme counteroffers seem less polite). Our results have implications for models of negotiation behavior and outcomes and, more broadly, for the nature of social exchange. (PsycINFO Database Record (c) 2015 APA, all rights reserved). PMID:25603375

  12. Newly available technologies present expanding opportunities for scientific and technical information exchange

    NASA Technical Reports Server (NTRS)

    Tolzman, Jean M.

    1993-01-01

    The potential for expanded communication among researchers, scholars, and students is supported by growth in the capabilities for electronic communication as well as expanding access to various forms of electronic interchange and computing capabilities. Research supported by the National Aeronautics and Space Administration points to a future where workstations with audio and video monitors and screen-sharing protocols are used to support collaborations with colleagues located throughout the world. Instruments and sensors all over the world will produce data streams that will be brought together and analyzed to produce new findings, which in turn can be distributed electronically. New forms of electronic journals will emerge and provide opportunities for researchers and scientists to electronically and interactively exchange information in a wide range of structures and formats. Ultimately, the wide-scale use of these technologies in the dissemination of research results and the stimulation of collegial dialogue will change the way we represent and express our knowledge of the world. A new paradigm will evolve-perhaps a truly worldwide 'invisible college'.

  13. Professional and geographical network effects on healthcare information exchange growth: does proximity really matter?

    PubMed Central

    Yaraghi, Niam; Du, Anna Ye; Sharman, Raj; Gopal, Ram D; Ramesh, R; Singh, Ranjit; Singh, Gurdev

    2014-01-01

    Background and objective We postulate that professional proximity due to common patients and geographical proximity among practice locations are significant factors influencing the adoption of health information exchange (HIE) services by healthcare providers. The objective of this study is to investigate the direct and indirect network effects of these drivers on HIE diffusion. Design Multi-dimensional scaling and clustering are first used to create different clusters of physicians based on their professional and geographical proximities. Extending the Bass diffusion model to capture direct and indirect network effects among groups, the growth of HIE among these clusters is modeled and studied. The network effects among the clusters are investigated using adoption data over a 3-year period for an HIE based in Western New York. Measurement HIE adoption parameters—external sources of influence as well as direct and indirect network coefficients—are estimated by the extended version of the Bass diffusion model. Results Direct network effects caused by common patients among physicians are much more influential on HIE adoption as compared with previously investigated social contagion and external factors. Professional proximity due to common patients does influence adoption decisions; geographical proximity is also influential, but its effect is more on rural than urban physicians. Conclusions Flow of patients among different groups of physicians is a powerful factor in HIE adoption. Rather than merely following the market trend, physicians appear to be influenced by other physicians with whom they interact with and have common patients. PMID:24287171

  14. Using Informative Verbal Exchanges to Promote Verb Retrieval in Nonfluent Aphasia

    PubMed Central

    Maul, Kristen K.; Conner, Peggy S.; Kempler, Daniel; Radvanski, Christina; Goral, Mira

    2014-01-01

    Purpose The goal of this study was to determine whether positive treatment effects of a modified constraint-induced language therapy focused on verb production would generalize to unpracticed items and tasks. Method Four individuals participated in a single-subject treatment design protocol. The treatment involved intensive practice producing verbs in sentences in an informative communicative exchange. Direct treatment outcome was examined by measuring the accuracy of producing practiced verbs in an action description task, a task similar to those used in treatment. Generalization was assessed by measuring production of unpracticed verbs and sentence grammaticality in the action description task and by measuring verb production and sentence grammaticality in 2 relatively unstructured (unpracticed) language tasks. Results Two of the 4 participants showed a direct treatment effect, producing a greater number of practiced verbs in the action description task following treatment compared with before treatment. All participants improved sentence grammaticality following treatment, although grammaticality was not explicitly targeted in therapy. Generalization to unpracticed, less-structured tasks was variable across the participants. Conclusion Patterns of generalization may depend on participants’ specific language deficits and production characteristics, on the language tasks used, and on the measures used to detect change and assess generalization. PMID:24687161

  15. Newly available technologies present expanding opportunities for scientific and technical information exchange

    NASA Astrophysics Data System (ADS)

    Tolzman, Jean M.

    1993-03-01

    The potential for expanded communication among researchers, scholars, and students is supported by growth in the capabilities for electronic communication as well as expanding access to various forms of electronic interchange and computing capabilities. Research supported by the National Aeronautics and Space Administration points to a future where workstations with audio and video monitors and screen-sharing protocols are used to support collaborations with colleagues located throughout the world. Instruments and sensors all over the world will produce data streams that will be brought together and analyzed to produce new findings, which in turn can be distributed electronically. New forms of electronic journals will emerge and provide opportunities for researchers and scientists to electronically and interactively exchange information in a wide range of structures and formats. Ultimately, the wide-scale use of these technologies in the dissemination of research results and the stimulation of collegial dialogue will change the way we represent and express our knowledge of the world. A new paradigm will evolve-perhaps a truly worldwide 'invisible college'.

  16. Engagement In Hospital Health Information Exchange Is Associated With Vendor Marketplace Dominance.

    PubMed

    Everson, Jordan; Adler-Milstein, Julia

    2016-07-01

    Health information exchange (HIE) is intended to enable better, more efficient health care by electronically transferring patient data across provider organizations. Many policy makers, including members of Congress, are concerned that some electronic health record (EHR) vendors may be impeding this effort by making cross-vendor HIE difficult. We used national data to assess how market dominance by EHR vendors was related to hospitals' engagement in HIE in 2012 and 2013. Across all levels of vendor market dominance, hospitals using EHR systems supplied by the dominant vendor engaged in an average of 45 percent more HIE activities than hospitals not using the dominant vendor. However, when the dominant vendor controlled a small proportion-20 percent-of the market, hospitals using the dominant vendor engaged in 59 percent more HIE activities than hospitals using a different vendor. Conversely, when the dominant vendor controlled 80 percent of the market, hospitals using that vendor engaged in only 25 percent more HIE activities than hospitals using a different vendor. In markets with low vendor dominance, hospitals may engage in less HIE with hospitals using other vendors' systems, compared to markets with high vendor dominance, because of high costs and competitive barriers. Policies designed to promote cross-vendor HIE may need to take local market competition into account. PMID:27385246

  17. The isotopic ecology of African mole rats informs hypotheses on the evolution of human diet.

    PubMed

    Yeakel, Justin D; Bennett, Nigel C; Koch, Paul L; Dominy, Nathaniel J

    2007-07-22

    The diets of Australopithecus africanus and Paranthropus robustus are hypothesized to have included C4 plants, such as tropical grasses and sedges, or the tissues of animals which themselves consumed C4 plants. Yet inferences based on the craniodental morphology of A. africanus and P. robustus indicate a seasonal diet governed by hard, brittle foods. Such mechanical characteristics are incompatible with a diet of grasses or uncooked meat, which are too tough for efficient mastication by flat, low-cusped molars. This discrepancy, termed the C4 conundrum, has led to the speculation that C4 plant underground storage organs (USOs) were a source of nutrition for hominin species. We test this hypothesis by examining the isotopic ecology of African mole rats, which consume USOs extensively. We measured delta18O and delta13C of enamel and bone apatite from fossil and modern species distributed across a range of habitats. We show that delta18O values vary little and that delta13C values vary along the C3 to C4/CAM-vegetative axis. Relatively high delta13C values exist in modern Cryptomys hottentotus natalensis and Cryptomys spp. recovered from hominin-bearing deposits. These values overlap those reported for A. africanus and P. robustus and we conclude that the USO hypothesis for hominin diets retains certain plausibility.

  18. Outcomes From Health Information Exchange: Systematic Review and Future Research Needs

    PubMed Central

    Totten, Annette M; Eden, Karen B; Devine, Beth; Gorman, Paul; Kassakian, Steven Z; Woods, Susan S; Daeges, Monica; Pappas, Miranda; McDonagh, Marian S

    2015-01-01

    Background Health information exchange (HIE), the electronic sharing of clinical information across the boundaries of health care organizations, has been promoted to improve the efficiency, cost-effectiveness, quality, and safety of health care delivery. Objective To systematically review the available research on HIE outcomes and analyze future research needs. Methods Data sources included citations from selected databases from January 1990 to February 2015. We included English-language studies of HIE in clinical or public health settings in any country. Data were extracted using dual review with adjudication of disagreements. Results We identified 34 studies on outcomes of HIE. No studies reported on clinical outcomes (eg, mortality and morbidity) or identified harms. Low-quality evidence generally finds that HIE reduces duplicative laboratory and radiology testing, emergency department costs, hospital admissions (less so for readmissions), and improves public health reporting, ambulatory quality of care, and disability claims processing. Most clinicians attributed positive changes in care coordination, communication, and knowledge about patients to HIE. Conclusions Although the evidence supports benefits of HIE in reducing the use of specific resources and improving the quality of care, the full impact of HIE on clinical outcomes and potential harms are inadequately studied. Future studies must address comprehensive questions, use more rigorous designs, and employ a standard for describing types of HIE. Trial Registration PROSPERO Registry No CRD42014013285; http://www.crd.york.ac.uk/PROSPERO/ display_record.asp?ID=CRD42014013285 (Archived by WebCite at http://www.webcitation.org/6dZhqDM8t). PMID:26678413

  19. Barriers Over Time to Full Implementation of Health Information Exchange in the United States

    PubMed Central

    2014-01-01

    Background Although health information exchanges (HIE) have existed since their introduction by President Bush in his 2004 State of the Union Address, and despite monetary incentives earmarked in 2009 by the health information technology for economic and clinical health (HITECH) Act, adoption of HIE has been sparse in the United States. Research has been conducted to explore the concept of HIE and its benefit to patients, but viable business plans for their existence are rare, and so far, no research has been conducted on the dynamic nature of barriers over time. Objective The aim of this study is to map the barriers mentioned in the literature to illustrate the effect, if any, of barriers discussed with respect to the HITECH Act from 2009 to the early months of 2014. Methods We conducted a systematic literature review from CINAHL, PubMed, and Google Scholar. The search criteria primarily focused on studies. Each article was read by at least two of the authors, and a final set was established for evaluation (n=28). Results The 28 articles identified 16 barriers. Cost and efficiency/workflow were identified 15% and 13% of all instances of barriers mentioned in literature, respectively. The years 2010 and 2011 were the most plentiful years when barriers were discussed, with 75% and 69% of all barriers listed, respectively. Conclusions The frequency of barriers mentioned in literature demonstrates the mindfulness of users, developers, and both local and national government. The broad conclusion is that public policy masks the effects of some barriers, while revealing others. However, a deleterious effect can be inferred when the public funds are exhausted. Public policy will need to lever incentives to overcome many of the barriers such as cost and impediments to competition. Process improvement managers need to optimize the efficiency of current practices at the point of care. Developers will need to work with users to ensure tools that use HIE resources work into

  20. Proceedings of the information exchange workshop: Design basis floods, March 20, 1990, Oak Ridge, Tennessee

    SciTech Connect

    Brock, W.R.; Lee, D.W. )

    1990-09-01

    An information exchange workshop was held on March 20, 1990, at the K-25 Plant to discuss Design Basis Floods (DBFLs) for the Paducah Gaseous Diffusion Plant (PAD) as required by the Gaseous Diffusion Plant (GDP) Final Safety Analysis Report (FSAR) Upgrade Program. The attendees consisted of representatives of the Department of Energy (DOE)-Headquarters, DOE-Oak Ridge Operations, Martin Marietta Energy Systems, Inc., and recognized experts in the flood evaluation field from Jack R. Benjamin and Associates (JRBA), the Army Corps of Engineers (COE), and the Tennessee Valley Authority (TVA). The principal goal of this workshop was to develop a consensus approach for defining the DBFL for PAD, based on information and direction from the team of experts assembled and DOE and Energy Systems representatives. To accomplish this, the applicable DOE order and related guidance documents were addressed and discussed for application to PAD. The representatives from JRBA, COE, and TVA made technical presentations that summarized flood-evalutation techniques. These presentations portrayed several different points of view for evaluating extreme flooding events. The JRBA approach is based on probabilistic methods. The approaches used by COE and TVA are based on deterministic methods. Both COE and TVA recognized Probable Maximum Flood (PMF) as a very extreme, deterministic flooding event. A discussion focused around the possiblity of defining (postulating) the PMF for the portion of the Ohio River Basin that would affect PAD. The representitive from JRBA expressed some technical concerns pertaining to a PMF approach. Several Energy Systems representatives felt that if a PMF were postulated for PAD, the calculated maximum flood stage would probably remain below plant grade. 30 figs.

  1. [Exchange of medical imaging and data information in radiotherapy: needs, methods and current limits].

    PubMed

    Manens, J P

    1997-01-01

    Extension of the image network within radiotherapy departments provides the technical infrastructure which is made necessary by the rapid evolution of techniques in the field of diagnosis and treatment in radiotherapy. The system is aimed at managing the whole set of data (textual data and images) that are needed for planning and control of treatments. The radiotherapy network addresses two objectives: managing both the information necessary for treatment planning (target volumes definition, planning dosimetry) and the control of all parameters involved during the patient's treatment under the treatment unit. The major challenge is to improve the quality of treatment. Multimodal imaging is a major advance as it allows the use of new dosimetry and simulation techniques. The need for standards to exchange medical imaging information is now recognized by all the institutions and a majority of users and manufacturers. It is widely accepted that the lack of standard has been one of the fundamental obstacles in the deployment of operational "Picture Archiving Communication Systems". The International Standard Organisation Open System Interconnection model is the standard reference mode used to describe network protocols. The network is based on the Ethernet and TCP/IP protocol that provides the means to interconnect imaging devices and workstations dedicated to specific image processing or machines used in radiotherapy. The network uses Ethernet cabled on twisted-pair (10 BaseT) or optical fibres in a star-shaped physical layout. Dicom V3.0 supports fundamental network interactions: transfer of images (computerized tomography magnetic resonance imaging query and retrieve of images), printing on network attached cameras, support of HIS/RIS related interfacing and image management. The supplement to the Dicom standard, Dicom RT, specifies five data objects known in Dicom as Information Object Definition for relevant radiotherapy. Dicom RT objects can provide a mean for

  2. Health Information Exchange between Jails and Their Communities: A Bridge That Is Needed under Healthcare Reform

    PubMed Central

    Butler, Ben

    2014-01-01

    Jails have often been compared to islands because they are thought to be cut off from the community both physically and perceptually. Few people understand that besides being places of confinement, jails function as health care providers. The separation of jails from community results in disjointed health care services and treatment for individuals cycling in and out of jail. Healthcare providers in the community have little knowledge of the care their patients have received in jail; the same can be said of jail health providers about care provided in the community. With the passage of the Affordable Care Act (ACA) and the Health Information Technology for Economic and Clinical Health Act (HITECH), the federal government took the lead respectively in expanding health insurance coverage and in spurring the adoption of electronic health records (EHRs) and the development of health information exchanges (HIEs). Taken together, these initiatives place a strong emphasis on promoting continuity of care. With the expansion of Medicaid under the ACA, many of the individuals leaving jail will have access to health insurance for the first time. Community-based providers to the newly insured will want to know about the care that was provided in the jail. The developing technological infrastructure would seem to offer the best way to access this information. However linking the community and jail information systems is not just a technological issue, but requires the cooperation of all stakeholders. This paper presents two case studies: one in which a single champion made the decision to link the jail health care system to the local HIE and the other where all stakeholders were included in the process. In the first case study, the jail healthcare system reverted to its “island” status when the HIE was abandoned without protest from community stakeholders. In the second case study, the multiple stakeholder approach, while not necessarily a complete guarantee of long

  3. [Exchange of medical imaging and data information in radiotherapy: needs, methods and current limits].

    PubMed

    Manens, J P

    1997-01-01

    Extension of the image network within radiotherapy departments provides the technical infrastructure which is made necessary by the rapid evolution of techniques in the field of diagnosis and treatment in radiotherapy. The system is aimed at managing the whole set of data (textual data and images) that are needed for planning and control of treatments. The radiotherapy network addresses two objectives: managing both the information necessary for treatment planning (target volumes definition, planning dosimetry) and the control of all parameters involved during the patient's treatment under the treatment unit. The major challenge is to improve the quality of treatment. Multimodal imaging is a major advance as it allows the use of new dosimetry and simulation techniques. The need for standards to exchange medical imaging information is now recognized by all the institutions and a majority of users and manufacturers. It is widely accepted that the lack of standard has been one of the fundamental obstacles in the deployment of operational "Picture Archiving Communication Systems". The International Standard Organisation Open System Interconnection model is the standard reference mode used to describe network protocols. The network is based on the Ethernet and TCP/IP protocol that provides the means to interconnect imaging devices and workstations dedicated to specific image processing or machines used in radiotherapy. The network uses Ethernet cabled on twisted-pair (10 BaseT) or optical fibres in a star-shaped physical layout. Dicom V3.0 supports fundamental network interactions: transfer of images (computerized tomography magnetic resonance imaging query and retrieve of images), printing on network attached cameras, support of HIS/RIS related interfacing and image management. The supplement to the Dicom standard, Dicom RT, specifies five data objects known in Dicom as Information Object Definition for relevant radiotherapy. Dicom RT objects can provide a mean for

  4. Operation of the power information center: Performance of secretariat functions and information exchange activities in the advanced power field of the interagency advanced power group

    NASA Technical Reports Server (NTRS)

    1983-01-01

    Highlights of activities conducted during the reporting period to facilitate the exchange of technical information among scientists and engineers both within the federal government and within industry are cited. Interagency Advanced Power Group meetings and special efforts, project briefs, and organization development are considered.

  5. Patient Encounters and Care Transitions in One Community Supported by Automated Query-Based Health Information Exchange

    PubMed Central

    Campion, Thomas R.; Vest, Joshua R.; Ancker, Jessica S.; Kaushal, Rainu

    2013-01-01

    Care transitions from one facility to another threaten patient safety due to the potential loss of critical clinical information. Electronic clinical data exchange may address the problem. Approaches to exchange range from manual directed exchange, or sending point-to-point messages, to automated query-based health information exchange (HIE), or aggregating data from multiple sources. In this study, we measured the extent to which automated query-based HIE supported patient encounters and care transitions in one community. During the 23-month study period, 41% (n=33,219) of affirmatively consented patients had at least one encounter supported by automated query-based HIE. Of these patients, 41% (n=13,685) visited two or more facilities and accounted for 68% of total encounters. Of total encounters, 28% (n=40,828) were care transitions from one facility to another. Findings suggest that automated query-based HIE may support care transitions with efficient information sharing and assist United States providers in achieving stage two of meaningful use. PMID:24551330

  6. The Information Needs of South African Parents of Children With Cancer.

    PubMed

    Maree, Johanna E; Parker, Sarah; Kaplan, Lara; Oosthuizen, Juanita

    2016-01-01

    Information is an important need in order for parents to be empowered to face their child's cancer condition. To explore the information needs of parents of children with cancer treated at an academic hospital in the Gauteng Province of South Africa, a descriptive phenomenological design was selected. The study setting was an academic hospital in Johannesburg and purposive sampling included 13 parents who spoke English and were willing to participate in the study. Qualitative interviews were conducted and thematic analyses were used to analyze the data. Four themes emerged from the data: the shock of the diagnosis, information needs about the disease and investigations, living with the treatment, and communication of the information. There was no consensus on which information was needed at specific points in time and parents had different opinions on how information should be made available to them. Continuous assessment allowing individualized information, according to the preference of the parents in the language of choice, could possibly meet their information needs.

  7. Health information exchange in general practice care for people with intellectual disabilities--a qualitative review of the literature.

    PubMed

    Mastebroek, M; Naaldenberg, J; Lagro-Janssen, A L; van Schrojenstein Lantman de Valk, H

    2014-09-01

    Many barriers to the provision of general practice (GP) care for people with intellectual disabilities (ID) relate to problems in exchanging health information. Deficits in the exchange of health information may have an adverse impact on healthcare access and health outcomes in individuals with ID. The aim of this paper is to report how health information exchange (HIE) in GP care for people with ID is being described in the ID healthcare literature. Thematic analysis of 19 included articles resulted in six major themes: (1) communication skills; (2) organisational factors; (3) record keeping and sharing; (4) health literacy and self-advocacy; (5) carers and health professionals' knowledge; and (6) third parties. The results indicate that HIE takes place in a chain of events happening before, during, and after a medical consultation, depending on specific contextual care factors. The included papers lack a broad focus on the entire HIE process, and causes and effects of gaps in health information are described only marginally or on a very general level. However, a study of the HIE process in its entirety is imperative in order to identify weak links and gaps in information pathways. The themes presented here provide a starting point for an in-depth study on the HIE process in GP care for individuals with ID that may facilitate future research on health interventions in this setting. PMID:24864050

  8. Why Give?: Exploring Social Exchange and Organization Identification Theories in the Promotion of Philanthropic Behaviors of African-American Millennials at Private-HBCUs

    ERIC Educational Resources Information Center

    Drezner, Noah D.

    2009-01-01

    African Americans give a larger percentage of their disposable income to non-profits than any other racial group, including Whites. However, there is a lack of literature on Black giving to higher education. This lack of research is particularly acute in our current state of decreased funding to higher education. This case study of the United…

  9. 22 CFR 1508.335 - What information must I provide before entering into a covered transaction with the African...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... into a covered transaction with the African Development Foundation? 1508.335 Section 1508.335 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT... Foundation? Before you enter into a covered transaction at the primary tier, you as the participant...

  10. 22 CFR 1508.335 - What information must I provide before entering into a covered transaction with the African...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... into a covered transaction with the African Development Foundation? 1508.335 Section 1508.335 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT... Foundation? Before you enter into a covered transaction at the primary tier, you as the participant...

  11. 22 CFR 1508.335 - What information must I provide before entering into a covered transaction with the African...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... into a covered transaction with the African Development Foundation? 1508.335 Section 1508.335 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT... Foundation? Before you enter into a covered transaction at the primary tier, you as the participant...

  12. 22 CFR 1508.335 - What information must I provide before entering into a covered transaction with the African...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... into a covered transaction with the African Development Foundation? 1508.335 Section 1508.335 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT... Foundation? Before you enter into a covered transaction at the primary tier, you as the participant...

  13. 22 CFR 1508.335 - What information must I provide before entering into a covered transaction with the African...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... into a covered transaction with the African Development Foundation? 1508.335 Section 1508.335 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT... Foundation? Before you enter into a covered transaction at the primary tier, you as the participant...

  14. Hospital readiness for health information exchange: development of metrics associated with successful collaboration for quality improvement

    PubMed Central

    Korst, Lisa M.; Aydin, Carolyn E.; Signer, Jordana M. K.; Fink, Arlene

    2011-01-01

    Objective The development of readiness metrics for organizational participation in health information exchange is critical for monitoring progress toward, and achievement of, successful inter-organizational collaboration. In preparation for the development of a tool to measure readiness for data-sharing, we tested whether organizational capacities known to be related to readiness were associated with successful participation in an American data-sharing collaborative for quality improvement. Design Cross-sectional design, using an on-line survey of hospitals in a large, mature data-sharing collaborative organized for benchmarking and improvement in nursing care quality. Measurements Factor analysis was used to identify salient constructs, and identified factors were analyzed with respect to “successful” participation. “Success” was defined as the incorporation of comparative performance data into the hospital dashboard. Results The most important factor in predicting success included survey items measuring the strength of organizational leadership in fostering a culture of quality improvement (QI Leadership): 1) presence of a supportive hospital executive; 2) the extent to which a hospital values data; 3) the presence of leaders’ vision for how the collaborative advances the hospital’s strategic goals; 4) hospital use of the collaborative data to track quality outcomes; and 5) staff recognition of a strong mandate for collaborative participation (α = 0.84, correlation with Success 0.68 [P < 0.0001]). Conclusion The data emphasize the importance of hospital QI Leadership in collaboratives that aim to share data for QI or safety purposes. Such metrics should prove useful in the planning and development of this complex form of inter-organizational collaboration. PMID:21330191

  15. User perspectives on the usability of a regional health information exchange

    PubMed Central

    Ho, Yun-Xian; Cala, Cather Marie; Blakemore, Dana; Chen, Qingxia; Frisse, Mark E; Johnson, Kevin B

    2011-01-01

    Objective We assessed the usability of a health information exchange (HIE) in a densely populated metropolitan region. This grant-funded HIE had been deployed rapidly to address the imminent needs of the patient population and the need to draw wider participation from regional entities. Design We conducted a cross-sectional survey of individuals given access to the HIE at participating organizations and examined some of the usability and usage factors related to the technology acceptance model. Measurements We probed user perceptions using the Questionnaire for User Interaction Satisfaction, an author-generated Trust scale, and user characteristic questions (eg, age, weekly system usage time). Results Overall, users viewed the system favorably (ratings for all usability items were greater than neutral (one-sample Wilcoxon test, p<0.0014, Bonferroni-corrected for 35 tests). System usage was regressed on usability, trust, and demographic and user characteristic factors. Three usability factors were positively predictive of system usage: overall reactions (p<0 0.01), learning (p<0.05), and system functionality (p<0.01). Although trust is an important component in collaborative relationships, we did not find that user trust of other participating healthcare entities was significantly predictive of usage. An analysis of respondents' comments revealed ways to improve the HIE. Conclusion We used a rapid deployment model to develop an HIE and found that perceptions of system usability were positive. We also found that system usage was predicted well by some aspects of usability. Results from this study suggest that a rapid development approach may serve as a viable model for developing usable HIEs serving communities with limited resources. PMID:21622933

  16. The Integration of Geographical Information System and Remotely Sensed Data to Track and Predict the Migration Path of the Africanized Honey Bee

    NASA Technical Reports Server (NTRS)

    Ward, Charles; Bravo, Jessica; De Luna, Rosalia; Lopez, Gerardo; Pichardo, Itza; Trejo, Danny; Vargas, Gabriel

    1997-01-01

    One of the research groups at the Pan American Center for Earth and Environmental Studies (PACES) is researching the northward migration path of Africanized Honey Bees or often referred to in the popular press as killer bees. The goal of the Killer Bee Research Group (KBRG) is to set up a database in the form of a geographical information system, which will be used to track and predict the bees future migration path. Included in this paper is background information on geographical information systems, the SPANS Explorer software package which was used to implement the database, and Advanced Very High Resolution Radiometer data and how each of these is being incorporated in the research. With an accurate means of predicting future migration paths, the negative effects of the Africanized honey bees maybe reduced.

  17. Exploring policy compliance of the South African informal milk-producing segment.

    PubMed

    Agenbag, Mike; Lues, Ryk; Lues, Liezel

    2012-05-01

    Our study assessed whether municipal health services were informed about and exerted adequate control over the informal milk-producing sector in South Africa. The results indicated that municipal health services had limited control. Only one municipality was authorised to allow the sale of raw milk in its area. In most metropolitan and district municipalities, the distribution of raw milk continues, even where no statutory investigations assessed the ability to control the practice. The national and provincial government should recognise and support capacity building to enable municipalities to exercise power and perform their functions regarding informal milk distribution, part of the informal sector that has provided opportunities for employment and additional income. This constitutes a challenge particularly in monitoring and control of high-risk foods.

  18. Corporate Characteristics and Internal Control Information Disclosure- Evidence from Annual Reports in 2009 of Listed Companies in Shenzhen Stock Exchange

    NASA Astrophysics Data System (ADS)

    Xiaowen, Song

    Under the research framework of internal control disclosure and combined the current economic situation, the paper empirically analyzes the relationship between corporate characteristics and internal control information disclosure. The paper selects 647 A share companies listed in Shenzhen Stock Exchanges in 2009 as a sample. The results show: (1) the companies with excellent performance and high liquidity tend to disclose more internal control information; (2) the companies with the high leverage and also issued B shares are not willing to disclosure internal control information; (3) the companies sizes and companies which have hired Four-big accounting firms have no significant effects on internal control disclosure.

  19. The Effectiveness of the Picture Exchange Communication System (PECS) for Children with Autism Spectrum Disorder (ASD): A South African Pilot Study

    ERIC Educational Resources Information Center

    Travis, Julia; Geiger, Martha

    2010-01-01

    This study investigated the effects of introducing the Picture Exchange Communication System (PECS) on the frequency of requesting and commenting and the length of verbal utterances of two children with autism spectrum disorder (ASD) who presented with some spoken language, but limited use of language in communicative exchanges. A mixed research…

  20. 23 CFR 636.403 - What information may be exchanged with a clarification?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... exchanged with a clarification? (a) You may wish to clarify any aspect of proposals which would enhance your... of offerors and do not have to address specific issues. (b) You may wish to clarify and revise...

  1. 78 FR 15800 - 30-Day Notice of Proposed Information Collection: Exchange Student Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... foreign countries and 300 US students studying in foreign countries). Estimated Number of Responses: 1800 annually--(1500 exchange students from foreign countries and 300 US students studying in foreign...

  2. 77 FR 75251 - 60-Day Notice of Proposed Information Collection: ECA Exchange Student Surveys

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ... foreign countries and 300 US students studying in foreign countries). Estimated Number of Responses: 1800 annually--(1500 exchange students from foreign countries and 300 US students studying in foreign...

  3. Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS.

    PubMed

    Herwehe, Jane; Wilbright, Wayne; Abrams, Amir; Bergson, Susan; Foxhood, Joseph; Kaiser, Michael; Smith, Luis; Xiao, Ke; Zapata, Amy; Magnus, Manya

    2012-01-01

    Louisiana is severely affected by HIV/AIDS, ranking fifth in AIDS rates in the USA. The Louisiana Public Health Information Exchange (LaPHIE) is a novel, secure bi-directional public health information exchange, linking statewide public health surveillance data with electronic medical record data. LaPHIE alerts medical providers when individuals with HIV/AIDS who have not received HIV care for >12 months are seen at any ambulatory or inpatient facility in an integrated delivery network. Between 2/1/2009 and 1/31/2011, 488 alerts identified 345 HIV positive patients. Of those identified, 82% had at least one CD4 or HIV viral load test over the study follow-up period. LaPHIE is an innovative use of health information exchange based on surveillance data and real time clinical messaging, facilitating rapid provider notification of those in need of treatment. LaPHIE successfully reduces critical missed opportunities to intervene with individuals not in care, leveraging information historically collected solely for public health purposes, not health care delivery, to improve public health.

  4. Informed consent for HIV testing in a South African hospital: is it truly informed and truly voluntary?

    PubMed Central

    Abdool Karim, Q; Abdool Karim, S S; Coovadia, H M; Susser, M

    1998-01-01

    OBJECTIVE: The purpose of this study was to assess informed consent to human immunodeficiency virus (HIV) testing in a perinatal HIV transmission study in a major referral hospital serving a largely Black population in South Africa. METHODS: First-time antenatal clinic attenders who were randomly selected from those enrolled in the perinatal HIV study (n = 56) answered questionnaires before and after counseling. RESULTS: Knowledge of HIV transmission and prevention, high at the outset, was little improved after counseling. The acceptance rate for HIV testing was high. Despite assurances that participation was voluntary, 88% of the women said they felt compelled to participate in the study. CONCLUSIONS: Informed consent in this setting was truly informed but not truly voluntary. PMID:9551007

  5. Suicidal, Abused African American Women's Response to a Culturally Informed Intervention

    ERIC Educational Resources Information Center

    Kaslow, Nadine J.; Leiner, Amy S.; Reviere, Susan; Jackson, Emily; Bethea, Kafi; Bhaju, Jeshmin; Rhodes, Miesha; Gantt, Min-Jung; Senter, Herman; Thompson, Martie P.

    2010-01-01

    Objective: This study examined (a) the efficacy of a manualized, culturally informed, empowerment-focused psychoeducational group intervention (Nia) designed in accord with the theory of triadic influence or treatment as usual (TAU) for reducing psychological symptomatology (suicidal ideation, depressive symptoms, posttraumatic stress symptoms,…

  6. Information Access in Niger: Development of a West African Special Library.

    ERIC Educational Resources Information Center

    Baldwin, Charlene M.; Varady, Robert G.

    1989-01-01

    Description of a program sponsored by the University of Arizona's Office of Arid Land Studies to improve management of information resources of the Ministry of Planning of Niger covers: (1) assessment of existing services; (2) operational policy development; (3) implementation of a computerized cataloging system; (4) the organizational plan; and…

  7. A Curriculum Framework for Geographical Information Science (GISc) Training at South African Universities

    ERIC Educational Resources Information Center

    du Plessis, H.; van Niekerk, A.

    2012-01-01

    Geographical information science (GISc) is one of the fastest growing industries worldwide. Being a relatively new discipline, universities often provide training as part of geography, surveying, town planning, environmental and computer science programmes. This complicates professional accreditation assessments as the content, outcomes, extent…

  8. 75 FR 26974 - Agency Information Collection Activities: African Growth and Opportunity Act Certificate of Origin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ..., 799 9th Street, NW., 7th Floor, Washington, DC 20229-1177, at 202-325-0265. Dated: May 10, 2010... information collection was previously published in the Federal Register (75 FR 9423) on March 2, 2010.... This process is conducted in accordance with 5 CFR 1320.10. DATES: Written comments should be...

  9. Qualitative developmental research among low income African American adults to inform a social marketing campaign for walking

    PubMed Central

    2013-01-01

    Background This study describes the development of a social marketing campaign for increasing walking in a low income, high crime community as part of the Positive Action for Today’s Health (PATH) trial. Methods Focus groups were conducted with 52 African American adults (ages 18 to 65 yrs), from two underserved communities to develop themes for a social marketing campaign to promote walking. Participants responded to questions concerning social marketing principles related to product, price, place, promotion, and positioning for increasing neighbourhood walking. Results Focus group data informed the development of the campaign objectives that were derived from the “5 Ps” to promote physical and mental health, social connectedness, safety, and confidence in walking regularly. Focus group themes indicated that physical and mental health benefits of walking were important motivators. Walking for social reasons was also important for overcoming barriers to walking. Police support from trusted officers while walking was also essential to promoting safety for walking. Print materials were developed by the steering committee, with a 12-month calendar and door hangers delivered to residents’ homes to invite them to walk. Pride Stride walks empowered community walkers to serve as peer leaders for special walking events to engage new walkers. Conclusions Essential elements for developing culturally tailored social marketing interventions for promoting walking in underserved communities are outlined for future researchers. PMID:23497164

  10. Verifier-based three-party authentication schemes using extended chaotic maps for data exchange in telecare medicine information systems.

    PubMed

    Lee, Tian-Fu

    2014-12-01

    Telecare medicine information systems provide a communicating platform for accessing remote medical resources through public networks, and help health care workers and medical personnel to rapidly making correct clinical decisions and treatments. An authentication scheme for data exchange in telecare medicine information systems enables legal users in hospitals and medical institutes to establish a secure channel and exchange electronic medical records or electronic health records securely and efficiently. This investigation develops an efficient and secure verified-based three-party authentication scheme by using extended chaotic maps for data exchange in telecare medicine information systems. The proposed scheme does not require server's public keys and avoids time-consuming modular exponential computations and scalar multiplications on elliptic curve used in previous related approaches. Additionally, the proposed scheme is proven secure in the random oracle model, and realizes the lower bounds of messages and rounds in communications. Compared to related verified-based approaches, the proposed scheme not only possesses higher security, but also has lower computational cost and fewer transmissions.

  11. Predicting adolescents' disclosure of personal information in exchange for commercial incentives: an application of an extended theory of planned behavior.

    PubMed

    Heirman, Wannes; Walrave, Michel; Ponnet, Koen

    2013-02-01

    This study adopts a global theoretical framework to predict adolescents' disclosure of personal information in exchange for incentives offered by commercial Websites. The study postulates and tests the validity of a model based on the theory of planned behavior (TPB), including antecedent factors of attitude and perceived behavioral control (PBC). A survey was conducted among 1,042 respondents. Results from SEM analyses show that the hypothesized model fits the empirical data well. The model accounts for 61.9 percent of the variance in adolescents' intention to disclose and 43.7 percent of the variance in self-reported disclosure. Perceived social pressure exerted by significant others (subjective norm) is the most important TPB factor in predicting intention to disclose personal information in exchange for incentives. This finding suggests that in discussions of adolescents' information privacy, the importance of social factors outweighs the individually oriented TPB factors of attitude and PBC. Moreover, privacy concern and trust propensity are significant predictors of respondents' attitudes toward online disclosure in exchange for commercial incentives, whereas the frequency of Internet use significantly affects their level of PBC. PMID:23113689

  12. An integrated climate service strategy for African drought monitoring and prediction: linking information to action

    NASA Astrophysics Data System (ADS)

    Funk, C.; Verdin, J. P.; Rowland, J.; Budde, M.

    2008-12-01

    For 23 years, the US Agency for International Development's Famine Early Warning Systems Network (FEWS NET) has applied climate data analysis in support of timely food insecurity mitigation and adaptation in Africa. FEWS NET, therefore, provides a compelling example of a sector-specific climate service. We briefly review the phases, successes and shortcomings of the FEWS NET climate service, describe an improved long term climate service strategy, and present new research supporting an improved, integrated drought monitoring approach. Our new monitoring system emphasizes seamless links between historical precipitation archives, near real-time rainfall estimates, and 1-to-4 month statistical predictions. Assessment of forecast skill shows useful levels of accuracy for many regions during key periods of the growing season. Integrating these forecasts with near real time blended satellite-gauge precipitation observations facilitates early identification of mid-season agricultural drought. Integrated historical climate archives (1979-present) permit analysis of observed and forecast climate conditions in terms of historical probabilities and analogs. Tools specific to staple crops and pastoralist settings are then used to assess the likely impacts of hydrometeorological anomalies. These are geographically integrated with livelihoods information and interpreted in terms of current food security conditions and timelines to determine human consequences. A client-server web-mapping data portal will allow users to dynamically access the climate anomaly information, and visualize the results in conjunction with livelihood information.

  13. “Hidden” Value: How Indirect Benefits of Health Information Exchange Further Promote Sustainability

    PubMed Central

    Tzeel, Albert; Lawnicki, Victor; Pemble, Kim R.

    2012-01-01

    Background Health information exchanges (HIEs) have already demonstrated direct value in controlling the costs associated with utilization of emergency department services and with inpatient admissions from the emergency department. HIEs may also affect inpatient admissions originating from outside of the emergency department. Objective To assess if a potential association exists between a community-based HIE being used in hospital emergency departments and inpatient admissions emanating from outside of the emergency department. Methods The study design was observational, with an eligible population of fully insured plan members who sought emergency department care on at least 2 occasions over the study period between December 2008 and March 2010. Utilization data, obtained from medical and pharmacy claims, were matched to a list of emergency department utilizers where HIE querying could have occurred. Of the eligible members, 1482 underwent propensity score matching to create two 325-member groups—(1) a test group in which the HIE database was queried for all members in all of their emergency department visits, and (2) a control group in which the HIE database was not queried for any of the members in any emergency department visit. Results A post–propensity matching analysis showed that although the test group had more admissions per 1000 members overall (199 more admissions per 1000 members) than the control group, these admissions might have been more appropriate for inpatient treatment in general. The relative risk of an admission by the time of a first emergency department visit was 28% higher in the control group than the test group, although by the time of a second emergency department visit, it was only 8% lower in the control group. Moreover, test group admissions resulted in less time spent as inpatients, which was denoted by bed days per 1000 members (771 fewer bed days per 1000 members) and by average length of stay (4.27 days per admission for all

  14. What Do People Affected by Cancer Think About Electronic Health Information Exchange? Results From the 2010 LIVESTRONG Electronic Health Information Exchange Survey and the 2008 Health Information National Trends Survey

    PubMed Central

    Beckjord, Ellen B.; Rechis, Ruth; Nutt, Stephanie; Shulman, Lawrence; Hesse, Bradford W.

    2011-01-01

    Purpose: The Health Information Technology for Economic and Clinical Health (HITECH) Act has placed an emphasis on electronic health information exchange (EHIE). Research on needs of patient, especially those touched by cancer, has been sparse. Here, we present data on preferences for EHIE among those touched by cancer compared with a nationally representative sample of American adults. Methods: Two surveys were used: an online survey designed by LIVESTRONG (the Lance Armstrong Foundation) and a dual-frame, nationally representative sample of adults collected through the National Cancer Institute's Health Information National Trends Survey (HINTS). Results: The LIVESTRONG EHIE survey yielded a sample of 8,411 respondents, including 433 currently receiving cancer treatment, 298 living with cancer as a chronic disease, 2,343 post-treatment survivors, and 5,337 with no history of cancer. The HINTS sample consisted of 7,674 respondents representative of the general adult population. Comparisons revealed a strong positive view of the value of EHIE within the cancer-relevant groups, especially among those living with cancer as a chronic disease. Only about half of the general population showed a similar degree of enthusiasm for EHIE. When asked about specific functions for EHRs, respondents valued privacy and security above all, followed by improving care coordination and data sharing between providers. Conclusion: These data suggest that the EHIE needs among those touched by cancer may be greater than in the general population. This is particularly important because people affected by cancer are among those who access our health care system most frequently and who have the most at stake. PMID:22043188

  15. Development of a spiritually based educational intervention to increase informed decision making for prostate cancer screening among church-attending African American men.

    PubMed

    Holt, Cheryl L; Wynn, Theresa A; Southward, Penny; Litaker, Mark S; Jeames, Sanford; Schulz, Emily

    2009-09-01

    One way of developing culturally relevant health communication in the African American church setting is to develop spiritually based interventions, in which the health message is framed by relevant spiritual themes and scripture. In this article we describe the development of a community health advisor(CHA)-led intervention aimed at increasing informed decision making (IDM) for prostate cancer screening among church-attending African American men. Full-color print educational booklets were developed and pilot tested with extensive community participation of church-attending African American men age-eligible for screening. The intervention development phase consisted of ideas solicited from an advisory panel of African American men (N = 10), who identified core content and developed the spiritual themes. In the intervention pilot testing phase, prototypes of the intervention materials were pilot tested for graphic appeal in two focus groups (N = 16), and content was tested for acceptability and comprehension using individual cognitive response interviews (N = 10). Recommendations were made for project branding and logo and for use of graphics of real people in the educational materials. Significant feedback was obtained from the focus groups, on the graphics, colors, fonts, continuity, titles, and booklet size/shape. The importance of working closely with the community when developing interventions is discussed, as well as the importance of pilot testing of educational materials. PMID:19731129

  16. Method of estimation of sea-shelf water exchange using information on differential coastal cooling above underwater slopes

    NASA Astrophysics Data System (ADS)

    Chubarenko, Irina

    2013-04-01

    -November 2002-2009, the South-Eastern Baltic Sea, were analyzed (see poster EGU2013-7446) demonstrating typical features of the coast-sea SST-profiles above different slopes of the given region. Overall, the method of estimation of shelf-sea water exchange on the base of information on differential coastal cooling above underwater slopes works well in laboratory and numerical experiments, and its applicability at the sea scale seems to be reasonable, however it still needs verification by real measurements of water-exchange in field, which are difficult and very expensive and thus - very rare. Investigations are supported by RFBR, grants number 10-05-00540a and 13-05-01041a.

  17. Supporting multi-state collaboration on privacy and security to foster health IT and health information exchange.

    PubMed

    Banger, Alison K; Alakoye, Amoke O; Rizk, Stephanie C

    2008-01-01

    As part of the HHS funded contract, Health Information Security and Privacy Collaboration, 41 states and territories have proposed collaborative projects to address cross-state privacy and security challenges related to health IT and health information exchange. Multi-state collaboration on privacy and security issues remains complicated, and resources to support collaboration around these topics are essential to the success of such collaboration. The resources outlined here offer an example of how to support multi-stakeholder, multi-state projects. PMID:18999216

  18. The NASA Scientific and Technical Information (STI) Program's Implementation of Open Archives Initiation (OAI) for Data Interoperability and Data Exchange

    NASA Technical Reports Server (NTRS)

    Rocker, JoAnne; Roncaglia, George J.; Heimerl, Lynn N.; Nelson, Michael L.

    2002-01-01

    Interoperability and data-exchange are critical for the survival of government information management programs. E-government initiatives are transforming the way the government interacts with the public. More information is to be made available through web-enabled technologies. Programs such as the NASA's Scientific and Technical Information (STI) Program Office are tasked to find more effective ways to disseminate information to the public. The NASA STI Program is an agency-wide program charged with gathering, organizing, storing, and disseminating NASA-produced information for research and public use. The program is investigating the use of a new protocol called the Open Archives Initiative (OAI) as a means to improve data interoperability and data collection. OAI promotes the use of the OAI harvesting protocol as a simple way for data sharing among repositories. In two separate initiatives, the STI Program is implementing OAI In collaboration with the Air Force, Department of Energy, and Old Dominion University, the NASA STI Program has funded research on implementing the OAI to exchange data between the three organizations. The second initiative is the deployment of OAI for the NASA technical report server (TRS) environment. The NASA TRS environment is comprised of distributed technical report servers with a centralized search interface. This paper focuses on the implementation of OAI to promote interoperability among diverse data repositories.

  19. Traveling Uncharted Waters: The Exchange of Government Information between the United States and China.

    ERIC Educational Resources Information Center

    Wang, Rui

    1998-01-01

    Describes a program established between the United States and China for exchange of government publications through their national libraries, the Library of Congress and the National Library of China. Challenges to the program, including the shift to electronic formats in the United States and government Internet censorship in China, are…

  20. 26 CFR 1.6045-1 - Returns of information of brokers and barter exchanges.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... securities futures contract. (4) The term barter exchange means any person with members or clients that... of regulated futures contracts in which has been approved by the Commodity Futures Trading Commission... in the Federal Register. (6) The term regulated futures contract means a regulated futures...

  1. 26 CFR 1.6045-1 - Returns of information of brokers and barter exchanges.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... regulated futures contracts in which has been approved by the Commodity Futures Trading Commission; (ii... Federal Register. (6) The term regulated futures contract means a regulated futures contract within the... delivery of a commodity in exchange for cash and which contract is not a regulated futures contract; or...

  2. INFX GUIDE: DEPARTMENT OF ENERGY BILATERAL AGREEMENTS FOR COOPERATION IN THE FIELD OF RADIOACTIVE WASTE MANAGEMENT (INFX: INTERNATIONAL INFORMATION EXCHANGE)

    SciTech Connect

    Harman, K. M.; Lakey, L. T.; Leigh, I. W.; Jeffs, A. G.

    1985-07-01

    As the U. S. Department of Energy (DOE) and DOE contractors have increased the magnitude and scope of their cooperative activities with other nations in the nuclear fuel cycle and waste management field, a need has developed for ready sources of information concerning foreign waste management programs, DOE technology exchange policies, bilateral fuel cycle and waste management agreements and plans and activities to implement those agreements. The INFX (International InLormation E~change) Guide is one of a series of documents that have been prepared to provide that information. The INFX Guide has been compiled under the charter of PNL's International Support Office (IPSO) to maintain for DOE a center to collect, organize, evaluate and disseminate information on foreign and international radioactive waste management programs. Because the information in this document is constantly subject to change, the document is assembled in loose-leaf form to accommodate frequent updates.

  3. A hospital information system based on Common Object Request Broker Architecture (CORBA) for exchanging distributed medical objects--an approach to future environment of sharing healthcare information.

    PubMed

    Ohe, K

    1998-01-01

    Tightly related subsystems in a HIS have to exchange medical data flexibly by the data object rather than by the battery of the data. We developed a CPR subsystem based on Common Object Request Broker Architecture (CORBA) that retrieves and stores clinical information in the object-oriented database via Internet Intra-ORB Protocol (IIOP). The system is hybridized with the legacy HIS applications on the client terminals. We believe that our solution and the experiences will contribute to the future CORBA-based environment in which computerized patient information is shared among hospitals, clinics, and tightly related systems.

  4. Investigating onychophoran gas exchange and water balance as a means to inform current controversies in arthropod physiology.

    PubMed

    Clusella-Trullas, Susana; Chown, Steven L

    2008-10-01

    Several controversies currently dominate the fields of arthropod metabolic rate, gas exchange and water balance, including the extent to which modulation of gas exchange reduces water loss, the origins of discontinuous gas exchange, the relationship between metabolic rate and life-history strategies, and the causes of Palaeozoic gigantism. In all of these areas, repeated calls have been made for the investigation of groups that might most inform the debates, especially of taxa in key phylogenetic positions. Here we respond to this call by investigating metabolic rate, respiratory water loss and critical oxygen partial pressure (Pc) in the onychophoran Peripatopsis capensis, a member of a group basal to the arthropods, and by synthesizing the available data on the Onychophora. The rate of carbon dioxide release (VCO2) at 20 degrees C in P. capensis is 0.043 ml CO2 h(-1), in keeping with other onychophoran species; suggesting that low metabolic rates in some arthropod groups are derived. Continuous gas exchange suggests that more complex gas exchange patterns are also derived. Total water loss in P. capensis is 57 mg H2O h(-1) at 20 degrees C, similar to modern estimates for another onychophoran species. High relative respiratory water loss rates ( approximately 34%; estimated using a regression technique) suggest that the basal condition in arthropods may be a high respiratory water loss rate. Relatively high Pc values (5-10% O2) suggest that substantial safety margins in insects are also a derived condition. Curling behaviour in P. capensis appears to be a strategy to lower energetic costs when resting, and the concomitant depression of water loss is a proximate consequence of this behaviour.

  5. Investigating onychophoran gas exchange and water balance as a means to inform current controversies in arthropod physiology.

    PubMed

    Clusella-Trullas, Susana; Chown, Steven L

    2008-10-01

    Several controversies currently dominate the fields of arthropod metabolic rate, gas exchange and water balance, including the extent to which modulation of gas exchange reduces water loss, the origins of discontinuous gas exchange, the relationship between metabolic rate and life-history strategies, and the causes of Palaeozoic gigantism. In all of these areas, repeated calls have been made for the investigation of groups that might most inform the debates, especially of taxa in key phylogenetic positions. Here we respond to this call by investigating metabolic rate, respiratory water loss and critical oxygen partial pressure (Pc) in the onychophoran Peripatopsis capensis, a member of a group basal to the arthropods, and by synthesizing the available data on the Onychophora. The rate of carbon dioxide release (VCO2) at 20 degrees C in P. capensis is 0.043 ml CO2 h(-1), in keeping with other onychophoran species; suggesting that low metabolic rates in some arthropod groups are derived. Continuous gas exchange suggests that more complex gas exchange patterns are also derived. Total water loss in P. capensis is 57 mg H2O h(-1) at 20 degrees C, similar to modern estimates for another onychophoran species. High relative respiratory water loss rates ( approximately 34%; estimated using a regression technique) suggest that the basal condition in arthropods may be a high respiratory water loss rate. Relatively high Pc values (5-10% O2) suggest that substantial safety margins in insects are also a derived condition. Curling behaviour in P. capensis appears to be a strategy to lower energetic costs when resting, and the concomitant depression of water loss is a proximate consequence of this behaviour. PMID:18805813

  6. The Visit-Data Warehouse: Enabling Novel Secondary Use of Health Information Exchange Data

    PubMed Central

    Fleischman, William; Lowry, Tina; Shapiro, Jason

    2014-01-01

    Introduction/Objectives: Health Information Exchange (HIE) efforts face challenges with data quality and performance, and this becomes especially problematic when data is leveraged for uses beyond primary clinical use. We describe a secondary data infrastructure focusing on patient-encounter, nonclinical data that was built on top of a functioning HIE platform to support novel secondary data uses and prevent potentially negative impacts these uses might have otherwise had on HIE system performance. Background: HIE efforts have generally formed for the primary clinical use of individual clinical providers searching for data on individual patients under their care, but many secondary uses have been proposed and are being piloted to support care management, quality improvement, and public health. Description of the HIE and Base Infrastructure: This infrastructure review describes a module built into the Healthix HIE. Healthix, based in the New York metropolitan region, comprises 107 participating organizations with 29,946 acute-care beds in 383 facilities, and includes more than 9.2 million unique patients. The primary infrastructure is based on the InterSystems proprietary Caché data model distributed across servers in multiple locations, and uses a master patient index to link individual patients’ records across multiple sites. We built a parallel platform, the “visit data warehouse,” of patient encounter data (demographics, date, time, and type of visit) using a relational database model to allow accessibility using standard database tools and flexibility for developing secondary data use cases. These four secondary use cases include the following: (1) tracking encounter-based metrics in a newly established geriatric emergency department (ED), (2) creating a dashboard to provide a visual display as well as a tabular output of near-real-time de-identified encounter data from the data warehouse, (3) tracking frequent ED users as part of a regional-approach to

  7. An integrated healthcare information system for end-to-end standardized exchange and homogeneous management of digital ECG formats.

    PubMed

    Trigo, Jesús Daniel; Martínez, Ignacio; Alesanco, Alvaro; Kollmann, Alexander; Escayola, Javier; Hayn, Dieter; Schreier, Günter; García, José

    2012-07-01

    This paper investigates the application of the enterprise information system (EIS) paradigm to standardized cardiovascular condition monitoring. There are many specifications in cardiology, particularly in the ECG standardization arena. The existence of ECG formats, however, does not guarantee the implementation of homogeneous, standardized solutions for ECG management. In fact, hospital management services need to cope with various ECG formats and, moreover, several different visualization applications. This heterogeneity hampers the normalization of integrated, standardized healthcare information systems, hence the need for finding an appropriate combination of ECG formats and a suitable EIS-based software architecture that enables standardized exchange and homogeneous management of ECG formats. Determining such a combination is one objective of this paper. The second aim is to design and develop the integrated healthcare information system that satisfies the requirements posed by the previous determination. The ECG formats selected include ISO/IEEE11073, Standard Communications Protocol for Computer-Assisted Electrocardiography, and an ECG ontology. The EIS-enabling techniques and technologies selected include web services, simple object access protocol, extensible markup language, or business process execution language. Such a selection ensures the standardized exchange of ECGs within, or across, healthcare information systems while providing modularity and accessibility.

  8. The Impact of Group Size and Proportion of Shared Information on the Exchange and Integration of Information in Groups.

    ERIC Educational Resources Information Center

    Cruz, Michael G.; Boster, Franklin J.; Rodriguez, Jose I.

    1997-01-01

    Seeks conditions that improve group performance on "hidden profiles." Finds that, among undergraduate student groups, group information sharing and decision-making effectiveness were higher in small groups with a low percentage of shared information, and lower when groups either were large or shared a high percentage of information. Notes that…

  9. Barriers and facilitators to health information exchange in low- and middle-income country settings: a systematic review.

    PubMed

    Akhlaq, Ather; McKinstry, Brian; Muhammad, Khalid Bin; Sheikh, Aziz

    2016-11-01

    The exchange and use of health information can help healthcare professionals and policymakers make informed decisions on ways of improving patient and population health. Many low- and middle-income countries (LMICs) have however failed to embrace the approaches and technologies to facilitate health information exchange (HIE). We sought to understand the barriers and facilitators to the implementation and adoption of HIE in LMICs. Two reviewers independently searched 11 academic databases for published and on-going qualitative, quantitative and mixed-method studies and searched for unpublished work through the Google search engine. The searches covered the period from January 1990 to July 2014 and were not restricted by language. Eligible studies were independently, critically appraised and then thematically analysed. The searches yielded 5461 citations after de-duplication of results. Of these, 56 articles, three conference abstracts and four technical reports met the inclusion criteria. The lack of importance given to data in decision making, corruption and insecurity, lack of training and poor infrastructure were considered to be major challenges to implementing HIE, but strong leadership and clear policy direction coupled with the financial support to acquire essential technology, improve the communication network, and provide training for staff all helped to promote implementation. The body of work also highlighted how implementers of HIE needed to take into account local needs to ensure that stakeholders saw HIE as relevant and advantageous. HIE interventions implemented through leapfrog technologies such as telehealth/telemedicine and mHealth in Brazil, Kenya, and South Africa, provided successful examples of exchanging health information in LMICs despite limited resources and capability. It is important that implementation of HIE is aligned with national priorities and local needs. PMID:27185528

  10. Barriers and facilitators to health information exchange in low- and middle-income country settings: a systematic review.

    PubMed

    Akhlaq, Ather; McKinstry, Brian; Muhammad, Khalid Bin; Sheikh, Aziz

    2016-11-01

    The exchange and use of health information can help healthcare professionals and policymakers make informed decisions on ways of improving patient and population health. Many low- and middle-income countries (LMICs) have however failed to embrace the approaches and technologies to facilitate health information exchange (HIE). We sought to understand the barriers and facilitators to the implementation and adoption of HIE in LMICs. Two reviewers independently searched 11 academic databases for published and on-going qualitative, quantitative and mixed-method studies and searched for unpublished work through the Google search engine. The searches covered the period from January 1990 to July 2014 and were not restricted by language. Eligible studies were independently, critically appraised and then thematically analysed. The searches yielded 5461 citations after de-duplication of results. Of these, 56 articles, three conference abstracts and four technical reports met the inclusion criteria. The lack of importance given to data in decision making, corruption and insecurity, lack of training and poor infrastructure were considered to be major challenges to implementing HIE, but strong leadership and clear policy direction coupled with the financial support to acquire essential technology, improve the communication network, and provide training for staff all helped to promote implementation. The body of work also highlighted how implementers of HIE needed to take into account local needs to ensure that stakeholders saw HIE as relevant and advantageous. HIE interventions implemented through leapfrog technologies such as telehealth/telemedicine and mHealth in Brazil, Kenya, and South Africa, provided successful examples of exchanging health information in LMICs despite limited resources and capability. It is important that implementation of HIE is aligned with national priorities and local needs.

  11. Flight tests with a data link used for air traffic control information exchange

    NASA Technical Reports Server (NTRS)

    Knox, Charles E.; Scanlon, Charles H.

    1991-01-01

    Previous studies showed that air traffic control (ATC) message exchange with a data link offers the potential benefits of increased airspace system safety and efficiency. To accomplish these benefits, data link can be used to reduce communication errors and relieve overloaded ATC voice radio frequencies, which hamper efficient message exchange during peak traffic periods. Flight tests with commercial airline pilots as test subjects were conducted in the NASA Transport Systems Research Vehicle Boeing 737 airplane to contrast flight operations that used current voice communications with flight operations that used data link to transmit both strategic and tactical ATC clearances during a typical commercial airflight from takeoff to landing. The results of these tests that used data link as the primary communication source with ATC showed flight crew acceptance, a perceived reduction in crew work load, and a reduction in crew communication errors.

  12. The potential consequences of informal interpreting practices for assessment of patients in a South African psychiatric hospital.

    PubMed

    Kilian, Sanja; Swartz, Leslie; Dowling, Tessa; Dlali, Mawande; Chiliza, Bonginkosi

    2014-04-01

    In South Africa health care practitioners are commonly professionals who speak only one, or at most two, of the languages spoken by their patients. This provides for language provision challenges, since many patients are not proficient in English or Afrikaans and ad hoc and haphazard arrangements are made for interpreting by untrained personnel. As part of a larger study (conducted in 2010) in a public psychiatric hospital, we report here on the potential consequences for diagnostic assessments of 13 psychiatric evaluations mediated by ad hoc interpreters who were employed as health care workers and household aides. The psychiatric evaluations were recorded and transcribed verbatim. The first author checked for accuracy of transcription and translations, and the two members of the author team who are both senior African language academics rechecked transcription and translation. We used the typology developed by Vasquez and Javier (1991) to study interpreter errors (i.e. omissions, additions and substitutions). All errors were independently rated by a senior psychiatrist and a senior clinical psychologist to determine whether the errors were likely to have a bearing on clinical decisions concerning the patient and to rate whether errors deemed clinically significant contributed to making the patient appear more ill psychiatrically, or less ill. Of the 57 errors recorded, 46% were rated as likely to have an impact on the goal of the clinical session. Raters concurred that the clinically significant errors contributed towards potentially making the patient look more psychiatrically ill. Detailed analyses of evaluations demonstrate the complexity of informal interpreter positioning regarding issues of diagnosis and cultural factors in illness. Evaluations conducted where clinicians and interpreters are not trained in language and interpreting issues may create a distorted picture of the patients' mental health conditions.

  13. 26 CFR 1.6045-1T - Returns of information of brokers and barter exchanges (temporary).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., see § 1.6045-1 (a) through (k). (l) Use of magnetic media. For information returns filed after... magnetic media and for rules relating to waivers granted for undue hardship. For information returns...

  14. Relationship between active information exchange and the quality of life (qol) of women living in Lao People's Democratic Republic.

    PubMed

    Sone, Kazue; Nakao, Mutsuhiro; Lamaningao, Peophet; Sugiura, Yasuo; Yamamotol, Hideki; Yamaoka, Kazue

    2014-07-01

    Information exchange is popular among local Laotian women where the infrastructure is insufficient and health interventions often use existing local networks or information exchanges. In this study, we explored the relationship between quality of life (QOL) among Laotian women and their active or passive relationship with their neighborhood. A total of 666 households were randomly selected in four villages in Vientiane Capital. The housewife or equivalent in each household was asked for both face-to-face interview and self-administered questionnaire regarding her health condition and communication over the past four weeks. A Lao translation of the brief version of the World Health Organization QOL questionnaire (WHOQOL-BREF) was used to measure the subjects' health-related QOL scores. The participants were divided into active and passive communication groups based on their information exchange style. The WHOQOL- BREF scores were compared between the two groups. The active communication group had significantly higher QOL scores compared with the passive communication group (3.44 ± 0.36 vs 3.35 ± 0.36; mean ± standard deviation, p=0.003). The statistical significance remained unchanged (p=0.037) even after adjusting for age, education, occupation, and illness. In a multiple regression analysis, the standardized regression coefficient for communication style was the third largest (0.081), following education (0.189) and occupation (0.086). In conclusion, QOL related to individual health was associated with active communication among women. Besides the effects of education and occupation, QOL can be affected by active communication. Further study regarding the association between social capital and network analysis is needed. PMID:25507615

  15. Relationship between active information exchange and the quality of life (qol) of women living in Lao People's Democratic Republic.

    PubMed

    Sone, Kazue; Nakao, Mutsuhiro; Lamaningao, Peophet; Sugiura, Yasuo; Yamamotol, Hideki; Yamaoka, Kazue

    2014-07-01

    Information exchange is popular among local Laotian women where the infrastructure is insufficient and health interventions often use existing local networks or information exchanges. In this study, we explored the relationship between quality of life (QOL) among Laotian women and their active or passive relationship with their neighborhood. A total of 666 households were randomly selected in four villages in Vientiane Capital. The housewife or equivalent in each household was asked for both face-to-face interview and self-administered questionnaire regarding her health condition and communication over the past four weeks. A Lao translation of the brief version of the World Health Organization QOL questionnaire (WHOQOL-BREF) was used to measure the subjects' health-related QOL scores. The participants were divided into active and passive communication groups based on their information exchange style. The WHOQOL- BREF scores were compared between the two groups. The active communication group had significantly higher QOL scores compared with the passive communication group (3.44 ± 0.36 vs 3.35 ± 0.36; mean ± standard deviation, p=0.003). The statistical significance remained unchanged (p=0.037) even after adjusting for age, education, occupation, and illness. In a multiple regression analysis, the standardized regression coefficient for communication style was the third largest (0.081), following education (0.189) and occupation (0.086). In conclusion, QOL related to individual health was associated with active communication among women. Besides the effects of education and occupation, QOL can be affected by active communication. Further study regarding the association between social capital and network analysis is needed. PMID:25427365

  16. 47 CFR 36.611 - Submission of information to the National Exchange Carrier Association (NECA).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Submission of information to the National... COMPANIES 1 Universal Service Fund Data Collection § 36.611 Submission of information to the National... this chapter) with the information listed for each study area in which such incumbent LEC...

  17. Development of an Experimental African Drought Monitoring and Seasonal Forecasting System: A First Step towards a Global Drought Information System

    NASA Astrophysics Data System (ADS)

    Wood, E. F.; Chaney, N.; Sheffield, J.; Yuan, X.

    2012-12-01

    forecasts are bias corrected, downscaled and used as inputs to the VIC LSM as well as forecasts based on ESP and CPC official seasonal outlook. For Africa, data from a combination of remote sensing (TMPA-based precipitation, land cover characteristics) and GFS analysis fields (temperature and wind) are used to monitor drought using our soil moisture drought index as well as 1, 3 and and 6-month SPI. River discharge is also estimated at over 900 locations. Seasonal forecasts have been developed using CFSv2 climate forecasts following the approaches used over CONUS. We will discuss the performance of the system to evaluate the depiction of drought over various scales, from regional to the African continent, and over a number of years to capture multiple drought events. Furthermore, the hindcasts from the seasonal drought forecast system are analyzed to assess the ability of seasonal climate models to detect drought on-set and its recovery. Finally, we will discuss whether our ADM provides a pathway to a Global Drought Information System, a goal of the WCRP Drought Task Force.

  18. Data Governance and Data Sharing Agreements for Community-Wide Health Information Exchange: Lessons from the Beacon Communities

    PubMed Central

    Allen, Claudia; Des Jardins, Terrisca R.; Heider, Arvela; Lyman, Kristin A.; McWilliams, Lee; Rein, Alison L.; Schachter, Abigail A.; Singh, Ranjit; Sorondo, Barbara; Topper, Joan; Turske, Scott A.

    2014-01-01

    Purpose: Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are “nontraditional” health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and offers guidance for navigating data governance issues and developing DSAs to facilitate community-wide health information exchange. Innovation: While all entities involved in electronic data sharing must address governance issues and create DSAs accordingly, until recently little formal guidance existed for doing so – particularly for community-based initiatives. Despite this lack of guidance, together the Beacon Communities’ experiences highlight promising strategies for navigating complex governance issues, which may be useful to other entities or communities initiating information exchange efforts to support delivery system transformation. Credibility: For the past three years, AcademyHealth has provided technical assistance to most of the 17 Beacon Communities, 6 of whom contributed to this collaborative writing effort. Though these communities varied widely in terms of their demographics, resources, and Beacon-driven priorities, common themes emerged as they described their approaches to data governance and DSA development. Conclusions: The 6 Beacon Communities confirmed that DSAs are necessary to satisfy legal and market-based concerns, and they identified several specific issues, many of which have been noted by others involved in

  19. Measuring Population Health Using Electronic Health Records: Exploring Biases and Representativeness in a Community Health Information Exchange.

    PubMed

    Dixon, Brian E; Gibson, P Joseph; Frederickson Comer, Karen; Rosenman, Marc

    2015-01-01

    Assessment is a core function of public health. Comprehensive clinical data may enhance community health assessment by providing up-to-date, representative data for use in public health programs and policies, especially when combined with community-level data relevant to social determinants. In this study we examine routinely collected and geospatially-enhanced EHR data to assess population health at various levels of geographic granularity available from a regional health information exchange. We present preliminary findings and discuss important biases in EHR data. Future work is needed to develop methods for correcting for those biases to support routine epidemiology work of public health.

  20. Is Public Communication about End-of-Life Care Helping to Inform All?: Cancer News Coverage in African American vs. Mainstream Media

    PubMed Central

    Fishman, Jess M.; Ten Have, Thomas; Casarett, David

    2014-01-01

    Background Because cancers are a leading cause of death, these diseases receive a great deal of news attention. However, because news media frequently target specific racial or ethnic audiences, some populations may receive different information, and it is unknown whether reporting equally informs all about options for care at the end of life. This study of US news reporting compares “mainstream” (general market) media to African American media, which serves the largest minority group. The specific goal of this study was to determine whether these news media communicate differently about cure-directed cancer treatment and end-of-life alternatives. Methods This content analysis includes 660 cancer news stories from online and print media that target either African American or mainstream audiences. The main outcome measures include whether reporting discussed: adverse events of cancer treatment; cancer treatment failure; cancer death/dying; and end-of-life palliative or hospice care. Results Unadjusted and adjusted analyses indicate that the news stories in the African American media are less likely than those in mainstream media to discuss each of the topics studied. Comparing the proportions of news stories in mainstream vs. African American media , 31.6% vs. 13.6% discussed adverse events (OR 2.92; 95% CI 1.51-5.66; P=0.001); 14.1% vs. 4.2% mentioned treatment failure (OR, 3.79; 95% CI 1.45-9.88; P=0.006); and 11.9% vs. 3.8% focused on death/dying (OR, 3.42; 95% CI 1.39-8.38; P=.007). Lastly, although very few news stories discussed end-of-life hospice or palliative care, all were found in mainstream media (7/396 vs. 0/264). Conclusion The African American news media sampled are less likely than mainstream news media to portray negative cancer outcomes and end-of-life care. Given media's segmented audiences, these findings raise concerns that not all audiences are being informed equally well. Because media content is modifiable, there may be opportunities to

  1. 77 FR 66582 - Notice of Request for Information for the Proposed United States-East African Community...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... African Community Commercial Dialogue AGENCY: U.S. Department of Commerce, International Trade... establishing a Commercial Dialogue as part of the U.S.-EAC Trade and Investment Partnership (``Partnership''). The U.S.-EAC Commercial Dialogue will be a consultative mechanism through which the United States,...

  2. StarBright Learning Exchange

    ERIC Educational Resources Information Center

    Kalinowski, Michael

    2007-01-01

    This article features StarBright Learning Exchange, a program that provides a cross-cultural exchange between Australian and South African early childhood educators. The program was originated when its president, Carol Allen, and her colleague, Karen Williams, decided that they could no longer sit by and watch the unfolding social catastrophe that…

  3. HIV/AIDS in African Americans. National Minority AIDS Council.

    PubMed

    1998-06-01

    The National Minority AIDS Council (NMAC) answered the call of the Congressional Black Caucus by asking President Clinton to declare a state of emergency on HIV and AIDS among African-Americans. The Centers for Disease Control and Prevention (CDC) estimates that of the seven Americans infected with HIV every hour, three are African-Americans. NMAC is calling on Federal, State, and local government leaders to implement widespread public information and education campaigns that target African-Americans, and that address voluntary HIV testing, dispel the shame and stigma associated with HIV/AIDS, discuss the needs of gay African-American men, address the accessibility of appropriate resources for HIV treatment, coordinate the expansion of drug prevention and treatment programs, implement a national needle exchange policy, and allocate funds for researching HIV treatment in minority populations. Dr. Beny Primm, vice-chair of NMAC, states that efforts to fight HIV/AIDS must be integrated with other obstacles affecting the African-American community.

  4. Despite substantial progress In EHR adoption, health information exchange and patient engagement remain low in office settings.

    PubMed

    Furukawa, Michael F; King, Jennifer; Patel, Vaishali; Hsiao, Chun-Ju; Adler-Milstein, Julia; Jha, Ashish K

    2014-09-01

    The United States is making substantial investments to accelerate the adoption and use of interoperable electronic health record (EHR) systems. Using data from the 2009-13 Electronic Health Records Survey, we found that EHR adoption continues to grow: In 2013, 78 percent of office-based physicians had adopted some type of EHR, and 48 percent had the capabilities required for a basic EHR system. However, we also found persistent gaps in EHR adoption, with physicians in solo practices and non-primary care specialties lagging behind others. Physicians' electronic health information exchange with other providers was limited, with only 14 percent sharing data with providers outside their organization. Finally, we found that 30 percent of physicians routinely used capabilities for secure messaging with patients, and 24 percent routinely provided patients with the ability to view online, download, or transmit their health record. These findings suggest that although EHR adoption continues to grow, policies to support health information exchange and patient engagement will require ongoing attention. PMID:25104827

  5. Improve Synergy Between Health Information Exchange and Electronic Health Records to Increase Rates of Continuously Insured Patients

    PubMed Central

    Gold, Rachel; Burdick, Tim; Angier, Heather; Wallace, Lorraine; Nelson, Christine; Likumahuwa-Ackman, Sonja; Sumic, Aleksandra; DeVoe, Jennifer E.

    2015-01-01

    Introduction: The Affordable Care Act increases health insurance options, yet many Americans may struggle to consistently maintain coverage. While health care providers have traditionally not been involved in providing insurance enrollment support to their patients, the ability for them to do so now exists. We propose that providers could capitalize on the expansion of electronic health records (EHRs) and the advances in health information exchanges (HIEs) to improve their patients’ insurance coverage rates and continuity. Evidence for Argument: We describe a project in which we are building strategies for linking, and thus improving synergy between, payer and EHR data. Through this effort, care teams will have access to new automated tools and increased EHR functionality designed to help them assist their patients in obtaining and maintaining health insurance coverage. Suggestion for the Future: The convergence of increasing EHR adoption, improving HIE functionality, and expanding insurance coverage options, creates new opportunities for clinics to help their patients obtain public health insurance. Harnessing this nascent ability to exchange information between payers and providers may improve synergies between HIE and EHRs, and thus support clinic-based efforts to keep patients continuously insured. PMID:26355818

  6. Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients.

    PubMed

    Dowse, R; Barford, K; Browne, S H

    2014-01-01

    Few studies have investigated antiretroviral (ARV) knowledge and self-efficacy in limited literacy patients. Using a randomized controlled study design, we investigated the influence of a simple pre-tested patient information leaflet (PIL) containing both text and illustrations on HIV- and ARV-related knowledge and on self-efficacy over six months in a limited literacy African population. The recruited patients were randomly allocated to either control (standard care) or intervention group (standard care plus illustrated PIL). HIV and medicines-related knowledge was evaluated with a 22-question test at baseline, one, three, and six months. Self-efficacy was assessed using a modified version of the HIV Treatment Adherence Self-Efficacy Scale. Two-thirds of the patients were female, mean age was 39.0 ± 9.6 years and mean education was 7.3 ± 2.8 years. Patients who received the PIL showed a significant knowledge increase over the six-month period (62.0-94.4%), with improvement at each subsequent interview whereas the control group showed no improvement. At baseline, side effect knowledge was the lowest (50-56%) but increased in the intervention group to 92%. Similarly, other medicine-related knowledge at baseline (57-67%) improved significantly (93%) and was sustained over six months. Cohen's d values post-baseline ranged between 1.36 and 2.18, indicating a large intervention effect. Self-efficacy improved significantly over six months in intervention but not control patients. At baseline, patients with ≤ 3 years of education had lower knowledge and self-efficacy but this was not observed post-intervention, which we attribute to the PIL mitigating the effect of limited education. Knowledge and self-efficacy were significantly correlated in the intervention group. In conclusion, a low-cost intervention of a well-designed, pre-tested, simple, illustrated PIL significantly increased both ARV knowledge and self-efficacy in HIV patients with limited education.

  7. 77 FR 28543 - Nationwide Health Information Network: Conditions for Trusted Exchange

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-15

    ... comments. Attachments should be in Microsoft Word or Excel, Adobe PDF; however, we prefer Microsoft Word... RFI Request for Information RFP Request for Proposal RLS Record Locator Services S&I Standards and... information technology (HIT) certification programs ONC has already ] established via regulation (76 FR...

  8. Delta excitations and shell-model information in heavy-ion, charge-exchange reactions

    NASA Technical Reports Server (NTRS)

    Deutchman, P. A.; Maung, K. M.; Norbury, J. W.; Rasmussen, J. O.; Townsend, L. W.

    1986-01-01

    We calculate total cross sections for coherent pion production using localized plane-wave approximations for the shell-structure of valence nucleons that are excited to delta particles in the intermediate state in the (12C, 12B) and (12C, 12N) charge-exchange, heavy-ion reactions. We find comparable agreement to projectile downshift data for 12C(12C, 12B)12N. Then we improve the formalism by replacing the localized plane wave bound states with harmonic oscillator states which are imbedded in a multipole expansion approach and calculate pion differential cross sections to test for the sensitivity of the spectra to the single-particle mass parameter.

  9. Informed Decision-Making and Satisfaction with a Church-Based Men's Health Workshop Series for African-American Men: Men-Only vs. Mixed-Gender Format.

    PubMed

    Holt, Cheryl L; Le, Daisy; Saunders, Darlene R; Wang, Min Qi; Slade, Jimmie L; Muwwakkil, Bettye; Williams, Ralph; Atkinson, Nancy L; Whitehead, Tony L; Naslund, Michael

    2015-09-01

    Prostate cancer incidence and mortality are highest among African-American men, and coupled with the controversy around routine prostate cancer screening, reaching African-American men with interventions to help them make an informed decision about whether or not to be screened is critical. This study compares two approaches to delivering a church-based peer community health advisor intervention consisting of a series of four men's health workshops on informed decision-making for prostate cancer screening. In the men-only group, male community health advisors teach group workshops consisting only of men. In the health partner group, male-female pairs of community health advisors teach workshops in a mixed-gender format in which enrolled men are asked to invite a significant woman in their lives (e.g., wife/partner, sister, daughter, friend) with them to the workshops. Eighteen African-American churches were randomized to receive one of the two approaches, and 283 eligible men enrolled in the intervention. Main findings suggested that the workshops had an impact on stage of decision-making, and this increased significantly over time in the health partner group only. The intervention was highly rated by men in both groups, and these ratings increased over time, with some study group differences. Within-workshop study group differences favored the health partner group in some instances; however, men in the men-only groups reported greater increases in their ratings of trust in the workshops over time. The health partner intervention strategy appears to be promising for reaching men of color with health information.

  10. Protecting Patients in Health Information Exchange: Defense of The HIPAA Privacy Rule

    PubMed Central

    McDonald, Clement J

    2009-01-01

    Regional health information organizations (RHIOs) rapidly integrate and deliver patient information to clinicians from multiple independent care organizations. By providing such information they will reduce the care costs and improve care safety. Special concerns about privacy arise as these regional systems connect nationally. We should add special barriers beyond the protections of HIPAA to protect against surprises at the national level. At the local level, we should remain within HIPAA rules because the application of additional barriers within RHIO access would interfere with efficient and safe care. PMID:19276002

  11. Applying data analytics and information exchange to improve care for patients.

    PubMed

    Amarasingham, Ruben

    2012-12-01

    Parkland Hospital's Ruben Amarasingham built a model to predict patients at high risk for readmission and now leads efforts to extend the benefits of health information to the nation's most vulnerable.

  12. Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state.

    PubMed

    Phillips, Andrew B; Wilson, Rosalind V; Kaushal, Rainu; Merrill, Jacqueline A

    2014-02-01

    Health information exchange (HIE) is a significant component of healthcare transformation strategies at both the state and national levels. HIE is expected to improve care coordination, and advance public health, but implementation is massively complex and involves significant risk. In New York, three regional health information organizations (RHIOs) implemented an HIE use case for public health reporting by demonstrating capability to deliver accurate responses to electronic queries via a set of services called the Universal Public Health Node. We investigated process and outcomes of the implementation with a comparative case study. Qualitative analysis was structured around a decision and risk matrix. Although each RHIO had a unique operational model, two common factors influenced risk management and implementation success: leadership capable of agile decision-making and commitment to a strong organizational vision. While all three RHIOs achieved certification for the public health reporting, only one has elected to deploy a production version.

  13. Opportunities in African power generation: A business briefing for industry and investment executives. Held in Baltimore, Maryland, June 21-22, 1995. Export trade information

    SciTech Connect

    1995-06-21

    The report, prepared by the Institute of International Education, was funded by the U.S. Trade and Development Agency. The information contained in the report was compiled in part for a power generation conference held in Baltimore, Maryland. The focus of the report is the market created by electric power projects financed by multilateral development banks. The study contains country information and project profiles related to the energy sector for eleven countries: Benin, Botswana, Cote D`Ivoire, Ethiopia, Ghana, Malawi, Morocoo, Senegal, Tanzania, Zambia, and Zimbabwe. The report also outlines the range of service opportunities in the region such as consulting, engineering, construction and project management, and equipment procurement. It is divided into the following sections: (1) Agenda/Program; (2) African Energy Sector Overview; (3) Project Profiles; (4) Country Information; and (5) Attendees.

  14. An Introduction to West African Literature.

    ERIC Educational Resources Information Center

    Taiwo, Oladele

    Intended to provide help for those interested in studying West African literature, this book is divided into three parts. Part One provides background information: the various African oral traditions are discussed, related to the way of life of the people, and examined for the extent to which they form the basis of present West African literary…

  15. Towards a Sustainable Counterbalanced Development: Educational Cooperation between China and African Countries

    ERIC Educational Resources Information Center

    Daddi, Ketema Meskela; Zhu, Hong

    2009-01-01

    In the last half a century an extensive cooperation between China and African countries have been launched, of which exchange and cooperation in education is one of the most important forms. In this aspect, China has played an important role in student exchange and education programs for African educational officials. However, African countries…

  16. Electronic information exchange between NRC and licensees using Internet E-mail

    SciTech Connect

    Roe, J.W.; Carpenter, C.E. Jr.

    1994-12-31

    One of the goals established in the U.S. Nuclear Regulatory Commission (NRC) Strategic Information Technology Plan was the development of high-performance computer networks that would allow users to have E-mail and document transfer capabilities with NRC staff, certain U.S. Department of Energy laboratories, and with outside users over the public Internet network. Subsequently, individual Internet E-mail accounts have been established for project managers in the Office of Nuclear Reactor Regulation (NRR), which allow informal communications with licensees that have access to the Internet.

  17. Communication and Information About "Safer Sex:" Intervention Issues Within Communities of African Migrants Living in Poorer Neighbourhoods in Portugal.

    PubMed

    de Matos, Margarida Gaspar; Gaspar, Tania; Simons-Morton, Bruce; Reis, Marta; Ramiro, Lúcia

    2008-01-01

    The aims of this study are to determine the influence of migrant status on sexual behavior and communication about "safer sex" and to identify ethnic-specific prevention issues. Data were obtained from a special administration of the Health Behavior in School-Aged Children Survey in a special sample of Portuguese schools located in low-income Lisbon neighborhoods with large proportions of African migrants.Survey participants included 919 6th, 8th and 10th graders (52.3% female), of whom 19.2% were migrant foreigners from African Portuguese-speaking countries, including Cape Verde (60.8%), Mozambique (1.6%), Angola (16.8%), S. Tomé (8%), and Guinea-Bissau (14.8%). Subsequently, four focus groups were held with adolescent who had participated in the survey (n = 45), three focus group with health and education professionals (n = 25), and one focus group with parents (n = 6).Compared with Portuguese adolescents, African migrant teens reported initial sexual intercourse at earlier ages, less frequent condom use, and less frequent and less comfortable communications with parents about sexual issues.Implications for selective prevention of STD are discussed and recommendations are made. PMID:19081810

  18. “Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues

    PubMed Central

    Watt, Melissa H.; Aunon, Frances M.; Skinner, Donald; Sikkema, Kathleen J.; Kalichman, Seth C.; Pieterse, Desiree

    2012-01-01

    Previous research has documented the practice of transactional sex in sub-Saharan Africa and its association with gender-based violence, gender inequalities and HIV risk. At the same time, it has been suggested that women may use transactional sex to obtain a greater sense of control over their lives and their sexualities, and to garner access to resources. The aim of this study was to better understand the practice of exchanging alcohol for sex in alcohol-serving venues in a township in Cape Town, South Africa. Data were collected between June 2009 and October 2010. Six venues were included and observations were conducted in each for four one-week periods over the course of a year. In-depth qualitative interviews included 31 women and 13 men whom interviewers had observed as regular venue customers. Follow-up interviews were conducted with 24 respondents to explore emerging themes. Interviews were recorded and transcribed. Using a grounded theory approach, Atlas.ti was used to code transcripts, field notes, and analytical memos written about each document. Results revealed that alcohol was commonly used as a currency of sexual exchange in this setting, and both women and men understood that accepting alcohol from a man implied consent for sexual favors. Women reported a sense of agency in participating in the transactional sex dynamic, especially when they were able to manipulate it to meet their own ends without fulfilling the men’s sexual expectations. At the same time, data revealed that the norm of transactional sex reinforced the undervaluing and commoditization of women. As identified elsewhere, transactional sex put both women and men at greater risk of HIV through multiple partners and inconsistent use of condoms, and the possibility of rape. Interventions are needed to address sexual risk behaviors and substance use within this context to prevent new HIV infections. PMID:22326304

  19. Transactional sex and economic exchange with partners among young South African men in the rural Eastern Cape: prevalence, predictors, and associations with gender-based violence

    PubMed Central

    Dunkle, Kristin L; Jewkes, Rachel; Nduna, Mzikazi; Jama, Nwabisa; Levin, Jonathan; Sikweyiya, Yandisa; Koss, Mary P

    2009-01-01

    We explored the prevalence and predictors of transactional sex with casual partners and main girlfriends among 1,288 men aged 15-26 from 70 villages in the rural Eastern Cape province of South Africa. Data were collected through face-to-face interviews with young men enrolling in the Stepping Stones HIV prevention trial. A total of 17.7% of participants reported giving material resources or money to casual sex partners and 6.6% received resources from a casual partner. Transactionally motivated relationships with main girlfriends were more balanced between giving (14.9%) and getting (14.3%). We constructed multivariable models to identify the predictors for giving and for getting material resources in casual and in main relationships. Each model resulted in remarkably similar predictors. All four types of exchange were associated with higher socio-economic status, more adverse childhood experiences, more lifetime sexual partners, and alcohol use. Men who were more resistant to peer pressure to have sex were less likely to report transactional sex with casual partners, and men who reported more equitable gender attitudes were less likely to report main partnerships underpinned by exchange. The most consistent predictor of all four types of transaction was the perpetration of intimate partner violence and rape against women other than a main partner. The strong and consistent association between perpetration of gender-based violence and both giving and getting material goods from female partners suggests that transactional sex in both main and casual relationships can be viewed within a broader continuum of men's exercise of gendered power and control. HIV prevention interventions need to explicitly address transactional sex in the context of ideas about masculinity which place a high emphasis on heterosexual success with, and control of, women. PMID:17560702

  20. Field Note: Standard Web Application for Information Exchange on Agroforestry in India

    ERIC Educational Resources Information Center

    Ajit; Nighat Jabeen; Handa, A. K.; Uma

    2008-01-01

    Agroforestry (AF)/forestry is no longer an isolated field, with so many developmental activities having links with this sector, and thus the information required to be handled by the researchers all over the world has increased exponentially. This article discusses a website that was developed by the National Research Centre for Agroforestry…

  1. 26 CFR 1.6045-1 - Returns of information of brokers and barter exchanges.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... this chapter). (iii) Multiple brokers. If a broker is instructed to initiate a sale by a person that is... information required by Form 1099. See 17 CFR 1.33. For this purpose, the end of a year is the close of..., quarter, or year as D's reporting period as provided in paragraph (c)(6). (6) Reporting periods and...

  2. 26 CFR 1.6045-1 - Returns of information of brokers and barter exchanges.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... this chapter). (iii) Multiple brokers. If a broker is instructed to initiate a sale by a person that is... information required by Form 1099. See 17 CFR 1.33. For this purpose, the end of a year is the close of..., quarter, or year as D's reporting period as provided in paragraph (c)(6). (6) Reporting periods and...

  3. Epidemic model for information diffusion in web forums: experiments in marketing exchange and political dialog.

    PubMed

    Woo, Jiyoung; Chen, Hsinchun

    2016-01-01

    As social media has become more prevalent, its influence on business, politics, and society has become significant. Due to easy access and interaction between large numbers of users, information diffuses in an epidemic style on the web. Understanding the mechanisms of information diffusion through these new publication methods is important for political and marketing purposes. Among social media, web forums, where people in online communities disseminate and receive information, provide a good environment for examining information diffusion. In this paper, we model topic diffusion in web forums using the epidemiology model, the susceptible-infected-recovered (SIR) model, frequently used in previous research to analyze both disease outbreaks and knowledge diffusion. The model was evaluated on a large longitudinal dataset from the web forum of a major retail company and from a general political discussion forum. The fitting results showed that the SIR model is a plausible model to describe the diffusion process of a topic. This research shows that epidemic models can expand their application areas to topic discussion on the web, particularly social media such as web forums.

  4. 77 FR 70786 - Request for Information Regarding Health Care Quality for Exchanges

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... HUMAN SERVICES Centers for Medicare & Medicaid Services Request for Information Regarding Health Care... Improvement in Health Care (National Quality Strategy) to create national aims and priorities that would guide local, state, and national efforts to improve the quality of health care in the United States....

  5. Setting up and Running a School Library. Information Collection and Exchange Publication No. ED204

    ERIC Educational Resources Information Center

    Baird, Nicola

    2012-01-01

    This book explains how teachers can set up and run a successful school library. In it you will find advice and information on how to: (1) set up a small library and build bookshelves; (2) select books for your library; (3) make a written record of your school's books, pamphlets and other library stock such as newspapers, magazines, audio tapes and…

  6. 75 FR 77753 - Pilot Program for the Temporary Exchange of Information Technology Personnel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... in assisting DoD to pilot a program to enhance its position and expertise in the IT field... IT field, DoD needs to take advantage of these types of professional development programs to... Agency, Office of Naval Research, Office of the DoD's Chief Information Officer, and Department Air...

  7. Assessment in Rural and Small Schools. Rural, Small Schools Network Information Exchange: Number 12, Spring 1992.

    ERIC Educational Resources Information Center

    Regional Laboratory for Educational Improvement of the Northeast & Islands, Andover, MA.

    This packet includes reprints of journal articles and other information concerning student, program, and staff assessment in small, rural schools. The five sections of the packet cover an introduction to authentic assessment, classroom and subject area assessment, descriptions of assessment programs, assessment of school boards and staff members,…

  8. 76 FR 48769 - Metadata Standards To Support Nationwide Electronic Health Information Exchange

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... HUMAN SERVICES Office of the Secretary 45 CFR Part 170 RIN 0991-AB78 Metadata Standards To Support... Information Technology, Department of Health and Human Services. ACTION: Advance notice of proposed rulemaking... received by Midnight Eastern Time on September 23, 2011 as the Federal Docket Management System will...

  9. 26 CFR 1.6045-1 - Returns of information of brokers and barter exchanges.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Commodity Credit Corporation under 7 CFR 1470.4 (1990). (iii) Sales involving designated warehouses... 26 Internal Revenue 13 2011-04-01 2011-04-01 false Returns of information of brokers and barter... sale regardless of when the short sale is closed. Example 8. (i) On August 25, 2011, H opens a...

  10. Epidemic model for information diffusion in web forums: experiments in marketing exchange and political dialog.

    PubMed

    Woo, Jiyoung; Chen, Hsinchun

    2016-01-01

    As social media has become more prevalent, its influence on business, politics, and society has become significant. Due to easy access and interaction between large numbers of users, information diffuses in an epidemic style on the web. Understanding the mechanisms of information diffusion through these new publication methods is important for political and marketing purposes. Among social media, web forums, where people in online communities disseminate and receive information, provide a good environment for examining information diffusion. In this paper, we model topic diffusion in web forums using the epidemiology model, the susceptible-infected-recovered (SIR) model, frequently used in previous research to analyze both disease outbreaks and knowledge diffusion. The model was evaluated on a large longitudinal dataset from the web forum of a major retail company and from a general political discussion forum. The fitting results showed that the SIR model is a plausible model to describe the diffusion process of a topic. This research shows that epidemic models can expand their application areas to topic discussion on the web, particularly social media such as web forums. PMID:26839759

  11. On the role of exchange of power and information signals in control and stability of the human-robot interaction

    NASA Technical Reports Server (NTRS)

    Kazerooni, H.

    1991-01-01

    A human's ability to perform physical tasks is limited, not only by his intelligence, but by his physical strength. If, in an appropriate environment, a machine's mechanical power is closely integrated with a human arm's mechanical power under the control of the human intellect, the resulting system will be superior to a loosely integrated combination of a human and a fully automated robot. Therefore, we must develop a fundamental solution to the problem of 'extending' human mechanical power. The work presented here defines 'extenders' as a class of robot manipulators worn by humans to increase human mechanical strength, while the wearer's intellect remains the central control system for manipulating the extender. The human, in physical contact with the extender, exchanges power and information signals with the extender. The aim is to determine the fundamental building blocks of an intelligent controller, a controller which allows interaction between humans and a broad class of computer-controlled machines via simultaneous exchange of both power and information signals. The prevalent trend in automation has been to physically separate the human from the machine so the human must always send information signals via an intermediary device (e.g., joystick, pushbutton, light switch). Extenders, however are perfect examples of self-powered machines that are built and controlled for the optimal exchange of power and information signals with humans. The human wearing the extender is in physical contact with the machine, so power transfer is unavoidable and information signals from the human help to control the machine. Commands are transferred to the extender via the contact forces and the EMG signals between the wearer and the extender. The extender augments human motor ability without accepting any explicit commands: it accepts the EMG signals and the contact force between the person's arm and the extender, and the extender 'translates' them into a desired position. In

  12. Evaluation of a Pilot Surveillance System: Health and Environment Linked for Information Exchange in Atlanta (HELIX-Atlanta)

    NASA Technical Reports Server (NTRS)

    Meyer, P.; Shire, J.; Qualters, Judy; Daley, Randolph; Fiero, Leslie Todorov; Autry, Andy; Avchen, Rachel; Stock, Allison; Correa, Adolofo; Siffel, Csaba; Devine, Owen; Gotway, Carol; Crawford; Mitchell, Ken; Pollard, Solomon; Rao, Ravi; Kajumba, Ntale; Rickman, Doug; Quattrochi, Dale; Estes, Maury; Meyer, Paul; Crosson, Bill; Limaye, Ashutosh; Al-Hamdan, Mohammad; Khan, Maudood

    2007-01-01

    CDC and its partners established the Health and Environment Linked for Information Exchange, Atlanta (HELIX-Atlanta) demonstration project, to develop linking and analysis methods that could be used by the National Environmental Public Health Tracking (EPHT) Network. Initiated in October 2003, the Metropolitan Atlanta-based collaborative conducted four projects: asthma and particulate air pollution, birth defects and ozone and particulate air pollution, childhood leukemia and traffic emissions, and children's blood lead testing and neighborhood risk factors for lead poisoning. This report provides an overview of the HELIX-Atlanta projects' goals, methods and outcomes. We discuss priority attributes and common issues and challenges and offer recommendations for implementation of the nascent national environmental public health tracking network.

  13. Development and Use of a Medication History Service Associated with a Health Information Exchange: Architecture and Preliminary Findings

    PubMed Central

    Frisse, Mark E.; Tang, Lianhong; Belsito, Anne; Overhage, J. Marc

    2010-01-01

    We describe our early experience with use in emergency department settings of a standards-based medication history service integrated into a health information exchange (HIE). The service sends queries from one Exchange’s emergency department interface both to a local ambulatory care system and to the medication hub services provided by a second HIE. This second HIE in turn sends requests to SureScripts and returns histories for incorporation into the first Exchange’s clinical interface. The service caches all requests to avoid costly duplicate query charges and maintains an account of queries, registered users, charges, and results obtained. Usage may be increasing as additional retail pharmacy data become available. Early results suggest that research and development emphasis requirements will of necessity shift from obtaining prescription medication history to finding new means to ensuring effective use. PMID:21346977

  14. Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach

    PubMed Central

    Del Fiol, Guilherme; Kawamoto, Kensaku; LaPointe, Nancy M Allen; Eisenstein, Eric L; Anstrom, Kevin J; Wood, Laura L; Lobach, David F

    2010-01-01

    Evidence-based pharmacotherapy is a central aspect of optimal patient care for many chronic conditions. However, medication non-adherence frequently inhibits the attainment of optimal pharmacotherapy regimens. In this study, we designed, developed, and implemented a multifaceted clinical decision support (CDS) intervention that supports evidence-based pharmacotherapy and enhanced medication adherence through the use of a scalable, claims-driven, and service-oriented approach. The intervention includes a medication management report and a low adherence alert based on thirteen evidence-based pharmacotherapy rules for seven chronic conditions. Reports and alerts are delivered to primary care clinics and care managers that participate in a healthcare information exchange in North Carolina. The resulting system architecture may enable this CDS intervention to be widely disseminated to healthcare networks through an open-source model. PMID:21346956

  15. Magnetostratigraphy and paleontology of Aït Kandoula Basin (High Atlas, Morocco) and the African-European late Miocene terrestrial fauna exchanges

    NASA Astrophysics Data System (ADS)

    Benammi, Mouloud; Calvo, Manuel; Prévot, Michel; Jaeger, Jean-Jacques

    1996-12-01

    A magnetostratigraphic study has been carried out on a middle Miocene to upper Pliocene lacustrine sedimentary deposit in the central part of the Aït Kandoula basin, which contains micromammal faunas and is situated in the southern High Atlas (Morocco). In total, 113 samples were subjected to paleomagnetic analysis: 60 out of the 113 studied samples representing 52 different stratigraphic levels yielded a paleomagnetic direction and at least the polarity could be recognized in 42 specimens. Eleven specimens were submitted to AF demagnetization. The mean direction for normal-polarity samples was D = 349.4, I = 50.7 (N = 36, α95 = 4.5, k = 27) and for reversed polarity samples D = 191.2, I = -53.4 (N = 16, α95 = 12.32, k = 9). These results yielded a polarity sequence which we interpret as spanning from Chron C5n.2n to the beginning of Chron C3n.4n. This interpretation relies on biostratigraphic data previously proposed for a part of the continental fauna found in the basin. This result is in agreement with the 40Ar/ 39Ar dating previously carried out on a volcanic ash layer, which provided an age of 5.9 ± 0.5 Ma [1] and which is shown here to be reversely magnetized. This layer is correlated here with the reverse polarity zone corresponding to Chron C3r. Biostratigraphic studies on the same section have shown that the micromammal levels extend here only from middle Vallesian to upper Turolian (upper Miocene). Four localities have yielded western European species of micromammals, indicating trans-Mediterranean terrestrial faunal exchanges between these two continents during the late Miocene. The European murid rodent Occitanomys is recorded for the first time in North Africa in level 8 of the Afoud section, an age younger than 5.32 Ma being assigned to this level by the present study. Level 1 of the same section yields the lagomorph Prolagus cf. michauxi, with an age of 6.1 Ma. The magnetostratigraphic data suggest therefore that the beginning of terrestrial

  16. Processing Information about Support Exchanges in Close Relationships: The Role of a Knowledge Structure.

    PubMed

    Turan, Bulent

    2016-01-01

    People develop knowledge of interpersonal interaction patterns (e.g., prototypes and schemas), which shape how they process incoming information. One such knowledge structure based on attachment theory was examined: the secure base script (the prototypic sequence of events when an attachment figure comforts a close relationship partner in distress). In two studies (N = 53 and N = 119), participants were shown animated film clips in which geometric figures depicted the secure base script and asked to describe the animations. Both studies found that many people readily recognize the secure-base script from these minimal cues quite well, suggesting that this script is not only available in the context of specific relationships (i.e., a relationship-specific knowledge): The generalized (abstract) structure of the script is also readily accessible, which would make it possible to apply it to any relationship (including new relationships). Regression analyses suggested that participants who recognized the script were more likely to (a) include more animation elements when describing the animations, (b) see a common theme in different animations, (c) create better organized stories, and (d) later recall more details of the animations. These findings suggest that access to this knowledge structure helps a person organize and remember relevant incoming information. Furthermore, in both Study 1 and Study 2, individual differences in the ready recognition of the script were associated with individual differences in having access to another related knowledge: indicators suggesting that a potential relationship partner can be trusted to be supportive and responsive at times of stress. Results of Study 2 also suggest that recognizing the script is associated with those items of an attachment measure that concern giving and receiving support. Thus, these knowledge structures may shape how people process support-relevant information in their everyday lives, potentially affecting

  17. Processing Information about Support Exchanges in Close Relationships: The Role of a Knowledge Structure

    PubMed Central

    Turan, Bulent

    2016-01-01

    People develop knowledge of interpersonal interaction patterns (e.g., prototypes and schemas), which shape how they process incoming information. One such knowledge structure based on attachment theory was examined: the secure base script (the prototypic sequence of events when an attachment figure comforts a close relationship partner in distress). In two studies (N = 53 and N = 119), participants were shown animated film clips in which geometric figures depicted the secure base script and asked to describe the animations. Both studies found that many people readily recognize the secure-base script from these minimal cues quite well, suggesting that this script is not only available in the context of specific relationships (i.e., a relationship-specific knowledge): The generalized (abstract) structure of the script is also readily accessible, which would make it possible to apply it to any relationship (including new relationships). Regression analyses suggested that participants who recognized the script were more likely to (a) include more animation elements when describing the animations, (b) see a common theme in different animations, (c) create better organized stories, and (d) later recall more details of the animations. These findings suggest that access to this knowledge structure helps a person organize and remember relevant incoming information. Furthermore, in both Study 1 and Study 2, individual differences in the ready recognition of the script were associated with individual differences in having access to another related knowledge: indicators suggesting that a potential relationship partner can be trusted to be supportive and responsive at times of stress. Results of Study 2 also suggest that recognizing the script is associated with those items of an attachment measure that concern giving and receiving support. Thus, these knowledge structures may shape how people process support-relevant information in their everyday lives, potentially affecting

  18. Processing Information about Support Exchanges in Close Relationships: The Role of a Knowledge Structure.

    PubMed

    Turan, Bulent

    2016-01-01

    People develop knowledge of interpersonal interaction patterns (e.g., prototypes and schemas), which shape how they process incoming information. One such knowledge structure based on attachment theory was examined: the secure base script (the prototypic sequence of events when an attachment figure comforts a close relationship partner in distress). In two studies (N = 53 and N = 119), participants were shown animated film clips in which geometric figures depicted the secure base script and asked to describe the animations. Both studies found that many people readily recognize the secure-base script from these minimal cues quite well, suggesting that this script is not only available in the context of specific relationships (i.e., a relationship-specific knowledge): The generalized (abstract) structure of the script is also readily accessible, which would make it possible to apply it to any relationship (including new relationships). Regression analyses suggested that participants who recognized the script were more likely to (a) include more animation elements when describing the animations, (b) see a common theme in different animations, (c) create better organized stories, and (d) later recall more details of the animations. These findings suggest that access to this knowledge structure helps a person organize and remember relevant incoming information. Furthermore, in both Study 1 and Study 2, individual differences in the ready recognition of the script were associated with individual differences in having access to another related knowledge: indicators suggesting that a potential relationship partner can be trusted to be supportive and responsive at times of stress. Results of Study 2 also suggest that recognizing the script is associated with those items of an attachment measure that concern giving and receiving support. Thus, these knowledge structures may shape how people process support-relevant information in their everyday lives, potentially affecting

  19. Research Priorities for FCTC Articles 20, 21, and 22: Surveillance/Evaluation and Information Exchange

    PubMed Central

    2013-01-01

    Introduction: Framework Convention on Tobacco Control (FCTC) Articles 20, 21, and 22 call for strong monitoring and reporting of tobacco use and factors influencing use and disease (Articles 20 and 21) and for collaboration among the Parties and relevant organizations to share resources, knowledge, and expertise on all relevant tobacco control strategies (Article 22). Methods: This paper provides background information and discusses research strategies that would strengthen these efforts and better inform the Parties. By necessity, Articles 20 and 21 are discussed separately from Article 22, although 1 example that relates to both 20/21 and 22 is discussed at the end. Results: Twelve important research opportunities on surveillance and evaluation are recognized, along with 4 on collaboration. The authors believe that the 6 most important areas for research would study (a) possible underreporting of tobacco use among certain demographic groups in some countries, (b) measures of industry activities, (c) optimal sampling strategies, (d) sentinel surveillance, (e) networks of tobacco companies and their partners as they promote tobacco use and interfere with implementation of the FCTC, and (f) network/relationship factors that impact diffusion of knowledge and decision making on the implementation of the FCTC. In addition, we call for a review process of existing surveillance and evaluation strategies to coordinate activities to make optimal use of existing resources. This activity would involve networking as prescribed in Article 22. Conclusions: Studies and activities such as these would facilitate control of the tobacco epidemic. PMID:23335488

  20. Japan-U. S. technical information exchange: a one-way street

    SciTech Connect

    Rubinger, B.

    1985-03-01

    This study examines the status of Japanese research and technical developments in seven critical areas, and the ability of U.S. researchers to follow these developments. This work involved several fields critical to automotive advancement, including structural ceramics and combustion. The assessment found that researchers have difficulty keeping abreast of Japanese activity. They are impeded by language barriers, a lack of knowledge regarding Japanese technical information channels, and an ability to commit the resources needed to acquire, translate and assimilate this body of information. As a result it is found that research is duplicated, the pace of technical advance is retarded, and efforts to promote international technical cooperation are inadvertantly undermined. The greatest threat appears to be the continued insularity of U.S. industry and the attitude that the superiority of U.S. technology obviates the need to monitor Japanese progress. The Japanese, on the other hand, have long ago created dedicated organizations to follow global research and development activity systematically.

  1. Buying and Selling “Loosies” in Baltimore: The Informal Exchange of Cigarettes in the Community Context

    PubMed Central

    Stillman, Frances; Bone, Lee; Yancey, Norman; Price, Emmanuel; Belin, Precilla; Kromm, Elizabeth Edsall

    2007-01-01

    Since the release of the first Surgeon General’s report, the proportion of adult smokers in the U.S. has been reduced by half (U.S. Department of Health and Human Services, 2004). This success has not, however, been equally felt across all social strata. Recent survey data from Baltimore show considerably elevated smoking rates within urban, African-American communities. Of particular concern was that in some communities, over half of the young adults (18–24 years old) smoke cigarettes. As yet, there has been little focus on understanding or preventing cigarette smoking among young adults, particularly for those seeking entry into the workforce rather than being engaged in higher education. In this paper, we explore community factors contributing to high young adult smoking prevalence. Our analysis is based on data from four focus groups conducted in 2004 as part of a community-based participatory research project with two urban education and job training organizations. The focus group data reflect the experiences and opinions of 28 young adult program participants (23 smokers and 5 nonsmokers). The data highlight a normalized practice of buying and selling single cigarettes (“loosies”) within the community, with participants describing buying loose cigarettes as a preferred acquisition practice. We apply theories of informal economy and suggest that this alternative purchasing option may influence the smoking behavior of these young adults. We argue that public health efforts need to more closely consider the impact of community structures on program implementation. Overlooking key community characteristics such as the availability of single cigarettes may serve to intensify health disparities. PMID:17431795

  2. Resources for global risk assessment: the International Toxicity Estimates for Risk (ITER) and Risk Information Exchange (RiskIE) databases.

    PubMed

    Wullenweber, Andrea; Kroner, Oliver; Kohrman, Melissa; Maier, Andrew; Dourson, Michael; Rak, Andrew; Wexler, Philip; Tomljanovic, Chuck

    2008-11-15

    The rate of chemical synthesis and use has outpaced the development of risk values and the resolution of risk assessment methodology questions. In addition, available risk values derived by different organizations may vary due to scientific judgments, mission of the organization, or use of more recently published data. Further, each organization derives values for a unique chemical list so it can be challenging to locate data on a given chemical. Two Internet resources are available to address these issues. First, the International Toxicity Estimates for Risk (ITER) database (www.tera.org/iter) provides chronic human health risk assessment data from a variety of organizations worldwide in a side-by-side format, explains differences in risk values derived by different organizations, and links directly to each organization's website for more detailed information. It is also the only database that includes risk information from independent parties whose risk values have undergone independent peer review. Second, the Risk Information Exchange (RiskIE) is a database of in progress chemical risk assessment work, and includes non-chemical information related to human health risk assessment, such as training modules, white papers and risk documents. RiskIE is available at http://www.allianceforrisk.org/RiskIE.htm, and will join ITER on National Library of Medicine's TOXNET (http://toxnet.nlm.nih.gov/). Together, ITER and RiskIE provide risk assessors essential tools for easily identifying and comparing available risk data, for sharing in progress assessments, and for enhancing interaction among risk assessment groups to decrease duplication of effort and to harmonize risk assessment procedures across organizations.

  3. Resources for global risk assessment: The International Toxicity Estimates for Risk (ITER) and Risk Information Exchange (RiskIE) databases

    SciTech Connect

    Wullenweber, Andrea Kroner, Oliver; Kohrman, Melissa; Maier, Andrew; Dourson, Michael; Rak, Andrew; Wexler, Philip; Tomljanovic, Chuck

    2008-11-15

    The rate of chemical synthesis and use has outpaced the development of risk values and the resolution of risk assessment methodology questions. In addition, available risk values derived by different organizations may vary due to scientific judgments, mission of the organization, or use of more recently published data. Further, each organization derives values for a unique chemical list so it can be challenging to locate data on a given chemical. Two Internet resources are available to address these issues. First, the International Toxicity Estimates for Risk (ITER) database ( (www.tera.org/iter)) provides chronic human health risk assessment data from a variety of organizations worldwide in a side-by-side format, explains differences in risk values derived by different organizations, and links directly to each organization's website for more detailed information. It is also the only database that includes risk information from independent parties whose risk values have undergone independent peer review. Second, the Risk Information Exchange (RiskIE) is a database of in progress chemical risk assessment work, and includes non-chemical information related to human health risk assessment, such as training modules, white papers and risk documents. RiskIE is available at (http://www.allianceforrisk.org/RiskIE.htm), and will join ITER on National Library of Medicine's TOXNET ( (http://toxnet.nlm.nih.gov/)). Together, ITER and RiskIE provide risk assessors essential tools for easily identifying and comparing available risk data, for sharing in progress assessments, and for enhancing interaction among risk assessment groups to decrease duplication of effort and to harmonize risk assessment procedures across organizations.

  4. International Exchange of Emergency Phase Information and Assessment: An Aid to Inter/National Decision Makers

    SciTech Connect

    Sullivan, T J; Chino, M; Ehrhardt, J; Shershakov, V

    2003-09-01

    This paper discusses a collaborative project whose purpose is (1) to demonstrate the technical feasibility and mutual benefit of a system seeking early review or preview, in a ''quasi peer review'' mode, of nuclear accident plume and dose assessment predictions by four major international nuclear accident emergency response systems before release of their calculations to their respective national authorities followed by (2) sharing these results with responsible international authorities. The extreme sensitivity of the general public to any nuclear accident information has been a strong motivation to seek peer review prior to public release. Another intended objective of this work is (3) the development of an affordable/accessible system for distribution of prediction results to countries having no prediction capabilities and (4) utilization of the link for exercises and collaboration studies. The project exploits the Internet as a ubiquitous communications medium, browser technology as a simple, user friendly interface, and low-cost PC level hardware. The participants are developing a web based dedicated node with ID and password access control, where the four systems can deposit a minimal set of XML-based data and graphics files, which are then displayed in a common identical map format. Side-by-side viewing and televideo conferencing will permit rapid evaluation, correction or elaboration of data, recalculation (if necessary) and should produce a strong level of consensus to assist international decision makers. Successful completion of this work could lead to easy utilization by national and international organizations, such as the IAEA and WHO, as well as by non-nuclear states at risk of a trans-boundary incursion on their territory.

  5. Aeronautical-Satellite-Assisted Process Being Developed for Information Exchange Through Network Technologies (Aero-SAPIENT)

    NASA Technical Reports Server (NTRS)

    Zernic, Michael J.

    2001-01-01

    Communications technologies are being developed to address safety issues during aviation travel. Some of these technologies enable the aircraft to be in constant bidirectional communications with necessary systems, people, and other aircraft that are not currently in place today. Networking technologies, wireless datalinks, and advanced avionics techniques are areas of particular importance that the NASA Glenn Research Center has contributed. Glenn, in conjunction with the NASA Ames Research Center, NASA Dryden Flight Research Center, and NASA Langley Research Center, is investigating methods and applications that would utilize these communications technologies. In mid-June 2000, the flight readiness of the network and communications technologies were demonstrated via a simulated aircraft. A van simulating an aircraft was equipped with advanced phased-array antennas (Advanced Communications/Air Traffic Management (AC/ATM) Advanced Air Transportation Technologies (AATT) project) that used commercial Ku-band satellite communications to connect Glenn, Dryden, and Ames in a combined system ground test. This test simulated air-ground bidirectional transport of real-time digital audio, text, and video data via a hybrid network configuration that demonstrated the flight readiness of the network and communications technologies. Specifically, a Controller Pilot Data Link Communications application was used with other applications to demonstrate a multiprotocol capability via Internet-protocol encapsulated ATN (Aeronautical Telecommunications Network) data packets. The significance of this combined ground test is its contribution to the Aero Information Technology Base Program Level I milestone (Software Technology investment area) of a real-time data link for the National Airspace System. The objective of this milestone was to address multiprotocol technology applicable for real-time data links between aircraft, a satellite, and the ground as well as the ability to

  6. Standards for Data Exchange and Case Management Information Systems in Support of Comprehensive Integrated School-Linked Services. Version 2.0.

    ERIC Educational Resources Information Center

    Far West Lab. for Educational Research and Development, San Francisco, CA.

    This report is intended as a guide for local comprehensive integrated school-linked services sites and software vendors in developing and implementing case management information systems for the exchange and management of client data. The report is also intended to influence new development and future revisions of data systems, databases, and…

  7. Joint terminals and relay optimization for two-way power line information exchange systems with QoS constraints

    NASA Astrophysics Data System (ADS)

    Wu, Xiaolin; Rong, Yue

    2015-12-01

    The quality-of-service (QoS) criteria (measured in terms of the minimum capacity requirement in this paper) are very important to practical indoor power line communication (PLC) applications as they greatly affect the user experience. With a two-way multicarrier relay configuration, in this paper we investigate the joint terminals and relay power optimization for the indoor broadband PLC environment, where the relay node works in the amplify-and-forward (AF) mode. As the QoS-constrained power allocation problem is highly non-convex, the globally optimal solution is computationally intractable to obtain. To overcome this challenge, we propose an alternating optimization (AO) method to decompose this problem into three convex/quasi-convex sub-problems. Simulation results demonstrate the fast convergence of the proposed algorithm under practical PLC channel conditions. Compared with the conventional bidirectional direct transmission (BDT) system, the relay-assisted two-way information exchange (R2WX) scheme can meet the same QoS requirement with less total power consumption.

  8. Exchange Information Disclosure Act

    THOMAS, 113th Congress

    Rep. Terry, Lee [R-NE-2

    2013-10-29

    01/27/2014 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  9. The information exchange.

    PubMed

    Hendron, Brid

    2015-02-01

    This article has been written to highlight the importance of unconscious communication in the dental environment using Neuro-Linguistic Programming (NLP) principles. A single aspect of unconscious communication is described to demonstrate the value to dental team members of studying NLP in order to improve their communication skills. PMID:25668462

  10. ATS Information Exchange

    NASA Astrophysics Data System (ADS)

    Breyer, Walter H.

    Questions answered on: telescope maker Emile Schaer by Christof Plicht, Peter Abrahams and Robert B. Ariail; the firm of Gall and Lembke, NY by Bart Fried; Bonn Double Refractor (Repsold factory, Steinheil optics) by Michael Geffert; Foucault Eyepiece by Eugene Rudd; Ross Evans spyglass by R.C. Blankenhorn; and a Moralee nautical spyglass by Willem M. Bruyns

  11. Cancer statistics for African Americans.

    PubMed

    Ghafoor, Asma; Jemal, Ahmedin; Cokkinides, Vilma; Cardinez, Cheryll; Murray, Taylor; Samuels, Alicia; Thun, Michael J

    2002-01-01

    The American Cancer Society provides estimates on the number of new cancer cases and deaths, and compiles health statistics on African Americans in a biennial publication, Cancer Facts and Figures for African Americans. The compiled statistics include cancer incidence, mortality, survival, and lifestyle behaviors using the most recent data on incidence and survival from the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results (SEER) program, mortality data from the National Center for Health Statistics (NCHS), and behavioral information from the Behavior Risk Factor Surveillance System (BRFSS), Youth Risk Behavior Surveillance System (YRBSS), and National Health Interview Survey (NHIS). It is estimated that 132,700 new cases of cancer and 63,100 deaths will occur among African Americans in the year 2003. Although African Americans have experienced higher incidence and mortality rates of cancer than whites for many years, incidence rates have declined by 2.7 percent per year in African-American males since 1992, while stabilizing in African-American females. During the same period, death rates declined by 2.1 percent and 0.4 percent per year among African-American males and females, respectively. The decrease in both incidence and death rates from cancer among African-American males was the largest of any racial or ethnic group. Nonetheless, African Americans still carry the highest cancer burden among US racial and ethnic groups. Most cancers detectable by screening are diagnosed at a later stage and survival rates are lower within each stage of disease in African Americans than in whites. The extent to which these disparities reflect unequal access to health care versus other factors is an active area of research.

  12. Text Exchange System

    NASA Technical Reports Server (NTRS)

    Snyder, W. V.; Hanson, R. J.

    1986-01-01

    Text Exchange System (TES) exchanges and maintains organized textual information including source code, documentation, data, and listings. System consists of two computer programs and definition of format for information storage. Comprehensive program used to create, read, and maintain TES files. TES developed to meet three goals: First, easy and efficient exchange of programs and other textual data between similar and dissimilar computer systems via magnetic tape. Second, provide transportable management system for textual information. Third, provide common user interface, over wide variety of computing systems, for all activities associated with text exchange.

  13. Genetics Home Reference: African iron overload

    MedlinePlus

    ... of a genetic condition? Genetic and Rare Diseases Information Center Frequency African iron overload is common in rural areas of central and ... more about the gene associated with African iron overload SLC40A1 Related Information What is a gene? What is a gene ...

  14. Developing anatomical terms in an African language.

    PubMed

    Madzimbamuto, Farai Daniel

    2012-03-01

    Clinical and technical information imparted in most African languages involves inexact terminology and code switching, so it lacks the explanatory power characterised by the English language. African languages are absent in the tertiary science education environment and forums where African scientists could present scientific material in the medium of African languages. This limits the development of African languages in the scientific domain. There has recently been a trend in several African languages to develop and intellectualise them, especially in the field of medical sciences. The ChiShona language is used to explore the ability of an African language to develop new terminology, to name the vertebral skeleton and describe it scientifically. It uses word compounding to demonstrate terminology development. ChiShona has similarities with several hundred other Bantu languages in East, Central and Southern Africa. Advancing this language can promote similar developments in others, making them more explanatory for the lay public and health professionals. PMID:22380900

  15. African Aesthetics

    ERIC Educational Resources Information Center

    Abiodun, Rowland

    2001-01-01

    No single traditional discipline can adequately supply answers to the many unresolved questions in African art history. Because of the aesthetic, cultural, historical, and, not infrequently, political biases, already built into the conception and development of Western art history, the discipline of art history as defined and practiced in the West…

  16. "African Connection."

    ERIC Educational Resources Information Center

    Adelman, Cathy; And Others

    This interdisciplinary unit provides students in grades kindergarten through seventh grade an opportunity to understand diversity through a study of Africa as a diverse continent. The project is designed to provide all elementary students with cultural enrichment by exposing them to African music, art, storytelling, and movement. This project can…

  17. A Geographic Information Systems (GIS)-based analysis of modern South African rodent distributions, habitat use, and environmental tolerances

    PubMed Central

    Campbell, Timothy L; Lewis, Patrick J; Thies, Monte L; Williams, Justin K

    2012-01-01

    Goals of this study were to: (1) develop distributional maps of modern rodent genera throughout the countries of South Africa, Lesotho, and Swaziland by georeferencing museum specimens; (2) assess habitat preferences for genera by cross-referencing locality position with South African vegetation; and (3) identify mean annual precipitation and temperature range where the genera are located. Conterminous South Africa including the countries of Lesotho and Swaziland Digital databases of rodent museum specimens housed in the Ditsong National Museum of Natural History, South Africa (DM), and the Division of Mammals, National Museum of Natural History, Smithsonian Institution, United States (NMNH), were acquired and then sorted into a subset of specimens with associated coordinate data. The coordinate data were then used to develop distributional maps for the rodent genera present within the study area. Percent habitat occupation and descriptive statistics for six climatic variables were then determined for each genus by cross-referencing locality positions with vegetation and climatic maps. This report presents a series of maps illustrating the distribution of 35 rodent genera based on 19,471 geo-referenced specimens obtained from two major collections. Inferred habitat use by taxon is provided for both locality and specimen percent occurrence at three hierarchical habitat levels: biome, bioregion, and vegetation unit. Descriptive statistics for six climatic variables are also provided for each genus based on locality and specimen percent incidence. As rodent faunas are commonly used in paleoenvironmental reconstructions, an accurate assessment of rodent environmental tolerance ranges is necessary before confidence can be placed in an actualistic model. While the data presented here represent only a subset of the modern geographic distributions for many of the taxa examined, a wide range of environmental regimes are observed, suggesting that more research is necessary

  18. Preferences for professional versus informal care at end of life amongst African-American drug users with HIV/AIDS.

    PubMed

    Mitchell, Mary M; Robinson, Allysha C; Nguyen, Trang Q; Smith, Thomas J; Knowlton, Amy R

    2015-01-01

    With the advent of antiretroviral therapies, persons living with HIV/AIDS (PLHIVs) are living longer but with increased impairment and care needs. The purpose of this study was to assess whether a vulnerable population of PLHIVs preferred informal versus professional care when unable to care for themselves, and individual and support network factors associated with preference for informal care. The findings have potential implications for facilitating the population's informal care at end of life. Data were from the BEACON study, which examined social factors associated with health outcomes among former or current drug-using PLHIVs in Baltimore, MD. Structural equation modeling was used to identify individual and support network characteristics associated with PLHIVs' preference for informal (family or friends) compared to professional care. The structural equation model indicated preference for informal care was associated with female sex, greater informal care receipt, reporting one's main partner (i.e., boy/girlfriend or spouse) as the primary source of informal care, and a support network comprised greater numbers of female kin and persons supportive of the participant's HIV treatment adherence. Not asking for needed help to avoid owing favors was associated with preferring professional care. Findings suggest that interventions to promote informal end of life care should bolster supportive others' resources and skills for care provision and treatment adherence support, and should address perceived norms of reciprocity. Such intervention will help ensure community caregiving in a population with high needs for long-term care.

  19. Speech-language assessment in a linguistically diverse setting: preliminary exploration of the possible impact of informal 'solutions' within the South African context.

    PubMed

    Barratt, Joanne; Khoza-Shangase, Katijah; Msimang, Kwandinjabulo

    2012-12-01

    Speech-language therapists (SLTs) working in the context of cultural and linguistic diversity face considerable challenges in providing equitable services to all clients. This is complicated by the fact that the majority ofSLTs in South Africa are English or Afrikaans speakers, while the majority of the population have a home language other than English/Afrikaans. Consequently, SLTs are often forced to call on untrained personnel to act as interpreters or translators, and to utilise informally translated materials in the assessment and management of clients with communication impairments. However, variations in translation have the potential to considerably alter intervention plans. This study explored whether the linguistic complexity conveyed in translation of the Western Aphasia Battery (WAB) test changed when translated from English to isiZulu by five different first-language IsiZulu speakers. A qualitative comparative research design was adopted and results were analysed using comparative data analysis. Results revealed notable differences in the translations, with most differences relating to vocabulary and semantics. This finding holds clinical implications for the use of informal translators as well as for the utilisation of translated material in the provision of speech-language therapy services in multilingual contexts. This study highlights the need for cautious use of translators and/or translated materials that are not appropriately and systematically adapted for local usage. Further recommendations include a call for intensified efforts in the transformation of the profession within the country, specifically by attracting greater numbers of students who are fluent in African languages.

  20. Digital Solutions for Informed Decision Making: An Academic-Community Partnership for the Development of a Prostate Cancer Decision Aid for African-American Men

    PubMed Central

    Owens, Otis L.; Friedman, Daniela B.; Brandt, Heather M.; Bernhardt, Jay M.; Hébert, James R.

    2014-01-01

    African-American (AA) men are significantly more likely to die of prostate cancer (PrCA) than other racial groups, and there is a critical need to identify strategies for providing information about PrCA screening and the importance of informed decision making (IDM). To assess whether a computer-based IDM intervention for PrCA screening would be appropriate for AA men, this formative evaluation study examined their (1) PrCA risk and screening knowledge, (2) decision-making processes for PrCA screening, (3) usage of, attitudes toward, and access to interactive communication technologies (ICTs), and (4) perceptions regarding a future novel computer-based PrCA education intervention. A purposive convenience sample of 39 AA men aged 37–66 years in the Southeastern United States were recruited through faith-based organizations to participate in one of six 90-minute focus groups and complete a 45-item descriptive survey. Participants were generally knowledgeable about PrCA; however, few engaged in IDM with their doctor and few were informed about the associated risks and uncertainties of PrCA screening. Most participants used ICTs on a daily basis for various purposes including health information seeking. Most participants were open to a novel computer-based intervention if the system was easy to use and its animated avatars were culturally appropriate. Because study participants had low exposure to IDM for PrCA, but frequently used ICTs, IDM interventions using ICTs (e.g, computers) hold promise for AA men and should be explored for feasibility and effectiveness. These interventions should aim to increase PrCA screening knowledge and stress the importance of participating in IDM with their doctor. PMID:25563381

  1. Hair care practices in African American women.

    PubMed

    Quinn, Chemene R; Quinn, Timothy M; Kelly, A Paul

    2003-10-01

    Hair care in African American women is wrought with historical and cultural issues. Dermatologists need to improve their understanding of hair and scalp disorders in their African American patient population by being informed about the styling methods commonly used by and for these patients. The styling habits described in this article are intended to encompass the hairstyles adapted by a wide range of African American women with varying hair textures.

  2. Technical support for the scientific information exchange program between Polish People's Republic and US Department of Energy. Final report. [Parametric study of coal combustor for MHD generator

    SciTech Connect

    Not Available

    1980-01-01

    The overall objective of this cooperative Scientific Information Exchange Program is to determine the effects of certain operating parameters on the plasma generated by the 4 to 5 MW coal combustor in Swierk, Poland. These operating parameters included (1) coal type, (2) coal moisture content, (3) seed injection, (4) slag removal, (5) coal size distribution, (6) equivalence ratio and (7) NO/sub x/, CO and SO/sub x/ content in the exhaust gas. Results are reported. (WHK)

  3. Summary of the contractor information exchange meeting for improving the safety of Soviet-Designed Nuclear Power Plants, February 19, 1997

    SciTech Connect

    1997-04-01

    This report summarizes a meeting held on February 19, 1997, in Washington, D.C. The meeting was held primarily to exchange information among the contractors involved in the U.S. Department of Energy`s efforts to improve the safety of Soviet-designed nuclear power plants. Previous meetings have been held on December 5-6, 1995, and May 22, 1996. The meetings are sponsored by the U.S. Department of Energy and coordinated by the Pacific Northwest National Laboratory. The U.S. Department of Energy works with countries to increase the level of safety at 63 Soviet-designed nuclear reactors operating in Armenia, Bulgaria, the Czech Republic, Hungary, Lithuania, Russia, Slovakia, and Ukraine. The work is implemented largely by commercial companies and individuals who provide technologies and services to the countries with Soviet-designed nuclear power plants. Attending the meeting were 71 representatives of commercial contractors, the U.S. Department of Energy, the U.S. Department of State, national laboratories, and other federal agencies. The presentations and discussions that occurred during the exchange are summarized in this report. While this report captures the general presentation and discussion points covered at the meeting, it is not a verbatim, inclusive record. To make the report useful, information presented at the meeting has been expanded to clarify issues, respond to attendees` requests, or place discussion points in a broader programmatic context. Appendixes A through F contain the meeting agenda, list of attendees, copies of presentation visuals and handouts, the Strategy Document discussed at the meeting, and a summary of attendees` post-meeting evaluation comments. As with past information exchanges, the participants found this meeting valuable and useful. In response to the participant`s requests, a fourth information exchange will be held later in 1997.

  4. Multimedia Information eXchange for I-NET, Inc. at the Kennedy Space Center: A continuing study of the application of worldwideweb technology

    NASA Technical Reports Server (NTRS)

    Metcalf, David

    1995-01-01

    Multimedia Information eXchange (MIX) is a multimedia information system that accommodates multiple data types and provides consistency across platforms. Information from all over the world can be accessed quickly and efficiently with the Internet-based system. I-NET's MIX uses the World Wide Web and Mosaic graphical user interface. Mosaic is available on all platforms used at I-NET's Kennedy Space Center (KSC) facilities. Key information system design concepts and benefits are reviewed. The MIX system also defines specific configuration and helper application parameters to ensure consistent operations across the entire organization. Guidelines and procedures for other areas of importance in information systems design are also addressed. Areas include: code of ethics, content, copyright, security, system administration, and support.

  5. Consumers’ Perceptions About and Use of the Internet for Personal Health Records and Health Information Exchange: Analysis of the 2007 Health Information National Trends Survey

    PubMed Central

    Kreps, Gary; Zhu, Fang; Miller, Suzanne

    2010-01-01

    Background Personal health records (PHRs) and the sharing of health information through health information exchange (HIE) have been advocated as key new components in the effective delivery of modern health care. It is important to understand consumer attitudes toward utilization of PHRs and HIE to evaluate the public’s willingness to adopt these new health care tools. Objective The purpose of this study was to examine consumer attitudes toward PHRs and their health care providers’ use of HIE, as well as to evaluate consumer use of the Internet for tracking PHRs. Methods Analysis of data from the 2007 iteration of the Health Information National Trends Study (HINTS, N=7674) was conducted using multivariate logistic regression to identify predictors of consumer (1) appraisal of PHRs, (2) appraisal of health care provider use of HIE, and (3) use of the Internet for tracking PHRs. Results : Approximately 86% of US adults rated electronic access to their PHRs as important. However, only 9% of them used the Internet for tracking PHRs. Those who rated electronic access to their PHRs as important were more likely to be Hispanic (odds ratio [OR] = 1.34, 95% confidence interval [CI] 1.04 - 1.72) and Internet users (OR = 1.27, 95% CI = 1.02 - 1.57) and less likely to be age 65 and above (OR = 0.50, 95% CI = 0.38 - 0.67) or individuals whose doctors always ensured their understanding of their health (OR = 0.62, 95% CI = 0.49 – 0.78). Those who rated HIE as important were more likely to be 45 to 54 years of age (OR = 1.46, 95% CI = 1.03 - 2.08), 55 to 64 years of age (OR = 1.83, 95% CI = 1.32 - 2.53), or 65 and above (OR = 1.76, 95% CI = 1.27 - 2.43) and less likely to be women (OR = 0.80, 95% CI = 0.68 - 0.95) or individuals who perceive their health information as not safely guarded by their doctors (OR = 0.53, 95% CI = 0.40 - 0.69). Among Internet users, those who used the Internet to track their PHRs were more likely to be college graduates (OR = 1.84, 95% = 1.32 - 2

  6. Towards a Strategy on Developing African Teacher Capabilities in the Use of Information and Communication Technology (ICT)

    ERIC Educational Resources Information Center

    Commonwealth of Learning, 2004

    2004-01-01

    This study was commissioned by SchoolNet Africa (SNA) in partnership with the Commonwealth of Learning (COL), the International Institute for Communication and Development (IICD) and the Open Society Initiative of Southern Africa (OSISA). It is the most extensive examination to date of teacher training in information and communication technology…

  7. Real-Time Moment-to-Moment Emotional Responses to Narrative and Informational Breast Cancer Videos in African American Women

    ERIC Educational Resources Information Center

    Bollinger, Sarah; Kreuter, Matthew W.

    2012-01-01

    In a randomized experiment using moment-to-moment audience analysis methods, we compared women's emotional responses with a narrative versus informational breast cancer video. Both videos communicated three key messages about breast cancer: (i) understand your breast cancer risk, (ii) talk openly about breast cancer and (iii) get regular…

  8. Gender Differences in South African Men and Women's Access to and Evaluation of Informal Sources of Sexual and Reproductive Health (SRH) Information

    ERIC Educational Resources Information Center

    Stern, Erin; Cooper, Diane; Gibbs, Andrew

    2015-01-01

    While much research has documented unsatisfactory sexual and reproductive health (SRH) awareness among young people in South Africa, understanding of gender differences in access to and evaluation of SRH information is limited. This paper concerned itself with men and women's informal sources and content of SRH, and gendered divergences…

  9. Obesity and African Americans

    MedlinePlus

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  10. Engaging faith-based resources to initiate and support diabetes self-management among African Americans: a collaboration of informal and formal systems of care.

    PubMed

    Johnson, Patria; Thorman Hartig, Margaret; Frazier, Renee; Clayton, Mae; Oliver, Georgia; Nelson, Belinda W; Williams-Cleaves, Beverly J

    2014-11-01

    Diabetes for Life (DFL), a project of Memphis Healthy Churches (MHC) and Common Table Health Alliance (CTHA; formerly Healthy Memphis Common Table [HMCT]), is a self-management program aimed at reducing health disparities among African Americans with type 2 Diabetes Mellitus in Memphis and Shelby County, Tennessee. This program is one of five national projects that constitute The Alliance to Reduce Disparities in Diabetes, a 5-year grant-funded initiative of The Merck Foundation. Our purpose is to describe the faith-based strategies supporting DFL made possible by linking with an established informal health system, MHC, created by Baptist Memorial Health Care. The MHC network engaged volunteer Church Health Representatives as educators and recruiters for DFL. The components of the DFL project and the effect on chronic disease management for the participants will be described. The stages of DFL recruitment and implementation from an open-access to a closed model involving six primary care practices created a formal health system. The involvement of CTHA, a regional health collaborative, created the opportunity for DFL to expand the pool of health care providers and then recognize the core of providers most engaged with DFL patients. This collaboration between MHC and HMCT led to the organization of the formal health network.

  11. Sexual Behavior, Knowledge and Information Sources of Very Young Adolescents in Four Sub-Saharan African Countries

    PubMed Central

    Bankole, Akinrinola; Biddlecom, Ann; Guiella, Georges; Singh, Susheela; Zulu, Eliya

    2008-01-01

    Adolescents are a key target group for HIV and pregnancy prevention efforts, yet very little is known about the youngest adolescents: those under age 15. New survey data from 12–14 year olds in Burkina Faso, Ghana, Malawi and Uganda are used to describe their sexual activity, knowledge about HIV, STIs and pregnancy prevention, and sources of sexual and reproductive health information, including sex education in schools. Results show that very young adolescents are already beginning to be sexually active and many believe their close friends are sexually active. They have high levels of awareness but little in-depth knowledge about pregnancy and HIV prevention. Multiple information sources are used and preferred by very young adolescents. Given their needs for HIV, STI and pregnancy prevention information that is specific and practical and considering that the large majority are attending school in most countries in Sub-Saharan Africa, school-based sex education is a particularly promising avenue for reaching adolescents under age 15. PMID:18458739

  12. Information Dissemination and Exchange for Educational Innovations: Conceptual and Implementation Issues of a Regionally-Based Nationwide System. Part Two.

    ERIC Educational Resources Information Center

    Radnor, Michael; And Others

    This volume contains one paper defining the initial operating parameters of the Research and Development Exchange (RDx) and four of a series of papers contracted for the program. The overview paper touches on a variety of topics of continuing concern: the general problems toward which the RDx effort is directed, understandings affecting the design…

  13. Information Dissemination and Exchange for Educational Innovations: Conceptual and Implementation Issues of a Regionally-Based Nationwide System. Part One.

    ERIC Educational Resources Information Center

    Radnor, Michael, Ed.; And Others

    The first two papers in this collection introduce both the Research and Development Exchange (RDx) itself and the subsequent contracted papers in this and a companion volume. The first paper discusses the general problems toward which the RDx effort is directed, understandings and assumptions affecting the design of the work, principles guiding…

  14. British African Caribbean Women and Depression

    ERIC Educational Resources Information Center

    Adkison-Bradley, Carla; Maynard, Donna; Johnson, Phillip; Carter, Stephaney

    2009-01-01

    Depression is a common condition among women in the United Kingdom. However, little is known about the context of depression among British African Caribbean women. This article offers a preliminary discussion regarding issues and information pertaining to depression among British African Caribbean women. Characteristics and symptoms of depression…

  15. Speech-language assessment in a linguistically diverse setting: preliminary exploration of the possible impact of informal 'solutions' within the South African context.

    PubMed

    Barratt, Joanne; Khoza-Shangase, Katijah; Msimang, Kwandinjabulo

    2012-12-01

    Speech-language therapists (SLTs) working in the context of cultural and linguistic diversity face considerable challenges in providing equitable services to all clients. This is complicated by the fact that the majority ofSLTs in South Africa are English or Afrikaans speakers, while the majority of the population have a home language other than English/Afrikaans. Consequently, SLTs are often forced to call on untrained personnel to act as interpreters or translators, and to utilise informally translated materials in the assessment and management of clients with communication impairments. However, variations in translation have the potential to considerably alter intervention plans. This study explored whether the linguistic complexity conveyed in translation of the Western Aphasia Battery (WAB) test changed when translated from English to isiZulu by five different first-language IsiZulu speakers. A qualitative comparative research design was adopted and results were analysed using comparative data analysis. Results revealed notable differences in the translations, with most differences relating to vocabulary and semantics. This finding holds clinical implications for the use of informal translators as well as for the utilisation of translated material in the provision of speech-language therapy services in multilingual contexts. This study highlights the need for cautious use of translators and/or translated materials that are not appropriately and systematically adapted for local usage. Further recommendations include a call for intensified efforts in the transformation of the profession within the country, specifically by attracting greater numbers of students who are fluent in African languages. PMID:23409617

  16. European NGOs Providing Resources for Development and Social Justice in South Africa: A Handbook. South African Information Exchange Working Paper Number 18.

    ERIC Educational Resources Information Center

    Micou, Ann McKinstry

    This handbook explores Europe's nonprofit nongovernmental organizations (NGOs) that have been working for change in South Africa and now are engaged, or planning to engage in the economic, social, and human resource development of a democratic South Africa. The purposes of the document are to: (1) illuminate for both donor agencies and groups…

  17. Africans in America.

    ERIC Educational Resources Information Center

    Hart, Ayanna; Spangler, Earl

    This book introduces African-American history and culture to children. The first Africans in America came from many different regions and cultures, but became united in this country by being black, African, and slaves. Once in America, Africans began a long struggle for freedom which still continues. Slavery, the Civil War, emancipation, and the…

  18. African Outreach Workshop 1974.

    ERIC Educational Resources Information Center

    Schmidt, Nancy J.

    This report discusses the 1974 African Outreach Workshop planned and coordinated by the African Studies Program at the University of Illinois at Urbana-Champaign. Its major aim was to assist teachers in developing curriculum units on African using materials available in their local community. A second aim was for the African Studies Program to…

  19. Multisensory teamwork: using a tactile or an auditory display to exchange gaze information improves performance in joint visual search.

    PubMed

    Wahn, Basil; Schwandt, Jessika; Krüger, Matti; Crafa, Daina; Nunnendorf, Vanessa; König, Peter

    2016-06-01

    In joint tasks, adjusting to the actions of others is critical for success. For joint visual search tasks, research has shown that when search partners visually receive information about each other's gaze, they use this information to adjust to each other's actions, resulting in faster search performance. The present study used a visual, a tactile and an auditory display, respectively, to provide search partners with information about each other's gaze. Results showed that search partners performed faster when the gaze information was received via a tactile or auditory display in comparison to receiving it via a visual display or receiving no gaze information. Findings demonstrate the effectiveness of tactile and auditory displays for receiving task-relevant information in joint tasks and are applicable to circumstances in which little or no visual information is available or the visual modality is already taxed with a demanding task such as air-traffic control. Practitioner Summary: The present study demonstrates that tactile and auditory displays are effective for receiving information about actions of others in joint tasks. Findings are either applicable to circumstances in which little or no visual information is available or when the visual modality is already taxed with a demanding task.

  20. Crossing Cultures in Marriage: Implications for Counseling African American/African Couples

    ERIC Educational Resources Information Center

    Durodoye, Beth A.; Coker, Angela D.

    2008-01-01

    A wealth of literature exists regarding intermarriage between White and ethnic minority couples. Noticeably lacking, however, is information considering within-group diversity amongst Black couples. This paper will focus on cultural dynamics that may operate with African American and African couples residing in the United States. Through an…

  1. Changing Fatherhood: An Exploratory Qualitative Study with African and African Caribbean Men in England

    ERIC Educational Resources Information Center

    Williams, Robert; Hewison, Alistair; Wildman, Stuart; Roskell, Carolyn

    2013-01-01

    This paper presents findings from a qualitative study undertaken with 46 African and African Caribbean men exploring their experiences of fatherhood. Data analysis was informed by Connell's theoretical work on changing gender relations. Findings indicate that fathers' lives were mediated by masculinities, racism, gender, migration and…

  2. African American Pastors' Beliefs and Actions Regarding Childhood Incest in the African American Community

    ERIC Educational Resources Information Center

    Wells, Tesia Denis

    2012-01-01

    This quantitative study sought to explore African American pastors' beliefs and actions regarding childhood incest in the African American community and their decisions to inform the proper authorities. This exploratory study was developed in order to draw both public and academic attention to the understudied phenomenon of childhood incest…

  3. Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy.

    PubMed

    Geissbuhler, Antoine

    2013-05-01

    It took more than ten years from the initial mandate to the first implementation of e-toile, the Geneva health information exchange. Although most actors quickly agreed on the goals and potential benefits of such a system, obstacles were many, and mostly non-technical. The transparency resulting from a streamlined exchange of information may improve the continuity, quality and efficiency of care, while, at the same time, reveal and challenge habits and practices of care professionals and of citizens. This tension must be understood, and trust must be fostered amongst stakeholders. In our experience, key enablers were the collaborative elaboration and negotiation of an eHealth law, the definition of an eHealth strategy, as well as the involuntary increased financial pressure on all healthcare stakeholders. Nevertheless, and even though it is often cited as a successful model, the Swiss health system, being highly fragmented and based on a complex interplay of private and public stakeholders, is not as conducive to the deployment of eHealth systems as most other developed countries. PMID:23332387

  4. Assessing the value of cooperation and information exchange in large water resources systems by multi-agent optimization: the Zambezi river case

    NASA Astrophysics Data System (ADS)

    Giuliani, M.; Castelletti, A.

    2012-04-01

    Many large-scale water resources systems are characterized by the presence of several and conflicting interests and are often managed by many independent decision-makers, belonging to different institutions or countries, who take into account only their own objectives causing downstream externalities. In this work we explore the use of multi-agent systems theory to conduct an optimization-based analysis of different levels of cooperation and information exchange in the large water reservoir system of the Zambezi River. The four largest reservoirs in the basin (Ithezhithezhi, Kafue-Gorge, Kariba and Cahora Bassa) are mainly operated for maximizing the economic revenue from hydropower energy production with considerably negative effects on the aquatic ecosystem in the Zambezi delta. We comparatively analyse the ideal situation in which a central decision-maker optimizes a global optimum and the more realistic case where all the decision-makers act independently and non-cooperatively. We then investigate how increasing levels of information exchange can help in mitigating the conflict generated by a non-cooperative setting.

  5. Physical Non-Contact Communication between Microscopic Aquatic Species: Novel Experimental Evidences for an Interspecies Information Exchange.

    PubMed

    Fels, Daniel

    2016-01-01

    Previous experiments on physical non-contact communication within same species gave rise to test for this type of communication also across the species border, which was the aim of the present study. It was found that autotrophic unicellular organisms (Euglena viridis), separated by cuvettes, affected the proliferation rate of heterotrophic unicellular organisms (Paramecium caudatum). Further, the heterotrophic unicellular organism affected also the proliferation rate of a multicellular heterotrophic organism (Rotatoria sp.) and vice versa. In the case when populations (of Euglena viridis and Paramecium caudatum) were shielded against electromagnetic fields in the optical spectrum from each other, no effects were measured. The results may support the notion that the organisation of ecosystems relies also on the exchange of electromagnetic fields from their constituting biosystems. PMID:27042178

  6. Physical Non-Contact Communication between Microscopic Aquatic Species: Novel Experimental Evidences for an Interspecies Information Exchange

    PubMed Central

    2016-01-01

    Previous experiments on physical non-contact communication within same species gave rise to test for this type of communication also across the species border, which was the aim of the present study. It was found that autotrophic unicellular organisms (Euglena viridis), separated by cuvettes, affected the proliferation rate of heterotrophic unicellular organisms (Paramecium caudatum). Further, the heterotrophic unicellular organism affected also the proliferation rate of a multicellular heterotrophic organism (Rotatoria sp.) and vice versa. In the case when populations (of Euglena viridis and Paramecium caudatum) were shielded against electromagnetic fields in the optical spectrum from each other, no effects were measured. The results may support the notion that the organisation of ecosystems relies also on the exchange of electromagnetic fields from their constituting biosystems. PMID:27042178

  7. Use of water exchange information to improve chemical control of eurasian watermilfoil in Pacific Northwest rivers. Final report

    SciTech Connect

    Getsinger, K.D.; Sisneros, D.; Tumer, E.G.

    1993-01-01

    The submersed plant Eurasian watermilfoil (Myriophyllum spicatum L.), continues to adversely impact areas in the high water exchange environment of the Columbia River system. Studies designed to characterize water movement and to evaluate a slow release matrix device (SRMD) for improving the chemical control of that target plant were conducted in the Pend Oreille and Columbia Rivers, Washington, in August 1990. A series of rhodamine WT dye treatments were applied (using conventional, liquid application techniques) to 4-ha plots representing milfoil-dominated riverine and cove sites to estimate potential herbicide contact time. In addition, dye-impregnated SRMDs were deployed in 0.4-ha plots and evaluated for their potential as slow-release herbicide carriers. Dye dissipation data were used to calculate water-exchange half-lives in plots treated with conventional application techniques. Mean half-lives ranged from 8.8 to 12.2 hr in riverine plots, to 36.3 hr in a plot situated in a protected embayment. Half-lives from these 4-ha plots were two to four times longer than half-lives measured in smaller plots (0.4 ha) from previous dye studies conducted in similar locations. In most cases, dye release rates from SRMDs provided water concentrations near the target level of 10 micrograms/L through 7 days after deployment (DAD). Dye concentrations peaked at 105 to 130 micrograms/L at 2 DAD in Plot I (main channel plot) and 4.5 to 82 micrograms/L at I DAD in Plot 2 (side channel plot).

  8. "What should we talk about?" The association between the information exchanged during the mental health intake and the quality of the working alliance.

    PubMed

    Nakash, Ora; Nagar, Maayan; Kanat-Maymon, Yaniv

    2015-07-01

    We investigated the association between the content of the information exchanged between clients and therapists during mental health intake and the quality of the therapeutic alliance. Thirty-eight therapists and 107 clients from four mental health clinics in Israel participated in the study. The content of information discussed was coded directly from the recorded intakes by blinded raters. Clients and therapists completed the Working Alliance Inventory immediately following the intake. Therapists spent the majority of intake time in collecting information about their clients' diagnostic symptoms and personal history and sociocultural background. Due to the high negative correlation between these factors, r(107) = -.68, p < .001, we created a measure of delta score with higher scores reflecting more discussion of personal history and sociocultural background and less discussion of diagnostic symptoms. We computed three-level hierarchical linear model analysis, with intakes nested within therapists and therapists nested within sites, to examine the association between the delta score and the working alliance, while controlling for intake duration. Results showed significant association between the delta score and clients' rating of the working alliance (γ200 = 0.014, p = .02), indicating that discussing more personal history and sociocultural background and less diagnostic symptoms was associated with better clients' rating of the working alliance. Therapists' rating of the working alliance was not significantly associated with the content of the information exchanged. The restricted intake time allocated to therapists dictates use of strategies to deal with time trade-offs to complete a thorough diagnostic assessment while allowing clients to tell their personal story.

  9. Where Walls Once Stood: U.S. Responses to New Opportunities for Academic Cooperation with East Central Europe. East Central Europe Information Exchange Report No. 2.

    ERIC Educational Resources Information Center

    Kirk, Mary E.

    This report is based on a survey of U.S. higher education institutions and national exchange organizations. It highlights significant changes since 1989: (1) substantial growth in number of exchange programs and U.S. institutions sponsoring exchanges; (2) decline in predominance of long-term, broad-range reciprocal exchanges; (3) increase in…

  10. Characteristics of Patient Portals Developed in the Context of Health Information Exchanges: Early Policy Effects of Incentives in the Meaningful Use Program in the United States

    PubMed Central

    de Bont, Antoinette; van de Klundert, Joris; Rundall, Thomas G

    2014-01-01

    Background In 2014, the Centers for Medicare & Medicaid Services in the United States launched the second stage of its Electronic Health Record (EHR) Incentive Program, providing financial incentives to providers to meaningfully use their electronic health records to engage patients online. Patient portals are electronic means to engage patients by enabling secure access to personal medical records, communication with providers, various self-management tools, and administrative functionalities. Outcomes of patient portals have mainly been reported in large integrated health systems. This may now change as the EHR Incentive Program enables and supports the use of patient portals in other types of health systems. In this paper, we focus on Health Information Exchanges (HIE): entities that facilitate data exchange within networks of independent providers. Objective In response to the EHR Incentive Program, some Health Information Exchanges in the United States are developing patient portals and offering them to their network of providers. Such patient portals hold high value for patients, especially in fragmented health system contexts, due to the portals’ ability to integrate health information from an array of providers and give patients one access point to this information. Our aim was to report on the early effects of the EHR incentives on patient portal development by HIEs. Specifically, we describe the characteristics of these portals, identify factors affecting adoption by providers during the 2013-2014 time frame, and consider what may be the primary drivers of providers’ adoption of patient portals in the future. Methods We identified four HIEs that were developing patient portals as of spring 2014. We collected relevant documents and conducted interviews with six HIE leaders as well as two providers that were implementing the portals in their practices. We performed content analysis on these data to extract information pertinent to our study objectives

  11. Qualitative study among African American parents to inform an intervention to promote adoption of the dietary guidelines for Americans food and phyical activity recommendations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This qualitative study was conducted to enable the research team to culturally tailor an intervention to increase adherence to the dietary guidelines for Americans (DGA) in African American parents and their children living in Lower Mississippi Delta (LMD) Communities. Focus group results guided the...

  12. Characteristics of soils in selected maize growing sites along altitudinal gradients in East African highlands

    PubMed Central

    Njuguna, Elijah; Gathara, Mary; Nadir, Stanley; Mwalusepo, Sizah; Williamson, David; Mathé, Pierre-Etienne; Kimani, Jackson; Landmann, Tobias; Juma, Gerald; Ong’amo, George; Gatebe, Erastus; Ru, Bruno Le; Calatayud, Paul-andré

    2015-01-01

    Maize is the main staple crop in the East African Mountains. Understanding how the edaphic characteristics change along altitudinal gradients is important for maximizing maize production in East African Highlands, which are the key maize production areas in the region. This study evaluated and compared the levels of some macro and micro-elements (Al, Ca, Fe, K, Mg, Mn, Na and P) and other soil parameters (pH, organic carbon content, soil texture [i.e. % Sand, % Clay and % Silt], cation exchange capacity [CEC], electric conductivity [EC], and water holding capacity [HC]). Soil samples were taken from maize plots along three altitudinal gradients in East African highlands (namely Machakos Hills, Taita Hills and Mount Kilimanjaro) characterized by graded changes in climatic conditions. For all transects, pH, Ca, K and Mg decreased with the increase in altitude. In contrast, % Silt, organic carbon content, Al and water holding capacity (HC) increased with increasing altitude. The research provides information on the status of the physical–chemical characteristics of soils along three altitudinal ranges of East African Highlands and includes data available for further research. PMID:26509187

  13. Federal Information Exchange (FEDIX) user`s guide: Fall 1993, Version 5.0/Release 1.0

    SciTech Connect

    Not Available

    1993-09-01

    FEDIX is an on-line information service that links the educational community and the federal government to facilitate research, education, and services. The system provides accurate and timely federal agency information to colleges, universities, and other research organizations. This guide is intended to help users access and utilize the FEDIX system. Because the system is frequently updated, however, some menus and tables used as examples in this text may not exactly match those displayed on the live system.

  14. PC Rider. A Training Manual. Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-36.

    ERIC Educational Resources Information Center

    Peace Corps, Washington, DC. Information Collection and Exchange Div.

    This booklet provides information on safe motorcycle operation and accident prevention. Its special focus is on Peace Corps volunteers who operate motorcycles in West Africa. A discussion of how a motorcyclist can minimize risks focuses on the "invisible motorcycle" and basic safety precautions. A section with riding tips is divided into: (1) tips…

  15. 17 CFR 240.24b-2 - Nondisclosure of information filed with the Commission and with any exchange.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... rules and regulations adopted under the Freedom of Information Act (17 CFR 200.80), and a justification of the period of time for which confidential treatment is sought; (iii) a written consent to the... treatment. (e) The confidential portion shall be made available to the public at the time and according...

  16. 17 CFR 240.24b-2 - Nondisclosure of information filed with the Commission and with any exchange.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... rules and regulations adopted under the Freedom of Information Act (17 CFR 200.80), and a justification of the period of time for which confidential treatment is sought; (iii) a written consent to the... treatment. (e) The confidential portion shall be made available to the public at the time and according...

  17. Preparation for Childbirth. A Health Workers Manual. Appropriate Technologies for Development. Peace Corps Information Collection & Exchange Reprint R-55.

    ERIC Educational Resources Information Center

    Hansen, Miriam; And Others

    This manual was developed to help Peace Corps volunteers who are serving as community health workers in developing nations to teach expectant mothers about pregnancy and childbirth. The material is organized in four sections corresponding to four prenatal classes plus a section on labor and delivery information for health care workers. Some of the…

  18. Libraries for All! How to Start and Run a Basic Library. Information Collection and Exchange Publication No. RE035

    ERIC Educational Resources Information Center

    Wendell, Laura

    2012-01-01

    This book is for community leaders, librarians, library committees, volunteers, aid workers and others who are interested in the practical aspect of starting and maintaining a successful library. Throughout the developing world, countless dedicated people respond to the pressing need for information in their communities by helping to start a…

  19. Libraries for All! How to Start and Run a Basic Library. Information Collection and Exchange Publication No. RE035

    ERIC Educational Resources Information Center

    Wendell, Laura

    2009-01-01

    This book is for community leaders, librarians, library committees, volunteers, aid workers and others who are interested in the practical aspect of starting and maintaining a successful library. Throughout the developing world, countless dedicated people respond to the pressing need for information in their communities by helping to start a…

  20. Use of Computers in Information Handling. Report of the DSE/PADIS Training Workshop (Nairobi, Kenya, April 21-May 2, 1986).

    ERIC Educational Resources Information Center

    Huttemann, Lutz, Ed.; Inganji, Francis K., Ed.

    This workshop attended by 21 participants from 13 countries was designed to promote the use of computerized information and documentation services in the eastern and southern African subregion, and increase the exchange of experiences of the personnel involved in the field. The full text is provided for the following papers presented at the…

  1. Linguistic Imperialism: African Perspectives.

    ERIC Educational Resources Information Center

    Phillipson, Robert

    1996-01-01

    Responds to an article on aspects of African language policy and discusses the following issues: multilingualism and monolingualism, proposed changes in language policy from the Organization for African Unity and South African initiatives, the language of literature, bilingual education, and whose interests English-language teaching is serving.…

  2. Discussing Cancer: Communication with African Americans

    PubMed Central

    Caito, Nikki; Hood, Sula; Thompson, Vetta L. Sanders

    2015-01-01

    Regular screening for colorectal cancer (CRC) facilitates earlier detection, lowers mortality, and may reduce incidence through detection and removal of pre-cancerous polyps. Optimizing health professional delivery of CRC screening information and recommendations can assist in reducing CRC disparity in the African American community. This paper presents qualitative data on African Americans’ attitudes about health professional CRC communications based on the analysis of focus groups (N=79). Using a social-ecological framework, colorectal cancer and professional communication themes are examined to offer four general and nine cancer specific theoretically based and culturally appropriate strategies for improving health professional cancer communication with African Americans. PMID:25050658

  3. AN overview of the FLYSAFE datalink solution for the exchange of weather information: supporting aircrew decision making processes.

    NASA Astrophysics Data System (ADS)

    Mirza, A.; Drouin, A.

    2009-09-01

    FLYSAFE is an Integrated Project of the 6th framework of the European Commission with the aim to improve flight safety through the development of an avionics solution the Next Generation Integrated Surveillance System (NGISS), which is supported by a ground based network of Weather Information Management Systems (WIMS) and access points in the form of the Ground Weather Processor (GWP). The NGISS provides information to the flight crew on the three major external hazards for aviation: weather, air traffic and terrain. The NGISS has the capability of displaying data about all three hazards on a single display screen, facilitating rapid appreciation of the situation by the flight crew. Weather Information Management Systems (WIMS) were developed to provide the NGISS and the flight crew with weather related information on in-flight icing, thunderstorms and clear-air turbulence. These products are generated on the ground from observations and model forecasts. WIMS will supply relevant information on three different scales: global, regional and local (over airport Terminal Manoeuvring Area). The Ground Weather Processor is a client-server architecture that utilises open source components, which include a geospatial database and web feature services. The GWP stores Weather Objects generated by the WIMS. An aviation user can retrieve on-demand all Weather Objects that intersect the volume of space that is of interest to them. The Weather Objects are fused with in-situ observation data and can be used by the flight management system to propose a route to avoid the hazard. In addition they can be used to display the current hazardous weather to the Flight Crew thereby raising their awareness. Within the FLYSAFE program, around 120 hours of flight trials were performed during February 2008 and August 2008. Two aircraft were involved each with separate objectives: - to assess FLYSAFE's innovative solutions for the data-link, on-board data-fusion and data-display and data

  4. Assessing the performance of LOINC® and RadLex for coverage of CT scans across three sites in a health information exchange.

    PubMed

    Beitia, Anton Oscar; Kuperman, Gilad; Delman, Bradley N; Shapiro, Jason S

    2013-01-01

    We evaluated the performance of LOINC® and RadLex standard terminologies for covering CT test names from three sites in a health information exchange (HIE) with the eventual goal of building an HIE-based clinical decision support system to alert providers of prior duplicate CTs. Given the goal, the most important parameter to assess was coverage for high frequency exams that were most likely to be repeated. We showed that both LOINC® and RadLex provided sufficient coverage for our use case through calculations of (a) high coverage of 90% and 94%, respectively for the subset of CTs accounting for 99% of exams performed and (b) high concept token coverage (total percentage of exams performed that map to terminologies) of 92% and 95%, respectively. With trends toward greater interoperability, this work may provide a framework for those wishing to map radiology site codes to a standard nomenclature for purposes of tracking resource utilization.

  5. Assessing the performance of LOINC® and RadLex for coverage of CT scans across three sites in a health information exchange.

    PubMed

    Beitia, Anton Oscar; Kuperman, Gilad; Delman, Bradley N; Shapiro, Jason S

    2013-01-01

    We evaluated the performance of LOINC® and RadLex standard terminologies for covering CT test names from three sites in a health information exchange (HIE) with the eventual goal of building an HIE-based clinical decision support system to alert providers of prior duplicate CTs. Given the goal, the most important parameter to assess was coverage for high frequency exams that were most likely to be repeated. We showed that both LOINC® and RadLex provided sufficient coverage for our use case through calculations of (a) high coverage of 90% and 94%, respectively for the subset of CTs accounting for 99% of exams performed and (b) high concept token coverage (total percentage of exams performed that map to terminologies) of 92% and 95%, respectively. With trends toward greater interoperability, this work may provide a framework for those wishing to map radiology site codes to a standard nomenclature for purposes of tracking resource utilization. PMID:24551324

  6. Communication and Information About “Safer Sex:” Intervention Issues Within Communities of African Migrants Living in Poorer Neighbourhoods in Portugal

    PubMed Central

    de Matos, Margarida Gaspar; Gaspar, Tania; Simons-Morton, Bruce; Reis, Marta; Ramiro, Lúcia

    2008-01-01

    The aims of this study are to determine the influence of migrant status on sexual behavior and communication about “safer sex” and to identify ethnic-specific prevention issues. Data were obtained from a special administration of the Health Behavior in School-Aged Children Survey in a special sample of Portuguese schools located in low-income Lisbon neighborhoods with large proportions of African migrants. Survey participants included 919 6th, 8th and 10th graders (52.3% female), of whom 19.2% were migrant foreigners from African Portuguese-speaking countries, including Cape Verde (60.8%), Mozambique (1.6%), Angola (16.8%), S. Tomé (8%), and Guinea-Bissau (14.8%). Subsequently, four focus groups were held with adolescent who had participated in the survey (n = 45), three focus group with health and education professionals (n = 25), and one focus group with parents (n = 6). Compared with Portuguese adolescents, African migrant teens reported initial sexual intercourse at earlier ages, less frequent condom use, and less frequent and less comfortable communications with parents about sexual issues. Implications for selective prevention of STD are discussed and recommendations are made. PMID:19081810

  7. Alert Exchange Process Protocol

    NASA Technical Reports Server (NTRS)

    Groen, Frank

    2015-01-01

    The National Aeronautics and Space Administration of the United States of America (NASA), and the European Space Agency (ESA), and the Japanese Aerospace Exploration Agency (JAXA), acknowledging that NASA, ESA and JAXA have a mutual interest in exchanging Alerts and Alert Status Lists to enhance the information base for each system participant while fortifying the general level of cooperation between the policy agreement subscribers, and each Party will exchange Alert listings on regular basis and detailed Alert information on a need to know basis to the extent permitted by law.

  8. Use of RxNorm to exchange codified drug allergy information between Department of Veterans Affairs (VA) and Department of Defense (DoD).

    PubMed

    Warnekar, Pradnya P; Bouhaddou, Omar; Parrish, Fola; Do, Nhan; Kilbourne, John; Brown, Steven H; Lincoln, Michael J

    2007-01-01

    Under a congressional mandate, VA and DoD have built a framework to exchange standardized, codified patient drug allergy information through a mediation terminology. Initially, the Unified Medical Language System (UMLS) was deemed to be the most appropriate translator. After both agency files were mapped to UMLS, DoD could understand 45 percent of VA's mapped terms and VA could understand 26 percent of DoD's mapped terms. A significant portion of the non-mediated information was brand names in DoD with generic counterparts in VA. Recently, a Consolidated Health Informatics (CHI) group designated RxNorm as the standard for trade name allergies. An analysis was conducted to estimate mediation improvement using RxNorm. Both agency files were re-mapped to RxNorm. By utilizing the RxNorm defined relationships between brand names and generics and between variants of therapeutic moieties , DoD will understand 74 percent of VA terms and VA will understand 58 percent of DoD terms. PMID:18693943

  9. Facebook as a tool for communication, collaboration, and informal knowledge exchange among members of a multisite family health team

    PubMed Central

    Lofters, Aisha K; Slater, Morgan B; Nicholas Angl, Emily; Leung, Fok-Han

    2016-01-01

    Objective To implement and evaluate a private Facebook group for members of a large Ontario multisite Family Health Team (FHT) to facilitate improved communication and collaboration. Design Program implementation and subsequent survey of team members. Setting A large multisite FHT in Toronto, Ontario. Participants Health professionals of the FHT. Main outcome measures Usage patterns and self-reported perceptions of the Facebook group by team members. Results At the time of the evaluation survey, the Facebook group had 43 members (37.4% of all FHT members). Activity in the group was never high, and posts by team members who were not among the researchers were infrequent throughout the study period. The content of posts fell into two broad categories: 1) information that might be useful to various team members and 2) questions posed by team members that others might be able to answer. Of the 26 team members (22.6%) who completed the evaluation survey, many reported that they never logged into the Facebook page (16 respondents), and never used it to communicate with team members outside of their own site of practice (19 respondents). Only six respondents reported no concerns with using Facebook as a professional communication tool; the most frequent concerns were regarding personal and patient privacy. Conclusion The use of social media by health care practitioners is becoming ubiquitous. However, the issues of privacy concerns and determining how to use social media without adding to provider workload must be addressed to make it a useful tool in health care. PMID:26869796

  10. Fat, fibre and cancer risk in African Americans and rural Africans.

    PubMed

    O'Keefe, Stephen J D; Li, Jia V; Lahti, Leo; Ou, Junhai; Carbonero, Franck; Mohammed, Khaled; Posma, Joram M; Kinross, James; Wahl, Elaine; Ruder, Elizabeth; Vipperla, Kishore; Naidoo, Vasudevan; Mtshali, Lungile; Tims, Sebastian; Puylaert, Philippe G B; DeLany, James; Krasinskas, Alyssa; Benefiel, Ann C; Kaseb, Hatem O; Newton, Keith; Nicholson, Jeremy K; de Vos, Willem M; Gaskins, H Rex; Zoetendal, Erwin G

    2015-04-28

    Rates of colon cancer are much higher in African Americans (65:100,000) than in rural South Africans (<5:100,000). The higher rates are associated with higher animal protein and fat, and lower fibre consumption, higher colonic secondary bile acids, lower colonic short-chain fatty acid quantities and higher mucosal proliferative biomarkers of cancer risk in otherwise healthy middle-aged volunteers. Here we investigate further the role of fat and fibre in this association. We performed 2-week food exchanges in subjects from the same populations, where African Americans were fed a high-fibre, low-fat African-style diet and rural Africans a high-fat, low-fibre western-style diet, under close supervision. In comparison with their usual diets, the food changes resulted in remarkable reciprocal changes in mucosal biomarkers of cancer risk and in aspects of the microbiota and metabolome known to affect cancer risk, best illustrated by increased saccharolytic fermentation and butyrogenesis, and suppressed secondary bile acid synthesis in the African Americans.

  11. Fat, Fiber and Cancer Risk in African Americans and Rural Africans

    PubMed Central

    O'Keefe, Stephen J.D.; Li, Jia V.; Lahti, Leo; Ou, Junhai; Carbonero, Franck; Mohammed, Khaled; Posma, Joram M; Kinross, James; Wahl, Elaine; Ruder, Elizabeth; Vipperla, Kishore; Naidoo, Vasudevan; Mtshali, Lungile; Tims, Sebastian; Puylaert, Philippe G.B.; DeLany, James; Krasinskas, Alyssa; Benefiel, Ann C.; Kaseb, Hatem O.; Newton, Keith; Nicholson, Jeremy K.; de Vos, Willem M.; Gaskins, H. Rex; Zoetendal, Erwin G.

    2015-01-01

    Rates of colon cancer are much higher in African Americans (65:100,000) than in rural South Africans (<5:100,000). The higher rates are associated with higher animal protein and fat and lower fiber consumption, higher colonic secondary bile acids, lower colonic short chain fatty acid quantities and higher mucosal proliferative biomarkers of cancer risk in otherwise healthy middle aged volunteers. Here we investigate further the role of fat and fiber in this association. We performed two-week food exchanges in subjects from the same populations, where African Americans were fed a high-fiber, lowfat African-style diet, and rural Africans a high-fat low-fiber western-style diet under close supervision. In comparison to their usual diets, the food changes resulted in remarkable reciprocal changes in mucosal biomarkers of cancer risk and in aspects of the microbiota and metabolome known to affect cancer risk, best illustrated by increased saccharolytic fermentation and butyrogenesis and suppressed secondary bile acid synthesis in the African Americans. PMID:25919227

  12. HEAT EXCHANGER

    DOEpatents

    Fox, T.H. III; Richey, T. Jr.; Winders, G.R.

    1962-10-23

    A heat exchanger is designed for use in the transfer of heat between a radioactive fiuid and a non-radioactive fiuid. The exchanger employs a removable section containing the non-hazardous fluid extending into the section designed to contain the radioactive fluid. The removable section is provided with a construction to cancel out thermal stresses. The stationary section is pressurized to prevent leakage of the radioactive fiuid and to maintain a safe, desirable level for this fiuid. (AEC)

  13. Cognition and Health in African American Men

    PubMed Central

    Sims, Regina C.; Thorpe, Roland J.; Gamaldo, Alyssa A.; Aiken-Morgan, Adrienne T.; Hill, LaBarron K.; Allaire, Jason C.; Whitfield, Keith E.

    2015-01-01

    Objective Despite high rates of poor health outcomes, little attention has been focused on associations between prominent health factors and cognitive function in African American men, exclusively. The objective was to examine relationships between cardiovascular and pulmonary health, and cognitive function in African American men. Method Data from 257 men were pooled from two studies of African American aging. The mean age of participants was 58.15 and mean educational attainment was 11.78 years. Participants provided self-reported health and demographic information, completed cognitive measures, and had their blood pressure and peak expiratory flow assessed. Results After adjustment, significant relationships were found between average peak expiratory flow rate (APEFR) and cognitive performance measures. Discussion Results suggest that lung function is important to consider when examining cognitive function in African American men. Understanding the role of health in cognition and implications for quality of life in this population will be critical as life expectancies increase. PMID:25053802

  14. Race on the Superhighway: How E-Mail Affects African American Student Writers.

    ERIC Educational Resources Information Center

    Redd, Teresa M.; Massey, Victoria W.

    1997-01-01

    Examines three claims about -mail and its implications for African-American students: e-mail (1) blends elements of oral and written language; (2) fosters a sense of community; and (3) leads to the enfranchisement of marginalized writers. Explores these claims through an extended e-mail exchange between African-American students at Howard…

  15. African Drum and Steel Pan Ensembles.

    ERIC Educational Resources Information Center

    Sunkett, Mark E.

    2000-01-01

    Discusses how to develop both African drum and steel pan ensembles providing information on teacher preparation, instrument choice, beginning the ensemble, and lesson planning. Includes additional information for the drum ensembles. Lists references and instructional materials, sources of drums and pans, and common note layout/range for steel pan…

  16. Cryptographic Combinatorial Securities Exchanges

    NASA Astrophysics Data System (ADS)

    Thorpe, Christopher; Parkes, David C.

    We present a useful new mechanism that facilitates the atomic exchange of many large baskets of securities in a combinatorial exchange. Cryptography prevents information about the securities in the baskets from being exploited, enhancing trust. Our exchange offers institutions who wish to trade large positions a new alternative to existing methods of block trading: they can reduce transaction costs by taking advantage of other institutions’ available liquidity, while third party liquidity providers guarantee execution—preserving their desired portfolio composition at all times. In our exchange, institutions submit encrypted orders which are crossed, leaving a “remainder”. The exchange proves facts about the portfolio risk of this remainder to third party liquidity providers without revealing the securities in the remainder, the knowledge of which could also be exploited. The third parties learn either (depending on the setting) the portfolio risk parameters of the remainder itself, or how their own portfolio risk would change if they were to incorporate the remainder into a portfolio they submit. In one setting, these third parties submit bids on the commission, and the winner supplies necessary liquidity for the entire exchange to clear. This guaranteed clearing, coupled with external price discovery from the primary markets for the securities, sidesteps difficult combinatorial optimization problems. This latter method of proving how taking on the remainder would change risk parameters of one’s own portfolio, without revealing the remainder’s contents or its own risk parameters, is a useful protocol of independent interest.

  17. Technology Performance Exchange

    SciTech Connect

    2015-09-01

    To address the need for accessible, high-quality data, the Department of Energy has developed the Technology Performance Exchange (TPEx). TPEx enables technology suppliers, third-party testing laboratories, and other entities to share product performance data. These data are automatically transformed into a format that technology evaluators can easily use in their energy modeling assessments to inform procurement decisions.

  18. The African superswell

    NASA Technical Reports Server (NTRS)

    Nyblade, Andrew A.; Robinson, Scott W.

    1994-01-01

    Maps of residual bathymetry in the ocean basins around the African continent reveal a broad bathymetric swell in the southeastern Atlantic Ocean with an amplitude of about 500 m. We propose that this region of anomalously shallow bathymetry, together with the contiguous eastern and southern African plateaus, form a superswell which we refer to as the African superswell. The origin of the African superswell is uncertain. However, rifting and volcanism in eastern Africa, as well as heat flow measurements in southern Africa and the southeastern Atlantic Ocean, suggest that the superswell may be attributed, at least in part, to heating of the lithosphere.

  19. A Study of How the Student and Exchange Visa Information System Influences the Influx and Study of Graduate International Students in Science and Engineering in the U.S.

    ERIC Educational Resources Information Center

    Goncalves, Marcus V. A.

    2009-01-01

    The influx of international graduate students in science and engineering to the U.S. has changed since the terrorist attacks of September 11, 2001. The implementation of the Student and Exchange Visitor Information System (SEVIS) and related F-1 visa policies have required a higher level of scrutiny of the student visa procedures, and introduced…

  20. Forestry Training Manual for Africa Region U.S. Peace Corps. Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-14.

    ERIC Educational Resources Information Center

    Mahaffey, George; And Others

    This manual is a state-side forestry teaching guide, complete with exercises, for the training of prospective Peace Corps volunteers who will serve in various African countries. The modular format lends itself to both single-country and multicountry forestry training. The first part of the guide contains instructions to the trainer on conducting…