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Sample records for care pfc author

  1. 14 CFR 158.30 - PFC Authorization at Non-Hub Airports.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false PFC Authorization at Non-Hub Airports. 158... (CONTINUED) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) Application and Approval § 158.30 PFC Authorization at Non-Hub Airports. (a) General. This section specifies the procedures a public agency controlling...

  2. 14 CFR 158.30 - PFC Authorization at Non-Hub Airports.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (CONTINUED) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) Application and Approval § 158.30 PFC Authorization... paragraphs (b)(1) through (7) of this section; (ii) A completed FAA Form 5500-1, Attachment G, Airport Layout...) and (3); (D) All applicable airport layout plan, airspace, and environmental requirements have...

  3. 32 CFR 732.14 - Authorized care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL NONNAVAL MEDICAL AND DENTAL CARE Medical and Dental Care From Nonnaval Sources § 732.14 Authorized care. (a) Medical. (1... x-ray services, physical therapy, eye examinations, etc. See § 732.17 for prior approval of...

  4. Metal Surface Decontamination by the PFC Solution

    SciTech Connect

    Hui-Jun Won; Gye-Nam Kim; Wang-Kyu Choi; Chong-Hun Jung; Won-Zin Oh

    2006-07-01

    PFC (per-fluorocarbon) spray decontamination equipment was fabricated and its decontamination behavior was investigated. Europium oxide powder was mixed with the isotope solution which contains Co-60 and Cs-137. The different shape of metal specimens artificially contaminated with europium oxide powder was used as the surrogate contaminants. Before and after the application of the PFC spray decontamination method, the radioactivity of the metal specimens was measured by MCA. The decontamination factors were in the range from 9.6 to 62.4. The spent PFC solution was recycled by distillation. Before and after distillation, the turbidity of PFC solution was also measured. From the test results, it was found that more than 98% of the PFC solution could be recycled by a distillation. (authors)

  5. PFC Decontamination of a Metal Surface and the Recycling of a Spent PFC Solution

    SciTech Connect

    Jung, C.H.; Won, H.J.; Oh, W.Z.; Moon, J.K.; Park, J.H.

    2006-07-01

    PFC (per-fluorocarbon) ultrasonic decontamination behavior of loosely contaminated metal specimens such as a plate, pipe, welding and a crevice specimen in a mixed solution of PFC and an anionic surfactant was investigated. Perfluoroheptane (C{sub 7}F{sub 16}) was used as a PFC ultrasonic media. The contaminants were completely removed for almost all of the tested specimens except for the longest pipe length specimen. For the 6-cm long specimen, 98.5 % of the contaminants were removed. For the recycling of the PFC solution, a distillation test for the spent PFC solution was also performed. The results show that 97.5 % of the PFC was recycled without a loss of the decontamination efficiency. (authors)

  6. Palliative care situation in Palestinian Authority.

    PubMed

    Shawawra, Mousa; Khleif, Amal Dweib

    2011-04-01

    Palliative care is a very new concept in Palestine. In fact, it is still not applicable or provided within the Palestinian health care system. However, Al-Sadeel Society had organized a one day workshop in Bethlehem on November 2008 for the health professionals from the governmental and non-governmental sectors to initiate and introduce the idea of palliative care for the first time in Palestine. The general population of Palestine is approximately 2.4 millions (2007), with a life expectancy of 74.3 years of age, the death rate is 3.7 per 1000 population, having 8,910 deaths a year. Deaths due to cancer were 2,305 in five years (1999-2003), where 5,542 new cases were newly diagnosed in the same period. Health services available for cancer patients are hospital units either in patient or day care units. According to the ministry of health (MOH) statistics there are 75 beds in oncology departments in MOH hospitals; represent 2.7% of the total number of beds available, and 60 beds in daily care departments with an occupancy rate at 231.8%. There is no hospice or bereavement follow up care available for patients or their families. Despite the fact that the Palestinian culture is one of the cultures that respect and care for the elderly, but at the end of life, when the load of symptoms is high, most of the patient are care for at hospitals, and usually dye there, because the families are not able to care for their patients, and as there is no system for home care available for the Palestinian patients, and if it is available it is available in limited places and on private bases that are expensive and not affordable to the majority of patients, gross domestic product (GPD) per capita= 1,100 as 2007 estimates). We conducted a needs assessment survey within the only four facilities that provide care for the oncology patients in the West Bank and were filled by the direct health care providers. The results were expressing the fact that there is no palliative care service

  7. 32 CFR 732.14 - Authorized care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... provided: (i) All types of treatment (including operative, restorative, and oral surgical) to relieve pain...), only measures appropriate to relieve pain or abort infection are authorized. (d) Eye refractions...

  8. 32 CFR 732.14 - Authorized care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... provided: (i) All types of treatment (including operative, restorative, and oral surgical) to relieve pain...), only measures appropriate to relieve pain or abort infection are authorized. (d) Eye refractions...

  9. Assessment, authorization and access to medicaid managed mental health care.

    PubMed

    Masland, Mary C; Snowden, Lonnie R; Wallace, Neal T

    2007-11-01

    Examined were effects on access of managed care assessment and authorization processes in California's 57 county mental health plans. Primary data on managed care implementation were collected from surveys of county plan administrators; secondary data were from Medicaid claims and enrollment files. Using multivariate fixed effects regression, we found that following implementation of managed care, greater access occurred in county plans where assessments and treatment were performed by the same clinician, and where service authorizations were made more rapidly. Lower access occurred in county plans where treating clinicians authorized services themselves. Results confirm the significant effects of managed care processes on outcomes and highlight the importance of system capacity.

  10. 32 CFR 732.14 - Authorized care.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...), only measures appropriate to relieve pain or abort infection are authorized. (d) Eye refractions and spectacles. Includes refractions of eyes by physicians and optometrists and furnishing and repairing spectacles. (1) Refractions. A refraction may be obtained from a civilian source at Government expense...

  11. 32 CFR 732.14 - Authorized care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...), only measures appropriate to relieve pain or abort infection are authorized. (d) Eye refractions and spectacles. Includes refractions of eyes by physicians and optometrists and furnishing and repairing spectacles. (1) Refractions. A refraction may be obtained from a civilian source at Government expense...

  12. Leadership: the Winnipeg Community and Long-Term Care Authority.

    PubMed

    Suski, M; Hack, T; Heaman, M

    1999-01-01

    The Winnipeg Community and Long Term Care Authority (WCA) was established in 1998 under the Regional Health Authorities Act of the Province of Manitoba. The WCA's role is to provide for the successful integration of Winnipeg's community-based healthcare delivery services through its three main portfolios: Community Care and Public Health, Home Care and Mental Health, and Long Term Care and Specialized Services. The WCA is dedicated to building a quality health future for Winnipeg. Various initiatives undertaken in the pursuit of quality are described.

  13. 76 FR 3143 - Office of Child Care; Delegation of Authority

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    ... HUMAN SERVICES Administration for Children and Families Office of Child Care; Delegation of Authority Notice is hereby given that I have delegated to the Director, Office of Child Care, Administration for..., Pub. L. 104-193), as amended, as they pertain to the functions assigned to the Office of Child...

  14. [Hospital infection during postoperative intensive care (author's transl)].

    PubMed

    Kalmar, P; Horatz, K; Rodewald, G; Schassan, H H; Schassek, S

    1976-11-15

    Since 1970 all postoperative bacteriological findings recorded in surgical patients have been analyzed and compared with the postoperative course. There are also regular checks of bacterial invasion in the operating suites and in the intensive care units. By such means as systems of double lock for personnel and equipment, regular surface disinfection, frequent hand disinfection, cleaning of the respirators with antiseptics, etc., the authors have been able to reduce the incidence of hospital infection very drastically. These measures also almost eliminated cross-infections in patients on long-term ventilation and complications with long-term indwelling catheters.

  15. 78 FR 57208 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ...: Salt Lake City Corporation, Salt Lake City, Utah. APPLICATION NUMBER: 12-14-I-00-SLC. APPLICATION TYPE..., Florida. APPLICATION NUMBER: 12-03-C-00-SFB. APPLICATION TYPE: Impose and use a PFC. PFC LEVEL: $4.00... Aviation Authority, Tampa, Florida. APPLICATION NUMBER: 12-09-C-00-TPA. APPLICATION TYPE: Impose and use...

  16. Pharmacist-initiated prior authorization process to improve patient care in a psychiatric acute care hospital.

    PubMed

    Allen, Shari N; Ojong-Salako, Mebanga

    2015-02-01

    A prior authorization (PA) is a requirement implemented by managed care organizations to help provide medications to consumers in a cost-effective manner. The PA process may be seen as a barrier by prescribers, pharmacists, pharmaceutical companies, and consumers. The lack of a standardized PA process, implemented prior to a patient's discharge from a health care facility, may increase nonadherence to inpatient prescribed medications. Pharmacists and other health care professionals can implement a PA process specific to their institution. This article describes a pharmacist-initiated PA process implemented at an acute care psychiatric hospital. This process was initiated secondary to a need for a standardized process at the facility. To date, the process has been seen as a valuable aspect to patient care. Plans to expand this process include collecting data with regards to adherence and readmissions as well as applying for a grant to help develop a program to automate the PA program at this facility.

  17. Particularism in health care: challenging the authority of the aggregate.

    PubMed

    Tanenbaum, Sandra J

    2014-12-01

    In health care, particularism asserts the primacy of the individual case. Moral particularists, such as Jonsen and Toulmin, reject deduction from universal moral principles and instead seek warrants for action from the multiple sources unique to a given patient. Another kind of health care particularism, here referred to as the knowledge of particulars, is offered as a corrective to evidence-based medicine (EBM), its influence on health care practice and policy, and specifically to EBM's reliance on the aggregate. This paper describes the knowledge of particulars and identifies strategies for its legitimation in health care policy and practice. First, the paper documents the ascendancy of the aggregate through EBM's definition of 'what works' in health care. Second, it delineates the limits of health care knowledge based on the analysis of aggregates, not only for the care of individual patients but for the formulation of policies about patient care. Third, the paper analyses prominent rejections of the particular in contemporary health policy discourse and relates them to larger political purposes. Finally, it depicts the knowledge of particulars as the basis for clinical prudence and offers three potential strategies for promoting particularism as essential to high-quality care. PMID:25406384

  18. Origins of authority: the organization of medical care in Sweden.

    PubMed

    Gustafsson, R A

    1989-01-01

    Earlier research by Gardell and Gustafsson indicates a general discrepancy between perceived needs and organizational structure in Swedish somatic hospitals; the work organization directs the work process as if cure and medical treatment were the only appropriate goals in almost all kinds of health care settings. The standard organizational model for general hospitals, here named "the acute care model"--which is a merger of medical and administrative hierarchies--forces great segments of the staff into a work content that is neither appropriate for patients' needs nor satisfying for the personnel. The present study is a historical-sociological discourse in which the structural antecedents of the acute care model are traced. It gives an exposé of the main stages in the formation of the Swedish health care system from the middle ages to the present. In 1864 a regulation of the hospital boards was issued. This meant the definite consolidation of the acute care model and was in line with earlier developments, which were characterized by an incremental interorganizational activity demarcation that divided the core of institutional care into three branches: somatic hospitals, mental hospitals, and homes for the elderly. The driving forces in the formation of the total health care system are shown to be closely related to premedical and extramedical factors, such as military needs, mercantilism, and the emergence of the middle class.

  19. 14 CFR 158.39 - Use of excess PFC revenue.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Use of excess PFC revenue. 158.39 Section...) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) Application and Approval § 158.39 Use of excess PFC revenue. (a) If the PFC revenue remitted to the public agency, plus interest earned thereon, exceeds the...

  20. 14 CFR 158.13 - Use of PFC revenue.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Use of PFC revenue. 158.13 Section 158.13... PASSENGER FACILITY CHARGES (PFC'S) General § 158.13 Use of PFC revenue. PFC revenue, including any interest earned after such revenue has been remitted to a public agency, may be used only to finance the...

  1. 20 CFR 10.300 - What are the basic rules for authorizing emergency medical care?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... emergency medical care? 10.300 Section 10.300 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS...' COMPENSATION ACT, AS AMENDED Medical and Related Benefits Emergency Medical Care § 10.300 What are the basic rules for authorizing emergency medical care? (a) When an employee sustains a work-related...

  2. 38 CFR 17.55 - Payment for authorized public or private hospital care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... hospital care authorized under 38 U.S.C. 1703 and 38 CFR 17.52 of this part or under 38 U.S.C. 1728 and 38... shall pay the transferring hospital an amount calculated by the HCFA PRICER for each patient day of care... public or private hospital care. 17.55 Section 17.55 Pensions, Bonuses, and Veterans' Relief...

  3. 38 CFR 17.55 - Payment for authorized public or private hospital care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... hospital care authorized under 38 U.S.C. 1703 and 38 CFR 17.52 of this part or under 38 U.S.C. 1728 and 38... shall pay the transferring hospital an amount calculated by the HCFA PRICER for each patient day of care... public or private hospital care. 17.55 Section 17.55 Pensions, Bonuses, and Veterans' Relief...

  4. The impact of competition among health care financing authorities on market yields and issuer interest expenses.

    PubMed

    Bernet, Patrick M; Carpenter, Caryl E; Saunders, Warren

    2011-01-01

    The main source of capital for non-for-profit health care organizations is tax-exempt municipal bonds. The tax-exempt nature of this debt requires that they be issued through financing authorities, which are run by, or affiliated with, state or local government agencies. In some states, all tax-exempt health care bonds must be issued through a single financing authority, but in other states the issuing health care organization has a choice of multiple authorities. Using a Herfindahl index of issuer concentration, prior research has found that greater competition among authorities results in lower interest costs to the issuing health care organization. We pick up where this earlier study left off, examining the links between authority competition, the interest expenses to the issuer, and the yield to the market investor. Although our analysis of all hospital bonds issued between 1994 and 2002 corroborates earlier findings with regard to interest expenses to the issuing health care organization, we also find market yield is lower for statewide authorities where issuer concentration is lower. Thus, authority competition is good from the issuers' point of view, but holds no favor in the investors' eyes. On the other hand, the lower market yield associated with statewide authorities does not make its way down to the issuer in the form of lower interest costs. To help sort through this paradox, we explore our findings through interviews of executives in state issuing authorities.

  5. 76 FR 50540 - Pilot Program of Enhanced Contract Care Authority for Veterans in Highly Rural Areas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-15

    ... AFFAIRS Pilot Program of Enhanced Contract Care Authority for Veterans in Highly Rural Areas AGENCY... implementing Sec. 403 of Public Law (Pub. L.) 110-387, ``Veterans' Mental Health and Other Care Improvements Act of 2008,'' which requires VA to establish a pilot program to contract with non-VA health...

  6. Devolving authority for health care in Canada's provinces: 4. Emerging issues and prospects.

    PubMed

    Lomas, J

    1997-03-15

    Devolution or authority for health care is evaluated in the context of 3 objectives of provincial governments--community empowerment to garner new allies for health care restructuring, service integration to create a true "system" and conflict containment as spending is cut. Devolved authorities cannot pursue each of these objectives with equal vigour because they must balance the competing pressures from their provincial government, their providers and their local citizens. Each devolved authority accommodates these pressures in its own way, through different trade-offs. Appointed board members are generally well intentioned in representing the interests of their entire community but are unlikely to overcome formidable barriers to community empowerment in health care. Unless future board elections attract large and representative voter turnouts, they may fragment board members' accountability (by making them more accountable to multiple interest groups) rather than solidify it (by making them more accountable to the community). Although boards have integrated and rationalized parts of the institutional sector, integration of the community sector is hampered by structural constraints such as the lack of budgetary authority for a broader scope of services, including physicians' fees and drugs. Devolved authorities will deflect blame from provincial governments and contain conflict only while they believe that there is still slack in the system and that efficiency can be improved. When boards no longer perceive this, they are likely to add their voices to local discontent with fiscal retrenchment. Continuing evaluation and periodic meetings of authorities to share experiences and encourage cross-jurisdictional policy learning are needed.

  7. 38 CFR 17.55 - Payment for authorized public or private hospital care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... hospital care authorized under 38 U.S.C. 1703 and 38 CFR 17.52 of this part or under 38 U.S.C. 1728 and 38 CFR 17.120 of this part shall be based on a prospective payment system similar to that used in the... discharge, as determined according to the methodology in subparts D and G of 42 CFR part 412, as...

  8. 38 CFR 17.55 - Payment for authorized public or private hospital care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... hospital care authorized under 38 U.S.C. 1703 and 38 CFR 17.52 of this part or under 38 U.S.C. 1728 and 38 CFR 17.120 of this part shall be based on a prospective payment system similar to that used in the... discharge, as determined according to the methodology in subparts D and G of 42 CFR part 412, as...

  9. 38 CFR 17.55 - Payment for authorized public or private hospital care.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... hospital care authorized under 38 U.S.C. 1703 and 38 CFR 17.52 of this part or under 38 U.S.C. 1728 and 38 CFR 17.120 of this part shall be based on a prospective payment system similar to that used in the... discharge, as determined according to the methodology in subparts D and G of 42 CFR part 412, as...

  10. 14 CFR 158.13 - Use of PFC revenue.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Use of PFC revenue. 158.13 Section 158.13 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS... for the benefit of holders of obligations, the FAA considers PFC revenue to have paid the...

  11. PFOS and PFC releases and associated pollution from a PFC production plant in Minnesota (USA).

    PubMed

    Oliaei, Fardin; Kriens, Don; Weber, Roland; Watson, Alan

    2013-04-01

    Perfluorooctane sulfonate (PFOS) and PFOS-related substances have been listed as persistent organic pollutants in the Stockholm Convention. From August 2012, Parties to the Convention needed to address the use, storage, and disposal of PFOS-including production sites and sites where PFOS wastes have been deposited-in their national implementation plans. The paper describes the pollution in Minnesota (USA) caused by the 3M Company at one of the largest per/polyfluorinated chemical (PFC) production facilities. From early 1950s until the end of 2002, when 3M terminated PFOS and perfluorooctanoic acid (PFOA) production, PFOS, PFOA, and other PFC production wastes were disposed around the plant and in local disposal sites. Discharges from the site and releases from deposits caused widespread contamination of ground and surface waters including local drinking water wells. Fish in the river downstream were contaminated with PFOS to levels that led to fish consumption advisories. Human exposures resulted from ingesting contaminated drinking water, requiring installation of water treatment facilities and alternate water supplies. The critical evaluation of the assessments done revealed a range of gaps in particular of human exposure where relevant exposure pathways including the entire exposure via food have not been taken into consideration. Currently, the exposure assessment of vulnerable groups such as children or Hmong minorities is inadequate and needs to be improved/validated by epidemiological studies. The assessment methodology described for this site may serve-with highlighted improvements-as a model for assessment of other PFOS/PFC production sites in the Stockholm Convention implementation.

  12. Devolving authority for health care in Canada's provinces: 1. An introduction to the issues

    PubMed Central

    Lomas, J; Woods, J; Veenstra, G

    1997-01-01

    In 9 of Canada's 10 provinces, much of the decision-making in health care has recently been devolved to local authorities. Provincial governments want this new governance structure to at least contain costs and improve service integration. However, there has been little evaluation of devolution to determine whether these and other goals are being met. Although devolved structures in the provinces vary somewhat with respect to the number of tiers, accountability mechanisms, degree of authority and method of funding, the only structural element that varies substantially is the scope of services under the authority of local boards. The real authority of the boards depends, however, on their negotiated compromises among 3 areas of tension: the provincial government's expectations, the providers' interests and the local citizens' needs and preferences. The boards' abilities to negotiate acceptable compromises will largely determine their effectiveness. This article introduces a survey of the members of 62 boards in 5 provinces for which the response rate was 65%, with 514 of 791 board members responding. PMID:9033419

  13. Bifurcation behaviours of peak current controlled PFC boost converter

    NASA Astrophysics Data System (ADS)

    Ren, Hai-Peng; Liu, Ding

    2005-07-01

    Bifurcation behaviours of the peak current controlled power-factor-correction (PFC) boost converter, including fast-scale instability and low-frequency bifurcation, are investigated in this paper. Conventionally, the PFC converter is analysed in continuous conduction mode (CCM). This prevents us from recognizing the overall dynamics of the converter. It has been pointed out that the discontinuous conduction mode (DCM) can occur in the PFC boost converter, especially in the light load condition. Therefore, the DCM model is employed to analyse the PFC converter to cover the possible DCM operation. By this way, the low-frequency bifurcation diagram is derived, which makes the route from period-double bifurcation to chaos clear. The bifurcation diagrams versus the load resistance and the output capacitance also indicate the stable operation boundary of the converter, which is useful for converter design.

  14. Transformation management of primary health care services in two selected local authorities in Gauteng.

    PubMed

    Sibaya, W; Muller, M

    2000-12-01

    The transformation of health services in South Africa today is governed by the political, policy and legislative frameworks. This article focuses on the transformation of a primary health care service within a local authority in Gauteng. The purpose with this article is to explore and describe the perceptions (expectations and fears) of selected managers employed in this primary health care service. The results are utilised to compile a strategy (framework) for transformation management and leadership within the primary health care service. A qualitative research design was utilised and the data was collected by means of individual interviews with selected managers in the service, followed by a content analysis. The expectations and fears of managers focus mainly on personnel matters, community participation/satisfaction, salaries and parity, inadequate stocks/supplies and medication, the deterioration of quality service delivery and the need for training and empowerment. These results are divided into structure, process and outcome dimensions and are embodied in the conceptual framework for the transformation and leadership strategy. It is recommended that standards for transformation management be formulated and that the quality of transformation management be evaluated accordingly.

  15. Schema representation in patients with ventromedial PFC lesions.

    PubMed

    Ghosh, Vanessa E; Moscovitch, Morris; Melo Colella, Brenda; Gilboa, Asaf

    2014-09-01

    Human neuroimaging and animal studies have recently implicated the ventromedial prefrontal cortex (vmPFC) in memory schema, particularly in facilitating new encoding by existing schemas. In humans, the most conspicuous memory disorder following vmPFC damage is confabulation; strategic retrieval models suggest that aberrant schema activation or reinstatement plays a role in confabulation. This raises the possibility that beyond its role in schema-supported memory encoding, the vmPFC is also implicated in schema reinstatement itself. If that is the case, vmPFC lesions should lead to impaired schema-based operations, even on tasks that do not involve memory acquisition. To test this prediction, ten patients with vmPFC damage, four with present or prior confabulation, and a group of twelve matched healthy controls made speeded yes/no decisions as to whether words were closely related to a schema (a visit to the doctor). Ten minutes later, they repeated the task for a new schema (going to bed) with some words related to the first schema included as lures. Last, they rated the degree to which stimuli were related to the second schema. All four vmPFC patients with present or prior confabulation were impaired in rejecting lures and in classifying stimulus belongingness to the schema, even when they were not lures. Nonconfabulating patients performed comparably to healthy adults with high accuracy, comparable reaction times, and similar ratings. These results show for the first time that damage to the human vmPFC, when associated with confabulation, leads to deficient schema reinstatement, which is likely a prerequisite for schema-mediated memory integration.

  16. 78 FR 57205 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ..., Wenatchee, WA 01/23/13 104,916 102,027 04/01/10 04/01/10 Issued in Washington, DC, on September 4, 2013. Joe.... Application Number: 13-09-C-00-PSC. Application Type: Impose and use a PFC. PFC Level: $4.50. Total PFC.... Application Number: 13-05-C-00-FAY. Application Type: Impose and use a PFC. PFC Level: $4.00. Total...

  17. Patients’ mobility as an indicator for (in)efficiency:a panel data analysis on Italian health care authorities

    PubMed Central

    2013-01-01

    Abstract This paper investigates the influence of internal managerial patterns of heath care authorities on the decision of patients to migrate towards different health care organizations to avail treatments. The efficiency and productivity issues are analyzed, considering the (passive) migration as a proxy for the (in)efficient service availed. We follow the “vote by feet” theorization by Tiebout , assuming that citizens can choose to avail a health treatment in a public service provider different from their resident one. The choice for a center that is far from home implies a negative judgment to the alternative health care supplier that is closer to the patient. Testing Fixed Effects Panel Model on a sample of Italian health care authorities, a strong correlation is found among variables in our model and some relevant dependence is tested between patients’ mobility behavior and their resident authorities’ efficiency in allocating resources on the proper operating cost. Spending in the proper way on health care could bring about an enhancement of performances. Instead, wasting resources is immediately perceived by the patient, who consequently seems to move to a different health care authority. JEL code M48 PMID:23422329

  18. 75 FR 72682 - Health Care Eligibility Under the Secretarial Designee Program and Related Special Authorities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

    ... of the Secretary 32 CFR Part 108 RIN 0790-AI52 Health Care Eligibility Under the Secretarial Designee...: This rule establishes policy and assigns responsibilities for health care eligibility under the... for inpatient health care provided in the United States to foreign military or diplomatic personnel...

  19. 75 FR 18138 - Health Care Eligibility Under the Secretarial Designee Program and Related Special Authorities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... of the Secretary 32 CFR Part 108 Health Care Eligibility Under the Secretarial Designee Program and... proposed action would establish policies and assign responsibilities for health care eligibility under the... reimbursement for inpatient health care provided in the United States to foreign military or...

  20. Pilot Study of Behavioral Treatment in Dementia Care Units.(practice Concepts)(author Abstract)

    ERIC Educational Resources Information Center

    Lichtenberg, Peter A.; Kemp-Havican, Julie; MacNeill, Susan E.; Johnson, Amanda Schafer

    2005-01-01

    Purpose: This article reports on the development and use of behavioral treatment as a well-being intervention for individuals with dementia residing at special care units in a nursing home. Design and Methods: The project took place upon the construction and opening of two new homelike units for dementia care in a rural community-care center.…

  1. Physicians' Perspectives on Caring for Cognitively Impaired Elders.(author Abstract)

    ERIC Educational Resources Information Center

    Adams, Wendy L.; McIlvain, Helen E.; Geske, Jenenne A.; Porter, Judy L.

    2005-01-01

    Purpose: This study aims to develop ah in-depth understanding of the issues important to primary care physicians in providing care to cognitively impaired elders. Design and Methods: In-depth interviews were conducted with 20 primary care physicians. Text coded as "cognitive impairment" was retrieved and analyzed by use of grounded theory analysis…

  2. Trainee Teachers, Gender and Becoming the "Right" Person for the Job: Care and Authority in the Vocational Habitus of Teaching

    ERIC Educational Resources Information Center

    Braun, Annette

    2012-01-01

    Drawing on a qualitative study of 32 UK student teachers, this paper asks what constitutes the vocational culture of teaching by exploring contradictory discourses of care and authority as they are presented to, and interpreted by, trainee teachers along their journey to becoming newly qualified teachers. Introducing the concept of "vocational…

  3. 75 FR 36099 - Legislative Changes to Primary Care Loan Program Authorized Under Title VII of the Public Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-24

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Legislative Changes to Primary Care Loan Program Authorized Under Title VII of the Public Health Service Act AGENCY: Health Resources and...

  4. [Hygienic requirements for the architectural-functional design of intensive care units (author's transl)].

    PubMed

    Rüden, H; Fischer, P; Botzenhart, K

    1978-05-01

    Three standard variants of intensive care units are described. The hygienic-microbiological examinations of the patients' surrounding show in how fat architectural factors influence the propagation of germs responsible for nosocomial infections. The results are hygienic requirements concerning the architectural functional structure of intensive care units to facilitate the maintenance of anti- and asepsis for the nursing personal.

  5. What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey.

    PubMed

    van Leeuwen, K M; Malley, J; Bosmans, J E; Jansen, A P D; Ostelo, R W; van der Horst, H E; Netten, A

    2014-09-01

    Local authorities spend considerable resources on social care at home for older adults. Given the expected growth in the population of older adults and budget cuts on local government, it is important to find efficient ways of maintaining and improving the quality of life of older adults. The ageing in place literature suggests that policies in other functions of local authorities may have a significant role to play. This study aims to examine the associations between social care-related quality of life (SCRQoL) in older adults and three potential policy targets for local authorities: (i) accessibility of information and advice, (ii) design of the home and (iii) accessibility of the local area. We used cross-sectional data from the English national Adult Social Care Survey (ASCS) 2010/2011 on service users aged 65 years and older and living at home (N=29,935). To examine the association between SCRQoL, as measured by the ASCOT, and three single-item questions about accessibility of information, design of the home and accessibility of the local area, we estimate linear and quantile regression models. After adjusting for physical and mental health factors and other confounders our findings indicate that SCRQoL is significantly lower for older adults who find it more difficult to find information and advice, for those who report that their home design is inappropriate for their needs and for those who find it more difficult to get around their local area. In addition, these three variables are as strongly associated with SCRQoL as physical and mental health factors. We conclude that in seeking to find ways to maintain and improve the quality of life of social care users living at home, local authorities could look more broadly across their responsibilities. Further research is required to explore the cost-effectiveness of these options compared to standard social care services.

  6. 14 CFR 158.35 - Extension of time to submit application to use PFC revenue.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... use PFC revenue. 158.35 Section 158.35 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... § 158.35 Extension of time to submit application to use PFC revenue. (a) A public agency may request an extension of time to submit an application to use PFC revenue after approval of an application to impose...

  7. 14 CFR 158.15 - Project eligibility at PFC levels of $1, $2, or $3.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Project eligibility at PFC levels of $1, $2, or $3. 158.15 Section 158.15 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) General § 158.15 Project eligibility at PFC levels of $1, $2, or $3. (a) To...

  8. 14 CFR 158.17 - Project eligibility at PFC levels of $4 or $4.50.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Project eligibility at PFC levels of $4 or $4.50. 158.17 Section 158.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... PFC levels of $4 or $4.50. (a) A project for any airport is eligible for PFC funding at levels of...

  9. Social Scaffolding of Human Amygdala-mPFC Circuit Development

    PubMed Central

    Tottenham, Nim

    2016-01-01

    Strong evidence indicates that reciprocal connections between the amygdala and medial prefrontal cortex (mPFC) support fundamental aspects of emotional behavior in adulthood. However, this circuitry is slow to develop in humans, exhibiting immaturity in childhood. The argument is made that the development of this circuitry in humans is intimately associated with caregiving, such that parental availability during childhood provides important and enduring scaffolding of neuroaffective processes that ultimately form of the nature of the adult phenotype. PMID:26313424

  10. A view from Riggs: treatment resistance and patient authority--VIII. Standards of care and patient autonomy.

    PubMed

    Charles, Marilyn

    2008-01-01

    The therapeutic community at the Austen Riggs Center relies on patient authority to preserve the open setting. Patients' willingness to take on the challenges and responsibilities of citizenship makes it possible to work without bars or locks. Most patients arrive having been labeled "treatment resistant," a label that can connote noncompliance but can also mark the complexity of the trouble and a resistance to being objectified in ways that are dehumanizing. Respect for this complexity can at times counter standards of care that define and prescribe ways of viewing patients and attending to their distress that may be simplistic and undermine development. This paper will explore how current ideas about standards of care may insufficiently take into account the importance of the patient's authority--and the therapist's standards--in helping an individual to make sense of life and experience, and how facing this dilemma head on can reduce resistance.

  11. Activity in dlPFC and its effective connectivity to vmPFC are associated with temporal discounting

    PubMed Central

    Hare, Todd A.; Hakimi, Shabnam; Rangel, Antonio

    2014-01-01

    There is widespread interest in identifying computational and neurobiological mechanisms that influence the ability to choose long-term benefits over more proximal and readily available rewards in domains such as dietary and economic choice. We present the results of a human fMRI study that examines how neural activity relates to observed individual differences in the discounting of future rewards during an intertemporal monetary choice task. We found that a region of left dorsolateral prefrontal cortex (dlPFC) BA-46 was more active in trials where subjects chose delayed rewards, after controlling for the subjective value of those rewards. We also found that the connectivity from dlPFC BA-46 to a region of ventromedial prefrontal cortex (vmPFC) widely associated with the computation of stimulus values, increased at the time of choice, and especially during trials in which subjects chose delayed rewards. Finally, we found that estimates of effective connectivity between these two regions played a critical role in predicting out-of-sample, between-subject differences in discount rates. Together with previous findings in dietary choice, these results suggest that a common set of computational and neurobiological mechanisms facilitate choices in favor of long-term reward in both settings. PMID:24672421

  12. [Dutch Health Care Inspectorate (IGZ) abuses its inspection authority in patient files].

    PubMed

    van Lessen Kloeke, Koosje

    2014-01-01

    For its investigation regarding the transfer of data after discharge of vulnerable elderly patients from hospital to nursing homes, care homes or home care, the Dutch Health Care Inspectorate (IGZ) demands access to patients' files, without their explicit consent. Doctors who do not cooperate run the risk of penalty payments. Since it concerns a limited number of patients per practice, it would not be unreasonably onerous for the Inspectorate to allow doctors to ask their patients' consent. Other reasons mentioned by the Inspectorate, such as possible "inappropriate correction" of data and the capability of vulnerable elderly patients to give their consent seem improper grounds to breach patients' right to privacy and to demand that doctors breach professional confidentiality. The legality of the Inspectorate's actions could be addressed in a test case and should be discussed more widely in light of the Inspectorate's work plan for 2014. PMID:24893819

  13. [Dutch Health Care Inspectorate (IGZ) abuses its inspection authority in patient files].

    PubMed

    van Lessen Kloeke, Koosje

    2014-01-01

    For its investigation regarding the transfer of data after discharge of vulnerable elderly patients from hospital to nursing homes, care homes or home care, the Dutch Health Care Inspectorate (IGZ) demands access to patients' files, without their explicit consent. Doctors who do not cooperate run the risk of penalty payments. Since it concerns a limited number of patients per practice, it would not be unreasonably onerous for the Inspectorate to allow doctors to ask their patients' consent. Other reasons mentioned by the Inspectorate, such as possible "inappropriate correction" of data and the capability of vulnerable elderly patients to give their consent seem improper grounds to breach patients' right to privacy and to demand that doctors breach professional confidentiality. The legality of the Inspectorate's actions could be addressed in a test case and should be discussed more widely in light of the Inspectorate's work plan for 2014.

  14. [Health care for undocumented migrants--a quantitative study on the role of local health authorities in Germany].

    PubMed

    Mylius, M; Frewer, A

    2014-07-01

    Public welfare on a municipal level for groups with special health risks has been an important topic of public health service for more than a century. This notion has been taken up by the German "Protection against Infection Act" (IfSG) in § 19 IfSG. Local health service authorities may provide out-patient treatment in addition to counselling and diagnosis for patients with sexually transmitted infections and tuberculosis, which is covered by public resources in cases of apparent need. Due to altered legislation and increased global mobility, this may become important for migrants without access to regular health care.Aims of this study were recording, counselling, diagnosis and out-patient treatment of migrants without legal residence status under the German Protection against Infection Act in the public health care system.An electronic mail survey of all local health authorities (n=384) by means of a standardised questionnaire was undertaken. Data were analysed using descriptive statistics. In the annex of the questionnaire the participants were asked to describe a case study.139 of 384 local health authorities completed the questionnaire (36.2%) of whom approximately a quarter (24.6%) described contacts to "illegal" migrants. Contacts to migrants without legal residence status are more frequent in cities with more than 100,000 inhabitants than in ismaller cities (p<0.05). 22.6% of all local health authorities make an effort to reach undocumented migrants for counseling and diagnosis. 25 of the local health authorities (18.4%) indicated the capability to provide treatment in accordance with § 19 IfSG. A majority of these local health authorities also have contacts to undocumented migrants (75%). 16 local health authorities (13.3%) provide out-patient treatment for diseases not listed in Protection against Infection Act. 56 authorities (46.7%) refer patients to aid organisations or to resident doctors.Only a small number of local health authorities have contacts

  15. Regulating payment for home care companionship services: legal authority and public policy.

    PubMed

    Kapp, Marshall B

    2008-01-01

    On June 11, 2007, the U.S. Supreme Court issued a ruling in the case of Long Island Care at Home Ltd. v. Coke that upheld a federal regulation exempting employees of third-party agencies who provide home-based "companionship services" to disabled persons from the protections of the minimum wage and overtime pay provisions of the Fair Labor Standards Act. This article discusses the legal issues argued in the case and the legal rationales for the court's decision. The article then identifies the important public policy questions involving the maintenance of a sufficient, competent home care workforce that were left unanswered by the legal ruling and outlines some of the pragmatic implications of potential responses to these public policy questions.

  16. 77 FR 16537 - Grant of Authority for Subzone Status Piramal Critical Care, Inc., (Inhalation Anesthetics...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... 31, 2010); Whereas, notice inviting public comment has been given in the Federal Register (75 FR... Anesthetics), Bethlehem, PA Pursuant to its authority under the Foreign-Trade Zones Act of June 18, 1934, as... establish a special-purpose subzone at the inhalation anesthetic manufacturing and distribution...

  17. Proceedings of the AMCP Partnership Forum: NCPDP Electronic Prior Authorization Standards-Building a Managed Care Implementation Plan.

    PubMed

    2015-07-01

    Today's manual prior authorization (PA) process is often viewed by providers, payers, pharmacists, and patients as cumbersome, costly, and inefficient. The recent approval by the National Council for Prescription Drug Programs of a standard transaction for electronic prior authorization (e-PA) has paved the way for more rapid and efficient processing of PA requests. On April 23, 2014, the Academy of Managed Care Pharmacy (AMCP) convened a meeting of key stakeholders to explore how to support the process of implementing the new standard transactions for e-PA and to recommend activities and programs that AMCP can promote to speed the adoption of e-PA. This Partnership Forum included individuals from managed care organizations, the pharmaceutical industry, pharmacy benefit managers, electronic prescription hubs or networks, and health information technology vendors. The speakers and panelists recommended that AMCP should develop measurable goals for staged and full implementation of e-PA. To accomplish this, it was recommended that AMCP work to collaborate with organizations representing these stakeholders. Additionally, it was recommended that AMCP develop managed care e-PA implementation and e-PA criteria guides, as well as an e-PA scorecard. PMID:26108378

  18. A fully Bayesian before-after analysis of permeable friction course (PFC) pavement wet weather safety.

    PubMed

    Buddhavarapu, Prasad; Smit, Andre F; Prozzi, Jorge A

    2015-07-01

    Permeable friction course (PFC), a porous hot-mix asphalt, is typically applied to improve wet weather safety on high-speed roadways in Texas. In order to warrant expensive PFC construction, a statistical evaluation of its safety benefits is essential. Generally, the literature on the effectiveness of porous mixes in reducing wet-weather crashes is limited and often inconclusive. In this study, the safety effectiveness of PFC was evaluated using a fully Bayesian before-after safety analysis. First, two groups of road segments overlaid with PFC and non-PFC material were identified across Texas; the non-PFC or reference road segments selected were similar to their PFC counterparts in terms of site specific features. Second, a negative binomial data generating process was assumed to model the underlying distribution of crash counts of PFC and reference road segments to perform Bayesian inference on the safety effectiveness. A data-augmentation based computationally efficient algorithm was employed for a fully Bayesian estimation. The statistical analysis shows that PFC is not effective in reducing wet weather crashes. It should be noted that the findings of this study are in agreement with the existing literature, although these studies were not based on a fully Bayesian statistical analysis. Our study suggests that the safety effectiveness of PFC road surfaces, or any other safety infrastructure, largely relies on its interrelationship with the road user. The results suggest that the safety infrastructure must be properly used to reap the benefits of the substantial investments. PMID:25897515

  19. A fully Bayesian before-after analysis of permeable friction course (PFC) pavement wet weather safety.

    PubMed

    Buddhavarapu, Prasad; Smit, Andre F; Prozzi, Jorge A

    2015-07-01

    Permeable friction course (PFC), a porous hot-mix asphalt, is typically applied to improve wet weather safety on high-speed roadways in Texas. In order to warrant expensive PFC construction, a statistical evaluation of its safety benefits is essential. Generally, the literature on the effectiveness of porous mixes in reducing wet-weather crashes is limited and often inconclusive. In this study, the safety effectiveness of PFC was evaluated using a fully Bayesian before-after safety analysis. First, two groups of road segments overlaid with PFC and non-PFC material were identified across Texas; the non-PFC or reference road segments selected were similar to their PFC counterparts in terms of site specific features. Second, a negative binomial data generating process was assumed to model the underlying distribution of crash counts of PFC and reference road segments to perform Bayesian inference on the safety effectiveness. A data-augmentation based computationally efficient algorithm was employed for a fully Bayesian estimation. The statistical analysis shows that PFC is not effective in reducing wet weather crashes. It should be noted that the findings of this study are in agreement with the existing literature, although these studies were not based on a fully Bayesian statistical analysis. Our study suggests that the safety effectiveness of PFC road surfaces, or any other safety infrastructure, largely relies on its interrelationship with the road user. The results suggest that the safety infrastructure must be properly used to reap the benefits of the substantial investments.

  20. 14 CFR 158.17 - Project eligibility at PFC levels of $4 or $4.50.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Project eligibility at PFC levels of $4 or $4.50. 158.17 Section 158.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) General § 158.17 Project eligibility at PFC levels of $4 or $4.50. (a) A...

  1. [Bioethical responsibilities of the health authority in health care and biomedical research].

    PubMed

    Salinas, Rodrigo A; Fuenzalida, Max C

    2015-01-30

    The reflection on bioethical contents of health policies and their effects on the demands for social justice has been a preferred concern of those who have driven the health reforms that were behind the creation of the National Health Service and, more recently, the regime of health guarantees. In the course of the years, the concern for the vindication of individual rights in the context of health care and research has joined to citizen demands for equitable access to health actions. For this purpose, in 2006 and 2012, specific laws addressing these matters were enacted and in the last year, regulations that make them operative emerged and are being implemented. The wording of the articles of both laws, in the effort to rescue individual rights, raises an imbalance in some respects, with regard to the social impact of their implementation. In certain subjects, its provisions run counter to existing codes of professional ethics in the country and in others; its implementation allows the privatization of the process of ethical review of pharmacological research, which was restricted to public health services. The absence of starting up of the National Bioethics Commission, pending since 2006, has prevented the creation of a pluralistic spaTce for deliberation on these issues and others as provided by law.

  2. 14 CFR 158.35 - Extension of time to submit application to use PFC revenue.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Extension of time to submit application to use PFC revenue. 158.35 Section 158.35 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... § 158.35 Extension of time to submit application to use PFC revenue. (a) A public agency may request...

  3. 78 FR 27472 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... Federal Aviation Administration Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals...: $4.50. Total PFC Revenue Approved In This Decision: $3,285,054. Earliest Charge Effective Date: January 1, 2013. Estimated Charge Expiration Date: July 1, 2016. Class Of Air Carriers Not Required...

  4. 78 FR 76382 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ...: Construction and design of taxiway D. Passenger terminal apron--design and construction. Relocate snow removal... access road--design and construction. Terminal area study. Preparation of PFC application 8. Acquire snow... TO COLLECT PFC'S: None. BRIEF DESCRIPTION OF PROJECTS APPROVED FOR COLLECTION AND USE: Snow...

  5. Optogenetic stimulation of infralimbic PFC reproduces ketamine’s rapid and sustained antidepressant actions

    PubMed Central

    Fuchikami, Manabu; Thomas, Alexandra; Liu, Rongjian; Wohleb, Eric S.; Land, Benjamin B.; DiLeone, Ralph J.; Aghajanian, George K.; Duman, Ronald S.

    2015-01-01

    Ketamine produces rapid and sustained antidepressant actions in depressed patients, but the precise cellular mechanisms underlying these effects have not been identified. Here we determined if modulation of neuronal activity in the infralimbic prefrontal cortex (IL-PFC) underlies the antidepressant and anxiolytic actions of ketamine. We found that neuronal inactivation of the IL-PFC completely blocked the antidepressant and anxiolytic effects of systemic ketamine in rodent models and that ketamine microinfusion into IL-PFC reproduced these behavioral actions of systemic ketamine. We also found that optogenetic stimulation of the IL-PFC produced rapid and long-lasting antidepressant and anxiolytic effects and that these effects are associated with increased number and function of spine synapses of layer V pyramidal neurons. The results demonstrate that ketamine infusions or optogenetic stimulation of IL-PFC are sufficient to produce long-lasting antidepressant behavioral and synaptic responses similar to the effects of systemic ketamine administration. PMID:26056286

  6. Features in simulation of crystal growth using the hyperbolic PFC equation and the dependence of the numerical solution on the parameters of the computational grid

    NASA Astrophysics Data System (ADS)

    Starodumov, Ilya; Kropotin, Nikolai

    2016-08-01

    We investigate the three-dimensional mathematical model of crystal growth called PFC (Phase Field Crystal) in a hyperbolic modification. This model is also called the modified model PFC (originally PFC model is formulated in parabolic form) and allows to describe both slow and rapid crystallization processes on atomic length scales and on diffusive time scales. Modified PFC model is described by the differential equation in partial derivatives of the sixth order in space and second order in time. The solution of this equation is possible only by numerical methods. Previously, authors created the software package for the solution of the Phase Field Crystal problem, based on the method of isogeometric analysis (IGA) and PetIGA program library. During further investigation it was found that the quality of the solution can strongly depends on the discretization parameters of a numerical method. In this report, we show the features that should be taken into account during constructing the computational grid for the numerical simulation.

  7. Effect of antidepressant drugs on the vmPFC-limbic circuitry.

    PubMed

    Chang, Celene H; Chen, Michael C; Lu, Jun

    2015-05-01

    Our recent study indicates that the lesions of the prefrontal cortex in rats result in depressive-like behavior in forced swim test and REM sleep alterations, two well-established biomarkers of depression disorder. We hypothesized that antidepressants may target the PFC to reverse depression. Systemic injections of antidepressants: the tricyclic antidepressant desipramine (DMI), the selective serotonin reuptake inhibitor fluoxetine, and the NMDA-antagonist ketamine selectively increased cFos expression (a marker of neuronal activity) in the deep layers of the ventromedial PFC (vmPFC) in rats. Of the vmPFC's limbic system targets, only the nucleus accumbens (NAc) was also activated by DMI. Using a retrograde tracer and a neuronal toxin, we also found that DMI-activated vmPFC neurons project to the NAc and that NAc activation by DMI was lost following vmPFC lesion. These results suggest that the vmPFC may be an essential target of antidepressant drugs, its projections to the NAc may be a key circuit regulating antidepressant action, and dysfunction of this pathway may contribute to depression.

  8. PFC Activity Pattern During Verbal WM Task in Healthy Male and Female Subjects: A NIRS Study.

    PubMed

    Gao, Chenyang; Zhang, Lei; Luo, Dewu; Liu, Dan; Gong, Hui

    2016-01-01

    Near-infrared spectroscopy (NIRS), as a non-invasive optical imaging method, has been widely used in psychology research. Working memory (WM) is an extensively researched psychological concept related to the temporary storage and processing of information. Many neuropsychological studies demonstrate that several brain areas of prefrontal cortex (PFC) are engaged during verbal WM tasks. The gender-based differences in WM remains under dispute. To better understand the active module and gender differences in PFC activity patterns during verbal WM tasks, we investigated the blood oxygenation changes of the PFC in 15 healthy subjects using a homemade multichannel continuous-wave NIRS instrument, while performing a verbal n-back task. We employed traditional activation and novel connectivity analyses simultaneously. Males had a higher level of oxygenation activity and connectivity in PFC than females. Only the results of females revealed a leftward lateralization in the 2-back task. PMID:27526142

  9. 77 FR 27537 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    .... Runway high speed snow removal broom. Taxiway R extension and road relocation--construction. PFC... rehabilitation, phase I. Purchase airport snow removal truck/plow. Design and construct noise mitigation...

  10. The feasibility study of hot cell decontamination by the PFC spray method

    SciTech Connect

    Hui-Jun Won; Chong-Hun Jung; Jei-Kwon Moon

    2008-01-15

    The characteristics of per-fluorocarbon compounds (PFC) are colorless, non-toxic, easily vaporized and nonflammable. Also, some of them are liquids of a high density, low surface tension, low latent heat and low specific heat. These particular chemical and physical properties of fluoro-organic compounds permit their use in very different fields such as electronics, medicine, tribology, nuclear and material science. The Sonatol process was developed under a contract with the DOE. The Sonatol process uses an ultrasonic agitation in a PFC solution that contains a fluorinated surfactant to remove radioactive particles from surfaces. Filtering the suspended particles allows the solutions to be reused indefinitely. They applied the Sonatol process to the decontamination of a heterogeneous legacy Pu-238 waste that exhibited an excessive hydrogen gas generation, which prevents a transportation of such a waste to a Waste Isolation Pilot Plant. Korea Atomic Energy Research Institute (KAERI) is developing dry decontamination technologies applicable to a decontamination of a highly radioactive area loosely contaminated with radioactive particles. This contamination has occurred as a result of an examination of a post-irradiated material or the development of the DUPIC process. The dry decontamination technologies developed are the carbon dioxide pellet spray method and the PFC spray method. As a part of the project, PFC ultrasonic decontamination technology was developed in 2004. The PFC spray decontamination method which is based on the test results of the PFC ultrasonic method has been under development since 2005. The developed PFC spray decontamination equipment consists of four modules (spray, collection, filtration and distillation). Vacuum cup of the collection module gathers the contaminated PFC solution, then the solution is moved to the filtration module and it is recycled. After a multiple recycling of the spent PFC solution, it is purified in the distillation

  11. Plasma Facing Components Generic Facilities Review Panel (PFC-GFRP): Final report

    SciTech Connect

    McGrath, R.; Allen, S.; Hill, D.; Brooks, J.; Mattas, R.; Davis, J.; Lipschultz, B.; Ulrickson, M.

    1993-10-01

    The Plasma Facing Components (PFC) Facilities Review Panel was chartered by the US Department of Energy, Office of Fusion Energy, ITER (International Thermonuclear Experimental Reactor) and Technology Division, to outline the program plan and identify the supporting test facilities that lead to reliable, long-lived plasma facing components for ITER. This report summarizes the panel`s findings and identifies the necessary and sufficient set of test facilities required for ITER PFC development.

  12. 76 FR 34124 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... estimated charge 09-05-C-01-HPN White Plains, NY 04/25/11 $18,000,000 $10,000,000 08/01/13 10/01/11 99-05-C... Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508.... Application Number: 11-04-C-00-SBN. Application Type: Impose and use a PFC. PFC Level: $4.50. Total...

  13. Childhood cancer survivor care: development of the Passport for Care.

    PubMed

    Poplack, David G; Fordis, Michael; Landier, Wendy; Bhatia, Smita; Hudson, Melissa M; Horowitz, Marc E

    2014-12-01

    Survivors of childhood cancer are at risk of long-term adverse effects and late effects of the disease and/or its treatment. In response to national recommendations to improve evidence-based follow-up care, a web-based support system for clinical decision making, the Passport for Care (PFC), was developed for use at the point of care to produce screening recommendations individualized to the survivor. To date, the PFC has been implemented in over half of the nearly 200 clinics affiliated with the Children's Oncology Group across the USA. Most clinician users report that the PFC has been integrated into clinic workflows, and that it fosters improved conversations with survivors about the potential late effects a survivor might experience and about the screening and/or behavioural interventions recommended to improve health status. Furthermore, clinicians using the PFC have indicated that they adhered more closely to follow-up care guidelines. Perspectives on the challenges encountered and lessons learned during the development and deployment of the PFC are reviewed and contrasted with other nationwide approaches to the provision of guidance on survivor follow-up care; furthermore, the implications for the care of childhood cancer survivors are discussed.

  14. 76 FR 64162 - Notice of Intent To Rule on Passenger Facility Charge (PFC) Application 10-16-U-00-OAK To Use PFC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ...The FAA proposes to rule and invites public comment on the application to use PFC revenue collected at Metropolitan Oakland International Airport, under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508) and Part 158 of the Federal Aviation Regulations (Title 14 CFR part...

  15. 20 CFR 10.302 - Should the employer authorize medical care if he or she doubts that the injury occurred, or that...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Should the employer authorize medical care if he or she doubts that the injury occurred, or that it is work-related? 10.302 Section 10.302... doubts that the injury occurred, or that it is work-related? If the employer doubts that the...

  16. 20 CFR 10.302 - Should the employer authorize medical care if he or she doubts that the injury occurred, or that...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Should the employer authorize medical care if he or she doubts that the injury occurred, or that it is work-related? 10.302 Section 10.302... doubts that the injury occurred, or that it is work-related? If the employer doubts that the...

  17. Using key performance indicators as knowledge-management tools at a regional health-care authority level.

    PubMed

    Berler, Alexander; Pavlopoulos, Sotiris; Koutsouris, Dimitris

    2005-06-01

    The advantages of the introduction of information and communication technologies in the complex health-care sector are already well-known and well-stated in the past. It is, nevertheless, paradoxical that although the medical community has embraced with satisfaction most of the technological discoveries allowing the improvement in patient care, this has not happened when talking about health-care informatics. Taking the above issue of concern, our work proposes an information model for knowledge management (KM) based upon the use of key performance indicators (KPIs) in health-care systems. Based upon the use of the balanced scorecard (BSC) framework (Kaplan/Norton) and quality assurance techniques in health care (Donabedian), this paper is proposing a patient journey centered approach that drives information flow at all levels of the day-to-day process of delivering effective and managed care, toward information assessment and knowledge discovery. In order to persuade health-care decision-makers to assess the added value of KM tools, those should be used to propose new performance measurement and performance management techniques at all levels of a health-care system. The proposed KPIs are forming a complete set of metrics that enable the performance management of a regional health-care system. In addition, the performance framework established is technically applied by the use of state-of-the-art KM tools such as data warehouses and business intelligence information systems. In that sense, the proposed infrastructure is, technologically speaking, an important KM tool that enables knowledge sharing amongst various health-care stakeholders and between different health-care groups. The use of BSC is an enabling framework toward a KM strategy in health care. PMID:16138535

  18. Using key performance indicators as knowledge-management tools at a regional health-care authority level.

    PubMed

    Berler, Alexander; Pavlopoulos, Sotiris; Koutsouris, Dimitris

    2005-06-01

    The advantages of the introduction of information and communication technologies in the complex health-care sector are already well-known and well-stated in the past. It is, nevertheless, paradoxical that although the medical community has embraced with satisfaction most of the technological discoveries allowing the improvement in patient care, this has not happened when talking about health-care informatics. Taking the above issue of concern, our work proposes an information model for knowledge management (KM) based upon the use of key performance indicators (KPIs) in health-care systems. Based upon the use of the balanced scorecard (BSC) framework (Kaplan/Norton) and quality assurance techniques in health care (Donabedian), this paper is proposing a patient journey centered approach that drives information flow at all levels of the day-to-day process of delivering effective and managed care, toward information assessment and knowledge discovery. In order to persuade health-care decision-makers to assess the added value of KM tools, those should be used to propose new performance measurement and performance management techniques at all levels of a health-care system. The proposed KPIs are forming a complete set of metrics that enable the performance management of a regional health-care system. In addition, the performance framework established is technically applied by the use of state-of-the-art KM tools such as data warehouses and business intelligence information systems. In that sense, the proposed infrastructure is, technologically speaking, an important KM tool that enables knowledge sharing amongst various health-care stakeholders and between different health-care groups. The use of BSC is an enabling framework toward a KM strategy in health care.

  19. Columnar Processing in Primate pFC: Evidence for Executive Control Microcircuits

    PubMed Central

    Opris, Ioan; Hampson, Robert E.; Gerhardt, Greg A.; Berger, Theodore W.; Deadwyler, Sam A.

    2013-01-01

    A common denominator for many cognitive disorders of human brain is the disruption of neural activity within pFC, whose structural basis is primarily interlaminar (columnar) microcircuits or “mini-columns.” The importance of this brain region for executive decision-making has been well documented; however, because of technological constraints, the minicolumnar basis is not well understood. Here, via implementation of a unique conformal multielectrode recording array, the role of interlaminar pFC minicolumns in the executive control of task-related target selection is demonstrated in nonhuman primates performing a visuomotor DMS task. The results reveal target-specific, interlaminar correlated firing during the decision phase of the trial between multielectrode recording array-isolated minicolumnar pairs of neurons located in parallel in layers 2/3 and layer 5 of pFC. The functional significance of individual pFC minicolumns (separated by 40 μm) was shown by reduced correlated firing between cell pairs within single minicolumns on error trials with inappropriate target selection. To further demonstrate dependence on performance, a task-disrupting drug (cocaine) was administered in the middle of the session, which also reduced interlaminar firing in minicolumns that fired appropriately in the early (nondrug) portion of the session. The results provide a direct demonstration of task-specific, real-time columnar processing in pFC indicating the role of this type of microcircuit in executive control of decision-making in primate brain. PMID:23016850

  20. Columnar processing in primate pFC: evidence for executive control microcircuits.

    PubMed

    Opris, Ioan; Hampson, Robert E; Gerhardt, Greg A; Berger, Theodore W; Deadwyler, Sam A

    2012-12-01

    A common denominator for many cognitive disorders of human brain is the disruption of neural activity within pFC, whose structural basis is primarily interlaminar (columnar) microcircuits or "minicolumns." The importance of this brain region for executive decision-making has been well documented; however, because of technological constraints, the minicolumnar basis is not well understood. Here, via implementation of a unique conformal multielectrode recording array, the role of interlaminar pFC minicolumns in the executive control of task-related target selection is demonstrated in nonhuman primates performing a visuomotor DMS task. The results reveal target-specific, interlaminar correlated firing during the decision phase of the trial between multielectrode recording array-isolated minicolumnar pairs of neurons located in parallel in layers 2/3 and layer 5 of pFC. The functional significance of individual pFC minicolumns (separated by 40 μm) was shown by reduced correlated firing between cell pairs within single minicolumns on error trials with inappropriate target selection. To further demonstrate dependence on performance, a task-disrupting drug (cocaine) was administered in the middle of the session, which also reduced interlaminar firing in minicolumns that fired appropriately in the early (nondrug) portion of the session. The results provide a direct demonstration of task-specific, real-time columnar processing in pFC indicating the role of this type of microcircuit in executive control of decision-making in primate brain. PMID:23016850

  1. PWM Technique for Non-Isolated Three-Phase Buck-Boost PFC Converter

    NASA Astrophysics Data System (ADS)

    Morizane, Toshimitsu; Shimomori, Wataru; Taniguchi, Katsunori; Kimura, Noriyuki; Ogawa, Masanori

    The buck-boost power factor corrected (PFC) converter has the wide range of the dc output voltage. A new non-isolated three-phase hard-switching and a soft-switching buck-boost PFC converter are proposed. Removing the three-phase transformer from the converters makes their size more compact and their costs lower. In addition, the new control method based on the PWM technique is proposed in this paper to achieve the high power factor. Complete soft-switching is also achieved under the discontinuous current mode (DCM) operation.

  2. Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in England.

    PubMed

    Hatfield, Barbara; Ryan, Tony; Simpson, Victoria; Sharma, Indhu

    2007-09-01

    The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study 'census date' of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as 'continuing care' or rehabilitation, with a 'niche' in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had

  3. Curriculum Guidelines & Regulatory Criteria for Family Nurse Practitioners Seeking Prescriptive Authority To Manage Pharmacotherapeutics in Primary Care. Summary Report 1998.

    ERIC Educational Resources Information Center

    National Council of State Boards of Nursing, Chicago, IL.

    This report describes a multi-organizational project to accomplish two goals: (1) to develop pharmacology/pharmacotherapeutics curriculum guidelines designed to prepare family nurse practitioners (FNPs) for full prescriptive authority; and (2) to develop regulatory criteria for evaluating the academic preparation and clinical competencies of FNPs…

  4. Ethos and Medical Narratives: How Narratives Written by Emergency Medical Personnel Reflect Professional Authority and Affect Patient Care.

    ERIC Educational Resources Information Center

    Munger, Roger H.

    Since written reports are completed on most calls to which emergency medical technicians (EMTs) respond, report writing is an important part of their professional lives. Discourse analysis focused on how EMTs establish professional authority using specific rhetorical strategies when completing "run reports." One way of understanding the role of…

  5. Carefully, Thoughtfully Exploring the "I" in Reciprocity: Practitioner Reflections in Striving for Self-Authoring Student-Citizens

    ERIC Educational Resources Information Center

    Grohs, Jacob R.

    2012-01-01

    The author explores some of the more elusive aims of civic engagement and the tension from the role of self in context of community. Thoughtful reclamation of the role for self can be a catalyst for different "aha" moments in terms of self-authorship, multicultural understanding, and sustainable and effective change agency. This commentary seeks…

  6. The Authors Respond.

    ERIC Educational Resources Information Center

    Zigler, Edward F.; And Others

    1996-01-01

    The authors of proposals for a child care allowance for poor families, a parental leave program to ensure infant care, and a linkage of child care and public education systems respond to comments by three reviewers. The commentaries illustrate the diversity of perspectives on child care and the public sector. (SLD)

  7. 78 FR 76389 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ... of Projects Approved for Collection and Use: PFC audit costs, 2001 through 2011. Master plan and... taxi lane improvements (engineering/design). Master plan update. Acquire snow removal equipment (two... reconstruction. Master plan update. Rehabilitate terminal apron. Passenger loading bridge. Wildlife...

  8. 75 FR 79077 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ..., 2011. Estimated Charge Expiration Date: June 1, 2031. Class of Air Carriers Not Required to Collect PFC's: Air taxi/ commercial operators filing FAA Form 1800-31. Determination: Approved. Based on..., 2011. Estimated Charge Expiration Date: June 1, 2021. Class of Air Carriers Not Required to Collect...

  9. 76 FR 2944 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-18

    ...The FAA publishes a monthly notice, as appropriate, of PFC approvals and disapprovals under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508) and Part 158 of the Federal Aviation Regulations (14 CFR Part 158). This notice is published pursuant to paragraph d of Sec....

  10. 76 FR 27169 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... 1, 2015. Estimated Charge Expiration Date: November 1, 2016. Class Of Air Carriers Not Required To Collect PFC's: Air taxi/ commercial operators filing FAA Form 1800-31. Determination: Approved. Based on... rescue and firefighting truck, 1,500 gallons. Construct taxiway E--phase 1. Jet bridges purchase...

  11. 75 FR 33376 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... 6,628 square feet of space identified by the public agency as being totally or partially eligible was totally ineligible for PFC funding. In addition, the proration of utility space must be recalculated to account for the additional ineligible space. Decision Date: May 10, 2010. For...

  12. 75 FR 56654 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ...The FAA publishes a monthly notice, as appropriate, of PFC approvals and disapprovals under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508) and Part 158 of the Federal Aviation Regulations (14 CFR Part 158). This notice is published pursuant to paragraph d of Sec....

  13. On temporal connectivity of PFC via Gauss-Markov modeling of fNIRS signals.

    PubMed

    Aydöre, Sergül; Mihçak, M Kivanç; Ciftçi, Koray; Akin, Ata

    2010-03-01

    Functional near-infrared spectroscopy (fNIRS) is an optical imaging method, which monitors the brain activation by measuring the successive changes in the concentration of oxy- and deoxyhemoglobin in real time. In this study, we present a method to investigate the functional connectivity of prefrontal cortex (PFC) Sby applying a Gauss-Markov model to fNIRS signals. The hemodynamic changes on PFC during the performance of cognitive paradigm are measured by fNIRS for 17 healthy adults. The color-word matching Stroop task is performed to activate 16 different regions of PFC. There are three different types of stimuli in this task, which can be listed as incongruent stimulus (IS), congruent stimulus (CS), and neutral stimulus (NS), respectively. We introduce a new measure, called "information transfer metric" (ITM) for each time sample. The behavior of ITMs during IS are significantly different from the ITMs during CS and NS, which is consistent with the outcome of the previous research, which concentrated on fNIRS signal analysis via color-word matching Stroop task. Our analysis shows that the functional connectivity of PFC is highly relevant with the cognitive load, i.e., functional connectivity increases with the increasing cognitive load.

  14. 78 FR 57211 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ... Approved in This Decision: $2,665,657. Earliest Charge Effective Date: January 1, 2016. Estimated Charge... Charge Expiration Date: July 1, 2016. Classes of Air Carriers Not Required To Collect PFC's: (1) Air taxi... Decision: $330,000. Earliest Charge Effective Date: March 1, 2016. Estimated Charge Expiration Date:...

  15. 75 FR 13336 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... and extension. Mark runway pavement. ] Brief Description of Disapproved Project: Man-lift... Description of Projects Approved for Collection at PBI and USE at PBI at a $4.50 PFC Level: Runway pavement rehabilitation and repairs. Taxiway pavement rehabilitation and repairs. Apron pavement rehabilitation...

  16. Serum concentrations of perfluorinated compounds (PFC) among selected populations of children and Adults in California

    EPA Science Inventory

    Perfluorinated compounds (PFCs) have been widely used in industrial applications and consumer products. Their persistent nature and potential health impacts are of concern. Given the high cost of collecting serum samples, this study is to understand whether we can quantify PFC se...

  17. 14 CFR 158.45 - Collection of PFC's on tickets issued in the U.S.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Collection of PFC's on tickets issued in the U.S. 158.45 Section 158.45 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... travel on a nonrefundable or expired ticket is not a change in itinerary. If the ticket purchaser is...

  18. 14 CFR 158.47 - Collection of PFC's on tickets issued outside the U.S.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Collection of PFC's on tickets issued outside the U.S. 158.47 Section 158.47 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... this section, unless the itinerary is for travel wholly within the U.S. Air carriers and foreign...

  19. 76 FR 70809 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    .... Brief Description of Projects Approved for Collection and Use at a $3.00 PFC Level: Snow removal... assessment. Rehabilitate taxiway A from A5 to and including A6. Purchase snow removal equipment carrier.... Snow removal equipment. ] Redundant main electrical service feed, design. Terminal roadway...

  20. Engagement of the PFC in Consolidation and Recall of Recent Spatial Memory

    ERIC Educational Resources Information Center

    Leon, Wanda C.; Bruno, Martin A.; Allard, Simon; Nader, Karim; Cuello, A. Claudio

    2010-01-01

    The standard model of system consolidation proposes that memories are initially hippocampus dependent and become hippocampus independent over time. Previous studies have demonstrated the involvement of the medial prefrontal cortex (mPFC) in the retrieval of remote memories. The transformations required to make a memory undergo system's…

  1. 75 FR 13337 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... Federal Aviation Administration Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals... boarding bridges (gates 1 and 4). Update airport layout plan and master plan. Prepare storm water pollution.... New field maintenance facility. Taxiway C and K rehabilitation. Aircraft rescue and...

  2. 77 FR 15841 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... revenue PFC revenue date date 03-06-C-01-ACV; Arcata, CA...... 2/01/12 $578,450 $523,597 03/01/05 03/01/05 05-07-C-01-ACV; Arcata, CA...... 2/02/12 392,265 336,981 10/01/05 10/01/05 09-03-C-02-PGV;...

  3. 76 FR 58079 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ...-2835. Public Agency: County of Humboldt, Eureka, California. Application Number: 11-10-C-00-ACV... less than 1 percent of the total annual enplanements at Arcata Airport (ACV). Brief Description of Projects Approved for Collection at ACV and USE at ACV: PFC administration. Runway 14/32 safety...

  4. 78 FR 57211 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ... in Washington, DC, on September 4, 2013. Joe Hebert, Manager, Financial Analysis and Passenger...: $4.50. Total PFC Revenue Approved in This Decision: $2,250,000. Earliest Charge Effective Date: December 1, 2016. Estimated Charge Expiration Date: April 1, 2017. Class of Air Carriers Not Required...

  5. [A new method for the transcutaneous measurement of deep body temperature during anaesthesia and intensive care (author's transl)].

    PubMed

    Jost, U; Hanf, K; Köhler, C O; Just, O H

    1978-04-01

    A new method for monitoring deep body temperature is described. It is based on the establishment, by means of electronic appliances, of a zone without heatflow from the deep tissues. The method is simple and the results compare favourably with those obtained by other procedures for measuring core temperature. The uses of this transcutaneous mehtod are discussed and its advantages and reliability in the operating theatre and intensive care unit are emphasized. It becomes less reliable if it is employed during and after extracorporeal circulation in hypothermia on account of the temperature gradient.

  6. Uncertainty-Dependent Extinction of Fear Memory in an Amygdala-mPFC Neural Circuit Model.

    PubMed

    Li, Yuzhe; Nakae, Ken; Ishii, Shin; Naoki, Honda

    2016-09-01

    Uncertainty of fear conditioning is crucial for the acquisition and extinction of fear memory. Fear memory acquired through partial pairings of a conditioned stimulus (CS) and an unconditioned stimulus (US) is more resistant to extinction than that acquired through full pairings; this effect is known as the partial reinforcement extinction effect (PREE). Although the PREE has been explained by psychological theories, the neural mechanisms underlying the PREE remain largely unclear. Here, we developed a neural circuit model based on three distinct types of neurons (fear, persistent and extinction neurons) in the amygdala and medial prefrontal cortex (mPFC). In the model, the fear, persistent and extinction neurons encode predictions of net severity, of unconditioned stimulus (US) intensity, and of net safety, respectively. Our simulation successfully reproduces the PREE. We revealed that unpredictability of the US during extinction was represented by the combined responses of the three types of neurons, which are critical for the PREE. In addition, we extended the model to include amygdala subregions and the mPFC to address a recent finding that the ventral mPFC (vmPFC) is required for consolidating extinction memory but not for memory retrieval. Furthermore, model simulations led us to propose a novel procedure to enhance extinction learning through re-conditioning with a stronger US; strengthened fear memory up-regulates the extinction neuron, which, in turn, further inhibits the fear neuron during re-extinction. Thus, our models increased the understanding of the functional roles of the amygdala and vmPFC in the processing of uncertainty in fear conditioning and extinction. PMID:27617747

  7. Uncertainty-Dependent Extinction of Fear Memory in an Amygdala-mPFC Neural Circuit Model

    PubMed Central

    Li, Yuzhe; Nakae, Ken; Ishii, Shin; Naoki, Honda

    2016-01-01

    Uncertainty of fear conditioning is crucial for the acquisition and extinction of fear memory. Fear memory acquired through partial pairings of a conditioned stimulus (CS) and an unconditioned stimulus (US) is more resistant to extinction than that acquired through full pairings; this effect is known as the partial reinforcement extinction effect (PREE). Although the PREE has been explained by psychological theories, the neural mechanisms underlying the PREE remain largely unclear. Here, we developed a neural circuit model based on three distinct types of neurons (fear, persistent and extinction neurons) in the amygdala and medial prefrontal cortex (mPFC). In the model, the fear, persistent and extinction neurons encode predictions of net severity, of unconditioned stimulus (US) intensity, and of net safety, respectively. Our simulation successfully reproduces the PREE. We revealed that unpredictability of the US during extinction was represented by the combined responses of the three types of neurons, which are critical for the PREE. In addition, we extended the model to include amygdala subregions and the mPFC to address a recent finding that the ventral mPFC (vmPFC) is required for consolidating extinction memory but not for memory retrieval. Furthermore, model simulations led us to propose a novel procedure to enhance extinction learning through re-conditioning with a stronger US; strengthened fear memory up-regulates the extinction neuron, which, in turn, further inhibits the fear neuron during re-extinction. Thus, our models increased the understanding of the functional roles of the amygdala and vmPFC in the processing of uncertainty in fear conditioning and extinction. PMID:27617747

  8. Uncertainty-Dependent Extinction of Fear Memory in an Amygdala-mPFC Neural Circuit Model.

    PubMed

    Li, Yuzhe; Nakae, Ken; Ishii, Shin; Naoki, Honda

    2016-09-01

    Uncertainty of fear conditioning is crucial for the acquisition and extinction of fear memory. Fear memory acquired through partial pairings of a conditioned stimulus (CS) and an unconditioned stimulus (US) is more resistant to extinction than that acquired through full pairings; this effect is known as the partial reinforcement extinction effect (PREE). Although the PREE has been explained by psychological theories, the neural mechanisms underlying the PREE remain largely unclear. Here, we developed a neural circuit model based on three distinct types of neurons (fear, persistent and extinction neurons) in the amygdala and medial prefrontal cortex (mPFC). In the model, the fear, persistent and extinction neurons encode predictions of net severity, of unconditioned stimulus (US) intensity, and of net safety, respectively. Our simulation successfully reproduces the PREE. We revealed that unpredictability of the US during extinction was represented by the combined responses of the three types of neurons, which are critical for the PREE. In addition, we extended the model to include amygdala subregions and the mPFC to address a recent finding that the ventral mPFC (vmPFC) is required for consolidating extinction memory but not for memory retrieval. Furthermore, model simulations led us to propose a novel procedure to enhance extinction learning through re-conditioning with a stronger US; strengthened fear memory up-regulates the extinction neuron, which, in turn, further inhibits the fear neuron during re-extinction. Thus, our models increased the understanding of the functional roles of the amygdala and vmPFC in the processing of uncertainty in fear conditioning and extinction.

  9. Induction and modulation of persistent activity in a layer V PFC microcircuit model

    PubMed Central

    Papoutsi, Athanasia; Sidiropoulou, Kyriaki; Cutsuridis, Vassilis; Poirazi, Panayiota

    2013-01-01

    Working memory refers to the temporary storage of information and is strongly associated with the prefrontal cortex (PFC). Persistent activity of cortical neurons, namely the activity that persists beyond the stimulus presentation, is considered the cellular correlate of working memory. Although past studies suggested that this type of activity is characteristic of large scale networks, recent experimental evidence imply that small, tightly interconnected clusters of neurons in the cortex may support similar functionalities. However, very little is known about the biophysical mechanisms giving rise to persistent activity in small-sized microcircuits in the PFC. Here, we present a detailed biophysically—yet morphologically simplified—microcircuit model of layer V PFC neurons that incorporates connectivity constraints and is validated against a multitude of experimental data. We show that (a) a small-sized network can exhibit persistent activity under realistic stimulus conditions. (b) Its emergence depends strongly on the interplay of dADP, NMDA, and GABAB currents. (c) Although increases in stimulus duration increase the probability of persistent activity induction, variability in the stimulus firing frequency does not consistently influence it. (d) Modulation of ionic conductances (Ih, ID, IsAHP, IcaL, IcaN, IcaR) differentially controls persistent activity properties in a location dependent manner. These findings suggest that modulation of the microcircuit's firing characteristics is achieved primarily through changes in its intrinsic mechanism makeup, supporting the hypothesis of multiple bi-stable units in the PFC. Overall, the model generates a number of experimentally testable predictions that may lead to a better understanding of the biophysical mechanisms of persistent activity induction and modulation in the PFC. PMID:24130519

  10. A Single Intra-PFC Infusion of BDNF Prevents Cocaine-Induced Alterations in Extracellular Glutamate within the Nucleus Accumbens

    PubMed Central

    Berglind, William J.; Whitfield, Timothy W.; LaLumiere, Ryan T.; Kalivas, Peter W.; McGinty, Jacqueline F.

    2009-01-01

    The glutamatergic pathway arising in the dorsomedial prefrontal cortex (dmPFC) and projecting to the nucleus accumbens (NAc) core is a critical component of the reward circuitry that underlies reinstatement to cocaine-seeking behavior. Brain derived neurotrophic factor (BDNF) is expressed by and modulates PFC-NAc neurons. BDNF infusion into the dmPFC attenuates reinstatement to cocaine-seeking behavior as well as some cocaine-induced molecular adaptations within the NAc. In the present study, it is demonstrated that a single intra-dmPFC infusion of BDNF prevents cocaine self administration-induced reduction in basal extracelluar glutamate, as well as cocaine prime-induced increases in extracellular glutamate levels within the NAc. These data suggest that intra-PFC BDNF attenuates reinstatement to cocaine-seeking behavior by normalizing cocaine-induced neuroadaptations that alter glutamate neurotransmission within the NAc. PMID:19321768

  11. Patient-focused care: what managers should know.

    PubMed

    Myers, S M

    1998-01-01

    Implementation of PFC is considered a "rational" strategic choice in that it is thought to decrease the cost of providing health care while increasing the quality of services. Published research and evaluation studies that describe PFC are analyzed and the information is synthesized in hopes of discovering and describing commonalties among definitions, goals, and principles underlying PFC. The commonly accepted description of PFC is a model which "seeks to integrate the organization's values and culture with the operational excellence vision and processes to transform the institution into a customer-focused organization." Staff satisfaction is addressed by encouraging staff to plan and execute their clinical work in ways that are most responsive to patient needs. Grouping similar patients, bringing services closer to these patients, and appropriate cross-training of multidisciplinary care providers to enhance continuity of care are seen as the four most common elements described in most of the literature. PMID:9748983

  12. Cost reduction using patient-focused care concepts.

    PubMed

    Snyder, G H; Lathrop, J P

    1995-01-01

    The latest wave of hospital reengineering has been based on the concepts of patient-focused care (PFC). PFC concepts include decentralizing low-scale activities to the point-of-care, cross-training employees to minimize hand-offs, simplifying processes to eliminate unnecessary complexity, redesigning the organization structure to focus on the care continuum, and adopting empowerment and teamwork to change individual behavior. Three innovative health systems have begun to reap the benefits of their PFC implementation efforts. Based on these three case study organizations, PFC is not only cost-justified, but also drives increases in quality and service levels. Each of the three case study organizations chose significantly different routes to implement these concepts due to various internal and external factors. Size of cost savings was the result of three main factors: level of change implemented, size of investment required to effect change, and time frame for implementation. Article includes results of economic analysis.

  13. From Provider to Enabler of Care? Reconfiguring Local Authority Support for Older People and Carers in Leeds, 2008 to 2013

    PubMed Central

    Yeandle, Sue

    2016-01-01

    Abstract This article explores developments in the support available to older people and carers (i.e., caregivers) in the city of Leeds, United Kingdom, and examines provision changes during a period characterized by unprecedented resource constraint and new developments in national-local governance. Using documentary evidence, official statistics, and findings from recent studies led by the author, the effects of these changes on service planning and delivery and the approach taken by local actors to mitigate their impact are highlighted. The statistical data show a marked decline in some types of services for older people during a 5-year period during which the city council took steps to mobilize citizens and develop new services and system improvements. The analysis focuses on theories of social quality as a framework for analysis of the complex picture of change related to service provision. It concludes that although citizen involvement and consultations exerted a positive influence in delivering support to some older people and carers, research over a longer timescale is needed to show if these changes are adequate to protect older people and carers from the effects of ongoing budgetary constraints. PMID:27019540

  14. Simple adaptive control system design for a quadrotor with an internal PFC

    NASA Astrophysics Data System (ADS)

    Mizumoto, Ikuro; Nakamura, Takuto; Kumon, Makoto; Takagi, Taro

    2014-12-01

    The paper deals with an adaptive control system design problem for a four rotor helicopter or quadrotor. A simple adaptive control design scheme with a parallel feedforward compensator (PFC) in the internal loop of the considered quadrotor will be proposed based on the backstepping strategy. As is well known, the backstepping control strategy is one of the advanced control strategy for nonlinear systems. However, the control algorithm will become complex if the system has higher order relative degrees. We will show that one can skip some design steps of the backstepping method by introducing a PFC in the inner loop of the considered quadrotor, so that the structure of the obtained controller will be simplified and a high gain based adaptive feedback control system will be designed. The effectiveness of the proposed method will be confirmed through numerical simulations.

  15. Simple adaptive control system design for a quadrotor with an internal PFC

    SciTech Connect

    Mizumoto, Ikuro; Nakamura, Takuto; Kumon, Makoto; Takagi, Taro

    2014-12-10

    The paper deals with an adaptive control system design problem for a four rotor helicopter or quadrotor. A simple adaptive control design scheme with a parallel feedforward compensator (PFC) in the internal loop of the considered quadrotor will be proposed based on the backstepping strategy. As is well known, the backstepping control strategy is one of the advanced control strategy for nonlinear systems. However, the control algorithm will become complex if the system has higher order relative degrees. We will show that one can skip some design steps of the backstepping method by introducing a PFC in the inner loop of the considered quadrotor, so that the structure of the obtained controller will be simplified and a high gain based adaptive feedback control system will be designed. The effectiveness of the proposed method will be confirmed through numerical simulations.

  16. 76 FR 16851 - Notice of Intent To Rule on Passenger Facility Charge (PFC) Application 11-11-C-00-BUR, To Impose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ...-11-C-00-BUR, To Impose and Use PFC Revenue at Bob Hope Airport, Burbank, CA AGENCY: Federal Aviation... invites public comment on the application to impose and use PFC revenue at Bob Hope Airport, under the... rule and invites public comment on the application to impose and use PFC revenue at Bob Hope...

  17. 75 FR 13340 - Notice of Passenger Facility Charge (PFC) Approvals and Disapprovals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508) and Part.... Total PFC Revenue Approved in this Decision: $25,068,451. Earliest Charge Effective Date: August 1, 2020... 04-01-C-01-GSN Saipan, MP....... 01/13/10 $29,920,680 $29,533,680 08/01/16 08/01/16...

  18. Dissociation of a trait and a valence representation in the mPFC

    PubMed Central

    Baetens, Kris; Vandekerckhove, Marie; Van der Cruyssen, Laurens; Van Overwalle, Frank

    2014-01-01

    A previous functional MRI adaptation study on trait inference indicated that a trait code is located in the ventral medial prefrontal cortex (vmPFC), but could not rule out that this adaptation effect is due to the trait’s underlying valence. To address this issue, we presented sentences describing positive and negative valences of either a human trait or object characteristic, and manipulated whether the human trait or object characteristic was repeated or not, either with the same or opposite valance. In two trait conditions, a behavioral trait-implying sentence was preceded by a prime sentence that implied the same or the opposite trait. The results confirmed the earlier finding of robust trait adaptation from prime to target in the vmPFC, and also found adaptation in the precuneus and right mid-occipital cortex. In contrast, no valence adaptation was found in two novel object conditions, in which the target sentence again implied a positive or negative trait, but was preceded by a prime sentence that described an object with the same or the opposite valence. Together with the previous study, this indicates that a specific trait code, but not a generalized valence code, is represented in the vmPFC. PMID:23974949

  19. Recent Advances in Applicability of TEMHD Driven Liquid Lithium as a Fusion Relevant PFC

    NASA Astrophysics Data System (ADS)

    Szott, Matthew; Fiflis, Peter; Kalathiparambil, Kishor; Ruzic, David N.

    2015-11-01

    Liquid lithium displays increasing promise as a replacement to solid plasma facing components (PFC) in fusion device applications. Liquid PFCs reduce erosion and thermal stress damage, prolonging device lifetime, while lithium has been shown to decrease edge recycling, reduce impurities, and enhance plasma performance. The Liquid Metal Infused Trench (LiMIT) concept developed at UIUC successfully demonstrates horizontal and vertical thermoelectric magnetohydrodynamic (TEMHD) flow of liquid lithium through metal trenches for use as a PFC. Installed in the HT-7 tokamak and at the Magnum-PSI linear plasma device, the system performed effectively in fusion relevant conditions. In high heat flux tests, trench dry-out was observed, which exposes solid trench material due to higher TEMHD force on the area with the highest heat flux. A 3D free surface fluid model of dry-out and experimental tests conducted to mitigate the detrimental effect are described. The final designs for the upcoming test of LiMIT as a limiter for the EAST tokamak are discussed, along with velocity characteristics of steady-state TEMHD driven flow through the LiMIT system inclined up to 180 degrees from horizontal, which is necessary for broad applicability of a liquid lithium PFC system.

  20. PFC Emissions from Detected Versus Nondetected Anode Effects in the Aluminum Industry

    NASA Astrophysics Data System (ADS)

    Wong, David S.; Fraser, Paul; Lavoie, Pascal; Kim, Jooil

    2015-02-01

    Perfluorinated carbon compounds (PFCs) CF4 and C2F6 are potent greenhouse gases that are generated in aluminum reduction cells during events known as anode effects (AEs). Since the 1990s, the aluminum industry has made considerable progress in reducing PFCs from conventionally defined and detected AEs. However in recent years, the industry has noted the presence of unaccounted PFCs that are generated outside the conventional AE definition. Two additional AE categories have been proposed, namely low-voltage, propagating AEs (LVP-AEs) and nonpropagating AEs (NP-AEs) that relate to continuous, background levels of PFC emissions. These unaccounted PFC phenomena may help explain the recent discrepancy between industry accounting and atmospheric measurements of global PFC emissions. Estimates from AGAGE, a global network of atmospheric observatories, suggest as much as 50% underaccounting of PFCs by the aluminum industry in the 2006-2010 period. The following work reviews this discrepancy and the potential role played by LVP-AEs and NP-AEs.

  1. Author! Author! Beverly Cleary

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2005-01-01

    This article presents a brief biography of author Beverly Cleary. Born on April 12, 1916 in McMinnville, Oregon (Yamhill County), Beverly Cleary celebrated her eighty-ninth birthday in 2005. Cleary is probably best known for creating "Ramona" and the other children's book characters who live on Klickitat Street in Portland, Oregon. A selective…

  2. Cyclo-octafluorobutane (PFC-318, c-C4F8) in the global atmosphere

    NASA Astrophysics Data System (ADS)

    Muhle, J.; Vollmer, M. K.; Ivy, D. J.; Fraser, P.; Arnold, T.; Harth, C. M.; Salameh, P.; O'Doherty, S.; Young, D.; Steele, P.; Krummel, P. B.; Leist, M.; Rhee, T. S.; Schmidbauer, N.; Lunder, C.; Kim, J.; Kim, K.; Reimann, S.; Simmonds, P.; Prinn, R. G.; Weiss, R. F.

    2011-12-01

    The perfluorocarbon (PFC) cyclo-octafluorobutane (PFC-318, c-C4F8) is a very long-lived (up to 3,200 years) and potent greenhouse gas (100-year global warming potential up to 10,300) with a wide range of industrial uses. We present an update of our PFC-318 archived air and in situ measurements from remote and urban AGAGE (Advanced Global Atmospheric Gases Experiment) sites and affiliated stations in both hemispheres. Most importantly, we have significantly improved our Southern Hemisphere (SH) data density by measuring the Cape Grim Air Archive (1970s-2010). Combined with our previously presented measurements of archived Northern Hemisphere (NH) flasks (1973-2009), we provide thirty year spanning records for both hemispheres. We have also further extended our in situ records by continuing our measurements at all remote stations, with the longest hemispheric records starting in November 2007 at Jungfraujoch (NH) and in June 2010 at Cape Grim (SH). We compare our data with those of Oram (1999) and Oram et al. (2011), who focus on SH data alone, and with other previous data sets. From our measurements, we derive emission estimates using a chemical transport model and inverse method, and compare our results to previous measurement based emission estimates (top-down) and to the EDGAR emission database (bottom-up). As stated previously (Mühle et al., 2010), we find emissions of ~1 Gg/yr in recent years while EDGAR estimates only 0.02 Gg/yr for 2005, similar to what Oram et al. (2011) find. We conclude that PFC-318 is the third most important PFC in terms of abundance and CO2-equivalent emissions. We continue to observe mostly baseline concentrations at remote AGAGE stations and urban sites in the USA, Europe, and Australia, in contrast to frequent pollution episodes measured at sites in East Asia, indicating significant regional emissions in East Asia, as found by Saito et al. (2010). EDGAR, Emission Database for Global Atmospheric Research, release version 4.1. http

  3. Brain stimulation improves cognitive control by modulating medial-frontal activity and preSMA-vmPFC functional connectivity.

    PubMed

    Yu, Jiaxin; Tseng, Philip; Hung, Daisy L; Wu, Shih-Wei; Juan, Chi-Hung

    2015-10-01

    Previous research has demonstrated that brain stimulation can improve inhibitory control. However, the neural mechanisms underlying such artificially induced improvement remain unclear. In this study, by coupling anodal transcranial direct current stimulation (atDCS) with functional MRI, we found that atDCS over preSMA effectively improved stopping speed, which was associated with increased BOLD response in the preSMA and ventromedial prefrontal cortex (vmPFC). Furthermore, such atDCS-induced BOLD increase in vmPFC was positively correlated with participants' improvement in stopping efficiency, and the functional connectivity between preSMA and vmPFC increased during successful stop. These results suggest that the rapid behavioral improvement from preSMA brain stimulation involves modulated medial-frontal activity and preSMA-vmPFC functional connectivity. PMID:26248582

  4. Authority, subjectivity and power: data devolution at a primary care unit in Guariroba (Ceilândia/Federal District/Brazil).

    PubMed

    Fleischer, Soraya

    2015-09-01

    Devolution, restitution or sharing can mean, within other possibilities, to offer products to participants of a research or an extension project. Far from a new practice in Anthropology, returning results is still unusual, little organized and valued. This paper presents and discusses a devolution experience by an extension project in Anthropology that was developed in a primary care unit in the outskirts of Distrito Federal (Brazil). Local reactions were very different from what was expected by the project's staff, but still permitted dialogue with the health professionals and, more important, deepened our knowledge about work relations in this health institution. Even though IRB approval has been granted, negotiations about starting and continuing academic projects have to be negotiated continuously. Subjectivity, power and authority permeate any anthropological initiative from its beginning and much after it supposedly has been concluded.

  5. Learning-induced changes in mPFC-BLA connections after fear conditioning, extinction, and reinstatement of fear.

    PubMed

    Vouimba, Rose-Marie; Maroun, Mouna

    2011-10-01

    The neural circuit linking the medial prefrontal cortex (mPFC) and the basolateral amygdala (BLA) has crucial roles in both the acquisition and the extinction of fear. However, the mechanism by which this circuit encodes fear and extinction remains unknown. In this study, we monitored changes in the magnitude of evoked field potentials (EFPs) in the mPFC-BLA and BLA-mPFC pathways following auditory fear conditioning and extinction, in freely moving rats. We report that extinction of fear is mediated by depression of the EFPs in the mPFC-BLA and by potentiation in the reciprocal pathway of BLA-mPFC. Interestingly, reinstatement of fear was associated with recovery of freezing and with reversal of the changes in EFPs that were observed following extinction in both pathways. The findings indicate that the mPFC-BLA circuit expresses differential changes following fear and extinction and point to dynamic and plastic changes underlying fear, extinction, and reinstatement. Manipulations targeting these different types of plasticity could constitute a therapeutic tool for the treatment of anxiety disorders. PMID:21750582

  6. Planning and Decision Making for Care Transitions

    PubMed Central

    Sörensen, Silvia; Mak, Wingyun; Pinquart, Martin

    2015-01-01

    The need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults’ lack of financial preparation for health care costs, insufficient knowledge about available options, and inadequate communication about care-related values has become an increasing public health challenge. This chapter describes a model of Preparation for Future Care (PFC), which encompasses different levels and domains of planning. Research about the extent to which planning is helpful in navigating care transitions is reviewed, and barriers and facilitators of planning including individual, familial, cultural, and national long-term care policy factors are discussed. Planning in the context of dementia and practical approaches that can be taken to enhance PFC is addressed, as well as recommendations for future research in the area of planning and decision making in the context of care transitions. PMID:26207079

  7. Subgenual PFC Activity Predicts Individual Differences in HPA Activity Across Different Contexts

    PubMed Central

    Jahn, Allison L.; Fox, Andrew S.; Abercrombie, Heather C.; Shelton, Steven E.; Oakes, Terrence R.; Davidson, Richard J.; Kalin, Ned H.

    2009-01-01

    Background Hypothalamic-pituitary-adrenal (HPA) system activation is adaptive in response to stress, and HPA dysregulation occurs in stress-related psychopathology. It is important to understand the mechanisms that modulate HPA output; yet, few studies have addressed the neural circuitry associated with HPA regulation in primates and humans. Using high-resolution [F-18]-fluoro-deoxyglucose (FDG) positron emission tomography (PET) in rhesus monkeys, we assessed the relation between individual differences in brain activity and HPA function across multiple contexts that varied in stressfulness. Methods Using a logical AND conjunctions analysis, we assessed cortisol and brain metabolic activity with FDG-PET in 35 adolescent rhesus monkeys exposed to two threat and two home-cage conditions. To test the robustness of our findings, we used similar methods in an archival data set. In this data set, brain metabolic activity and cortisol were assessed in 17 adolescent male rhesus monkeys that were exposed to three different stress-related contexts. Results Results from the two studies, revealed that subgenual PFC metabolism (Area 25/24) consistently predicted individual differences in plasma cortisol concentrations regardless of the context in which brain activity and cortisol were assessed. Conclusions These findings suggest that activation in subgenual PFC may be related to HPA output across a variety of contexts (including familiar settings and novel or threatening situations). Individuals prone to elevated subgenual PFC activity across multiple contexts may be individuals who consistently show heightened cortisol, and may be at risk for stress-related HPA dysregulation. PMID:19846063

  8. Serum concentrations of perfluorinated compounds (PFC) among selected populations of children and Adults in California

    PubMed Central

    Wu, Xiangmei (May); Bennett, Deborah H.; Calafat, Antonia M.; Kato, Kayoko; Strynar, Mark; Andersen, Erik; Moran, Rebecca E.; Tancredi, Daniel J.; Tulve, Nicolle S.; Hertz-Picciotto, Irva

    2016-01-01

    Perfluorinated compounds (PFCs) have been widely used in industrial applications and consumer products. Their persistent nature and potential health impacts are of concern. Given the high cost of collecting serum samples, this study is to understand whether we can quantify PFC serum concentrations using factors extracted from questionnaire responses and indirect measurements, and whether a single serum measurement can be used to classify an individual’s exposure over a one-year period. The study population included three demographic groups: young children (2–8 years old) (N=67), parents of young children (<55 years old) (N=90), and older adults (>55 years old) (N=59). PFC serum concentrations, house dust concentrations, and questionnaires were collected. The geometric mean of perfluorooctane sulfonic acid (PFOS) was highest for the older adults. In contrast, the geometric mean of perfluorooctanoic acid (PFOA) was highest for children. Serum concentrations of the parent and the child from the same family were moderately correlated (Spearman correlation (r)=0.26–0.79, p<0.05), indicating common sources within a family. For adults, age, having occupational exposure or having used fire extinguisher, frequencies of consuming butter/margarine, pork, canned meat entrées, tuna and white fish, freshwater fish, and whether they ate microwave popcorn were significantly positively associated with serum concentrations of individual PFCs. For children, residential dust concentrations, frequency of wearing waterproof clothes, frequency of having canned fish, hotdogs, chicken nuggets, French fries, and chips, and whether they ate microwave popcorn were significant positive predictors of individual PFC serum concentrations. In addition, the serum concentrations collected in a subset of young children (N=20) and the parents (N=42) one year later were strongly correlated (r=0.68–0.98, p<0.001) with the levels measured at the first visits, but showed a decreasing trend

  9. Serum concentrations of perfluorinated compounds (PFC) among selected populations of children and adults in California.

    PubMed

    Wu, Xiangmei May; Bennett, Deborah H; Calafat, Antonia M; Kato, Kayoko; Strynar, Mark; Andersen, Erik; Moran, Rebecca E; Tancredi, Daniel J; Tulve, Nicolle S; Hertz-Picciotto, Irva

    2015-01-01

    Perfluorinated compounds (PFCs) have been widely used in industrial applications and consumer products. Their persistent nature and potential health impacts are of concern. Given the high cost of collecting serum samples, this study is to understand whether we can quantify PFC serum concentrations using factors extracted from questionnaire responses and indirect measurements, and whether a single serum measurement can be used to classify an individual's exposure over a one-year period. The study population included three demographic groups: young children (2-8 years old) (N=67), parents of young children (<55 years old) (N=90), and older adults (>55 years old) (N=59). PFC serum concentrations, house dust concentrations, and questionnaires were collected. The geometric mean of perfluorooctane sulfonic acid (PFOS) was highest for the older adults. In contrast, the geometric mean of perfluorooctanoic acid (PFOA) was highest for children. Serum concentrations of the parent and the child from the same family were moderately correlated (Spearman correlation (r)=0.26-0.79, p<0.05), indicating common sources within a family. For adults, age, having occupational exposure or having used fire extinguisher, frequencies of consuming butter/margarine, pork, canned meat entrées, tuna and white fish, freshwater fish, and whether they ate microwave popcorn were significantly positively associated with serum concentrations of individual PFCs. For children, residential dust concentrations, frequency of wearing waterproof clothes, frequency of having canned fish, hotdogs, chicken nuggets, French fries, and chips, and whether they ate microwave popcorn were significant positive predictors of individual PFC serum concentrations. In addition, the serum concentrations collected in a subset of young children (N=20) and the parents (N=42) one year later were strongly correlated (r=0.68-0.98, p<0.001) with the levels measured at the first visits, but showed a decreasing trend. Children had

  10. Drug Authorization for Sofosbuvir/Ledipasvir (Harvoni) for Chronic HCV Infection in a Real-World Cohort: A New Barrier in the HCV Care Cascade

    PubMed Central

    Liapakis, AnnMarie; Cohen, Elizabeth; Chau, Hong; Bertuccio, Claudia; Sapir, Dana; Wright, Jessica; Eggers, Carol; Drozd, Kristine; Ciarleglio, Maria; Deng, Yanhong; Lim, Joseph K.

    2015-01-01

    Background New treatments for hepatitis C (HCV) infection hold great promise for cure, but numerous challenges to diagnosing, establishing care, and receiving therapy exist. There are limited data on insurance authorization for these medications. Materials and Methods We performed a retrospective chart review of patients receiving sofosbuvir/ledipasvir (SOF/LED) from October 11-December 31, 2014 to determine rates and timing of drug authorization. We also determined predictors of approval, and those factors associated with faster decision and approval times. Results Of 174 patients prescribed HCV therapy during this period, 129 requests were made for SOF/LED, of whom 100 (77.5%) received initial approval, and an additional 17 patients (13.9%) ultimately received approval through the appeals process. Faster approval times were seen in patients with Child-Pugh Class B disease (14.4 vs. 24.7 days, p = 0.048). A higher proportion of patients were initially approved in those with Medicare/Medicaid coverage (92.2% vs. 71.4%, p = 0.002) and those with baseline viral load ≥6 million IU/mL (84.1% vs. 62.5%, p = 0.040). Linear regression modeling identified advanced fibrosis, high Model of End Stage Liver Disease (MELD) score, and female gender as significant predictors of shorter decision and approval times. On logistic regression, Medicare/Medicaid coverage (OR 5.96, 95% CI 1.66–21.48) and high viral load (OR 4.52, 95% CI 1.08–19.08) were significant predictors for initial approval. Conclusions Early analysis of real-world drug authorization outcomes between October-December 2014 reveals that nearly one in four patients are initially denied access to SOF/LED upon initial prescription, although most patients are eventually approved through appeal, which delays treatment initiation. Having Medicare/Medicaid and advanced liver disease resulted in a higher likelihood of approval as well as earlier decision and approval times. More studies are needed to determine factors

  11. Power-Quality Improvement in PFC Bridgeless SEPIC-Fed BLDC Motor Drive

    NASA Astrophysics Data System (ADS)

    Singh, Bhim; Bist, Vashist

    2013-06-01

    This article presents a design of a power factor correction (PFC)-based brushless DC (BLDC) motor drive. The speed control of BLDC motor is achieved by controlling the DC link voltage of the voltage source inverter (VSI) feeding BLDC motor using a single voltage sensor. A front-end bridgeless single-ended primary inductance converter (SEPIC) is used for DC link voltage control and PFC operation. A bridgeless SEPIC is designed to operate in discontinuous inductor current mode (DICM) thus utilizing a simple control scheme of voltage follower. An electronic commutation of BLDC motor is used for VSI to operate in a low-frequency operation for reduced switching losses in the VSI. Moreover, a bridgeless topology offers less conduction losses due to absence of diode bridge rectifier for further increasing the efficiency. The proposed BLDC motor drive is designed to operate over a wide range of speed control with an improved power-quality at the AC mains under the recommended international power-quality standards such as IEC 61000-3-2.

  12. Design of a digital holography system for PFC erosion measurements on Proto-MPEX

    SciTech Connect

    ThomasJr., C. E.; Biewer, Theodore M; Baylor, Larry R; Combs, Stephen Kirk; Meitner, Steven J; Rapp, Juergen; Hillis, Donald Lee; Granstedt, E. M.; Majeski, R.; Kaita, R.

    2016-01-01

    A project has been started at ORNL to develop a dual-wavelength digital holography system for plasma facing component (PFC) erosion measurements on Proto-MPEX. Such a system will allow in-situ real-time measurements of component erosion. Initially the system will be developed with one laser, and first experimental laboratory measurements will be made with the single laser system. In the second year of development a second CO2 laser will be added and measurements with the dual wavelength system will begin. Adding the second wavelength allows measurements at a much longer synthetic wavelength equal to the average of the two wavelengths times the average divided by the difference of the two wavelengths.

  13. Can tokamaks PFC survive a single event of any plasma instabilities?

    NASA Astrophysics Data System (ADS)

    Hassanein, A.; Sizyuk, V.; Miloshevsky, G.; Sizyuk, T.

    2013-07-01

    Plasma instability events such as disruptions, edge-localized modes (ELMs), runaway electrons (REs), and vertical displacement events (VDEs) are continued to be serious events and most limiting factors for successful tokamak reactor concept. The plasma-facing components (PFCs), e.g., wall, divertor, and limited surfaces of a tokamak as well as coolant structure materials are subjected to intense particle and heat loads and must maintain a clean and stable surface environment among them and the core/edge plasma. Typical ITER transient events parameters are used for assessing the damage from these four different instability events. HEIGHTS simulation showed that a single event of a disruption, giant ELM, VDE, or RE can cause significant surface erosion (melting and vaporization) damage to PFC, nearby components, and/or structural materials (VDE, RE) melting and possible burnout of coolant tubes that could result in shut down of reactor for extended repair time.

  14. A Common Polymorphism in SCN2A Predicts General Cognitive Ability through Effects on PFC Physiology.

    PubMed

    Scult, Matthew A; Trampush, Joey W; Zheng, Fengyu; Conley, Emily Drabant; Lencz, Todd; Malhotra, Anil K; Dickinson, Dwight; Weinberger, Daniel R; Hariri, Ahmad R

    2015-09-01

    Here we provide novel convergent evidence across three independent cohorts of healthy adults (n = 531), demonstrating that a common polymorphism in the gene encoding the α2 subunit of neuronal voltage-gated type II sodium channels (SCN2A) predicts human general cognitive ability or "g." Using meta-analysis, we demonstrate that the minor T allele of a common polymorphism (rs10174400) in SCN2A is associated with significantly higher "g" independent of gender and age. We further demonstrate using resting-state fMRI data from our discovery cohort (n = 236) that this genetic advantage may be mediated by increased capacity for information processing between the dorsolateral PFC and dorsal ACC, which support higher cognitive functions. Collectively, these findings fill a gap in our understanding of the genetics of general cognitive ability and highlight a specific neural mechanism through which a common polymorphism shapes interindividual variation in "g." PMID:25961639

  15. Chronic LSD alters gene expression profiles in the mPFC relevant to schizophrenia.

    PubMed

    Martin, David A; Marona-Lewicka, Danuta; Nichols, David E; Nichols, Charles D

    2014-08-01

    Chronic administration of lysergic acid diethylamide (LSD) every other day to rats results in a variety of abnormal behaviors. These build over the 90 day course of treatment and can persist at full strength for at least several months after cessation of treatment. The behaviors are consistent with those observed in animal models of schizophrenia and include hyperactivity, reduced sucrose-preference, and decreased social interaction. In order to elucidate molecular changes that underlie these aberrant behaviors, we chronically treated rats with LSD and performed RNA-sequencing on the medial prefrontal cortex (mPFC), an area highly associated with both the actions of LSD and the pathophysiology of schizophrenia and other psychiatric illnesses. We observed widespread changes in the neurogenetic state of treated animals four weeks after cessation of LSD treatment. QPCR was used to validate a subset of gene expression changes observed with RNA-Seq, and confirmed a significant correlation between the two methods. Functional clustering analysis indicates differentially expressed genes are enriched in pathways involving neurotransmission (Drd2, Gabrb1), synaptic plasticity (Nr2a, Krox20), energy metabolism (Atp5d, Ndufa1) and neuropeptide signaling (Npy, Bdnf), among others. Many processes identified as altered by chronic LSD are also implicated in the pathogenesis of schizophrenia, and genes affected by LSD are enriched with putative schizophrenia genes. Our results provide a relatively comprehensive analysis of mPFC transcriptional regulation in response to chronic LSD, and indicate that the long-term effects of LSD may bear relevance to psychiatric illnesses, including schizophrenia. PMID:24704148

  16. Chronic LSD alters gene expression profiles in the mPFC relevant to schizophrenia.

    PubMed

    Martin, David A; Marona-Lewicka, Danuta; Nichols, David E; Nichols, Charles D

    2014-08-01

    Chronic administration of lysergic acid diethylamide (LSD) every other day to rats results in a variety of abnormal behaviors. These build over the 90 day course of treatment and can persist at full strength for at least several months after cessation of treatment. The behaviors are consistent with those observed in animal models of schizophrenia and include hyperactivity, reduced sucrose-preference, and decreased social interaction. In order to elucidate molecular changes that underlie these aberrant behaviors, we chronically treated rats with LSD and performed RNA-sequencing on the medial prefrontal cortex (mPFC), an area highly associated with both the actions of LSD and the pathophysiology of schizophrenia and other psychiatric illnesses. We observed widespread changes in the neurogenetic state of treated animals four weeks after cessation of LSD treatment. QPCR was used to validate a subset of gene expression changes observed with RNA-Seq, and confirmed a significant correlation between the two methods. Functional clustering analysis indicates differentially expressed genes are enriched in pathways involving neurotransmission (Drd2, Gabrb1), synaptic plasticity (Nr2a, Krox20), energy metabolism (Atp5d, Ndufa1) and neuropeptide signaling (Npy, Bdnf), among others. Many processes identified as altered by chronic LSD are also implicated in the pathogenesis of schizophrenia, and genes affected by LSD are enriched with putative schizophrenia genes. Our results provide a relatively comprehensive analysis of mPFC transcriptional regulation in response to chronic LSD, and indicate that the long-term effects of LSD may bear relevance to psychiatric illnesses, including schizophrenia.

  17. Endoscopic treatment of large pancreatic fluid collections (PFC) using self-expanding metallic stents (SEMS) – a two-center experience

    PubMed Central

    Chaves, Dalton Marques; Mönkemüller, Klaus; Carneiro, Fred; Medrado, Bruno; dos Santos, Marcos; Wodak, Stephanie; Reimão, Sílvia; Sakai, Paulo; de Moura, Eduardo

    2014-01-01

    Background/study aim: During the last several years, endoscopic ultrasound (EUS)-guided pancreatic fluid collections’ (PFC) drainage has evolved into the preferred drainage technique. Recently, self-expanding metallic stents (SEMS) have been used as an alternative to double pigtail stents, with the advantage of providing a larger diameter fistula, thereby decreasing the risk of early obstruction and also allowing for direct endoscopic exploration of the cavity. The aim of this study was to evaluate the technical and clinical success, safety, and outcome of patients undergoing EUS-guided drainage of complex PFC using SEMS. Patients/materials and methods: The study was conducted at two tertiary hospitals from January 2010 to January 2013. All patients with PFC referred for endoscopic drainage were enrolled in a prospective database. The inclusion criteria were: (1) patients with pseudocysts or walled-off necrosis based on the revised Atlanta classification; (2) symptomatic patients with thick PFC; (3) PFC that persisted more than 6 weeks; and (4) large PFC diameter (≥ 9 cm). The exclusion criteria consisted of coagulation disorders, PFC bleeding or infection, and failure-to-inform written consent. Results: A total of 16 patients (9 females, 7 males; mean age 52.6, range 20 – 82) underwent EUS drainage with SEMS. There were 14 cases of pseudocysts and 2 cases of walled-off necrosis. The etiologies of the PFC were mainly gallstones (8 of 16 patients, 50 %) and alcohol (5 of 16 patients, 31 %). Technical success was achieved in 100 % of the cases. All patients had a complete resolution of the PFC. Conclusion: Transmural EUS-guided drainage of complex PFC using SEMS is feasible, appears safe, and is efficacious. However, the exchange of the UC (uncovered)-SEMS for plastic stents is mandatory within 1 week. Future prospective studies, preferably multicenter studies, comparing SEMS versus traditional plastic stents for the drainage of PFC are

  18. Prolonged Field Care Working Group Fluid Therapy Recommendations.

    PubMed

    Baker, Benjamin L; Powell, Doug; Riesberg, Jamie; Keenan, Sean

    2016-01-01

    The Prolonged Field Care Working Group concurs that fresh whole blood (FWB) is the fluid of choice for patients in hemorrhagic shock, and the capability to transfuse FWB should be a basic skill set for Special Operations Forces (SOF) Medics. Prolonged field care (PFC) must also address resuscitative and maintenance fluid requirements in nonhemorrhagic conditions. PMID:27045508

  19. A solar light driven dual photoelectrode photocatalytic fuel cell (PFC) for simultaneous wastewater treatment and electricity generation.

    PubMed

    Bai, Jing; Wang, Rui; Li, Yunpo; Tang, Yuanyuan; Zeng, Qingyi; Xia, Ligang; Li, Xuejin; Li, Jinhua; Li, Caolong; Zhou, Baoxue

    2016-07-01

    In this paper, a novel dual heterojunction Photocatalytic Fuel Cell (PFC) system based on BiVO4/TiO2 nanotubes/FTO photoanode and ZnO/CuO nanowires/FTO photocathode has been designed. Compared with the electrodes in PFCs reported in earlier literatures, the proposed heterojunction not only enhances the visible light absorption but also offers a higher photoconversion efficiency. In addition, the nanostructured heterojunction owns a large surface area that ensures a large amount of active sites for organics degradation. The performance of the PFC base on the dual photoelectrodes was also studied herein. The results indicated that the PFC in ths paper exhibits a superior performance and its JV(max) reached 0.116 mw cm(-2), which is higher than that in most of reported PFCs with a Pt-free photocathode. When hazardous organic compounds such as methyl orange, Congo red and methylene blue were decomposed, the degradation rates obtained is to be 76%, 83%, and 90% respectively after 80 mins reaction. The proposed heterojunction photoelectrodes provided great potential for cost-effective and high-efficiency organic pollutants degradation and electricity generation in a PFC system. PMID:26954476

  20. A facile preparation method of a PFC-containing nano-sized emulsion for theranostics of solid tumors.

    PubMed

    Shiraishi, Kouichi; Endoh, Reiko; Furuhata, Hiroshi; Nishihara, Masamichi; Suzuki, Ryo; Maruyama, Kazuo; Oda, Yusuke; Jo, Jun-ichiro; Tabata, Yasuhiko; Yamamoto, Jun; Yokoyama, Masayuki

    2011-12-15

    Theranostics means a therapy conducted in a diagnosis-guided manner. For theranostics of solid tumors by means of ultrasound, we designed a nano-sized emulsion containing perfluoropentane (PFC5). This emulsion can be delivered into tumor tissues through the tumor vasculatures owing to its nano-size, and the emulsion is transformed into a micron-sized bubble upon sonication through phase transition of PFC5. The micron-sized bubbles can more efficiently absorb ultrasonic energy for better diagnostic images and can exhibit more efficient ultrasound-driven therapeutic effects than nano-sized bubbles. For more efficient tumor delivery, smaller size is preferable, yet the preparation of a smaller emulsion is technically more difficult. In this paper, we used a bath-type sonicator to successfully obtain small PFC5-containing emulsions in a diameter of ca. 200nm. Additionally, we prepared these small emulsions at 40°C, which is above the boiling temperature of PFC5. Accordingly, we succeeded in obtaining very small nano-emulsions for theranostics through a very facile method.

  1. 14 CFR 158.11 - Public agency request not to require collection of PFC's by a class of air carriers or foreign...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Public agency request not to require collection of PFC's by a class of air carriers or foreign air carriers or for service to isolated communities... TRANSPORTATION (CONTINUED) AIRPORTS PASSENGER FACILITY CHARGES (PFC'S) General § 158.11 Public agency request...

  2. 40 CFR Table F-1 to Subpart F of... - Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum Production

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... the Calculation of PFC Emissions From Aluminum Production F Table F-1 to Subpart F of Part 98... GREENHOUSE GAS REPORTING Aluminum Production Pt. 98, Subpt. F, Table F-1 Table F-1 to Subpart F of Part 98—Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum...

  3. 40 CFR Table F-1 to Subpart F of... - Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum Production

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the Calculation of PFC Emissions From Aluminum Production F Table F-1 to Subpart F of Part 98... GREENHOUSE GAS REPORTING Aluminum Production Pt. 98, Subpt. F, Table F-1 Table F-1 to Subpart F of Part 98—Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum...

  4. 40 CFR Table F-1 to Subpart F of... - Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum Production

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Calculation of PFC Emissions From Aluminum Production F Table F-1 to Subpart F of Part 98... GREENHOUSE GAS REPORTING Aluminum Production Pt. 98, Subpt. F, Table F-1 Table F-1 to Subpart F of Part 98—Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum...

  5. 40 CFR Table F-1 to Subpart F of... - Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum Production

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the Calculation of PFC Emissions From Aluminum Production F Table F-1 to Subpart F of Part 98... GREENHOUSE GAS REPORTING Aluminum Production Pt. 98, Subpt. F, Table F-1 Table F-1 to Subpart F of Part 98—Slope and Overvoltage Coefficients for the Calculation of PFC Emissions From Aluminum...

  6. 76 FR 79271 - Notice of Intent To Rule on Passenger Facility Charge (PFC) Application 11-09-C-00-BWI, To Impose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ...-09-C-00-BWI, To Impose and Use PFC Revenue at Baltimore/ Washington International Thurgood Marshall Airport, Baltimore, MD AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of intent to... impose and use PFC revenue at Baltimore/Washington International Thurgood Marshall Airport, under...

  7. Transfer of classical eyeblink conditioning with electrical stimulation of mPFC or tone as conditioned stimulus in guinea pigs.

    PubMed

    Yao, Juan; Wu, Guang-Yan; Liu, Guo-Long; Liu, Shu-Lei; Yang, Yi; Wu, Bing; Li, Xuan; Feng, Hua; Sui, Jian-Feng

    2014-11-01

    Learning with a stimulus from one sensory modality can facilitate subsequent learning with a new stimulus from a different sensory modality. To date, the characteristics and mechanism of this phenomenon named transfer effect still remain ambiguous. Our previous work showed that electrical stimulation of medial prefrontal cortex (mPFC) as a conditioned stimulus (CS) could successfully establish classical eyeblink conditioning (EBC). The present study aimed to (1) observe whether transfer of EBC learning would occur when CSs shift between central (mPFC electrical stimulation as a CS, mPFC-CS) and peripheral (tone as a CS, tone CS); (2) compare the difference in transfer effect between the two paradigms, delay EBC (DEBC) and trace EBC (TEBC). A total of 8 groups of guinea pigs were tested in the study, including 4 experimental groups and 4 control groups. Firstly, the experimental groups accepted central (or peripheral) CS paired with corneal airpuff unconditioned stimulus (US); then, CS shifted to the peripheral (or central) and paired with US. The control groups accepted corresponding central (or peripheral) CS and pseudo-paired with US, and then shifted CS from central (or peripheral) to peripheral (or central) and paired with US. The results showed that the acquisition rates of EBC were higher in experimental groups than in control groups after CS switching from central to peripheral or vice versa, and the CR acquisition rate was remarkably higher in DEBC than in TEBC in both transfer ways. The results indicate that EBC transfer can occur between learning established with mPFC-CS and tone CS. Memory of CS-US association for delay paradigm was less disturbed by the sudden switch of CS than for trace paradigm. This study provides new insight into neural mechanisms underlying conditioned reflex as well as the role of mPFC.

  8. DPA damage analysis for 14-MeV neutrons on PFC materials

    NASA Astrophysics Data System (ADS)

    Kim, Dong-woo; Lee, Bo-young; Ko, Seung-kook; Kim, Hee-soo; Noh, Seung-jung

    2015-06-01

    The dpa (displacement per atom) damage for 14-MeV neutron in a pfc materials was simulated using MCNPX/SPECTER code. The dpa values in the main components of the structural material SS316L, Fe, Cr and Ni, were calculated to analyze the effect of nuclear damage. According to the neutron wall load for ITER design base, a neutron flux of 3.5 × 1013 neutrons/cm2·sec was applied. The simulated dpa values were found to be as 3.0 dpa/fpy for Fe, 2.9 dpa/fpy for Cr and 3.1 dpa/fpy for Ni. For practical experiments, the simulated dpa values due to the irradiation damage of 17-MeV protons were found to be as 0.67 dpa at the peak and 0.05 at the surface for SS316L using by SRIM code at the same fluence. For the 17-MeV proton irradiation, the Bragg peak appears at a 0.64-mm depth. Also, SS316L specimens irradiated by a 17-MeV proton beam with a fluence of 1016 protons/cm2 were analyzed by using transmission electron microscopy.

  9. PLGA/PFC particles loaded with gold nanoparticles as dual contrast agents for photoacoustic and ultrasound imaging

    NASA Astrophysics Data System (ADS)

    Wang, Yan J.; Strohm, Eric M.; Sun, Yang; Niu, Chengcheng; Zheng, Yuanyi; Wang, Zhigang; Kolios, Michael C.

    2014-03-01

    Phase-change contrast agents consisting of a perfluorocarbon (PFC) liquid core stabilized by a lipid, protein, or polymer shell have been proposed for a variety of clinical applications. Previous work has demonstrated that vaporization can be induced by laser irradiation through optical absorbers incorporated inside the droplet. In this study, Poly-lactide-coglycolic acid (PLGA) particles loaded with PFC liquid and silica-coated gold nanoparticles (GNPs) were developed and characterized using photoacoustic (PA) methods. Microsized PLGA particles were loaded with PFC liquid and GNPs (14, 35, 55nm each with a 20nm silica shell) using a double emulsion method. The PA signal intensity and optical vaporization threshold were investigated using a 375 MHz transducer and a focused 532-nm laser (up to 450-nJ per pulse). The laser-induced vaporization threshold energy decreased with increasing GNP size. The vaporization threshold was 850, 690 and 420 mJ/cm2 for 5μm-sized PLGA particles loaded with 14, 35 and 55 nm GNPs, respectively. The PA signal intensity increased as the laser fluence increased prior to the vaporization event. This trend was observed for all particles sizes. PLGA particles were then incubated with MDA-MB-231 breast cancer cells for 6 hours to investigate passive targeting, and the vaporization of the PLGA particles that were internalized within cells. The PLGA particles passively internalized by MDA cells were visualized via confocal fluorescence imaging. Upon PLGA particle vaporization, bubbles formed inside the cells resulting in cell destruction. This work demonstrates that GNPs-loaded PLGA/PFC particles have potential as PA theranostic agents in PA imaging and optically-triggered drug delivery systems.

  10. Aggression and increased glutamate in the mPFC during withdrawal from intermittent alcohol in outbred mice

    PubMed Central

    Hwa, Lara S.; Nathanson, Anna J.; Shimamoto, Akiko; Tayeh, Jillian K.; Wilens, Allison R.; Holly, Elizabeth N.; Newman, Emily L.; DeBold, Joseph F.; Miczek, Klaus A.

    2015-01-01

    Rationale Disrupted social behavior, including occasional aggressive outbursts, is characteristic of withdrawal from long-term alcohol (EtOH) use. Heavy EtOH use and exaggerated responses during withdrawal may be treated using glutamatergic N-methyl-D-aspartate receptor (NMDAR) antagonists. Objectives The current experiments explore aggression and medial prefrontal cortex (mPFC) glutamate as consequences of withdrawal from intermittent access to EtOH, and changes in aggression and mPFC glutamate caused by NMDAR antagonists memantine and ketamine. Methods Swiss male mice underwent withdrawal following 1-8 weeks of intermittent access to 20% EtOH. Aggressive and non-aggressive behaviors with a conspecific were measured 6-8 h into EtOH withdrawal after memantine or ketamine (0-30 mg/kg, i.p.) administration. In separate mice, extracellular mPFC glutamate after memantine was measured during withdrawal using in vivo microdialysis. Results At 6-8 h withdrawal from EtOH, mice exhibited more convulsions and aggression, and decreased social contact compared to age-matched water controls. Memantine, but not ketamine, increased withdrawal aggression at the 5 mg/kg dose in mice with a history of 8 weeks EtOH but not 1 or 4 weeks of EtOH or in water drinkers. Tonic mPFC glutamate was higher during withdrawal after 8 weeks EtOH compared to 1 week EtOH or 8 weeks water. Five mg/kg memantine increased glutamate in 8 week EtOH mice, but also in 1 week EtOH and water drinkers. Conclusions These studies reveal aggressive behavior as a novel symptom of EtOH withdrawal in outbred mice and confirm a role of NMDARs during withdrawal aggression and for disrupted social behavior. PMID:25899790

  11. The mediating role of LPFC-vmPFC functional connectivity in the relation between regulatory mode and delay discounting.

    PubMed

    Guo, Yiqun; Feng, Tingyong

    2015-10-01

    Previous studies have shown that regulatory mode orientation can affect many human behaviors, such as risk-taking, counterfactual thinking and economic decision making. However, little is known about how regulatory mode affects delay discounting. To address this question, we used resting-state functional magnetic resonance imaging (rs-fMRI) to investigate whether regulatory mode orientations can be represented by functional connectivity and the influence of two regulatory modes (assessment and locomotion) on delay discounting. The behavioral results showed that delay discounting was negatively correlated with assessment scores but positively correlated with locomotion scores. Neuroimaging results indicated that the functional connectivity between lateral prefrontal cortex (LPFC) and ventromedial prefrontal cortex (vmPFC) was negatively correlated with assessment scores but positively correlated with locomotion scores. Furthermore, mediation analysis showed that the effect of regulatory mode on delay discounting is mediated by LPFC-vmPFC functional connectivity. These results suggested that people's regulatory mode orientation could predict delay discounting, which is mediated by LPFC-vmPFC functional connectivity. Therefore, the present study extends our perspective on regulatory mode and provides neural mechanism for understanding the link between regulatory mode and delay discounting.

  12. Two-Stage Soft-Switching High-Frequency Inverter with Simple PFC Function for Consumer IH Cooking Appliances

    NASA Astrophysics Data System (ADS)

    Kawaguchi, Yuki; Hiraki, Eiji; Tanaka, Toshihiko; Sadakata, Hideki; Fujita, Atsushi; Omori, Hideki; Nakaoka, Mutsuo

    In recent years, consumer induction-heating (IH) cooking appliances have grown increasingly popular because of their easy cleaning, high efficiency, safety, and controllability. IH food cooking system for consumer home use are indispensable to heat various metallic pans, such as aluminum, copper, stainless steel, and iron cast for further diffusing. Furthermore, these appliances have to satisfy the utility AC grid harmonics regulations of IEC61000-3-2. To meet these requirements, this paper proposes a two-stage soft-switching high-frequency inverter with simple PFC function that is suitable for consumer IH cooking appliances. The proposed system comprises a soft-switching chopper based boost PFC converter with passive snubber and phase-shifted PWM controlled ZVZCS high-frequency inverter. In order to satisfy the utility AC grid current harmonic regulations, a simple PFC control technique with discontinuous current mode is introduced. This technique as well as the fundamental operating performances of the proposed IH system is tested. The effectiveness of proposed IH system is substantially proved from a practical point of view on the basis of the experimental results.

  13. Impact of financial agreements in European chronic care on health care expenditure growth.

    PubMed

    Tsiachristas, Apostolos; Dikkers, Carolien; Boland, Melinde R S; Rutten-van Mölken, Maureen P M H

    2016-04-01

    Various types of financial agreements have been implemented in Europe to reduce health care expenditure by stimulating integrated chronic care. This study used difference-in-differences (DID) models to estimate differences in health care expenditure trends before and after the introduction of a financial agreement between 9 intervention countries and 16 control countries. Intervention countries included countries with pay-for-coordination (PFC), pay-for-performance (PFP), and/or all inclusive agreements (bundled and global payment) for integrated chronic care. OECD and WHO data from 1996 to 2013 was used. The results from the main DID models showed that the annual growth of outpatient expenditure was decreased in countries with PFC (by 21.28 US$ per capita) and in countries with all-inclusive agreements (by 216.60 US$ per capita). The growth of hospital and administrative expenditure was decreased in countries with PFP by 64.50 US$ per capita and 5.74 US$ per capita, respectively. When modelling impact as a non-linear function of time during the total 4-year period after implementation, PFP decreased the growth of hospital and administrative expenditure and all-inclusive agreements reduced the growth of outpatient expenditure. Financial agreements are potentially powerful tools to stimulate integrated care and influence health care expenditure growth. A blended payment scheme that combines elements of PFC, PFP, and all-inclusive payments is likely to provide the strongest financial incentives to control health care expenditure growth. PMID:26971018

  14. Who Cares for Care Leavers?

    ERIC Educational Resources Information Center

    Askew, Julie; Rodgers, Paul; West, Andrew

    2016-01-01

    This chapter describes a programme of learning and development at the University of Sheffield, United Kingdom, to support looked-after children and care leavers (youth previously provided care outside or beyond family) throughout the student lifecycle. In this context, looked-after children are those cared for by a town/city authority where…

  15. The Mutual Effect of Reciprocally Moving Geokhod and Geological Environment Studied by the Discrete Element Method in Software PFC3D 5.00

    NASA Astrophysics Data System (ADS)

    Timofeev, V. Yu.; Kust, T. S.; Dronov, A. A.; Beloglazov, I. I.; Ikonnikov, D. A.

    2016-08-01

    A numerical experiment procedure of geokhod traverse in the geological environment, based on software PFC3D 5.00 is presented in the paper; the interpretation of numerical experiment results is provided.

  16. Author's response.

    PubMed

    Crane, Judy L

    2015-01-01

    This letter to the editor rebuts flawed analyses made by O'Reilly (2014) and points out duplicative comments that have already been rebutted in the peer-reviewed literature. O'Reilly (2014) provides little new scientific information on the source apportionment of polycyclic aromatic hydrocarbons (PAHs) in sediments, and the author stands by the results of her research.

  17. Military Authority.

    ERIC Educational Resources Information Center

    Martz, Carlton; Hayes, Bill

    2001-01-01

    This issue of "Bill of Rights in Action" explores questions of military authority. The first article looks at the French Army mutinies in World War I and how the French Army dealt with them. The second article examines President Truman's firing of popular and powerful General Douglas MacArthur during the Korean War. The final article looks at how…

  18. Optimization and application of TiO₂/Ti-Pt photo fuel cell (PFC) to effectively generate electricity and degrade organic pollutants simultaneously.

    PubMed

    Li, Kan; Zhang, Hongbo; Tang, Tiantian; Xu, Yunlan; Ying, Diwen; Wang, Yalin; Jia, Jinping

    2014-10-01

    A TiO2/Ti-Pt photo fuel cell (PFC) was established to generate electricity and degrade organic pollutants simultaneously. The electricity generation was optimized through investigation the influences of photoanode calcination temperature and dissolve oxygen on the resistances existing in PFC. TiO2 light quantum yield was also improved in PFC which resulted in a higher PC degradation efficiency. Two kinds of real textile wastewaters were also employed in this PFC system, 62.4% and 50.0% Coulombic efficiency were obtained for 8 h treatment. These refractory wastewaters with high salinity may become good fuels in PFC because a) TiO2 has no selectivity and can degrade nearly any organic substance, b) no more electrolyte is needed due to the high salinity, c) the energy in wastes can be recovered to generate electricity. The electricity generated by the PFC was further applied on a TiO2/Ti rotating disk photoelectrocatalytic reactor. A bias voltage between 0.6 and 0.75 V could be applied and the PC degradation efficiency was significantly improved. This result was similar with that obtained by a 0.7 V DC power.

  19. Early-life exposure to noise reduces mPFC astrocyte numbers and T-maze alternation/discrimination task performance in adult male rats

    PubMed Central

    Ruvalcaba-Delgadillo, Yaveth; Luquín, Sonia; Ramos-Zúñiga, Rodrigo; Feria-Velasco, Alfredo; González-Castañeda, Rocío Elizabeth; Pérez-Vega, Maria Isabel; Jáuregui-Huerta, Fernando; García-Estrada, Joaquín

    2015-01-01

    In this experiment, we evaluated the long-term effects of noise by assessing both astrocyte changes in medial prefrontal cortex (mPFC) and mPFC-related alternation/discrimination tasks. Twenty-one-day-old male rats were exposed during a period of 15 days to a standardized rats’ audiogram-fitted adaptation of a human noisy environment. We measured serum corticosterone (CORT) levels at the end of the exposure and periodically registered body weight gain. In order to evaluate the long-term effects of this exposure, we assessed the rats’ performance on the T-maze apparatus 3 months later. Astrocyte numbers and proliferative changes in mPFC were also evaluated at this stage. We found that environmental noise (EN) exposure significantly increased serum CORT levels and negatively affected the body weight gain curve. Accordingly, enduring effects of noise were demonstrated on mPFC. The ability to solve alternation/discrimination tasks was reduced, as well as the number of astroglial cells. We also found reduced cytogenesis among the mPFC areas evaluated. Our results support the idea that early exposure to environmental stressors may have long-lasting consequences affecting complex cognitive processes. These results also suggest that glial changes may become an important element behind the cognitive and morphological alterations accompanying the PFC changes seen in some stress-related pathologies. PMID:26168952

  20. Early-life exposure to noise reduces mPFC astrocyte numbers and T-maze alternation/discrimination task performance in adult male rats.

    PubMed

    Ruvalcaba-Delgadillo, Yaveth; Luquín, Sonia; Ramos-Zúñiga, Rodrigo; Feria-Velasco, Alfredo; González-Castañeda, Rocío Elizabeth; Pérez-Vega, Maria Isabel; Jáuregui-Huerta, Fernando; García-Estrada, Joaquín

    2015-01-01

    In this experiment, we evaluated the long-term effects of noise by assessing both astrocyte changes in medial prefrontal cortex (mPFC) and mPFC-related alternation/discrimination tasks. Twenty-one-day-old male rats were exposed during a period of 15 days to a standardized rats' audiogram-fitted adaptation of a human noisy environment. We measured serum corticosterone (CORT) levels at the end of the exposure and periodically registered body weight gain. In order to evaluate the long-term effects of this exposure, we assessed the rats' performance on the T-maze apparatus 3 months later. Astrocyte numbers and proliferative changes in mPFC were also evaluated at this stage. We found that environmental noise (EN) exposure significantly increased serum CORT levels and negatively affected the body weight gain curve. Accordingly, enduring effects of noise were demonstrated on mPFC. The ability to solve alternation/discrimination tasks was reduced, as well as the number of astroglial cells. We also found reduced cytogenesis among the mPFC areas evaluated. Our results support the idea that early exposure to environmental stressors may have long-lasting consequences affecting complex cognitive processes. These results also suggest that glial changes may become an important element behind the cognitive and morphological alterations accompanying the PFC changes seen in some stress-related pathologies.

  1. Identifying Inconsistencies and Reporting Deficits in Therapeutic Massage and Bodywork (TMB) Case Reports Authored by TMB Practitioners: a TMB-Adapted CAse REport (CARE) Guidelines Audit Through 2014†

    PubMed Central

    Munk, Niki; Shue, Sarah; Freeland, Emilee; Ralston, Rick; Boulanger, Karen T.

    2016-01-01

    Introduction Case reports are a fundamental tool through which therapeutic massage and bodywork (TMB) practitioners can inform research and impact their field by detailing the presentation, treatment, and follow-up of a single individual encountered in practice. Inconsistencies in case reporting limit their impact as fundamental sources of clinical evidence. Using the TMB-adapted CAse REport (CARE) guidelines, the current study sought to provide a rich description regarding the reporting quality of TMB practitioner authored TMB case reports in the literature. Methods 1) Systematic identification of published, peer-reviewed TMB case reports authored by TMB practitioners following PRISMA recommendations; 2) audit development based on TMB-adapted CARE guidelines; 3) audit implementation; and 4) descriptive analysis of audit scores. Results Our search identified 977 articles and 35 met study inclusion criteria. On average, TMB case reports included approximately 58% of the total items identified as necessary by the TMB-adapted CARE guidelines. Introduction sections of case reports had the best item reporting (80% on average), while Case Presentation (54%) and Results (52%) sections scored moderately overall, with only 20% of necessary Practitioner Description items included on average. Audit scores revealed inconsistent abstract reporting and few audited case reports including client race (20%), perspective (26%), and occupation/activities (40%); practitioner practice setting (12%), training (12%), scope-of-practice (29%), and credentialing (20%); adverse events or lack thereof (17%); and some aspect of informed consent (34%). Treatment descriptor item reporting varied from high to low. Various implications of concern are discussed. Conclusion The current audit and descriptive analysis highlight several reporting inconsistencies in TMB case reports prior to 2015. Reporting guidelines for case reports are important if standards for, and impact of, TMB case reports are

  2. Identifying Inconsistencies and Reporting Deficits in Therapeutic Massage and Bodywork (TMB) Case Reports Authored by TMB Practitioners: a TMB-Adapted CAse REport (CARE) Guidelines Audit Through 2014†

    PubMed Central

    Munk, Niki; Shue, Sarah; Freeland, Emilee; Ralston, Rick; Boulanger, Karen T.

    2016-01-01

    Introduction Case reports are a fundamental tool through which therapeutic massage and bodywork (TMB) practitioners can inform research and impact their field by detailing the presentation, treatment, and follow-up of a single individual encountered in practice. Inconsistencies in case reporting limit their impact as fundamental sources of clinical evidence. Using the TMB-adapted CAse REport (CARE) guidelines, the current study sought to provide a rich description regarding the reporting quality of TMB practitioner authored TMB case reports in the literature. Methods 1) Systematic identification of published, peer-reviewed TMB case reports authored by TMB practitioners following PRISMA recommendations; 2) audit development based on TMB-adapted CARE guidelines; 3) audit implementation; and 4) descriptive analysis of audit scores. Results Our search identified 977 articles and 35 met study inclusion criteria. On average, TMB case reports included approximately 58% of the total items identified as necessary by the TMB-adapted CARE guidelines. Introduction sections of case reports had the best item reporting (80% on average), while Case Presentation (54%) and Results (52%) sections scored moderately overall, with only 20% of necessary Practitioner Description items included on average. Audit scores revealed inconsistent abstract reporting and few audited case reports including client race (20%), perspective (26%), and occupation/activities (40%); practitioner practice setting (12%), training (12%), scope-of-practice (29%), and credentialing (20%); adverse events or lack thereof (17%); and some aspect of informed consent (34%). Treatment descriptor item reporting varied from high to low. Various implications of concern are discussed. Conclusion The current audit and descriptive analysis highlight several reporting inconsistencies in TMB case reports prior to 2015. Reporting guidelines for case reports are important if standards for, and impact of, TMB case reports are

  3. Visiting Author

    NASA Technical Reports Server (NTRS)

    1999-01-01

    Author of Rocket Boys Homer Hickam, Jr. (left) and Marshall Space Flight Center Director Art Stephenson during a conference at Morris Auditorium. Homer Hickam worked at MSFC during the Apollo project years. As a young man, Mr. Hickam always dreamed of becoming a rocket scientist and following in the footsteps fo Wernher von Braun. Years later he would see his dream realized and had written Rocket Boys commemorating his life and the people at MSFC.

  4. Intensified vmPFC surveillance over PTSS under perturbed microRNA-608/AChE interaction

    PubMed Central

    Lin, T; Simchovitz, A; Shenhar-Tsarfaty, S; Vaisvaser, S; Admon, R; Hanin, G; Hanan, M; Kliper, E; Bar-Haim, Y; Shomron, N; Fernandez, G; Lubin, G; Fruchter, E; Hendler, T; Soreq, H

    2016-01-01

    Trauma causes variable risk of posttraumatic stress symptoms (PTSS) owing to yet-unknown genome–neuronal interactions. Here, we report co-intensified amygdala and ventromedial prefrontal cortex (vmPFC) emotional responses that may overcome PTSS in individuals with the single-nucleotide polymorphism (SNP) rs17228616 in the acetylcholinesterase (AChE) gene. We have recently shown that in individuals with the minor rs17228616 allele, this SNP interrupts AChE suppression by microRNA (miRNA)-608, leading to cortical elevation of brain AChE and reduced cortisol and the miRNA-608 target GABAergic modulator CDC42, all stress-associated. To examine whether this SNP has effects on PTSS and threat-related brain circuits, we exposed 76 healthy Israel Defense Forces soldiers who experienced chronic military stress to a functional magnetic resonance imaging task of emotional and neutral visual stimuli. Minor allele individuals predictably reacted to emotional stimuli by hyperactivated amygdala, a hallmark of PTSS and a predisposing factor of posttraumatic stress disorder (PTSD). Despite this, minor allele individuals showed no difference in PTSS levels. Mediation analyses indicated that the potentiated amygdala reactivity in minor allele soldiers promoted enhanced vmPFC recruitment that was associated with their limited PTSS. Furthermore, we found interrelated expression levels of several miRNA-608 targets including CD44, CDC42 and interleukin 6 in human amygdala samples (N=7). Our findings suggest that miRNA-608/AChE interaction is involved in the threat circuitry and PTSS and support a model where greater vmPFC regulatory activity compensates for amygdala hyperactivation in minor allele individuals to neutralize their PTSS susceptibility. PMID:27138800

  5. Combustion Control System Design of Diesel Engine via ASPR based Output Feedback Control Strategy with a PFC

    NASA Astrophysics Data System (ADS)

    Mizumoto, Ikuro; Tsunematsu, Junpei; Fujii, Seiya

    2016-09-01

    In this paper, a design method of an output feedback control system with a simple feedforward input for a combustion model of diesel engine will be proposed based on the almost strictly positive real-ness (ASPR-ness) of the controlled system for a combustion control of diesel engines. A parallel feedforward compensator (PFC) design scheme which renders the resulting augmented controlled system ASPR will also be proposed in order to design a stable output feedback control system for the considered combustion model. The effectiveness of our proposed method will be confirmed through numerical simulations.

  6. Balancing authority, deference and trust across the public-private divide in health care: tuberculosis health visitors in western Maharashtra, India.

    PubMed

    Kielmann, Karina; Datye, Vinita; Pradhan, Anagha; Rangan, Sheela

    2014-01-01

    While concepts such as 'partnership' are central to the terminology of private-public mix (PPM), little attention has been paid to how social relations are negotiated among the diverse actors responsible for implementing these inter-sectoral arrangements. India's Revised National Tuberculosis Control Programme (RNTCP) has used intermediary agents to facilitate the involvement of private providers in the expansion of Directly Observed Therapy, Short-Course (DOTS). We examine the roles of tuberculosis health visitors (TB HVs) in mediating working relationships among private providers, programme staff and patients that underpin a PPM-DOTS launched by the RNTCP in western Maharashtra. In addition to observations and informal interactions with the programme and participating health providers, researchers conducted in-depth interviews with senior programme officers and eight TB HVs. Framed by a political discourse of clinical governance, working relationships within the PPM are structured by the pluralistic context, social and professional hierarchies and paternalism of health care in India. TB HVs are at the nexus of these relationships, yet remain undervalued partly because accountability is measured through technical rather than social outcomes of the 'partnership'. Close attention to the dynamics of power relations in working practices within the health system can improve accountability and sustainability of partnerships.

  7. Balancing authority, deference and trust across the public-private divide in health care: tuberculosis health visitors in western Maharashtra, India.

    PubMed

    Kielmann, Karina; Datye, Vinita; Pradhan, Anagha; Rangan, Sheela

    2014-01-01

    While concepts such as 'partnership' are central to the terminology of private-public mix (PPM), little attention has been paid to how social relations are negotiated among the diverse actors responsible for implementing these inter-sectoral arrangements. India's Revised National Tuberculosis Control Programme (RNTCP) has used intermediary agents to facilitate the involvement of private providers in the expansion of Directly Observed Therapy, Short-Course (DOTS). We examine the roles of tuberculosis health visitors (TB HVs) in mediating working relationships among private providers, programme staff and patients that underpin a PPM-DOTS launched by the RNTCP in western Maharashtra. In addition to observations and informal interactions with the programme and participating health providers, researchers conducted in-depth interviews with senior programme officers and eight TB HVs. Framed by a political discourse of clinical governance, working relationships within the PPM are structured by the pluralistic context, social and professional hierarchies and paternalism of health care in India. TB HVs are at the nexus of these relationships, yet remain undervalued partly because accountability is measured through technical rather than social outcomes of the 'partnership'. Close attention to the dynamics of power relations in working practices within the health system can improve accountability and sustainability of partnerships. PMID:25147003

  8. Balancing authority, deference and trust across the public–private divide in health care: Tuberculosis health visitors in western Maharashtra, India

    PubMed Central

    Kielmann, Karina; Datye, Vinita; Pradhan, Anagha; Rangan, Sheela

    2014-01-01

    While concepts such as ‘partnership’ are central to the terminology of private–public mix (PPM), little attention has been paid to how social relations are negotiated among the diverse actors responsible for implementing these inter-sectoral arrangements. India's Revised National Tuberculosis Control Programme (RNTCP) has used intermediary agents to facilitate the involvement of private providers in the expansion of Directly Observed Therapy, Short-Course (DOTS). We examine the roles of tuberculosis health visitors (TB HVs) in mediating working relationships among private providers, programme staff and patients that underpin a PPM-DOTS launched by the RNTCP in western Maharashtra. In addition to observations and informal interactions with the programme and participating health providers, researchers conducted in-depth interviews with senior programme officers and eight TB HVs. Framed by a political discourse of clinical governance, working relationships within the PPM are structured by the pluralistic context, social and professional hierarchies and paternalism of health care in India. TB HVs are at the nexus of these relationships, yet remain undervalued partly because accountability is measured through technical rather than social outcomes of the ‘partnership’. Close attention to the dynamics of power relations in working practices within the health system can improve accountability and sustainability of partnerships. PMID:25147003

  9. Optimism and Planning for Future Care Needs among Older Adults

    PubMed Central

    Sörensen, Silvia; Hirsch, Jameson K.; Lyness, Jeffrey M.

    2015-01-01

    Aging is associated with an increase in need for assistance. Preparation for future care (PFC) is related to improved coping ability as well as better mental and physical health outcomes among older adults. We examined the association of optimism with components of PFC among older adults. We also explored race differences in the relationship between optimism and PFC. In Study 1, multiple regression showed that optimism was positively related to concrete planning. In Study 2, optimism was related to gathering information. An exploratory analysis combining the samples yielded a race interaction: For Whites higher optimism, but for Blacks lower optimism was associated with more planning. High optimism may be a barrier to future planning in certain social and cultural contexts. PMID:26045699

  10. Effects of Duloxetine Treatment on Cognitive Flexibility and BDNF Expression in the mPFC of Adult Male Mice Exposed to Social Stress during Adolescence

    PubMed Central

    Xu, Hang; Zhang, Yu; Zhang, Fan; Yuan, San-na; Shao, Feng; Wang, Weiwen

    2016-01-01

    Early stress is a significant risk factor for the onset of mood disorders such as depression during adulthood. Impairments in cognitive flexibility mediated by prefrontal cortex (PFC) dysfunction are increasingly recognized as important etiological and pathological factors in the development of depression. Our previous study demonstrated that social defeat stress during early adolescence produced delayed deficits in cognitive flexibility in adult mice. The potential molecular mechanisms underlying these long-term consequences remain unclear. One candidate molecule is brain-derived neurotrophic factor (BDNF), which plays a vital role in neural development and synaptic plasticity. In this study, we initially examined the effects of adolescent social stress on cognitive flexibility and PFC BDNF expression within a week after the last stress exposure and 6 weeks later during adulthood. Adolescent (PND 28) male mice were subjected to stress or control manipulation for 10 days. The attentional set-shifting task (AST) was used to assess cognitive flexibility. Levels of BDNF mRNA and protein in the PFC were examined after behavioral testing. The results demonstrated that previously stressed mice exhibited delayed extra-dimensional set-shifting deficits in AST when tested as adults but not when tested as adolescents. Consistent with the cognitive alterations, adolescent stress induced dynamic alterations in BDNF expression in the medial PFC (mPFC), with a transient increase observed shortly after the stress, followed by a decrease 6 weeks later during adulthood. Next, we further determined the effects of chronic treatment with the antidepressant duloxetine during early adulthood on cognitive and molecular alterations induced by adolescent stress. Compared with the controls, duloxetine treatment reversed the cognitive deficits and increased the BDNF protein expression in the mPFC during adulthood in previously stressed mice. These findings demonstrated that BDNF expression

  11. Voluntary exercise partially reverses neonatal alcohol-induced deficits in mPFC layer II/III dendritic morphology of male adolescent rats.

    PubMed

    Hamilton, G F; Criss, K J; Klintsova, A Y

    2015-08-01

    Developmental alcohol exposure in humans can produce a wide range of deficits collectively referred to as fetal alcohol spectrum disorders (FASD). FASD-related impairments in executive functioning later in life suggest long-term damage to the prefrontal cortex (PFC). In rodent neonates, moderate to high levels of alcohol exposure decreased frontal lobe brain size and altered medial PFC pyramidal neuron dendritic morphology. Previous research in our lab demonstrated that neonatal alcohol exposure decreased basilar dendritic complexity but did not affect spine density in Layer II/III pyramidal neurons in 26- to 30-day-old rats. The current study adds to the literature by evaluating the effect of neonatal alcohol exposure on mPFC Layer II/III basilar dendritic morphology in adolescent male rats. Additionally, it examines the potential for voluntary exercise to mitigate alcohol-induced deficits on mPFC dendritic complexity. An animal model of binge drinking during the third trimester of pregnancy was used. Rats were intubated with alcohol (alcohol-exposed, AE; 5.25 g kg(-1) day(-1)) on postnatal days (PD) 4-9; two control groups were included (suckle control and sham-intubated). Rats were anesthetized and perfused with heparinized saline solution on PD 42, and brains were processed for Golgi-Cox staining. Developmental alcohol exposure decreased spine density and dendritic complexity of basilar dendrites of Layer II/III neurons in the medial PFC (mPFC) compared to dendrites of control animals. Voluntary exercise increased spine density and dendritic length in AE animals resulting in elimination of the differences between AE and SH rats. Thus, voluntary exercise during early adolescence selectively rescued alcohol-induced morphological deficits in the mPFC. PMID:25967699

  12. Combined chronic blockade of hyper-active L-type calcium channels and NMDA receptors ameliorates HIV-1 associated hyper-excitability of mPFC pyramidal neurons.

    PubMed

    Khodr, Christina E; Chen, Lihua; Dave, Sonya; Al-Harthi, Lena; Hu, Xiu-Ti

    2016-10-01

    Human Immunodeficiency Virus type 1 (HIV-1) infection induces neurological and neuropsychological deficits, which are associated with dysregulation of the medial prefrontal cortex (mPFC) and other vulnerable brain regions. We evaluated the impact of HIV infection in the mPFC and the therapeutic potential of targeting over-active voltage-gated L-type Ca(2+) channels (L-channel) and NMDA receptors (NMDAR), as modeled in HIV-1 transgenic (Tg) rats. Whole-cell patch-clamp recording was used to assess the membrane properties and voltage-sensitive Ca(2+) potentials (Ca(2+) influx) in mPFC pyramidal neurons. Neurons from HIV-1 Tg rats displayed reduced rheobase, spike amplitude and inwardly-rectifying K(+) influx, increased numbers of action potentials, and a trend of aberrant firing compared to those from non-Tg control rats. Neuronal hyper-excitation was associated with abnormally-enhanced Ca(2+) influx (independent of NMDAR), which was eliminated by acute L-channel blockade. Combined chronic blockade of over-active L-channels and NMDARs with open-channel blockers abolished HIV effects on spiking, aberrant firing and Ca(2+) potential half-amplitude duration, though not the reduced inward rectification. In contrast, individual chronic blockade of over-active L-channels or NMDARs did not alleviate HIV-induced mPFC hyper-excitability. These studies demonstrate that HIV alters mPFC neuronal activity by dysregulating membrane excitability and Ca(2+) influx through the L-channels. This renders these neurons more susceptible and vulnerable to excitatory stimuli, and could contribute to HIV-associated neuropathogenesis. Combined targeting of over-active L-channels/NMDARs alleviates HIV-induced dysfunction of mPFC pyramidal neurons, emphasizing a potential novel therapeutic strategy that may effectively decrease HIV-induced Ca(2+) dysregulation in the mPFC.

  13. Combined chronic blockade of hyper-active L-type calcium channels and NMDA receptors ameliorates HIV-1 associated hyper-excitability of mPFC pyramidal neurons.

    PubMed

    Khodr, Christina E; Chen, Lihua; Dave, Sonya; Al-Harthi, Lena; Hu, Xiu-Ti

    2016-10-01

    Human Immunodeficiency Virus type 1 (HIV-1) infection induces neurological and neuropsychological deficits, which are associated with dysregulation of the medial prefrontal cortex (mPFC) and other vulnerable brain regions. We evaluated the impact of HIV infection in the mPFC and the therapeutic potential of targeting over-active voltage-gated L-type Ca(2+) channels (L-channel) and NMDA receptors (NMDAR), as modeled in HIV-1 transgenic (Tg) rats. Whole-cell patch-clamp recording was used to assess the membrane properties and voltage-sensitive Ca(2+) potentials (Ca(2+) influx) in mPFC pyramidal neurons. Neurons from HIV-1 Tg rats displayed reduced rheobase, spike amplitude and inwardly-rectifying K(+) influx, increased numbers of action potentials, and a trend of aberrant firing compared to those from non-Tg control rats. Neuronal hyper-excitation was associated with abnormally-enhanced Ca(2+) influx (independent of NMDAR), which was eliminated by acute L-channel blockade. Combined chronic blockade of over-active L-channels and NMDARs with open-channel blockers abolished HIV effects on spiking, aberrant firing and Ca(2+) potential half-amplitude duration, though not the reduced inward rectification. In contrast, individual chronic blockade of over-active L-channels or NMDARs did not alleviate HIV-induced mPFC hyper-excitability. These studies demonstrate that HIV alters mPFC neuronal activity by dysregulating membrane excitability and Ca(2+) influx through the L-channels. This renders these neurons more susceptible and vulnerable to excitatory stimuli, and could contribute to HIV-associated neuropathogenesis. Combined targeting of over-active L-channels/NMDARs alleviates HIV-induced dysfunction of mPFC pyramidal neurons, emphasizing a potential novel therapeutic strategy that may effectively decrease HIV-induced Ca(2+) dysregulation in the mPFC. PMID:27326669

  14. Cardiac rehabilitation with a nurse case manager (GoHeart) across local and regional health authorities improves risk factors, self-care and psychosocial outcomes. A one-year follow-up study

    PubMed Central

    Maindal, Helle Terkildsen

    2014-01-01

    Objectives In Denmark, the local and regional health authorities share responsibility for cardiac rehabilitation (CR). The objective was to assess effectiveness of CR across sectors coordinated by a nurse case manager (NCM). Design A one-year follow-up study. Setting A CR programme (GoHeart) was evaluated in a cohort at Lillebaelt Hospital Vejle, DK from 2010 to 2011. Participants Consecutive patients admitted to CR were included. The inclusion criteria were the event of acute myocardial infarction or stable angina and invasive revascularization (left ventricular ejection fraction (LVEF) ≥45%). Main outcome measures Cardiac risk factors, stratified self-care and self-reported psychosocial factors (SF12 and Hospital Anxiety and Depression Scale (HADS)) were assessed at admission (phase IIa), at three months at discharge (phase IIb) and at one-year follow-up (phase III). Intention-to-treat and predefined subgroup analysis on sex was performed. Results Of 241 patients, 183 (75.9%) were included (mean age 63.8 years). At discharge improvements were found in total-cholesterol (p < 0.001), low density lipoprotein (LDL; p < 0.001), functional capacities (metabolic equivalent of tasks (METS), p < 0.01), self-care management (p < 0.001), Health status Short Form 12 version (SF12; physical; p < 0.001 and mental; p < 0.01) and in depression symptoms (p < 0.01). At one-year follow-up these outcomes were maintained; additionally there was improvement in body mass index (BMI; p < 0.05), and high density lipoprotein (HDL; p < 0.05). There were no sex differences. Conclusion CR shared between local and regional health authorities led by a NCM (GoHeart) improves risk factors, self-care and psychosocial factors. Further improvements in most variables were at one-year follow-up. PMID:25396055

  15. Authors reply

    SciTech Connect

    Wilkinson, G.S.; Voelz, G.L.; Wiggs, L.D.; Galke, W.A.; Tietjen, G.L.; Acquavella, J.F.

    1988-05-01

    The authors reply to a letter by Johnson, C.J. which was critical of their report of mortality of plutonium workers at the Rocky Flats Plant. The letter clarifies the method by which the cohort was defined in their study, defends their use of urine bioassays for the assessment of plutonium body burden, and suggests that the report makes a significant contribution to the literature on the potential plutonium has to induce human disease. They state that the results of their studies suggest that increased risk for several cancers cannot be ruled out for persons with plutonium body burdens of 2 nanocuries or more. Their previous recommendation that studies of workers should be continued in future years was reemphasized.

  16. Valence-specific conflict moderation in the dorso-medial PFC and the caudate head in emotional speech

    PubMed Central

    Dengler, Reinhard; Wittfoth, Matthias

    2015-01-01

    Emotional speech comprises of complex multimodal verbal and non-verbal information that allows deducting others’ emotional states or thoughts in social interactions. While the neural correlates of verbal and non-verbal aspects and their interaction in emotional speech have been identified, there is very little evidence on how we perceive and resolve incongruity in emotional speech, and whether such incongruity extends to current concepts of task-specific prediction errors as a consequence of unexpected action outcomes (‘negative surprise’). Here, we explored this possibility while participants listened to congruent and incongruent angry, happy or neutral utterances and categorized the expressed emotions by their verbal (semantic) content. Results reveal valence-specific incongruity effects: negative verbal content expressed in a happy tone of voice increased activation in the dorso-medial prefrontal cortex (dmPFC) extending its role from conflict moderation to appraisal of valence-specific conflict in emotional speech. Conversely, the caudate head bilaterally responded selectively to positive verbal content expressed in an angry tone of voice broadening previous accounts of the caudate head in linguistic control to moderating valence-specific control in emotional speech. Together, these results suggest that control structures of the human brain (dmPFC and subcompartments of the basal ganglia) impact emotional speech differentially when conflict arises. PMID:24526187

  17. Dendritic Nonlinearities Reduce Network Size Requirements and Mediate ON and OFF States of Persistent Activity in a PFC Microcircuit Model

    PubMed Central

    Papoutsi, Athanasia; Sidiropoulou, Kyriaki; Poirazi, Panayiota

    2014-01-01

    Technological advances have unraveled the existence of small clusters of co-active neurons in the neocortex. The functional implications of these microcircuits are in large part unexplored. Using a heavily constrained biophysical model of a L5 PFC microcircuit, we recently showed that these structures act as tunable modules of persistent activity, the cellular correlate of working memory. Here, we investigate the mechanisms that underlie persistent activity emergence (ON) and termination (OFF) and search for the minimum network size required for expressing these states within physiological regimes. We show that (a) NMDA-mediated dendritic spikes gate the induction of persistent firing in the microcircuit. (b) The minimum network size required for persistent activity induction is inversely proportional to the synaptic drive of each excitatory neuron. (c) Relaxation of connectivity and synaptic delay constraints eliminates the gating effect of NMDA spikes, albeit at a cost of much larger networks. (d) Persistent activity termination by increased inhibition depends on the strength of the synaptic input and is negatively modulated by dADP. (e) Slow synaptic mechanisms and network activity contain predictive information regarding the ability of a given stimulus to turn ON and/or OFF persistent firing in the microcircuit model. Overall, this study zooms out from dendrites to cell assemblies and suggests a tight interaction between dendritic non-linearities and network properties (size/connectivity) that may facilitate the short-memory function of the PFC. PMID:25077940

  18. 77 FR 70967 - Authorization for Non-VA Medical Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ..., Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs--health... its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain hospital care (inpatient care)...

  19. Transcranial Direct Current Stimulation over the Medial Prefrontal Cortex and Left Primary Motor Cortex (mPFC-lPMC) Affects Subjective Beauty but Not Ugliness.

    PubMed

    Nakamura, Koyo; Kawabata, Hideaki

    2015-01-01

    Neuroaesthetics has been searching for the neural bases of the subjective experience of beauty. It has been demonstrated that neural activities in the medial prefrontal cortex (mPFC) and the left primary motor cortex (lPMC) correlate with the subjective experience of beauty. Although beauty and ugliness seem to be semantically and conceptually opposite, it is still unknown whether these two evaluations represent extreme opposites in unitary or bivariate dimensions. In this study, we applied transcranial direct current stimulation (tDCS) to examine whether non-invasive brain stimulation modulates two types of esthetic evaluation; evaluating beauty and ugliness. Participants rated the subjective beauty and ugliness of abstract paintings before and after the application of tDCS. Application of cathodal tDCS over the mPFC with anode electrode over the lPMC, which induced temporal inhibition of neural excitability of the mPFC, led to a decrease in beauty ratings but not ugliness ratings. There were no changes in ratings of both beauty and ugliness when applying anodal tDCS or sham stimulation over the mPFC. Results from our experiment indicate that the mPFC and the lPMC have a causal role in generating the subjective experience of beauty, with beauty and ugliness evaluations constituting two distinct dimensions.

  20. Transcranial Direct Current Stimulation over the Medial Prefrontal Cortex and Left Primary Motor Cortex (mPFC-lPMC) Affects Subjective Beauty but Not Ugliness

    PubMed Central

    Nakamura, Koyo; Kawabata, Hideaki

    2015-01-01

    Neuroaesthetics has been searching for the neural bases of the subjective experience of beauty. It has been demonstrated that neural activities in the medial prefrontal cortex (mPFC) and the left primary motor cortex (lPMC) correlate with the subjective experience of beauty. Although beauty and ugliness seem to be semantically and conceptually opposite, it is still unknown whether these two evaluations represent extreme opposites in unitary or bivariate dimensions. In this study, we applied transcranial direct current stimulation (tDCS) to examine whether non-invasive brain stimulation modulates two types of esthetic evaluation; evaluating beauty and ugliness. Participants rated the subjective beauty and ugliness of abstract paintings before and after the application of tDCS. Application of cathodal tDCS over the mPFC with anode electrode over the lPMC, which induced temporal inhibition of neural excitability of the mPFC, led to a decrease in beauty ratings but not ugliness ratings. There were no changes in ratings of both beauty and ugliness when applying anodal tDCS or sham stimulation over the mPFC. Results from our experiment indicate that the mPFC and the lPMC have a causal role in generating the subjective experience of beauty, with beauty and ugliness evaluations constituting two distinct dimensions. PMID:26696865

  1. Transcranial Direct Current Stimulation over the Medial Prefrontal Cortex and Left Primary Motor Cortex (mPFC-lPMC) Affects Subjective Beauty but Not Ugliness.

    PubMed

    Nakamura, Koyo; Kawabata, Hideaki

    2015-01-01

    Neuroaesthetics has been searching for the neural bases of the subjective experience of beauty. It has been demonstrated that neural activities in the medial prefrontal cortex (mPFC) and the left primary motor cortex (lPMC) correlate with the subjective experience of beauty. Although beauty and ugliness seem to be semantically and conceptually opposite, it is still unknown whether these two evaluations represent extreme opposites in unitary or bivariate dimensions. In this study, we applied transcranial direct current stimulation (tDCS) to examine whether non-invasive brain stimulation modulates two types of esthetic evaluation; evaluating beauty and ugliness. Participants rated the subjective beauty and ugliness of abstract paintings before and after the application of tDCS. Application of cathodal tDCS over the mPFC with anode electrode over the lPMC, which induced temporal inhibition of neural excitability of the mPFC, led to a decrease in beauty ratings but not ugliness ratings. There were no changes in ratings of both beauty and ugliness when applying anodal tDCS or sham stimulation over the mPFC. Results from our experiment indicate that the mPFC and the lPMC have a causal role in generating the subjective experience of beauty, with beauty and ugliness evaluations constituting two distinct dimensions. PMID:26696865

  2. Perinatal n-3 fatty acid deficiency selectively reduces myo-inositol levels in the adult rat PFC: an in vivo 1H-MRS study*s⃞

    PubMed Central

    McNamara, Robert K.; Able, Jessica; Jandacek, Ronald; Rider, Therese; Tso, Patrick; Lindquist, Diana M.

    2009-01-01

    To investigate the effects of omega-3 fatty acid deficiency on phosphatidylinositol signaling in brain, myo-inositol (mI) concentrations were determined in the prefrontal cortex (PFC) of omega-3 fatty acid deficient rats by in vivo proton magnetic resonance spectroscopy (1H-MRS). To generate graded deficits in PFC docosahexaenoic acid (22:6n-3) (DHA) composition, perinatal and postweaning α-linolenic acid (18:3n-3) (ALA) deficiency models were used. Adult male rats were scanned in a 7T Bruker Biospec system and a 1H-MRS spectrum acquired from the bilateral medial PFC. Rats were then challenged with SKF83959, a selective agonist at phosphoinositide (PI)-coupled dopamine D1 receptors. Postmortem PFC fatty acid composition was determined by gas chromatography. Relative to controls, PFC DHA composition was significantly reduced in adult postweaning (−27%) and perinatal (−65%) ALA-deficiency groups. Basal PFC mI concentrations were significantly reduced in the perinatal deficiency group (−21%, P = 0.001), but not in the postweaning deficiency group (−1%, P = 0.86). Among all rats, DHA composition was positively correlated with mI concentrations and the mI/creatine (Cr) ratio. SKF83959 challenge significantly increased mI concentrations only in the perinatal deficiency group (+16%, P = 0.02). These data demonstrate that perinatal deficits in cortical DHA accrual significantly and selectively reduce mI concentrations and augment receptor-generated mI synthesis. PMID:18802197

  3. Classical eyeblink conditioning using electrical stimulation of caudal mPFC as conditioned stimulus is dependent on cerebellar interpositus nucleus in guinea pigs

    PubMed Central

    Wu, Guang-yan; Yao, Juan; Fan, Zheng-li; Zhang, Lang-qian; Li, Xuan; Zhao, Chuang-dong; Zhou, Zhen-hua; Sui, Jian-feng

    2012-01-01

    Aim: To determine whether electrical stimulation of caudal medial prefrontal cortex (mPFC) as conditioned stimulus (CS) paired with airpuff unconditioned stimulus (US) was sufficient for establishing eyeblink conditioning in guinea pigs, and whether it was dependent on cerebellar interpositus nucleus. Methods: Thirty adult guinea pigs were divided into 3 conditioned groups, and trained on the delay eyeblink conditioning, short-trace eyeblink conditioning, and long-trace eyeblink conditioning paradigms, respectively, in which electrical stimulation of the right caudal mPFC was used as CS and paired with corneal airpuff US. A pseudo conditioned group of another 10 adult guinea pigs was given unpaired caudal mPFC electrical stimulation and the US. Muscimol (1 μg in 1 μL saline) and saline (1 μL) were infused into the cerebellar interpositus nucleus of the animals through the infusion cannula on d 11 and 12, respectively. Results: The 3 eyeblink conditioning paradigms have been successfully established in guinea pigs. The animals acquired the delay and short-trace conditioned responses more rapidly than long-trace conditioned responses. Muscimol infusion into the cerebellar interpositus nucleus markedly impaired the expression of the 3 eyeblink conditioned responses. Conclusion: Electrical stimulation of caudal mPFC is effective CS for establishing eyeblink conditioning in guinea pigs, and it is dependent on the cerebellar interpositus nucleus. PMID:22562015

  4. Effects of Chronic Dopamine D2R Agonist Treatment and Polysialic Acid Depletion on Dendritic Spine Density and Excitatory Neurotransmission in the mPFC of Adult Rats

    PubMed Central

    Castillo-Gómez, Esther; Varea, Emilio; Blasco-Ibáñez, José Miguel; Crespo, Carlos; Nacher, Juan

    2016-01-01

    Dopamine D2 receptors (D2R) in the medial prefrontal cortex (mPFC) are key players in the etiology and therapeutics of schizophrenia. The overactivation of these receptors contributes to mPFC dysfunction. Chronic treatment with D2R agonists modifies the expression of molecules implicated in neuronal structural plasticity, synaptic function, and inhibitory neurotransmission, which are also altered in schizophrenia. These changes are dependent on the expression of the polysialylated form of the neural cell adhesion molecule (PSA-NCAM), a plasticity-related molecule, but nothing is known about the effects of D2R and PSA-NCAM on excitatory neurotransmission and the structure of mPFC pyramidal neurons, two additional features affected in schizophrenia. To evaluate these parameters, we have chronically treated adult rats with PPHT (a D2R agonist) after enzymatic removal of PSA with Endo-N. Both treatments decreased spine density in apical dendrites of pyramidal neurons without affecting their inhibitory innervation. Endo-N also reduced the expression of vesicular glutamate transporter-1. These results indicate that D2R and PSA-NCAM are important players in the regulation of the structural plasticity of mPFC excitatory neurons. This is relevant to our understanding of the neurobiological basis of schizophrenia, in which structural alterations of pyramidal neurons and altered expression of D2R and PSA-NCAM have been found. PMID:27110404

  5. Effects of Chronic Dopamine D2R Agonist Treatment and Polysialic Acid Depletion on Dendritic Spine Density and Excitatory Neurotransmission in the mPFC of Adult Rats.

    PubMed

    Castillo-Gómez, Esther; Varea, Emilio; Blasco-Ibáñez, José Miguel; Crespo, Carlos; Nacher, Juan

    2016-01-01

    Dopamine D2 receptors (D2R) in the medial prefrontal cortex (mPFC) are key players in the etiology and therapeutics of schizophrenia. The overactivation of these receptors contributes to mPFC dysfunction. Chronic treatment with D2R agonists modifies the expression of molecules implicated in neuronal structural plasticity, synaptic function, and inhibitory neurotransmission, which are also altered in schizophrenia. These changes are dependent on the expression of the polysialylated form of the neural cell adhesion molecule (PSA-NCAM), a plasticity-related molecule, but nothing is known about the effects of D2R and PSA-NCAM on excitatory neurotransmission and the structure of mPFC pyramidal neurons, two additional features affected in schizophrenia. To evaluate these parameters, we have chronically treated adult rats with PPHT (a D2R agonist) after enzymatic removal of PSA with Endo-N. Both treatments decreased spine density in apical dendrites of pyramidal neurons without affecting their inhibitory innervation. Endo-N also reduced the expression of vesicular glutamate transporter-1. These results indicate that D2R and PSA-NCAM are important players in the regulation of the structural plasticity of mPFC excitatory neurons. This is relevant to our understanding of the neurobiological basis of schizophrenia, in which structural alterations of pyramidal neurons and altered expression of D2R and PSA-NCAM have been found. PMID:27110404

  6. 75 FR 12328 - Notice of Intent To Rule on Passenger Facility Charge (PFC) Application 10-07-C-00-LAX, To Impose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-15

    ...-07-C-00-LAX, To Impose and Use PFC Revenue at Los Angeles International Airport, Los Angeles, CA... revenue at Los Angeles International Airport, under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Pub. L. 101-508) and...

  7. Cocaine Self-Administration Elevates GluN2B within dmPFC Mediating Heightened Cue-Elicited Operant Responding

    PubMed Central

    Szumlinski, Karen K; Wroten, Melissa G; Miller, Bailey W; Sacramento, Arianne D; Cohen, Matan; Ben-Shahar, Osnat; Kippin, Tod E

    2016-01-01

    Cue-elicited drug-craving correlates with hyperactivity within prefrontal cortex (PFC), which is theorized to result from dysregulated excitatory neurotransmission. The NMDA glutamate receptor is highly implicated in addiction-related neuroplasticity. As NMDA receptor function is regulated critically by its GluN2 subunits, herein, we assayed the relation between incubated cue-elicited cocaine-seeking following extended access to intravenous cocaine (6 h/d; 0.25 mg/infusion for 10 d) and the expression of GluN2A/B receptor subunits within PFC sub regions during early versus late withdrawal (respectively, 3 vs. 30 days). Cocaine-seeking rats exhibited elevated GluN2B expression within the dorsomedial aspect of the PFC (dmPFC); this effect was apparent at both 3 and 30 days withdrawal and occurred in cocaine-experienced rats, regardless of experiencing an extinction test or not. Thus, elevated dmPFC GluN2B expression appears to reflect a pharmacodynamic response to excessive cocaine intake that is independent of the duration of drug withdrawal or re-exposure to drug-taking context. The functional relevance of elevated dmPFC GluN2B expression for drug-seeking was assessed by the local infusion of the prototypical GluN2B-selective antagonist ifenprodil (1.0 µg/side). Ifenprodil did not alter cue-elicited responding in animals with a history of saline self-administration. In contrast, ifenprodil lowered cue-elicited cocaine-seeking, while potentiating cue-elicited sucrose-seeking. Thus, the effects of an intra-dmPFC ifenprodil infusion upon cue reactivity are reinforcer-specific, arguing in favor of targeting GluN2B-containing NMDA receptors as a pharmacological strategy for reducing behavioral reactivity to drug-associated cues with the potential benefit of heightening the reinforcing properties of cues associated with non-drug primary rewards. PMID:27478879

  8. Caring Encounters

    ERIC Educational Resources Information Center

    Gunn, Alyson

    2012-01-01

    Children with autism may seem to not care about things or have the same range of emotions as those of us who see them and care for them. But they do have empathy and they can be taught how to communicate it, says the author, a teacher of children with autism. We simply need to listen to them, watch them, and be with them in their moment.

  9. Nucleus Accumbens Shell and mPFC but Not Insula Orexin-1 Receptors Promote Excessive Alcohol Drinking

    PubMed Central

    Lei, Kelly; Wegner, Scott A.; Yu, Ji Hwan; Mototake, Arisa; Hu, Bing; Hopf, Frederic W.

    2016-01-01

    Addiction to alcohol remains a major social and economic problem, in part because of the high motivation for alcohol that humans exhibit and the hazardous binge intake this promotes. Orexin-1-type receptors (OX1Rs) promote reward intake under conditions of strong drives for reward, including excessive alcohol intake. While systemic modulation of OX1Rs can alter alcohol drinking, the brain regions that mediate this OX1R enhancement of excessive drinking remain unknown. Given the importance of the nucleus accumbens (NAc) and anterior insular cortex (aINS) in driving many addictive behaviors, including OX1Rs within these regions, we examined the importance of OX1Rs in these regions on excessive alcohol drinking in C57BL/6 mice during limited-access alcohol drinking in the dark cycle. Inhibition of OX1Rs with the widely used SB-334867 within the medial NAc Shell (mNAsh) significantly reduced drinking of alcohol, with no effect on saccharin intake, and no effect on alcohol consumption when infused above the mNAsh. In contrast, intra-mNAsh infusion of the orexin-2 receptor TCS-OX2-29 had no impact on alcohol drinking. In addition, OX1R inhibition within the aINS had no effect on excessive drinking, which was surprising given the importance of aINS-NAc circuits in promoting alcohol consumption and the role for aINS OX1Rs in driving nicotine intake. However, OX1R inhibition within the mPFC did reduce alcohol drinking, indicating cortical OXR involvement in promoting intake. Also, in support of the critical role for mNAsh OX1Rs, SB within the mNAsh also significantly reduced operant alcohol self-administration in rats. Finally, orexin ex vivo enhanced firing in mNAsh neurons from alcohol-drinking mice, with no effect on evoked EPSCs or input resistance; a similar orexin increase in firing without a change in input resistance was observed in alcohol-naïve mice. Taken together, our results suggest that OX1Rs within the mNAsh and mPFC, but not the aINS, play a central role in

  10. Nucleus Accumbens Shell and mPFC but Not Insula Orexin-1 Receptors Promote Excessive Alcohol Drinking.

    PubMed

    Lei, Kelly; Wegner, Scott A; Yu, Ji Hwan; Mototake, Arisa; Hu, Bing; Hopf, Frederic W

    2016-01-01

    Addiction to alcohol remains a major social and economic problem, in part because of the high motivation for alcohol that humans exhibit and the hazardous binge intake this promotes. Orexin-1-type receptors (OX1Rs) promote reward intake under conditions of strong drives for reward, including excessive alcohol intake. While systemic modulation of OX1Rs can alter alcohol drinking, the brain regions that mediate this OX1R enhancement of excessive drinking remain unknown. Given the importance of the nucleus accumbens (NAc) and anterior insular cortex (aINS) in driving many addictive behaviors, including OX1Rs within these regions, we examined the importance of OX1Rs in these regions on excessive alcohol drinking in C57BL/6 mice during limited-access alcohol drinking in the dark cycle. Inhibition of OX1Rs with the widely used SB-334867 within the medial NAc Shell (mNAsh) significantly reduced drinking of alcohol, with no effect on saccharin intake, and no effect on alcohol consumption when infused above the mNAsh. In contrast, intra-mNAsh infusion of the orexin-2 receptor TCS-OX2-29 had no impact on alcohol drinking. In addition, OX1R inhibition within the aINS had no effect on excessive drinking, which was surprising given the importance of aINS-NAc circuits in promoting alcohol consumption and the role for aINS OX1Rs in driving nicotine intake. However, OX1R inhibition within the mPFC did reduce alcohol drinking, indicating cortical OXR involvement in promoting intake. Also, in support of the critical role for mNAsh OX1Rs, SB within the mNAsh also significantly reduced operant alcohol self-administration in rats. Finally, orexin ex vivo enhanced firing in mNAsh neurons from alcohol-drinking mice, with no effect on evoked EPSCs or input resistance; a similar orexin increase in firing without a change in input resistance was observed in alcohol-naïve mice. Taken together, our results suggest that OX1Rs within the mNAsh and mPFC, but not the aINS, play a central role in

  11. Nucleus Accumbens Shell and mPFC but Not Insula Orexin-1 Receptors Promote Excessive Alcohol Drinking.

    PubMed

    Lei, Kelly; Wegner, Scott A; Yu, Ji Hwan; Mototake, Arisa; Hu, Bing; Hopf, Frederic W

    2016-01-01

    Addiction to alcohol remains a major social and economic problem, in part because of the high motivation for alcohol that humans exhibit and the hazardous binge intake this promotes. Orexin-1-type receptors (OX1Rs) promote reward intake under conditions of strong drives for reward, including excessive alcohol intake. While systemic modulation of OX1Rs can alter alcohol drinking, the brain regions that mediate this OX1R enhancement of excessive drinking remain unknown. Given the importance of the nucleus accumbens (NAc) and anterior insular cortex (aINS) in driving many addictive behaviors, including OX1Rs within these regions, we examined the importance of OX1Rs in these regions on excessive alcohol drinking in C57BL/6 mice during limited-access alcohol drinking in the dark cycle. Inhibition of OX1Rs with the widely used SB-334867 within the medial NAc Shell (mNAsh) significantly reduced drinking of alcohol, with no effect on saccharin intake, and no effect on alcohol consumption when infused above the mNAsh. In contrast, intra-mNAsh infusion of the orexin-2 receptor TCS-OX2-29 had no impact on alcohol drinking. In addition, OX1R inhibition within the aINS had no effect on excessive drinking, which was surprising given the importance of aINS-NAc circuits in promoting alcohol consumption and the role for aINS OX1Rs in driving nicotine intake. However, OX1R inhibition within the mPFC did reduce alcohol drinking, indicating cortical OXR involvement in promoting intake. Also, in support of the critical role for mNAsh OX1Rs, SB within the mNAsh also significantly reduced operant alcohol self-administration in rats. Finally, orexin ex vivo enhanced firing in mNAsh neurons from alcohol-drinking mice, with no effect on evoked EPSCs or input resistance; a similar orexin increase in firing without a change in input resistance was observed in alcohol-naïve mice. Taken together, our results suggest that OX1Rs within the mNAsh and mPFC, but not the aINS, play a central role in

  12. Nucleus Accumbens Shell and mPFC but Not Insula Orexin-1 Receptors Promote Excessive Alcohol Drinking

    PubMed Central

    Lei, Kelly; Wegner, Scott A.; Yu, Ji Hwan; Mototake, Arisa; Hu, Bing; Hopf, Frederic W.

    2016-01-01

    Addiction to alcohol remains a major social and economic problem, in part because of the high motivation for alcohol that humans exhibit and the hazardous binge intake this promotes. Orexin-1-type receptors (OX1Rs) promote reward intake under conditions of strong drives for reward, including excessive alcohol intake. While systemic modulation of OX1Rs can alter alcohol drinking, the brain regions that mediate this OX1R enhancement of excessive drinking remain unknown. Given the importance of the nucleus accumbens (NAc) and anterior insular cortex (aINS) in driving many addictive behaviors, including OX1Rs within these regions, we examined the importance of OX1Rs in these regions on excessive alcohol drinking in C57BL/6 mice during limited-access alcohol drinking in the dark cycle. Inhibition of OX1Rs with the widely used SB-334867 within the medial NAc Shell (mNAsh) significantly reduced drinking of alcohol, with no effect on saccharin intake, and no effect on alcohol consumption when infused above the mNAsh. In contrast, intra-mNAsh infusion of the orexin-2 receptor TCS-OX2-29 had no impact on alcohol drinking. In addition, OX1R inhibition within the aINS had no effect on excessive drinking, which was surprising given the importance of aINS-NAc circuits in promoting alcohol consumption and the role for aINS OX1Rs in driving nicotine intake. However, OX1R inhibition within the mPFC did reduce alcohol drinking, indicating cortical OXR involvement in promoting intake. Also, in support of the critical role for mNAsh OX1Rs, SB within the mNAsh also significantly reduced operant alcohol self-administration in rats. Finally, orexin ex vivo enhanced firing in mNAsh neurons from alcohol-drinking mice, with no effect on evoked EPSCs or input resistance; a similar orexin increase in firing without a change in input resistance was observed in alcohol-naïve mice. Taken together, our results suggest that OX1Rs within the mNAsh and mPFC, but not the aINS, play a central role in

  13. Child Care Services and the NYS Uniform Fire Prevention and Building Code: A Building Code Examination of Child Day Care Services Which Are Regulated by the NYS Department of Social Services with Particular Attention to Day Care Centers and the Role of the Local Authority Having Jurisdiction.

    ERIC Educational Resources Information Center

    New York State Div. of Code Enforcement and Administration, Albany.

    This course manual details the Uniform Fire Prevention and Building Code of New York State and how it affects child care services, particularly day care centers. The sections of the manual, each detailing a part of the code, are: (1) Introduction, Scope, Registration, and Definitions and Facilities Regulated by the New York Department of Social…

  14. Postnatal day 2 to 11 constitutes a 5-HT-sensitive period impacting adult mPFC function.

    PubMed

    Rebello, Tahilia J; Yu, Qinghui; Goodfellow, Nathalie M; Caffrey Cagliostro, Martha K; Teissier, Anne; Morelli, Emanuela; Demireva, Elena Y; Chemiakine, Alexei; Rosoklija, Gorazd B; Dwork, Andrew J; Lambe, Evelyn K; Gingrich, Jay A; Ansorge, Mark S

    2014-09-10

    Early-life serotonin [5-hydroxytryptamine (5-HT)] signaling modulates brain development, which impacts adult behavior, but 5-HT-sensitive periods, neural substrates, and behavioral consequences remain poorly understood. Here we identify the period ranging from postnatal day 2 (P2) to P11 as 5-HT sensitive, with 5-HT transporter (5-HTT) blockade increasing anxiety- and depression-like behavior, and impairing fear extinction learning and memory in adult mice. Concomitantly, P2-P11 5-HTT blockade causes dendritic hypotrophy and reduced excitability of infralimbic (IL) cortex pyramidal neurons that normally promote fear extinction. By contrast, the neighboring prelimbic (PL) pyramidal neurons, which normally inhibit fear extinction, become more excitable. Excitotoxic IL but not PL lesions in adult control mice reproduce the anxiety-related phenotypes. These findings suggest that increased 5-HT signaling during P2-P11 alters adult mPFC function to increase anxiety and impair fear extinction, and imply a differential role for IL and PL neurons in regulating affective behaviors. Together, our results support a developmental mechanism for the etiology and pathophysiology of affective disorders and fear-related behaviors.

  15. Postnatal Day 2 to 11 Constitutes a 5-HT-Sensitive Period Impacting Adult mPFC Function

    PubMed Central

    Rebello, Tahilia J.; Yu, Qinghui; Goodfellow, Nathalie M.; Caffrey Cagliostro, Martha K.; Teissier, Anne; Morelli, Emanuela; Demireva, Elena Y.; Chemiakine, Alexei; Rosoklija, Gorazd B.; Dwork, Andrew J.; Lambe, Evelyn K.; Ansorge, Mark S.

    2014-01-01

    Early-life serotonin [5-hydroxytryptamine (5-HT)] signaling modulates brain development, which impacts adult behavior, but 5-HT-sensitive periods, neural substrates, and behavioral consequences remain poorly understood. Here we identify the period ranging from postnatal day 2 (P2) to P11 as 5-HT sensitive, with 5-HT transporter (5-HTT) blockade increasing anxiety- and depression-like behavior, and impairing fear extinction learning and memory in adult mice. Concomitantly, P2–P11 5-HTT blockade causes dendritic hypotrophy and reduced excitability of infralimbic (IL) cortex pyramidal neurons that normally promote fear extinction. By contrast, the neighboring prelimbic (PL) pyramidal neurons, which normally inhibit fear extinction, become more excitable. Excitotoxic IL but not PL lesions in adult control mice reproduce the anxiety-related phenotypes. These findings suggest that increased 5-HT signaling during P2–P11 alters adult mPFC function to increase anxiety and impair fear extinction, and imply a differential role for IL and PL neurons in regulating affective behaviors. Together, our results support a developmental mechanism for the etiology and pathophysiology of affective disorders and fear-related behaviors. PMID:25209278

  16. Smaborns Dagpasning: Et Problem for Foraeldre og Kommuner. (Day-Care of Pre-School Children: A Problem to Parents and Local Authorities. With an English Summary). Publication No. 103.

    ERIC Educational Resources Information Center

    Gronhoj, Bodil

    Survey data were collected for the purposes of describing and comparing various forms of day care provision for preschool children within Danish municipalities with different day care provision and different degrees of urbanization. Information concerning the family background of subjects, parental assessment of different aspects of day care and…

  17. Liberalism, authority, and bioethics commissions.

    PubMed

    MacDougall, D Robert

    2013-12-01

    Bioethicists working on national ethics commissions frequently think of themselves as advisors to the government, but distance themselves from any claims to actual authority. Governments however may find it beneficial to appear to defer to the authority of these commissions when designing laws and policies, and might appoint such commissions for exactly this reason. Where does the authority for setting laws and policies come from? This question is best answered from within a normative political philosophy. This paper explains the locus of moral authority as understood within one family of normative political theories--liberal political theories--and argues that most major "liberal" commentators have understood both the source and scope of ethics commissions' authority in a manner at odds with liberalism, rightly interpreted. The author argues that reexamining the implications of liberalism for bioethics commissions would mean changing what are considered valid criticisms of such commissions and also changing the content of national bioethics commission mandates. The author concludes that bioethicists who participate in such commissions ought to carefully examine their own views about the normative limits of governmental authority because such limits have important implications for the contribution that bioethicists can legitimately make to government commissions.

  18. Trajectories of Preparation for Future Care among First-Degree Relatives of Alzheimer's Disease Patients: An Ancillary Study of ADAPT

    ERIC Educational Resources Information Center

    Mak, Wingyun; Sorensen, Silvia

    2012-01-01

    Purpose: This study examines the longitudinal patterns of Preparation for Future Care (PFC), defined as Awareness, Avoidance, Gathering Information, Decision Making, and Concrete Plans, in first-degree relatives of people with Alzheimer's disease (AD). Design and Methods: Eight time points across 6.5 years from a subsample of adults aged 70 years…

  19. Electrical stimulation of the vmPFC serves as a remote control to affect VTA activity and improve depressive-like behavior.

    PubMed

    Bruchim-Samuel, Merav; Lax, Elad; Gazit, Tomer; Friedman, Alexander; Ahdoot, Hadas; Bairachnaya, Maryia; Pinhasov, Albert; Yadid, Gal

    2016-09-01

    Despite progress in elucidating mechanisms of depression, the efficacy of different treatments remains inadequate. Recent small-scale clinical studies suggested anti-depressant treatment using deep brain stimulation (DBS) of the ventral capsule/ventral striatum or subgenual cingulate cortex (SCC), yet controlled, multi-center trials were unsuccessful. We recently suggested the ventral tegmental area (VTA) as an important intersection for treating depression. We also found that stimulation of the VTA of a genetic rat model of depression (Flinders Sensitive Line (FSL) rats) with a programmed pattern designed to mimic the burst firing of normal rats decreases depressive-like behavior. Herein, we examined the possibility of reaching the VTA - located deep in the brain stem - through its direct connection to the ventro-medial prefrontal cortex (vmPFC), which parallels the human SCC. Thus, we compared treatment of FSLs with modified versions of DBS - either chronic-intermittent low-frequency electrical stimulation of the vmPFC, or patterned acute electrical stimulation (pAES), which integrates transcranial magnetic stimulation properties, namely, bursts of pulse trains and low frequency stimulation, applied to the VTA. We found that stimulation of the vmPFC (20Hz, 15min/day, 10days) improved depressive-like behavior and VTA local field potential (LFP) activity of FSLs, yet it had only a partial long-term effect on behavior. In particular, vmPFC stimulation decreased theta band activity, which correlated with the improvement in depressive-like behavior of all treated FSLs at day 1, and in ~50% of treated FSLs at day 28 post treatment. pAES of the VTA (10Hz, 20min) caused significant, long-term improvement of depressive-like behavior of FSLs, concurrently with normalizing intra-VTA LFP activity, and increasing VTA LFP synchronicity and hippocampal BDNF mRNA levels. Thus, although low-frequency electrical stimulation of the PFC alters VTA activity, leading to attenuation of

  20. Child Care in Canada

    ERIC Educational Resources Information Center

    Graham, Kathy

    2005-01-01

    In this article, the author describes early learning and care arrangements in Canada and how the country faced the challenges in the development of a National Child Care System. While the provincial/territorial governments are responsible for early learning and care, the federal government has formed health and social programs including some child…

  1. Authority in Educational Relationships.

    ERIC Educational Resources Information Center

    Steutel, Jan; Spiecker, Ben

    2000-01-01

    Summarizes John Wilson's account of authority in educational relationships by reconstructing his views on different types of authority. Explores the topic of parental authority arguing that parental authority differs from the authority of teachers. Comments on whether authoritative parental supervision is essential. Includes references. (CMK)

  2. Patient care in radiography

    SciTech Connect

    Ehrlich, R.A.; McCloskey, E.D.

    1989-01-01

    This book focuses on patient care procedures for radiographers. The authors focus on the role of the radiographer as a member of the health care team. The authors report on such topics as communication in patient care: safety, medico-legal considerations, transfer and positioning; physical needs; infection control; medication; CPR standards, acute situations; examination of the GI tract; contrast media; special imaging techniques and bedside radiography.

  3. Prescriptive Authority and Psychology: A Status Report

    ERIC Educational Resources Information Center

    Fox, Ronald E.; DeLeon, Patrick H.; Newman, Russ; Sammons, Morgan T.; Dunivin, Debra L.; Baker, Deborah C.

    2009-01-01

    The progress of psychology toward the acquisition of prescriptive authority is critically reviewed. Advances made by other nonphysician health care professions toward expanding their scopes of practice to include prescriptive authority are compared with gains made by professional psychology. Societal trends affecting attitudes toward the use of…

  4. Prenatal Care

    MedlinePlus

    ... Our ePublications > Prenatal care fact sheet ePublications Prenatal care fact sheet Print this fact sheet Health Care ... More information on prenatal care What is prenatal care? Prenatal care is the health care you get ...

  5. The case for full practice authority.

    PubMed

    Holmes, Olivia; Kinsey-Weathers, Shanieka

    2016-03-01

    The Institute of Medicine (IOM) recommended in its 2010 report on the future of nursing that advanced practice registered nurses (APRNs) should factor prominently in providing care to the millions of Americans who access healthcare services under the Affordable Care Act (ACA). The IOM also recommended that APRNs practice to the full extent of their education and training.However, many states have laws in place that limit full practice authority for APRNs, specifically NPs, in providing basic health services such as primary care. These laws place restrictions on independent practice and Medicaid and Medicare reimbursement, which prevent nurses from “responding effectively to rapidly changing health care settings and an evolving health care system.” Less than half of the United States has adopted full practice authority licensure and practice laws (see APRN practice authority at a glance). This article discusses how the primary care needs of millions of Americans can be met by granting full practice authority to APRNs nationwide and provides evidence to support the high level of care these practitioners can provide independently. PMID:26910092

  6. AAV-Mediated Overexpression of the CB1 Receptor in the mPFC of Adult Rats Alters Cognitive Flexibility, Social Behavior, and Emotional Reactivity

    PubMed Central

    Klugmann, Matthias; Goepfrich, Anja; Friemel, Chris M.; Schneider, Miriam

    2011-01-01

    The endocannabinoid (ECB) system is strongly involved in the regulation of cognitive processing and emotional behavior and evidence indicates that ECB signaling might affect these behavioral abilities by modulations of prefrontal cortical functions. The aim of the present study was to examine the role of the CB1 receptor in the medial prefrontal cortex (mPFC) on cognitive flexibility and emotional behavior. Therefore, the CB1 receptor was overexpressed by adeno-associated virus vector-mediated gene transfer specifically in the mPFC of adult Wistar rats. Animals were then tested in different anxiety-related paradigms for emotional reactivity [e.g., elevated plus maze (EPM), light/dark emergence test (EMT), social interaction] and the attentional set shift task (ASST) – an adaptation of the human Wisconsin card sorting test – for cognitive abilities and behavioral flexibility. A subtle increase in exploratory behavior was found in CB1 receptor overexpressing animals (CB1-R) compared to Empty vector injected controls (Empty) in the EMT and EPM, although general locomotor activity did not differ between the groups. During social interaction testing, social contact behavior toward the unknown conspecific was found to be decreased, whereas social withdrawal was increased in CB1-R animals and they showed an inadequate increase in exploratory behavior compared to control animals. In the ASST, impaired reversal learning abilities were detected in CB1-R animals compared to controls, indicating reduced behavioral flexibility. In conclusion, upregulation of the CB1 receptor specifically in the rat mPFC induces alterations in emotional reactivity, leads to inadequate social behavior, and impairs cognitive flexibility. These findings might be relevant for neuropsychiatric disorders, since higher cortical CB1 receptor expression levels as well as similar behavioral impairments as observed in the present study have been described in schizophrenic patients. PMID:21808613

  7. Trends in Family Child Care

    ERIC Educational Resources Information Center

    Neugebauer, Roger

    2011-01-01

    The author presents insights from various readers of "ExchangeEveryDay" regarding trends in the world of family child care. Kathleen Reticker of Acre Family Child Care in Lowell, Massachusetts thinks an increasing trend in Family Child Care is the pressure to emulate a Center, instead of seeing family child care as a different model. Over the…

  8. Caring as a Managerial Strategy

    ERIC Educational Resources Information Center

    Kroth, Michael; Keeler, Carolyn

    2009-01-01

    The purpose of this article is to broaden the discourse about caring as a managerial strategy by describing caring from three perspectives: nursing, education, and management. The authors suggest that current organizational models inadequately address the caring connection between manager and employee. Definitions of managerial caring and care…

  9. And Speaking of Authority...

    ERIC Educational Resources Information Center

    Williams, Connie

    2010-01-01

    Over breakfast at the American Library Association (ALA) Annual Conference, this author was asked, "What is authority? What does one know about the ways in which he/she determines credibility? Whom do you trust?" In this article, the author focuses on these questions in terms of administrators who have control over libraries. She provides a…

  10. Authority in Engineering Education

    ERIC Educational Resources Information Center

    Stephan, Karl D.

    2012-01-01

    Authority as a philosophical concept is defined both in general and as it applies to engineering education. Authority is shown to be a good and necessary part of social structures, in contrast to some cultural trends that regard it as an unnecessary and outmoded evil. Technical, educational, and organizational authority in their normal functions…

  11. Author! Author! Seymour Simon: Science Writer Extraordinaire

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2005-01-01

    This column presents a brief biography of author Seymour Simon, whose topics for children's photo essays include icebergs, gorillas, thunderstorms, optical illusions, snakes, air, water, planets, airplanes, volcanoes, cars, the brain, bridges, bugs, crocodiles, skyscrapers, sharks, and paper airplanes. Though he is best known in the style and an…

  12. Author! Author! Making Kids Laugh: Jon Scieszka

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2004-01-01

    This article presents a brief biography of author Jon Scieszka, best known for his first published title, "The True Story of the Three Little Pigs!" which has become a modern classic. The publication of this creative and inventive title led to the numerous fractured fairy tales published since its release in 1989. His books have received numerous…

  13. Practical postnatal care.

    PubMed

    Smibert, J

    1989-05-01

    This second paper by the author presents an experienced obstetrician's viewpoint of a very practical and perhaps provocative approach to postnatal care, especially considering the rights and emotional factors of the new parents.

  14. Models of Care

    ERIC Educational Resources Information Center

    Wilson, Dottie C.; And Others

    1978-01-01

    This section describes hospice or palliative care programs for terminally ill patients and their families. The programs described are in Montreal, Quebec; Halifax, Nova Scotia; New Haven, Connecticut; Marin County, California; Tucson, Arizona; and Springfield, Illinois. (Author/JEL)

  15. [Authority in the psychiatric clinic].

    PubMed

    Laemmel, K

    1983-01-01

    Although considerable progress was made as far as therapy and individual rights of the patients are concerned today the psychiatric hospital is more than ever the butt of open citicism. One of the reasons for that is the odium of involuntarity and authority surrounding it. It is based on the ill-fame and dubious reputation of the nineteenth century "asylum". The problem of authority concerns today's hospitals as much as ever. How the hospital is run depends naturally in the first place on the personality of it's director his views on authority, as much as on his understanding and ability to handle the intensive dynamic processes in the institution. Recognizing the boundaries of his actual knowledge and training, his "authoritative authority", makes him wisely limit his goals and activities. Power or "authoritarian authority" must be employed with restraint and moderation but without hesitancy when necessary. The clinic represents for the patient a total milieu. It's therapeutic effect relies a great deal on the regulatory influence of the daily routine based on the authority of the treatment team. Jones' ideas of the "Therapeutic Community" have only limited value for today's psychiatric hospital. Even less significant contributions have been made by the antipsychiatric movement or the Marxist-inspired reformers of the last decades. Only that is therapeutic which in the final analysis helps the patient to cope successfully with reality. Even today the use of involuntary measures-seclusion and medication etc. remain a necessary tool for the treatment of some patients. As every institution is always part of a public or private structure, it's authority is always bridled by these. Ethical clinical psychiatry requires an ethical political state, if it is not to become it's henchman. Even in democratic countries problems may arise around involuntary hospitalization, the care of psychiatrically ill criminals or the legalities around medicating the uncooperative psychotic

  16. Tonic modulation of anxiety-like behavior by corticotropin-releasing factor (CRF) type 1 receptor (CRF1) within the medial prefrontal cortex (mPFC) in male mice: role of protein kinase A (PKA).

    PubMed

    Miguel, Tarciso Tadeu; Gomes, Karina Santos; Nunes-de-Souza, Ricardo Luiz

    2014-07-01

    The medial prefrontal cortex (mPFC) and the neuropeptide corticotropin-releasing factor (CRF) have recently been receiving more attention from those interested in the neurobiology of anxiety. Here, we investigated the CRF pathway in the modulation of anxiety-like behaviors in male mice exposed to the elevated plus-maze (EPM), through intra-mPFC injections of CRF, CP376395 [N-(1-ethylpropyl)-3,6-dimethyl-2-(2,4,6-trimethylphenoxy)-4-pyridinamine hydrochloride, a CRF type 1 receptor antagonist (CR F1)] or H-89 [N-[2-[[3-(4-bromophenyl)-2-propenyl]amino]ethyl]-5-isoquinolinesulfonamide dihydrochloride, a protein kinase (PKA) inhibitor]. We also investigated the effects of intra-mPFC injections of H-89 on the behavioral effects induced by CRF. Mice received bilateral intra-mPFC injections of CRF (0, 37.5, 75 or 150pmol), CP376395 (0, 0.75, 1.5 or 3nmol) or H-89 (0, 1.25, 2.5 or 5nmol) and were exposed to the EPM, to record conventional and complementary measures of anxiety for 5min. Results showed that while CRF (75 and 150pmol) produced an anxiogenic-like effect, CP376395 (all doses) and H-89 (5nmol) attenuated anxiety-like behavior. When injected before CRF (150pmol), intra-mPFC H-89 (2.5nmol, a dose devoid of intrinsic effects on anxiety) completely blocked the anxiogenic-like effects of CRF. These results suggest that (i) CRF plays a tonic anxiogenic-like role at CRF1 receptors within the mPFC, since their blockade per se attenuated anxiety indices and (ii) the anxiogenic-like effects following CRF1 receptor activation depend on cAMP/PKA cascade activation in this limbic forebrain area.

  17. Caring about Independent Lives

    ERIC Educational Resources Information Center

    Christensen, Karen

    2010-01-01

    With the rhetoric of independence, new cash for care systems were introduced in many developed welfare states at the end of the 20th century. These systems allow local authorities to pay people who are eligible for community care services directly, to enable them to employ their own careworkers. Despite the obvious importance of the careworker's…

  18. Akenti Authorization System

    2000-06-01

    Akenti is an authorization service for distributed resources. The authorization policy is kept in distributed certificates signed by one or more stakeholders for the resources. The package consists of the following components: Java GUI tools to create and sign the policy certificates C++ libraries to do make acess decisions based on the policy certificates A standalone authorization server that make access decisions C interfaces to the libraries and server

  19. Authoring tool evaluation

    SciTech Connect

    Wilson, A.L.; Klenk, K.S.; Coday, A.C.; McGee, J.P.; Rivenburgh, R.R.; Gonzales, D.M.; Mniszewski, S.M.

    1994-09-15

    This paper discusses and evaluates a number of authoring tools currently on the market. The tools evaluated are Visix Galaxy, NeuronData Open Interface Elements, Sybase Gain Momentum, XVT Power++, Aimtech IconAuthor, Liant C++/Views, and Inmark Technology zApp. Also discussed is the LIST project and how this evaluation is being used to fit an authoring tool to the project.

  20. 77 FR 51540 - Medicare Program; Approved Renewal of Deeming Authority of the Accreditation Association for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... Authority of the Accreditation Association for Ambulatory Health Care, Inc. for Medicare Advantage Health... Medicare Advantage ``deeming authority'' of the Accreditation Association for Ambulatory Health Care, Inc... apply for MA deeming authority are generally recognized by the health care industry as entities...

  1. Parental authority questionnaire.

    PubMed

    Buri, J R

    1991-08-01

    A questionnaire was developed for the purpose of measuring Baumrind's (1971) permissive, authoritarian, and authoritative parental authority prototypes. It consists of 30 items per parent and yields permissive, authoritarian, and authoritative scores for both the mother and the father; each of these scores is derived from the phenomenological appraisals of the parents' authority by their son or daughter. The results of several studies have supported the Parental Authority Questionnaire as a psychometrically sound and valid measure of Baumrind's parental authority prototypes, and they have suggested that this questionnaire has considerable potential as a valuable tool in the investigation of correlates of parental permissiveness, authoritarianism, and authoritativeness.

  2. Parental authority questionnaire.

    PubMed

    Buri, J R

    1991-08-01

    A questionnaire was developed for the purpose of measuring Baumrind's (1971) permissive, authoritarian, and authoritative parental authority prototypes. It consists of 30 items per parent and yields permissive, authoritarian, and authoritative scores for both the mother and the father; each of these scores is derived from the phenomenological appraisals of the parents' authority by their son or daughter. The results of several studies have supported the Parental Authority Questionnaire as a psychometrically sound and valid measure of Baumrind's parental authority prototypes, and they have suggested that this questionnaire has considerable potential as a valuable tool in the investigation of correlates of parental permissiveness, authoritarianism, and authoritativeness. PMID:16370893

  3. Implementation of PFC (Predictive Functional Control) in a PLC (Programmable Logic Controller) for a HVAC (Heating, Ventilation and Air Conditioning) system

    NASA Astrophysics Data System (ADS)

    Kreutz, M.; Richalet, J.; Mocha, K.; Haber, R.

    2014-12-01

    HVAC systems of industrial buildings consume a lot of energy. Therefore it is important to know the performance of these systems and strategies to optimize the hardware and the control. Tackling the temperature control of the HVAC system promises quick savings by tuning the control within specified tolerance limits, which mostly can be done by low investment. This paper mainly deals with the implementation strategy of a new controller in a PLC using the predictive functional control for temperature control. The different stages of the implementation from the simulation over the SCL code till to the real-time operation are presented. A bumpless switch between the PI(D) and the PFC control was realized, as well.

  4. The Voice of Authority

    ERIC Educational Resources Information Center

    Wetterlund, Kris

    2012-01-01

    In the last part of 2011, conversations swirled around the Internet and print about the assault on museum authority. The Marcus Institute for Digital Education in the Arts (MIDEA) summarized some of the discussion in their blog entry "The Participatory Museum and a New Authority." Other sites joined in the discussion, for example, the Museum Geek…

  5. Talking Back to Authors

    ERIC Educational Resources Information Center

    Lewin, Larry

    2004-01-01

    Students will see writing as a powerful act when they learn to analyze a published author's writing style and send a written critique straight to the source. The author critiques help students to analyze their own writing and the Sentence Opening Sheet is an excellent device for this purpose as it reformats the text so that students can see their…

  6. The Authors Reply

    ERIC Educational Resources Information Center

    Guilloteaux, Marie J.; Dornyei, Zoltan

    2009-01-01

    This article presents the authors' reply to Rod Ellis's comments on their study on motivated classroom behavior. As Ellis correctly summarizes, the three student variables selected for investigation in the authors' study were attention, participation, and volunteering for teacher-fronted activity. These three components were then summed up in a…

  7. The Authors Reply

    ERIC Educational Resources Information Center

    File, Kieran A.; Adams, Rebecca

    2010-01-01

    This article presents the authors' reply to Beniko Mason and Stephen Krashen's comments on their recent article published in "TESOL Quarterly." Mason and Krashen have provided an interesting reinterpretation of the authors' results and have also brought up several valid points regarding the efficiency of vocabulary learning from instruction,…

  8. Bringing Authors to Students

    ERIC Educational Resources Information Center

    Harvey, Carl A., II

    2005-01-01

    Traditional story times begin with "The author of this book is..." and "The illustrator of this book is...". Although library media specialists emphasize the role of an author and an illustrator in creating a book, students often have difficulty making the connection between the name and a real person. Learning involves making connections and…

  9. Charter Authorizers Face Challenges

    ERIC Educational Resources Information Center

    Gustafson, Joey

    2013-01-01

    Since the first charter school opened 20 years ago in Minnesota, charters have been a focus of school reform advocates and the subject of substantial research. Yet the regulators of the charter industry (called "authorizers" or "sponsors") remain a mystery to many. In fact, many authorizers work in isolation, developing their…

  10. Public challenge of physician authority.

    PubMed

    Haug, M R; Lavin, B

    1979-08-01

    A sample survey of the public in a midwestern state substantiates the existence of widespread challenges to the authority of physicians, a phenomenon previously reported only impressionistically in the media. Attitudes tending to reject physicians' right to direct their interaction with patients characterized more than half the sample and were related to younger age, higher educational level, and greater health knowledge, with a consumerist and anti-authority stance also explanatory. Actual challenging behavior occurred at least once for about half the group, but in this instance was related less to age and knowledge than to more extensive experience with the health care system, as well as a lack of trust in people in general and doctors' competence in particular. However, explained variance was modest, arguing that other variables, not identified in this study, are at work. Surprisingly, respondents' health status, race, sex, and pattern of insurance coverage had little impact on either attitude or behavior, while both knowledge and a general tendency to reject authority were influential factors. Implications for physician-patient relations in the future are discussed in light of a number of social changes, including the rising educational level of the American public.

  11. 25 CFR 11.1104 - Shelter care.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...-care may be detained, pending a court hearing, in the following places: (1) A foster care facility authorized under tribal or state law to provide foster care, group care or protective residence; (2) A... 25 Indians 1 2013-04-01 2013-04-01 false Shelter care. 11.1104 Section 11.1104 Indians BUREAU...

  12. 25 CFR 11.1104 - Shelter care.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...-care may be detained, pending a court hearing, in the following places: (1) A foster care facility authorized under tribal or state law to provide foster care, group care or protective residence; (2) A... 25 Indians 1 2012-04-01 2011-04-01 true Shelter care. 11.1104 Section 11.1104 Indians BUREAU...

  13. 25 CFR 11.1104 - Shelter care.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...-care may be detained, pending a court hearing, in the following places: (1) A foster care facility authorized under tribal or state law to provide foster care, group care or protective residence; (2) A... 25 Indians 1 2011-04-01 2011-04-01 false Shelter care. 11.1104 Section 11.1104 Indians BUREAU...

  14. 25 CFR 11.1104 - Shelter care.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...-care may be detained, pending a court hearing, in the following places: (1) A foster care facility authorized under tribal or state law to provide foster care, group care or protective residence; (2) A... 25 Indians 1 2014-04-01 2014-04-01 false Shelter care. 11.1104 Section 11.1104 Indians BUREAU...

  15. 45 CFR 150.325 - Settlement authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS CMS Enforcement With Respect to Issuers and Non-Federal... limits the authority of CMS to settle any issue or case described in the notice furnished in...

  16. 45 CFR 150.325 - Settlement authority.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS CMS Enforcement With Respect to Issuers and Non-Federal... limits the authority of CMS to settle any issue or case described in the notice furnished in...

  17. 76 FR 53903 - Delegation of Authorities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... published at 55 FR 9363 (March 13, 1990). Title I--Quality, Affordable Health Care for All Americans... Register notice on June 23, 1998 (63 FR 34190). This delegation of authorities is effective immediately... [42 U.S.C. 18023], as amended, pertaining to State opt-out of abortion coverage, special...

  18. Health care in Brazil.

    PubMed Central

    Haines, A

    1993-01-01

    Brazil has great geopolitical importance because of its size, environmental resources, and potential economic power. The organisation of its health care system reflects the schisms within Brazilian society. High technology private care is available to the rich and inadequate public care to the poor. Limited financial resources have been overconcentrated on health care in the hospital sector and health professionals are generally inappropriately trained to meet the needs of the community. However, recent changes in the organisation of health care are taking power away from federal government to state and local authorities. This should help the process of reform, but many vested interests remain to be overcome. A link programme between Britain and Brazil focusing on primary care has resulted in exchange of ideas and staff between the two countries. If primary care in Brazil can be improved it could help to narrow the health divide between rich and poor. Images p503-a p504-a p505-a PMID:8448465

  19. Authorizing Online Learning. Viewpoint

    ERIC Educational Resources Information Center

    Patrick, Susan; Vander Ark, Tom

    2011-01-01

    processing to personalized learning. There will also be a slow enrollment shift from traditional district-operated schools to schools and programs operated by organizations authorized under contracts or…

  20. Palliative Care

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy Palliative Care KidsHealth > For Parents > Palliative Care Print A A ... decisions about their child's care. Who Needs Palliative Care? Any child who has a serious, complex, or ...

  1. Hospice Care

    MedlinePlus

    ... Page Resize Text Printer Friendly Online Chat Hospice Care What is Hospice Care? When is Hospice Care ... Family Counseling and Support Services What is Hospice Care? Hospice programs are available to help terminally ill ...

  2. Managed Care

    MedlinePlus

    ... three types of managed care plans: Health Maintenance Organizations (HMO) usually only pay for care within the ... who coordinates most of your care. Preferred Provider Organizations (PPO) usually pay more if you get care ...

  3. Google Scholar's Ghost Authors

    ERIC Educational Resources Information Center

    Jacso, Peter

    2009-01-01

    In the journal "The Chronicle of Higher Education," an article by Geoffrey Nunberg criticizes Google's Book Search (GBS), emphasizing that disturbing errors are endemic. He recognizes that for mainstream "googling" purposes, "they don't really care about metadata provided by a library catalog." In perhaps his most discouraging point, linguistics…

  4. Incorrect author affiliation.

    PubMed

    2015-05-01

    Incorrect Author Affiliation: In the article titled “Effect of Human Papillomavirus on Patterns of Distant Metastatic Failure in Oropharyngeal Squamous Cell Carcinoma Treated With Chemoradiotherapy,”published online March 5, 2015, and also in this issue of JAMA Otolaryngology–Head & Neck Surgery (doi:10.1001/jamaoto.2015 .136), the Author Affiliations were incorrect. That section should have been given as follows: "Author Affiliations: Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Trosman, Lamarre, Scharpf, Khan, Lorenz, Burkey); Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Koyfman,Ward, Greskovich); Department of Otolaryngology–Head and Neck Surgery, Rush University, Chicago, Illinois (Al-Khudari); Department of Hematology and Medical Oncology,Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Nwizu, Adelstein)." This article was corrected online and in print.

  5. Adolescent attitudes to authority.

    PubMed

    Coleman, J; Coleman, E Z

    1984-06-01

    This study is concerned with adolescent attitudes to authority. In particular the investigation focuses on notions of the ideal authority figure, attitudes to the sorts of conflicts experienced at home and in school, and on the types of resolutions to conflicts preferred by young people. Subjects were 43 adolescents from working class areas in outer London boroughs, all of whom were given a semistructured interview. Results indicated important differences in the amount of control required at home and in the school, and showed adolescents of 14 and 15 to have relatively little need for autonomy but a very considerable need for support from parents and teachers.

  6. Confidence in biopreparedness authorities among Finnish conscripts.

    PubMed

    Vartti, Anne-Marie; Aro, Arja R; Jormanainen, Vesa; Henriksson, Markus; Nikkari, Simo

    2010-08-01

    A large sample of Finnish military conscripts of the armored brigade were questioned on the extent to which they trusted the information given biopreparedness authorities (such as the police, military, health care, and public health institutions) and how confident they were in the authority's ability to protect the public during a potential infectious disease outbreak, from either natural or deliberate causes. Participants answered a written questionnaire during their initial health inspection in July 2007. From a total of 1,000 conscripts, 953 male conscripts returned the questionnaire. The mean sum scores for confidence in the information given to biopreparedness authorities and the media on natural and bioterrorism-related outbreaks (range = 0-30) were 20.14 (SD = 7.79) and 20.12 (SD = 7.69), respectively. Mean sum scores for the respondents' confidence in the ability of the biopreparedness authorities to protect the public during natural and bioterrorism-related outbreaks (range 0-25) were 16.04 (SD = 5.78) and 16.17 (SD = 5.89). Most respondents indicated that during a natural outbreak, they would have confidence in information provided by a health care institution such as central hospitals and primary health care centers, whereas in the case of bioterrorism, the respondents indicated that they would have confidence in the defense forces and central hospitals. PMID:20731266

  7. Authors on Film.

    ERIC Educational Resources Information Center

    Geduld, Harry M., Ed.

    Different authors' attitudes toward film are revealed through five different sections of this book: (1) articles, essays, and reviews pertaining to the silent cinema and the transition to sound; (2) general statements on the film medium or filmmakers and their messages; (3) essays dealing with the problems, involvements, and reflections of the…

  8. Authoring with Video

    ERIC Educational Resources Information Center

    Strassman, Barbara K.; O'Connell, Trisha

    2007-01-01

    Teachers are hungry for strategies that will motivate their students to engage in reading and writing. One promising method is the Authoring With Video (AWV) approach, which encourages teachers to use captioning software and digital video in writing assignments. AWV builds on students' fascination with television and video but removes the audio…

  9. Children as Authors Handbook.

    ERIC Educational Resources Information Center

    Hawaii State Dept. of Education, Honolulu. Office of Instructional Services.

    Intended for teachers, librarians, and administrators, this handbook explores the possibilities of implementing a "Children as Authors" project by using collaborative and integrative teaching strategies to motivate elementary school children to write. After describing the project and explaining its benefits, the handbook explores ways teachers and…

  10. Today's Authors, Tomorrow's Scientists

    ERIC Educational Resources Information Center

    Porter, Diana

    2009-01-01

    Although not all teachers can invite scientists into classrooms on a regular basis, they can invite them into their students' worlds through literature. Here the author shares how she used the nonfiction selection, "Science to the Rescue" (Markle 1994), as an opportunity for students to investigate socially significant problems and empower them to…

  11. Students as Textbook Authors

    ERIC Educational Resources Information Center

    Chou, Hsiao-Yi; Lau, Sok-Han; Yang, Huei-Chia; Murphey, Tim

    2007-01-01

    The authors describe their experience using a learner-centered approach to turn learner writing into booklets. When students write about their own lives, they can focus on the language they need to express their ideas. Interaction increases because interest is high. Near beginners can create fact sheets about themselves, and more advanced students…

  12. Author Identification Systems

    ERIC Educational Resources Information Center

    Wagner, A. Ben

    2009-01-01

    Many efforts are currently underway to disambiguate author names and assign unique identification numbers so that publications by a given scholar can be reliably grouped together. This paper reviews a number of operational and in-development services. Some systems like ResearcherId.Com depend on self-registration and self-identification of a…

  13. Creating Digital Authors

    ERIC Educational Resources Information Center

    Zoch, Melody; Langston-DeMott, Brooke; Adams-Budde, Melissa

    2014-01-01

    Elementary students find themselves engaged and learning at a digital writing camp. The authors find that such elementary students usually have limited access to technology at home and school, and posit that teachers should do all they can to give them more access to and experience in digital composing. Students were motivated and learned to use…

  14. The representation of authority: an adolescent viewpoint.

    PubMed

    Murray, C; Thompson, F

    1985-09-01

    It is argued in this paper that participation of young people in society is to a degree a function of their attitudes towards those in authority. More specifically the research reports results from an investigation designed to assess young people's attitudes (n = 2046) to parents, teachers and police taken together as a multivariate representation of authority. The results, at both scale and item level, provide little support for the position often taken in the literature that adolescents are generally anti-authority. On the contrary the evidence points in the opposite direction with favourable attitudes being displayed to all three authority roles but in particular towards police and parents. Some of the complexities inherent in such research are pointed up with attitude to authority, represented as a tripartite dependent vector variable, being seen to vary with individual attributes such as sex and age and contextual variables such as school attended. In general girls exhibit a more favourable attitude to authority than boys, authority relationships weaken with age and organisation of schools in terms of "caring" principals result in a weakening of adult-authority relationships.

  15. Stimulus Value Signals in Ventromedial PFC Reflect the Integration of Attribute Value Signals Computed in Fusiform Gyrus and Posterior Superior Temporal Gyrus

    PubMed Central

    Lim, Seung-Lark; O'Doherty, John P.

    2013-01-01

    We often have to make choices among multiattribute stimuli (e.g., a food that differs on its taste and health). Behavioral data suggest that choices are made by computing the value of the different attributes and then integrating them into an overall stimulus value signal. However, it is not known whether this theory describes the way the brain computes the stimulus value signals, or how the underlying computations might be implemented. We investigated these questions using a human fMRI task in which individuals had to evaluate T-shirts that varied in their visual esthetic (e.g., color) and semantic (e.g., meaning of logo printed in T-shirt) components. We found that activity in the fusiform gyrus, an area associated with the processing of visual features, correlated with the value of the visual esthetic attributes, but not with the value of the semantic attributes. In contrast, activity in posterior superior temporal gyrus, an area associated with the processing of semantic meaning, exhibited the opposite pattern. Furthermore, both areas exhibited functional connectivity with an area of ventromedial prefrontal cortex that reflects the computation of overall stimulus values at the time of decision. The results provide supporting evidence for the hypothesis that some attribute values are computed in cortical areas specialized in the processing of such features, and that those attribute-specific values are then passed to the vmPFC to be integrated into an overall stimulus value signal to guide the decision. PMID:23678116

  16. Stimulus value signals in ventromedial PFC reflect the integration of attribute value signals computed in fusiform gyrus and posterior superior temporal gyrus.

    PubMed

    Lim, Seung-Lark; O'Doherty, John P; Rangel, Antonio

    2013-05-15

    We often have to make choices among multiattribute stimuli (e.g., a food that differs on its taste and health). Behavioral data suggest that choices are made by computing the value of the different attributes and then integrating them into an overall stimulus value signal. However, it is not known whether this theory describes the way the brain computes the stimulus value signals, or how the underlying computations might be implemented. We investigated these questions using a human fMRI task in which individuals had to evaluate T-shirts that varied in their visual esthetic (e.g., color) and semantic (e.g., meaning of logo printed in T-shirt) components. We found that activity in the fusiform gyrus, an area associated with the processing of visual features, correlated with the value of the visual esthetic attributes, but not with the value of the semantic attributes. In contrast, activity in posterior superior temporal gyrus, an area associated with the processing of semantic meaning, exhibited the opposite pattern. Furthermore, both areas exhibited functional connectivity with an area of ventromedial prefrontal cortex that reflects the computation of overall stimulus values at the time of decision. The results provide supporting evidence for the hypothesis that some attribute values are computed in cortical areas specialized in the processing of such features, and that those attribute-specific values are then passed to the vmPFC to be integrated into an overall stimulus value signal to guide the decision.

  17. 42 CFR 438.210 - Coverage and authorization of services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... requested, be made by a health care professional who has appropriate clinical expertise in treating the... extension is in the enrollee's interest. (2) Expedited authorization decisions. (i) For cases in which...

  18. FFTF Authorization Agreement

    SciTech Connect

    DAUTEL, W.A.

    2000-09-25

    The purpose of the Authorization Agreement is to serve as a mechanism whereby the U.S. Department of Energy, Richland Operations Office (RL) and Fluor Hanford (FH) jointly clarify and agree to key conditions for conducting work safely and efficiently in the Fast Flux Test Facility (FFTF). Work must be accomplished in a manner that achieves high levels of quality while protecting the environment and the safety and health of workers and the public, and complying with applicable contractual and regulatory requirements. It is the intent of this Agreement to address those items of significant importance in establishing and supporting the FFTF Authorization Envelope, but this Agreement in no way alters the terms and conditions of the Project Hanford Management Contract (PHMC), Contract Number DE-AC06-96RL13200.

  19. Beyond Care?

    ERIC Educational Resources Information Center

    Hedge, Nicki; Mackenzie, Alison

    2012-01-01

    Care is a feature of all of our lives, all of the time. An analysis of Scotland's Curriculum for Excellence reveals that care and caring permeate complex dimensions of life in and after school and we ask here, if, on some accounts, care can do the work required of it. Acknowledging the significance of her contribution to care, we focus on the work…

  20. The Physician Assistant in Geriatric Long-Term Care

    ERIC Educational Resources Information Center

    Becker, Robert G.

    1976-01-01

    The Physician Assistant (PA) is a new health-care professional who is trained to function as a "physician extender." The author's experience with 71 PA students and graduate PA's at the Jewish Institute for Geriatric Care is described. (Author)

  1. Critical Care

    MedlinePlus

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications from surgery, ... attention by a team of specially-trained health care providers. Critical care usually takes place in an ...

  2. Palliative Care

    MedlinePlus

    Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms ... of the medical treatments you're receiving. Hospice care, care at the end of life, always includes ...

  3. Continuing Trends in Health and Health Care

    ERIC Educational Resources Information Center

    Wilson, Ronald W.; And Others

    1978-01-01

    Discusses current trends in health and health care, assesses significance of current data, and investigates causes and implications of the data for future health and health care. For journal availability, see SO 506 144. (Author/DB)

  4. Allocation of authority in European health policy.

    PubMed

    Adolph, Christopher; Greer, Scott L; Massard da Fonseca, Elize

    2012-11-01

    Although many study the effects of different allocations of health policy authority, few ask why countries assign responsibility over different policies as they do. We test two broad theories: fiscal federalism, which predicts rational governments will concentrate information-intensive operations at lower levels, and redistributive and regulatory functions at higher levels; and "politicized federalism", which suggests a combination of systematic and historically idiosyncratic political variables interfere with efficient allocation of authority. Drawing on the WHO Health in Transition country profiles, we present new data on the allocation of responsibility for key health care policy tasks (implementation, provision, finance, regulation, and framework legislation) and policy areas (primary, secondary and tertiary care, public health and pharmaceuticals) in the 27 EU member states and Switzerland. We use a Bayesian multinomial mixed logit model to analyze how different countries arrive at different allocations of authority over each task and area of health policy, and find the allocation of powers broadly follows fiscal federalism. Responsibility for pharmaceuticals, framework legislation, and most finance lodges at the highest levels of government, acute and primary care in the regions, and provision at the local and regional levels. Where allocation does not follow fiscal federalism, it appears to reflect ethnic divisions, the population of states and regions, the presence of mountainous terrain, and the timing of region creation. PMID:22858423

  5. Counterfactual quantum certificate authorization

    NASA Astrophysics Data System (ADS)

    Shenoy H., Akshata; Srikanth, R.; Srinivas, T.

    2014-05-01

    We present a multipartite protocol in a counterfactual paradigm. In counterfactual quantum cryptography, secure information is transmitted between two spatially separated parties even when there is no physical travel of particles transferring the information between them. We propose here a tripartite counterfactual quantum protocol for the task of certificate authorization. Here a trusted third party, Alice, authenticates an entity Bob (e.g., a bank) that a client Charlie wishes to securely transact with. The protocol is counterfactual with respect to either Bob or Charlie. We prove its security against a general incoherent attack, where Eve attacks single particles.

  6. Equity in community care.

    PubMed Central

    Challis, L.; Henwood, M.

    1994-01-01

    The implementation of the NHS and Community Care Act 1990 made local authority social services departments responsible for the organisation and funding of support and care in the community. This development took effect at the same time as a blurring of the boundaries between health and social care. One consequence is that the relevance of equity (a guiding principle of the 1946 National Health Service Act, but relatively lacking from the 1948 National Assistance Act, the foundation of many social services) has come to be more keenly appreciated within personal social services. Equity questions arise in community care over the distribution of public resources between different client groups, income groups, generations, and localities. Moreover, no mechanisms exist to monitor the trends that emerge from different ways that people get access to care. Yet there is a risk that substantial divisive consequences may occur, particularly between generations. PMID:8019286

  7. 14 CFR 1232.106 - Management authority and responsibility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Management authority and responsibility. 1232.106 Section 1232.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CARE AND USE OF ANIMALS IN THE CONDUCT OF NASA ACTIVITIES § 1232.106 Management authority and...

  8. 14 CFR 1232.106 - Management authority and responsibility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Management authority and responsibility. 1232.106 Section 1232.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CARE AND USE OF ANIMALS IN THE CONDUCT OF NASA ACTIVITIES § 1232.106 Management authority and...

  9. 14 CFR 1232.106 - Management authority and responsibility.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Management authority and responsibility. 1232.106 Section 1232.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CARE AND USE OF ANIMALS IN THE CONDUCT OF NASA ACTIVITIES § 1232.106 Management authority and...

  10. 36 CFR 222.60 - Authority and definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... RANGE MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.60 Authority and definitions. (a) Authority. The Chief, Forest Service, shall protect, manage, and control wild free-roaming horses... Maintenance and Care agreement. (3) Excess animals means wild free-roaming horses and burros which have...

  11. 36 CFR 222.20 - Authority and definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... RANGE MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.20 Authority and definitions. (a) Authority. The Chief, Forest Service, shall protect, manage, and control wild free-roaming horses... Maintenance and Care agreement. (3) Excess animals means wild free-roaming horses and burros which have...

  12. 36 CFR 222.20 - Authority and definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... RANGE MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.20 Authority and definitions. (a) Authority. The Chief, Forest Service, shall protect, manage, and control wild free-roaming horses... Maintenance and Care agreement. (3) Excess animals means wild free-roaming horses and burros which have...

  13. 36 CFR 222.60 - Authority and definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... RANGE MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.60 Authority and definitions. (a) Authority. The Chief, Forest Service, shall protect, manage, and control wild free-roaming horses... Maintenance and Care agreement. (3) Excess animals means wild free-roaming horses and burros which have...

  14. 36 CFR 222.20 - Authority and definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... RANGE MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.20 Authority and definitions. (a) Authority. The Chief, Forest Service, shall protect, manage, and control wild free-roaming horses... Maintenance and Care agreement. (3) Excess animals means wild free-roaming horses and burros which have...

  15. 14 CFR 1232.106 - Management authority and responsibility.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Management authority and responsibility. 1232.106 Section 1232.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CARE AND USE OF ANIMALS IN THE CONDUCT OF NASA ACTIVITIES § 1232.106 Management authority and...

  16. [Prophylaxis of suicide in old age (author's transl)].

    PubMed

    Otto, K R

    1979-01-01

    The author reports on sociopsychiatric care of old alone living peoples during Christmas-time and the end of year. This help of living was given under the primary aspects of suicide prevention. Nevertheless the conception of the arrangement is important for geropsychiatric prevention at all. The author gives informations about effects of this type of care. After the two weeks living in the hospital and getting special care the most of the old people looks from an active point of view to their biological and social conditions of aging, and better than before they can manage their life.

  17. Managed Care, Ethics, and Counseling.

    ERIC Educational Resources Information Center

    Daniels, Jeffrey A.

    2001-01-01

    Addresses issues of managed care and ethics and how they relate to counseling. Specifically reviews a recent article published in "The Counseling Psychologist" (2000). Explores implications for counselors and counselor educators. (Author/GCP)

  18. The retailing of health care.

    PubMed

    Paul, T; Wong, J

    1984-01-01

    A number of striking parallels between recent developments in health care marketing and changes in the retailing industry exist. The authors have compared retailing paradigms to the area on health care marketing so strategists in hospitals and other health care institutions can gain insight from these parallels. Many of the same economic, demographic, technological and lifestyle forces may be at work in both the health care and retail markets. While the services or products offered in health care are radically different from those of conventional retail markets, the manner in which the products and services are positioned, priced or distributed is surprisingly similar. PMID:10270341

  19. Becoming Co-Authors: Toward Sharing Authority in Religious Education

    ERIC Educational Resources Information Center

    Kim, Hyun-Sook

    2009-01-01

    This article offers an alternative model, the model of shared authority, to the traditional, authoritarian model for authority and obedience for Religious Education. This model moves away from the authoritarian model of a teacher as the authority and the students as obedient listeners in the direction of a shared authority model in which teachers…

  20. Home Care

    MedlinePlus

    ... Help Related Topics Assisted Living Community-Based Care Nursing Homes Related Video Join our e-newsletter! Aging & Health A to Z Home Care Basic Facts & Information Role of Health Care Professionals in Home Care Your physician is the leader ...

  1. Transitional Care

    ERIC Educational Resources Information Center

    Naylor, Mary; Keating, Stacen A.

    2008-01-01

    Transitional care encompasses a broad range of services and environments designed to promote the safe and timely passage of patients between levels of health care and across care settings. High-quality transitional care is especially important for older adults with multiple chronic conditions and complex therapeutic regimens, as well as for their…

  2. What is the health care product?

    PubMed

    France, K R; Grover, R

    1992-06-01

    Because of the current competitive environment, health care providers (hospitals, HMOs, physicians, and others) are constantly searching for better products and better means for delivering them. The health care product is often loosely defined as a service. The authors develop a more precise definition of the health care product, product line, and product mix. A bundle-of-elements concept is presented for the health care product. These conceptualizations help to address how health care providers can segment their market and position, promote, and price their products. Though the authors focus on hospitals, the concepts and procedures developed are applicable to other health care organizations.

  3. Community care and social services.

    PubMed Central

    Renwick, D.

    1996-01-01

    The aim of community care is to enable people with various types of disability to live in their own homes, rather than in institutions. This involves the provision of support and services at home by various agencies. After a critical report in 1986 identified problems with coordination and flexibility of community care services, the white paper Caring for People (1989) stated the government's aim to provide a "needs led," responsive range of services, promoting maximum independence of those wishing to live at home rather than enter institutional care. New arrangements were introduced in 1993, involving a formal assessment procedure and the production of a personalized care plan for each individual, incorporating services provided by private and voluntary agencies as well as by social services departments. This article describes the components of community care services supplied by local social services authorities, including housing adaptations, equipment, telephones and alarms, home care, meals, and respite care. Images p871-a PMID:8870580

  4. Who Cares about Caring in Early Childhood Teacher Education Programs?

    ERIC Educational Resources Information Center

    McNamee, Abigail; Mercurio, Mia; Peloso, Jeanne M.

    2007-01-01

    The ability to care for oneself, near and distant others, animals, plants, human-made objects, and even ideas is an antidote for violence in its many forms as experienced in childhood as well as adulthood. This article makes a case for facilitating the development of the ability to care as children develop. The authors emphasize the importance of…

  5. Do Your Students Care Whether You Care about Them?

    ERIC Educational Resources Information Center

    Meyers, Steven A.

    2009-01-01

    The author integrates research and theory to suggest that caring is an important dimension of effective college teaching. Despite the fact that students are acutely aware of whether their professors care about them, professors do not necessarily prioritize this aspect of teaching to the same extent. This article provides concrete suggestions about…

  6. Oregon's experiment in health care delivery and payment reform: coordinated care organizations replacing managed care.

    PubMed

    Howard, Steven W; Bernell, Stephanie L; Yoon, Jangho; Luck, Jeff; Ranit, Claire M

    2015-02-01

    To control Medicaid costs, improve quality, and drive community engagement, the Oregon Health Authority introduced a new system of coordinated care organizations (CCOs). While CCOs resemble traditional Medicaid managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted payments rewarding outcomes and evidence-based practice; increased transparency; and greater community engagement. The CCO model faces several implementation challenges. If successful, it will provide improved health care delivery, better health outcomes, and overall savings.

  7. Scientific and Artistic Authority

    NASA Astrophysics Data System (ADS)

    Eriksson, S. C.

    2012-12-01

    The differences and similarities between science and art are commonly discussed in various disciplines, e.g. collective versus individual, truth versus imagination, fact versus fiction, and more. Both art and science involve communication. Both artists and scientists have responsibilities of integrity in the arena of intellectual property. However, an artist has a primary responsibility to his/her personal artistic vision and craft. A scientist has a very clearly defined responsibility to scientific method as a collective practice, i.e. generally accepted scientific knowledge, norms of data collection and analysis as well as norms of communication. In presenting a work of art to an audience, it is accepted that different people will interpret the art through different lens. In science communication, we hope that the audience's understanding is in line with scientific interpretation. When science and art meet, how do we come to an understanding of what the intended message should be and how it should or must be received. Accuracy in fact is important in science, as is accuracy of the message whether it is a process, model, image or story. How do we mediate this tension in collaborative projects? How do we celebrate the artistic nature of an artwork based on science when there is tension between the artistic merit and the scientific content? Authority of the artist, scientist, and organization must be satisfied.

  8. Child Care and Child Nutrition

    ERIC Educational Resources Information Center

    Karolak, Eric

    2009-01-01

    The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…

  9. Pharmacists' Role in Health Care

    ERIC Educational Resources Information Center

    Maronde, Robert F.

    1977-01-01

    Pharmacists' contribution to the health care of the future in the future in the U.S. may have to be in the context of increasing the efficiency and effectiveness of health-care delivery. It is from the area of drug therapy, now poorly administered, that the pharmacist will have to justify his role in a cost-effective manner. (Author/LBH)

  10. Caring for childbearing Korean women.

    PubMed

    Howard, J Y; Berbiglia, V A

    1997-01-01

    This article examines the traditional and modern cultural elements that may influence the health behaviors of the childbearing Korean woman and suggests ways to provide culturally sensitive care. The first author, born and raised in Korea, shares her reflections of culture and examples of clinical situations in Korea. Implications for nursing care are addressed through specific cultural prescriptions. Do's and don'ts are presented to foster culturally appropriate care for Korean childbearing women.

  11. Shared care (comanagement).

    PubMed

    Montero Ruiz, E

    2016-01-01

    Surgical departments have increasing difficulties in caring for their hospitalised patients due to the patients' advanced age and comorbidity, the growing specialisation in medical training and the strong political-healthcare pressure that a healthcare organisation places on them, where surgical acts take precedence over other activities. The pressure exerted by these departments on the medical area and the deficient response by the interconsultation system have led to the development of a different healthcare organisation model: Shared care, which includes perioperative medicine. In this model, 2 different specialists share the responsibility and authority in caring for hospitalised surgical patients. Internal Medicine is the most appropriate specialty for shared care. Internists who exercise this responsibility should have certain characteristics and must overcome a number of concerns from the surgeon and anaesthesiologist. PMID:26163733

  12. Shared care (comanagement).

    PubMed

    Montero Ruiz, E

    2016-01-01

    Surgical departments have increasing difficulties in caring for their hospitalised patients due to the patients' advanced age and comorbidity, the growing specialisation in medical training and the strong political-healthcare pressure that a healthcare organisation places on them, where surgical acts take precedence over other activities. The pressure exerted by these departments on the medical area and the deficient response by the interconsultation system have led to the development of a different healthcare organisation model: Shared care, which includes perioperative medicine. In this model, 2 different specialists share the responsibility and authority in caring for hospitalised surgical patients. Internal Medicine is the most appropriate specialty for shared care. Internists who exercise this responsibility should have certain characteristics and must overcome a number of concerns from the surgeon and anaesthesiologist.

  13. The Allure of Authors: Author Studies in the Elementary Classroom.

    ERIC Educational Resources Information Center

    Jenkins, Carol Brennan

    Noting that readers of all ages seek out favorite authors, this book offers a model that encourages readers to respond aesthetically, biographically, and critically to an author's literature. At the heart of the book are four author studies that were implemented with children at various grade levels. These studies span the genres of picture…

  14. Hospice care

    MedlinePlus

    ... are nearing death. The goal is to give comfort and peace instead of a cure. Hospice care ... works together to give the patient and family comfort and support. Someone from your hospice care team ...

  15. Residential Care

    MedlinePlus

    ... dementia care Programs and Services Appropriate services and programming based on specific health and behavioral care needs ... of Alzheimer's Treatments Contact us 24/7 Helpline: 1-800-272-3900 Find Your Local Chapter Get ...

  16. Pin care

    MedlinePlus

    ... gov/pubmed/24302374 . Nagy K. Discharge instructions for wound cares. The American Association of the Surgery of Trauma. www.aast.org/discharge-instructions-for-wound-cares . Accessed May 13, 2016.

  17. Daily Care

    MedlinePlus

    ... to Know Online Tools Enhancing Daily Life Daily Plan Activities Communication Food & Eating Music & Art Personal Care Incontinence Bathing ... Tweet Email | Print Create a Daily Routine Daily Plan Activities Communication Food/Eating Get Tips on Personal Care Bathing ...

  18. Care of the Dying: A Swedish Perspective

    ERIC Educational Resources Information Center

    Feigenberg, Loma; Fulton, Robert

    1977-01-01

    This article illustrates various aspects of terminal care, and shows that rules and norms for such care do not exist today. The authors advocate the formulation of an aim for humane treatment of dying patients, and its application in a manner appropriate to Swedish medical concepts and Swedish conditions. (Author)

  19. Seniors and alternative level of care: building on our knowledge.

    PubMed

    Jutan, Norma; Langlois, Lacey; Damiano, Natalie

    2013-01-01

    There is ongoing concern that acute care beds in Canada are occupied by seniors who are waiting to be discharged to a more appropriate level of care. These individuals, who no longer require acute care services, are commonly designated as alternative level of care (ALC) patients. In this study, the authors examined the characteristics of patients transitioning from acute care to home care or residential care.

  20. Prenatal Care.

    ERIC Educational Resources Information Center

    Office of Child Development (DHEW), Washington, DC.

    Initially published by the Children's Bureau in 1913, this pamphlet has been revised frequently. Its purpose is to point out the importance of medical care during pregnancy. Comfortable pregnancies, easy labor, and better care for their new infants are the usual concerns of prospective mothers. Consequently, this 1962 edition of "Prenatal Care"…

  1. Hospice Care

    MedlinePlus

    ... provide more information about hospice. National Hospice and Palliative Care Organization 1–800–658–8898 (helpline) 1–877– ... http://www.caringinfo.org The National Hospice and Palliative Care Organization’s Caring Connections website offers information and publications ...

  2. Bioethics and caring.

    PubMed

    van Hooft, S

    1996-04-01

    The author agrees with the critiques of moral theory offered by such writers as Bernard Williams and Alasdair MacIntyre, and uses ideas from Heidegger and Levinas to argue that caring is an ontological structure of human existence which takes two forms: caring about on self (which he calls our "self-project") and caring-about-others. This dual form of caring is expressed on four Aristotelian levels of human living which the author describes and illustrates with reference to the phenomenon of pain. It is concluded from this analysis that traditional notions of morality as imposing obligations should give way to an understanding of ethics as the social forms given to our caring for ourselves and for others. A number of implications for ethical theory are sketched out with the conclusion that virtue theory should be preferred and that the model could be worked out more fully to show that virtue theory can be internalist, particularist, pluralist, personalist and objectivist. PMID:8731533

  3. Bioethics and caring.

    PubMed Central

    van Hooft, S

    1996-01-01

    The author agrees with the critiques of moral theory offered by such writers as Bernard Williams and Alasdair MacIntyre, and uses ideas from Heidegger and Levinas to argue that caring is an ontological structure of human existence which takes two forms: caring about on self (which he calls our "self-project") and caring-about-others. This dual form of caring is expressed on four Aristotelian levels of human living which the author describes and illustrates with reference to the phenomenon of pain. It is concluded from this analysis that traditional notions of morality as imposing obligations should give way to an understanding of ethics as the social forms given to our caring for ourselves and for others. A number of implications for ethical theory are sketched out with the conclusion that virtue theory should be preferred and that the model could be worked out more fully to show that virtue theory can be internalist, particularist, pluralist, personalist and objectivist. PMID:8731533

  4. Special Issue on Authoring Tools.

    ERIC Educational Resources Information Center

    Avner, Allen

    1984-01-01

    This theme issue provides brief descriptions or reviews of specific authoring tools including the Digital, TenCORE, EASE, Courseware (Apple), and PLATO authoring systems. Articles on conceptual or practical issues emerging from extensive experience in specific settings or based on use of specific authoring systems are also presented. (MBR)

  5. Authority and Pedagogy as Framing

    ERIC Educational Resources Information Center

    Schmidt, Patrick

    2016-01-01

    This article examines the relationship between authority and music. It starts with the proposition that music--as an art or an educative enterprise in Western environs--remains a highly idealized enterprise and this idealization creates an alibi for action that is characteristically narrow and guided by authority. Schmidt claims that authority is…

  6. 3 CFR - Delegation of Authority

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 3 The President 1 2013-01-01 2013-01-01 false Delegation of Authority Presidential Documents Other Presidential Documents Memorandum of June 14, 2012 Delegation of Authority Memorandum for the Secretary of State By the authority vested in me as President by the Constitution and the laws of the United States of America, including section 301...

  7. Enhancing Author's Voice through Scripting

    ERIC Educational Resources Information Center

    Young, Chase J.; Rasinski, Timothy V.

    2011-01-01

    The authors suggest using scripting as a strategy to mentor and enhance author's voice in writing. Through gradual release, students use authentic literature as a model for writing with voice. The authors also propose possible extensions for independent practice, integration across content areas, and tips for evaluation.

  8. Activation of 5‐HT2A receptors by TCB‐2 induces recurrent oscillatory burst discharge in layer 5 pyramidal neurons of the mPFC in vitro

    PubMed Central

    Spindle, Michael S.; Thomas, Mark P.

    2014-01-01

    Abstract The medial prefrontal cortex (mPFC) is a region of neocortex that plays an integral role in several cognitive processes which are abnormal in schizophrenic patients. As with other cortical regions, large‐bodied layer 5 pyramidal neurons serve as the principle subcortical output of microcircuits of the mPFC. The coexpression of both inhibitory serotonin 5‐HT1A receptors on the axon initial segments, and excitatory 5‐HT2A receptors throughout the somatodendritic compartments, by layer 5 pyramidal neurons allows serotonin to provide potent top–down regulation of input–output relationships within cortical microcircuits. Application of 5‐HT2A agonists has previously been shown to enhance synaptic input to layer 5 pyramidal neurons, as well as increase the gain in neuronal firing rate in response to increasing depolarizing current steps. Using whole‐cell patch‐clamp recordings obtained from layer 5 pyramidal neurons of the mPFC of C57/bl6 mice, the aim of our present study was to investigate the modulation of long‐term spike trains by the selective 5‐HT2A agonist TCB‐2. We found that in the presence of synaptic blockers, TCB‐2 induced recurrent oscillatory bursting (ROB) after 15–20 sec of tonic spiking in 7 of the 14 cells. In those seven cells, ROB discharge was accurately predicted by the presence of a voltage sag in response to a hyperpolarizing current injection. This effect was reversed by 5–10 min of drug washout and ROB discharge was inhibited by both synaptic activity and coapplication of the 5‐HT2A/2C antagonist ketanserin. While the full implications of this work are not yet understood, it may provide important insight into serotonergic modulation of cortical networks. PMID:24844635

  9. Blonanserin Ameliorates Phencyclidine-Induced Visual-Recognition Memory Deficits: the Complex Mechanism of Blonanserin Action Involving D3-5-HT2A and D1-NMDA Receptors in the mPFC

    PubMed Central

    Hida, Hirotake; Mouri, Akihiro; Mori, Kentaro; Matsumoto, Yurie; Seki, Takeshi; Taniguchi, Masayuki; Yamada, Kiyofumi; Iwamoto, Kunihiro; Ozaki, Norio; Nabeshima, Toshitaka; Noda, Yukihiro

    2015-01-01

    Blonanserin differs from currently used serotonin 5-HT2A/dopamine-D2 receptor antagonists in that it exhibits higher affinity for dopamine-D2/3 receptors than for serotonin 5-HT2A receptors. We investigated the involvement of dopamine-D3 receptors in the effects of blonanserin on cognitive impairment in an animal model of schizophrenia. We also sought to elucidate the molecular mechanism underlying this involvement. Blonanserin, as well as olanzapine, significantly ameliorated phencyclidine (PCP)-induced impairment of visual-recognition memory, as demonstrated by the novel-object recognition test (NORT) and increased extracellular dopamine levels in the medial prefrontal cortex (mPFC). With blonanserin, both of these effects were antagonized by DOI (a serotonin 5-HT2A receptor agonist) and 7-OH-DPAT (a dopamine-D3 receptor agonist), whereas the effects of olanzapine were antagonized by DOI but not by 7-OH-DPAT. The ameliorating effect was also antagonized by SCH23390 (a dopamine-D1 receptor antagonist) and H-89 (a protein kinase A (PKA) inhibitor). Blonanserin significantly remediated the decrease in phosphorylation levels of PKA at Thr197 and of NR1 (an essential subunit of N-methyl-D-aspartate (NMDA) receptors) at Ser897 by PKA in the mPFC after a NORT training session in the PCP-administered mice. There were no differences in the levels of NR1 phosphorylated at Ser896 by PKC in any group. These results suggest that the ameliorating effect of blonanserin on PCP-induced cognitive impairment is associated with indirect functional stimulation of the dopamine-D1-PKA-NMDA receptor pathway following augmentation of dopaminergic neurotransmission due to inhibition of both dopamine-D3 and serotonin 5-HT2A receptors in the mPFC. PMID:25120077

  10. Accountability in delivering care.

    PubMed

    Castledine, G

    In the penultimate part of this series on issues in ward management facing charge nurses. George Castledine concentrates on the issue of accountability. The immensely powerful position of the charge nurse as arbitrator and co-ordinator of all health care given to the patient demands that helshe exercises this power responsibly and positively; hence, the crucial importance of accountability. The author explores this concept and also those of advocacy and conscientious objection. He concludes by suggesting that the ultimate area of accountability in nursing is the individual conscience of the practitioner and that in this may lie the key to the setting and maintenance of high standards of care.

  11. [Sensitize: a way of education for care].

    PubMed

    Vianna, A C

    2000-01-01

    This article proposes to reflect about human care and ways of teaching it to future caregivers. The author describes a teaching experience in which she tried to sensitise the students--future nurse aides--for care, through "Meditation for the cure", proposed by Weiss (1998). Since it is a belief that there is a need to sensitise the caregivers to human care, the author stimulates the search for creative solutions to reach it.

  12. Advance care directives

    MedlinePlus

    ... advance directive; Do-not-resuscitate - advance directive; Durable power of attorney - advance care directive; POA - advance care directive; Health care agent - advance care directive; Health care proxy - ...

  13. Health care agents

    MedlinePlus

    Durable power of attorney for health care; Health care proxy; End-of-life - health care agent; Life support treatment - ... Respirator - health care agent; Ventilator - health care agent; Power of attorney - health care agent; POA - health care ...

  14. Measuring Displacement and Contact Forces Among the Particles in Unloading of Slope by PFC2D (Particle Flow Code) / Pomiary przemieszczeń i sił kontaktu pomiędzy cząstkami materialnymi w trakcie wybierania wyrobiska pochyłego przy pomocy programu PFC2D

    NASA Astrophysics Data System (ADS)

    Behbahani, Seyed Saleh; Moarefvand, Parviz; Ahangari, Kaveh; Goshtasbi, Kamran

    2013-06-01

    When instability is observed in the walls of open pit mining, at this time, engineers are faced with a moving mass which is a combination of materials that move on each other and on the main slip surface. Modeling of this movement can have an effective assistance to mining engineers to predict the movement behavior, displacement estimate, and the moving volumes. One of the suitable software which is capable of modeling of sliding behavior is PFC (Particle Flow Code). It is based on Discrete Element Method and released by the Itasca Company. In this paper, the modeling of sliding mass and unloading it in seven stages have been done. During the seven stages of unloading the maximum displacement and maximum contact forces among the particles are obtained. Maximum displacement happened in the fifth stage of the unloading and it is equal to 134.8 meters. Maximum contact forces occurred in the first stage of the unloading after initial equilibrium stage and it is equal to 1917 kN. The model for unloading of sliding mass presented in this paper is just an example and it is not a definite model for unloading of each sliding mass. Unloading of sliding mass depends on the situation of sliding mass and its volume and also mining limitations. W przypadku wystąpienia niestabilności ścian pochyłego wyrobiska odkrywkowego, inżynierowie mają do czynienia z przemieszczającą się masa - będącą kombinacją materiałów przesuwających się względem siebie a także zsuwających się w dół po powierzchni spadu. Modelowanie tego ruchu może znacznie pomóc inżynierom-górnikom w prognozowaniu zachowań terenu w trakcie tego ruchu, do szacowania wielkości przemieszczeń i objętości przemieszczających się mas materiału. Jednym z programów wspomagających modelowanie przemieszczeń tego typu jest oprogramowanie Particle Flow Code PFC, rozprowadzane przez firmę Itasca, wykorzystujące metodę elementów dyskretnych. W pracy tej przeprowadzono modelowanie ruchu

  15. Intercultural residential care in New Zealand.

    PubMed

    Kiata, Liz; Kerse, Ngaire

    2004-03-01

    Along with other Organization for Economic Cooperation and Development (OECD) countries, New Zealand's society is aging such that an increase in the number of older people requiring residential care is predicted. What cannot be foreseen is how culturally defined health beliefs affect the care given to older people in residential care. In this article, the authors describe and discuss the culturally based health beliefs of some Pacific Islands caregivers and predominately European (Pakeha) older people resident at one long-term care facility in Auckland, New Zealand. The delivery of care is influenced by culturally related beliefs about "being old." Racism is evident in residential care, and the authors discuss the reactions of caregivers, residents, and management. This research extends the discussion of caregiving and receiving in to the cross-cultural setting, and the findings highlight a number of elements in cultural differences between carer and cared-for that might affect care practices at the residential facility studied.

  16. 77 FR 19290 - Medicare and Medicaid Programs; Renewal of Deeming Authority of the Accreditation Association for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-30

    ... Deeming Authority of the Accreditation Association for Ambulatory Health Care, Inc. for Medicare Advantage... Care, Inc. (AAAHC) for Health Maintenance Organizations and Preferred Provider Organizations for a term... generally recognized by the health care industry as entities that accredit HMOs and PPOs. As we specify...

  17. 31 CFR 210.4 - Authorizations and revocations of authorizations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Authorizations and revocations of authorizations. 210.4 Section 210.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL...

  18. 31 CFR 210.4 - Authorizations and revocations of authorizations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance: Treasury 2 2014-07-01 2014-07-01 false Authorizations and revocations of authorizations. 210.4 Section 210.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY BUREAU OF THE FISCAL SERVICE FEDERAL...

  19. 31 CFR 210.4 - Authorizations and revocations of authorizations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Authorizations and revocations of authorizations. 210.4 Section 210.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL...

  20. 31 CFR 210.4 - Authorizations and revocations of authorizations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Authorizations and revocations of authorizations. 210.4 Section 210.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL...

  1. 31 CFR 210.4 - Authorizations and revocations of authorizations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 2 2013-07-01 2013-07-01 false Authorizations and revocations of authorizations. 210.4 Section 210.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL...

  2. The Name Authority Cooperative/Name Authority File Service.

    ERIC Educational Resources Information Center

    Council on Library Resources, Inc., Washington, DC.

    This report reviews the background and rationale for a cooperative authority file building system and describes the services, products, and operation of the new Name Authority Cooperative (NACO). The document defines the relationship between NACO, other Library of Congress (LC) cooperative projects, and the Linked Systems Project (LSP). The…

  3. Integration of Palliative Care Principles into the Ongoing Care of Children with Cancer: Individualized Care Planning and Coordination

    PubMed Central

    Baker, Justin N; Hinds, Pamela S; Spunt, Sheri L; Barfield, Raymond C; Allen, Caitlin; Powell, Brent C; Anderson, Lisa H; Kane, Javier R

    2008-01-01

    Synopsis The Individualized Care Planning and Coordination Model is designed to integrate palliative care principles and practices into the ongoing care of children with cancer. Application of the model helps clinicians to generate a comprehensive individualized care plan that is implemented through Individualized Care Coordination processes as detailed here. Clinicians’ strong desire to provide compassionate, competent and sensitive care to the seriously ill child and the child’s family can be effectively translated into clinical practice through these processes. “To cure sometimes, to relieve often, to comfort always -- this is our work.” Author Unknown PMID:18242323

  4. Erratum: Viewpoint article in our March 2015 issue--author details.

    PubMed

    2015-09-01

    The Viewpoint article entitled 'Peer support workers: an untapped resource in primary mental health care' was published with incorrect author details as supplied. The first author of the paper is Juan J Tellez. The paper should be correctly cited as: Tellez JJ, Kidd J. Peer support workers: an untapped resource in primary mental health care. J Prim Health Care. 2015;7(1):84–87.

  5. Medical authority and nursing integrity.

    PubMed

    de Raeve, L

    2002-12-01

    This paper explores the respective legitimacy or illegitimacy of medical authority over nursing work. The analysis makes use of Joseph Raz's ideas concerning the nature of authority. Various scenarios are considered which lend themselves to differing interpretations, and the conclusion reached is that acting in accordance with legitimate medical authority enhances rather than compromises the nurse's professional integrity. Difficulties, however, may lie in disentangling legitimate from illegitimate attempts to control nursing work.

  6. 78 FR 22527 - TRICARE Access to Care Demonstration Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-16

    ... of the Secretary TRICARE Access to Care Demonstration Project AGENCY: Department of Defense. ACTION: Notice of Extension of the TRICARE South Region United States Coast Guard Access to Care Demonstration... fiscal year to TRICARE authorized Urgent Care Centers without obtaining an authorization from...

  7. A "Democratic Authority" for Bureaucracy

    ERIC Educational Resources Information Center

    Carey, Margaret D.

    1971-01-01

    Discusses recent augmentations to the bureaucratic model and examines one sample of recent trends toward personalization and democratization in bureaucracy -- the Catholic Church in Australia. (Author/JF)

  8. Caring Reflexivity

    ERIC Educational Resources Information Center

    Rallis, Sharon F.; Rossman, Gretchen B.

    2010-01-01

    This article provides a brief summary of the seven articles in this special issue through the lens of the concept of "caring reflexivity". In joining "caring" and "reflexivity", we deepen the conversation about what constitutes reflexivity, encouraging an explicit focus on the relational. Revisiting the first article, we argue that…

  9. Postpartum Care

    MedlinePlus

    ... all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have ... changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have ...

  10. Hospice Care

    MedlinePlus

    ... a medical director, a home health aide, a social worker, a spiritual care coordinator, a volunteer and your attending physician, if he or she remains involved in your care. Other team members may include a music therapist, physical therapist, speech therapist or occupational therapist. ...

  11. Authorized Duplication: A Timely Solution.

    ERIC Educational Resources Information Center

    Curatilo, Joe

    1997-01-01

    Asks how a music teacher can supply enough sheet music to ensure resources for every student while meeting restrictions of slender budgets and copyright laws. Explores the concept of authorized duplication, similar to software licensing, as a solution. Provides sources of music with authorized duplication agreements. (DSK)

  12. The Classes of Authoring Programs.

    ERIC Educational Resources Information Center

    Kozel, Kathy

    1997-01-01

    Provides an overview of developments in authoring tools and describes ways to categorize products by platform, type of end-product, sophistication of end-product, and authoring metaphor. Discusses products from AimTech, Allegiant, Allen Communication, Asymetrix, Corel, Discovery Systems International, Enigma, Harrow Media, Horizons, Innovus,…

  13. Authoring Systems: Some Instructional Implications.

    ERIC Educational Resources Information Center

    MacKnight, Carol B.; Balagopalan, Santosh

    1989-01-01

    Compares the strengths and weaknesses of four authoring systems that can be used for courseware development: (1) Quest; (2) PCD3; (3) IconAuthor; and (4) Course of Action. Evaluation procedures used to assess their power, ease of use, and productivity aids are explained; menu and icon structures are described; and interactive design implications…

  14. Children's Conceptions of Parental Authority.

    ERIC Educational Resources Information Center

    Tisak, Marie S.

    1986-01-01

    Examines children's conceptions of parental authority. A total of 120 children were interviewed and asked to evaluate social events (stealing, family chores, friendship choice) pertaining to restraint of behavior and maintenance of parental rule systems. Results suggest that children's notions of authority are heterogeneous with respect to the…

  15. A Copyright Guide for Authors.

    ERIC Educational Resources Information Center

    Lee, Robert E.

    This book provides a commentary on the current copyright law as it affects authors of creative works, intended for authors as well as for business people who need to know more than just the fundamentals. The book has application for novelists, playwrights, poets, biographers, journalists, historians, educators, artists, designers, musicians,…

  16. Young Chinese Children's Authority Concepts

    ERIC Educational Resources Information Center

    Yau, Jenny; Smetana, Judith G.; Metzger, Aaron

    2009-01-01

    Using multilevel analyses, we examined the influence of domain (moral, conventional, and personal) and the familiarity of different authority figures (mother, teacher, person in charge, and stranger) in public, school, or home settings in 123 four to seven-year-old Chinese children (M = 5.6 years) in Hong Kong. Children affirmed authority more for…

  17. Author's Response to Peer Commentary

    ERIC Educational Resources Information Center

    Hartley, James

    2012-01-01

    This article presents the author's response to peer commentary on his article entitled "Reflections on 50 years of teaching psychology." The author is pleased that most of them share some of his concerns about the lack of progress in the teaching of psychology over the last 50 years, and he welcomes the fact that they then go on to raise…

  18. Analysis of Navajo Education Authority.

    ERIC Educational Resources Information Center

    Kahn & Kahn, Washington, DC.

    The legislative authority for Navajo education is examined in this two-part report, designed to help the Navajo people attain meaningful control of the education of their youth, with the continued appropriate involvement of the federal and state governments. Part 1 summarizes the key provisions of the relevant sources of legal authority which…

  19. Student Authority: Antidote to Alienation

    ERIC Educational Resources Information Center

    Goodman, Joan

    2010-01-01

    The widespread disaffection of students from school is manifested in academic failure, indifference, and defiance. These problems can be alleviated, I argue, when an authority structure is developed that combines three components--freedom, power, and legitimacy. Authority understood as either power or freedom is apt to subvert students' school…

  20. 32 CFR 732.17 - Nonemergency care requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... authority (§ 732.20) serving the geographic area where care is to be obtained. When the requirements of... adjudication authority (§ 732.20) assigned responsibility for the geographic area of the requestor. (2) With... information addressee on each letter of authorization. (c) Maternity care. (1) Pregnant active duty...

  1. Supportive Care.

    PubMed

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

    This chapter takes its point of departure in psychosocial aspects of supportive care in adolescent and young adult cancer care. The purpose is to describe some of the challenges that these young people face following a cancer diagnosis and guide healthcare professionals in how to provide care that improves the quality of life. In most hospitals and healthcare systems, adolescents and young adults are cared for and treated in settings for children or adults. Accordingly, healthcare professionals may lack attention to and knowledge about what characterize young peoples' life situation, their special needs and how to meet them. The topics we include in the chapter are the following: the youth friendly environment, social support and social network, parents, information during a psychosocial crisis event, the use of HEADSS, peer support, fertility, body image and self-esteem, after treatment and future challenges and palliative and end of life care. PMID:27595353

  2. Continuing Care Retirement Communities: An Analysis of Financial Viability and Health Care Coverage.

    ERIC Educational Resources Information Center

    Ruchlin, Hirsch S.

    1988-01-01

    Calculated financial ratios for 109 Continuing Care Retirement Communities (CCRCs). Noted problems with regard to asset productivity, profitability, and equity levels. Found that a risk-spreading charge structure for financing health care needs appeared to exist among CCRCs providing a full-care contract. (Author/ABL)

  3. Ethics, economics, and the erosion of physician authority: a leadership role for nurses.

    PubMed

    Rambur, B

    1998-06-01

    The emergence of managed care raises new concerns about the ethics of health care financing and its impact on service delivery. The current outcry, however, fails to recognize that American health care financing has presented serious ethical dilemmas for at least 50 years. What follows is a historic overview of American health care financing, contrasted with current challenges. The intersection between ethics, economics, professionalism, and public authority is explicated, with a critical leader/advocate role for nurses presented.

  4. 42 CFR 438.210 - Coverage and authorization of services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Coverage and authorization of services. 438.210 Section 438.210 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and...

  5. 42 CFR 438.210 - Coverage and authorization of services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Coverage and authorization of services. 438.210 Section 438.210 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and...

  6. 42 CFR 438.210 - Coverage and authorization of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Coverage and authorization of services. 438.210 Section 438.210 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and...

  7. 42 CFR 438.210 - Coverage and authorization of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Coverage and authorization of services. 438.210 Section 438.210 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and...

  8. 45 CFR 675.1 - Purpose and authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PROCESS FOR DEPLOYMENT TO ANTARCTICA § 675.1 Purpose and authority. (a) This part sets forth the... Antarctica. Medical screening examinations are necessary to determine the presence of any physical or... that could not be effectively treated by the limited medical care capabilities in Antarctica....

  9. 45 CFR 150.403 - Scope of ALJ's authority.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Scope of ALJ's authority. 150.403 Section 150.403 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings § 150.403 Scope of...

  10. 45 CFR 150.403 - Scope of ALJ's authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Scope of ALJ's authority. 150.403 Section 150.403 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings § 150.403 Scope of...

  11. 14 CFR § 1232.106 - Management authority and responsibility.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Management authority and responsibility. § 1232.106 Section § 1232.106 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CARE AND USE OF ANIMALS IN THE CONDUCT OF NASA ACTIVITIES (Eff. until 2-14-14) § 1232.106...

  12. Institutional and Home-Based Long-Term Care Alternatives: The 1965-85 Swedish Experience.

    ERIC Educational Resources Information Center

    Berg, Stig; And Others

    1988-01-01

    Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

  13. The ethics of managed care.

    PubMed

    Golenski, J D; Cloutier, M

    1994-01-01

    The shift to managed care has placed administrators and physicians in the position of balancing the good of the organization with the good of the individual. This "dual moral agency," according to authors John Golenski, Ed.D, and Mark Cloutier, M.P.H., M.P.P., of the Bioethics Consultation Group, is a key challenge for administrators and physicians under managed care. PMID:10138070

  14. Changes in Patterns of Health Care: Plus Forty Years

    ERIC Educational Resources Information Center

    Sofalvi, Alan J.

    2010-01-01

    In this article, the author presents an update of Herman's article ["Changes in Patterns of Health Care," "School Health Review," 1(9-14)1969] that focuses on the changes in patterns of health care. He discusses the poverty, insurance, and access to medical care as well as the quality of medical care for adults and minors. He stresses that…

  15. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    2011-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. Refreshments will be served.

  16. Tutuorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Am–9:30AM

    2010-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. Refreshments will be served.

  17. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Am–9:30AM

    2009-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. Refreshments will be served.

  18. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion.

  19. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Pm–3:30PM

    2012-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. Refreshments will be served.

  20. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Am–9:30AM

    2012-02-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. Refreshments will be served.

  1. Health Care Reform, Care Coordination, and Transformational Leadership.

    PubMed

    Steaban, Robin Lea

    2016-01-01

    This article is meant to spur debate on the role of the professional nurse in care coordination as well as the role of nursing leaders for defining and leading to a future state. This work highlights the opportunity and benefits associated with transformation of professional nursing practice in response to the mandates of the Affordable Care Act of 2010. An understanding of core concepts and the work of care coordination are used to propose a model of care coordination based on the population health pyramid. This maximizes the roles of nurses across the continuum as transformational leaders in the patient/family and nursing relationship. The author explores the role of the nurse in a transactional versus transformational relationship with patients, leading to actualization of the nurse in care coordination. Focusing on the role of the nurse leader, the challenges and necessary actions for optimization of the professional nurse role are explored, using principles of transformational leadership.

  2. Health Care Reform, Care Coordination, and Transformational Leadership.

    PubMed

    Steaban, Robin Lea

    2016-01-01

    This article is meant to spur debate on the role of the professional nurse in care coordination as well as the role of nursing leaders for defining and leading to a future state. This work highlights the opportunity and benefits associated with transformation of professional nursing practice in response to the mandates of the Affordable Care Act of 2010. An understanding of core concepts and the work of care coordination are used to propose a model of care coordination based on the population health pyramid. This maximizes the roles of nurses across the continuum as transformational leaders in the patient/family and nursing relationship. The author explores the role of the nurse in a transactional versus transformational relationship with patients, leading to actualization of the nurse in care coordination. Focusing on the role of the nurse leader, the challenges and necessary actions for optimization of the professional nurse role are explored, using principles of transformational leadership. PMID:26938188

  3. Resident-Care Practices in the County of Somerset, England.

    ERIC Educational Resources Information Center

    Howell, H. H.; May, A. E.

    1980-01-01

    Results of surveys of resident care practices for mentally retarded persons in Somerset indicated that hostel units were resident-oriented in their care practices, whereas hospital units for severely and profoundly mentally retarded people were institution-oriented. (Author)

  4. ["Hannibal ante portas" -- technical development and health care reorganization].

    PubMed

    Fülesdi, Béla; Velkey, György

    2011-11-20

    Authors intend to analyze the impact of medical technical development on the Hungarian health care system and try to draw attention to potentially necessary measures for professional and structural health care reorganization.

  5. Background Material: Regulations Issued by the Department of Health and Human Services on Child Care Programs Authorized by Public Law 101-508. Prepared for a Hearing To Be Held on September 17, 1991. Subcommittee on Human Resources of the Committee on Ways and Means. U.S. House of Representatives, 102d Congress, 1st Session. Committee Print.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Ways and Means.

    Background material for a hearing on implementing regulations for two new child care programs is presented. The objective of the new programs is to provide care for children in low- or moderate-income families so that parents can work. The report was prepared by the Congressional Research Service (CRS) at the request of the Acting Chairman of the…

  6. The Author and His Works

    ERIC Educational Resources Information Center

    Spain Today, 1971

    1971-01-01

    Works of Emilio Garcia Gomez, Dario Fernandez Florez, Armando Lopez Salinas, Jaime de Arminan, Luis Lopez Anglada, and Carmen Bravo Villasante are analyzed in this continuing series on Spanish authors. (DS)

  7. Local Authority and Town Planning.

    ERIC Educational Resources Information Center

    Duder, Bruce

    1987-01-01

    Provides an overview and definition of local authority and town planning in New Zealand. Demonstrates the relevance of planning matters to the teaching of geography. Reviews objectives of geography and specific planning methods used in several districts. (BR)

  8. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    2014-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for less experienced referees and authors. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a moderated discussion. A light breakfast of bagels, pastries, coffee, and tea will be served.

  9. Spaceport Florida Authority: Business Plan

    NASA Technical Reports Server (NTRS)

    1996-01-01

    The Spaceport Florida Authority (SFA) was established under Florida Statute by the Governor and Legislature to assist the development of our nation's space transportation industry and to generate new space-related jobs, investment and opportunities statewide. Included in the Authorities' business plan is the statement of work and list of team members involved in creating the report, SFA's current operating concept, market analysis, assessment of accomplishments, a sample operating concept and a "roadmap to success".

  10. Integrated care

    PubMed Central

    Gröne, Oliver; Garcia-Barbero, Mila

    2001-01-01

    Abstract The WHO European Office for Integrated Health Care Services in Barcelona is an integral part of the World Health Organizations' Regional Office for Europe. The main purpose of the Barcelona office is within the integration of services to encourage and facilitate changes in health care services in order to promote health and improve management and patient satisfaction by working for quality, accessibility, cost-effectiveness and participation. This position paper outlines the need for Integrated Care from a European perspective, provides a theoretical framework for the meaning of Integrated Care and its strategies and summarizes the programmes of the office that will support countries in the WHO European Region to improve health services. PMID:16896400

  11. Multidisciplinary Care.

    PubMed

    Daly, Megan E; Riess, Jonathan W

    2016-01-01

    Optimal multidisciplinary care of the lung cancer patient at all stages should encompass integration of the key relevant medical specialties, including not only medical, surgical, and radiation oncology, but also pulmonology, interventional and diagnostic radiology, pathology, palliative care, and supportive services such as physical therapy, case management, smoking cessation, and nutrition. Multidisciplinary management starts at staging and tissue diagnosis with pathologic and molecular phenotyping, extends through selection of a treatment modality or modalities, management of treatment and cancer-related symptoms, and to survivorship and end-of-life care. Well-integrated multidisciplinary care may reduce treatment delays, improve cancer-specific outcomes, and enhance quality of life. We address key topics and areas of ongoing investigation in multidisciplinary decision making at each stage of the lung cancer treatment course for early-stage, locally advanced, and metastatic lung cancer patients. PMID:27535399

  12. Caring perspectives in nursing education: liberation, transformation and meaning.

    PubMed

    Cohen, J A

    1993-04-01

    The author's personal journey through many years of nursing education as both a student and faculty member lead to a theoretical exploration of a caring pedagogy between students and teachers. The author places this exploration in a historical context and examines education, feminist and nursing literature to evolve common themes in describing caring pedagogy within nursing. Finally, the author suggests a model that forms the foundation for nursing curricula based on caring values.

  13. The Road to Excellence for Primary Care Resident Teaching Clinics.

    PubMed

    Gupta, Reena; Dubé, Kate; Bodenheimer, Thomas

    2016-04-01

    Primary care residency programs and their associated primary care clinics face challenges in their goal to simultaneously provide a good education for tomorrow's doctors and excellent care for today's patients. A team from the Center for Excellence in Primary Care at the University of California, San Francisco, conducted site visits to 23 family medicine, internal medicine, and pediatric residency teaching clinics. The authors found that a number of programs have transformed themselves with respect to engaged leadership, resident scheduling, continuity of care for patients and residents, team-based care, and resident engagement in practice improvement. In this Commentary, the authors highlight the features of transforming programs that are melding inspiring resident education with excellent patient care. The authors propose a model, the 10 + 3 Building Blocks of Primary Care Teaching Clinics, to illustrate the themes that characterize transforming primary care residency programs. PMID:26826073

  14. The Road to Excellence for Primary Care Resident Teaching Clinics.

    PubMed

    Gupta, Reena; Dubé, Kate; Bodenheimer, Thomas

    2016-04-01

    Primary care residency programs and their associated primary care clinics face challenges in their goal to simultaneously provide a good education for tomorrow's doctors and excellent care for today's patients. A team from the Center for Excellence in Primary Care at the University of California, San Francisco, conducted site visits to 23 family medicine, internal medicine, and pediatric residency teaching clinics. The authors found that a number of programs have transformed themselves with respect to engaged leadership, resident scheduling, continuity of care for patients and residents, team-based care, and resident engagement in practice improvement. In this Commentary, the authors highlight the features of transforming programs that are melding inspiring resident education with excellent patient care. The authors propose a model, the 10 + 3 Building Blocks of Primary Care Teaching Clinics, to illustrate the themes that characterize transforming primary care residency programs.

  15. Caring for dying children: assessing the needs of the pediatric palliative care nurse.

    PubMed

    Morgan, Darla

    2009-01-01

    Pediatric palliative nursing care, both stressful and rewarding, requires coping skills, confidence, and other attributes for successful patient care and nursing practice. Through a thorough literature review, clinical workshops, direct observations in pediatric palliative care settings, and personal nursing experience in the neonatal intensive care, pediatric intensive care, and oncology wards, this author confirmed the necessity for studies to clarify the needs of dying pediatric patients and their families, as well as the needs of nurses who provide their care. This article briefly reviews the history and current status of pediatric palliative care, describes the experiences of nurses caring for dying children, explores the impact of providing palliative care on the hospital staff, and seeks to discover possible interventions by the advanced practice nurse to influence more positive patient care and nursing staff job satisfaction and retention.

  16. The emergence of the new chaplaincy: re-defining pastoral care for the postmodern age.

    PubMed

    Thorstenson, Timothy A

    2012-06-01

    Noting the rapid evolution of pastoral care in American hospitals and culture, the author embraces and explicates the shift toward an inclusive and holistic model of spiritual care that has ramifications for care delivery and clinical education.

  17. Exploring the concept of caring: novel strategies for a diverse student group.

    PubMed

    Stowe, Ann Coghlan

    2006-01-01

    Caring for others and being cared for are part of every person s life. People do not care automatically, but learn to care through the caring example of others and who better to teach about the concept of caring than nurses. The author discusses a nursing elective, Concepts in Caring, that is open to all undergraduates in the university. The concepts of caring, health, illness, human need, and human potential are explored in the course using a variety of teaching strategies.

  18. Integrating Palliative Care into Primary Care.

    PubMed

    Gorman, Rosemary D

    2016-09-01

    Improved quality of life, care consistent with patient goals of care, and decreased health care spending are benefits of palliative care. Palliative care is appropriate for anyone with a serious illness. Advances in technology and pharmaceuticals have resulted in increasing numbers of seriously ill individuals, many with a high symptom burden. The numbers of individuals who could benefit from palliative care far outweighs the number of palliative care specialists. To integrate palliative care into primary care it is essential that resources are available to improve generalist palliative care skills, identify appropriate patients and refer complex patients to specialist palliative care providers.

  19. Author! Author! Amazing Cartoonist, Gifted Writer: William Steig

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2004-01-01

    This article gives a brief biography of William Steig, one of America's best-known cartoonists and, later in life, a beloved children's author and illustrator. A major motion picture based on Steig's picture book "Shrek!" won the first Oscar in the category of best animated feature film in 2002. Steig passed away at the age of 95 in October, 2003.…

  20. Author! Author! Creator of Frog and Toad: Arnold Lobel

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2005-01-01

    This article presents a brief biography of author Arnold Lobel, perhaps best known for giving the world Frog and Toad. Arnold Lobel was born in Los Angeles, California, on May 22, 1933, and was raised by his grandparents in New York. He loved checking out books from the library when he was a little boy and sharing with his classmates the stories…

  1. Living Authors, Living Stories: Integrating Local Authors into Our Curriculum

    ERIC Educational Resources Information Center

    Newman, Beatrice Mendez

    2009-01-01

    Keeping literature classrooms vibrant, energized, and current can require supreme pedagogical effort, especially in light of students' sometimes pointed disinterest in traditional and/or canonical texts. Integrating local authors into a standard curriculum can be an effective strategy for invigorating students' interest in literature and helping…

  2. Author! Author! Noted Writer of Historical Fiction: Karen Cushman

    ERIC Educational Resources Information Center

    Brodie, Carolyn S.

    2004-01-01

    This article gives a brief biography of author Karen Cushman, best known for the attention to detail and thorough research that goes into her historical novels. Her first two novels, "Catherine, Called Birdy" and "The Midwife's Apprentice" were both Newbery Medal winners. A selected bibliography, as well as a list of related resources, is also…

  3. 48 CFR 1305.502 - Authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PLANNING PUBLICIZING CONTRACT ACTIONS Paid Advertisements 1305.502 Authority. The designee authorized to provide authorization for publication of paid advertisements in newspapers is set forth in CAM...

  4. Caring for Children with Special Health Care Needs

    ERIC Educational Resources Information Center

    Crisalli, Linda

    2012-01-01

    The field of early care and education has come a long way in terms of culturally sensitive and anti-bias program implementation. The author has seen some amazing classrooms where talented teachers are embracing diversity, where children are learning to appreciate their own uniqueness and that of others, and everything about the program welcomes…

  5. The Midwife in Taiwan: An Alternative Model for Maternity Care.

    ERIC Educational Resources Information Center

    Kang-Wang, Janet F.

    1980-01-01

    The author compares and analyzes American and Taiwanese maternity care systems, discussing the history of midwifery in Taiwan; the process by which a midwife establishes her practice; and her role in childbirth, abortion, adoption, and other services. (Author/DS)

  6. Health care consumerism movement takes a step forward.

    PubMed

    Thompson, Michael; Cutler, Charles M

    2010-01-01

    One of the contributing factors to both the increase in health care costs and the backlash to managed care was the lack of consumer awareness of the cost of health care service, the effect of health care costs on profits and wages, and the need to engage consumers more actively as consumers in health care decisions. This article reviews the birth of the health care consumerism movement and identifies gaps in health care consumerism today. The authors reveal some of the keys to building a sustainable health care consumerism framework, which involves enlisting consumers as well as other stakeholders. PMID:20608112

  7. Hierarchization and segmentation of informal care markets in Slovenia.

    PubMed

    Hrženjak, Majda

    2012-01-01

    The article is the result of qualitative research of informal care markets in Slovenia in the field of childcare, elder care, and cleaning. The author assesses Slovenia's position in the “global care chain” and finds that “local care chains” prevail in the field of childcare and elder care, while a co-occurrence of female gender, “other” ethnicity, and poverty is typical in the field of household cleaning. The main emphasis of the article is on the analysis of hierarchization of the informal market of care work according to following two criteria: social reputation of individual type of care work and citizenship status of care workers.

  8. Health care consumerism movement takes a step forward.

    PubMed

    Thompson, Michael; Cutler, Charles M

    2010-01-01

    One of the contributing factors to both the increase in health care costs and the backlash to managed care was the lack of consumer awareness of the cost of health care service, the effect of health care costs on profits and wages, and the need to engage consumers more actively as consumers in health care decisions. This article reviews the birth of the health care consumerism movement and identifies gaps in health care consumerism today. The authors reveal some of the keys to building a sustainable health care consumerism framework, which involves enlisting consumers as well as other stakeholders.

  9. Prehospital Burn Care for Emergency Medical Technicians.

    ERIC Educational Resources Information Center

    Lindstrom, Robert A.; And Others

    1978-01-01

    Describes the development, objectives, content, and evaluation of a unique, 60-minute, synchronized slide/tape program on prehospital burn care for emergency medical technicians; and presents a design for valid content-reference formative evaluation. (Author/VT)

  10. Day Care: Gold Coin or Brass Check?

    ERIC Educational Resources Information Center

    Levenstein, Sidney

    1972-01-01

    Because a national day care program will probably be instituted soon, the major issues should be debated before policies are set. Thus some program models are analyzed and then related to the needs of various consumer groups. (Author)

  11. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    Am–10:30AM

    2008-03-01

    Editors from Physical Review Letters and Physical Review will provide useful information and tips for our less experienced referees and authors. The information presented will be relevant to anyone who is looking to submit to or review manuscripts for any of the APS journals, or to anyone who would like to add to their knowledge and experience of the authoring and refereeing processes. Topics for discussion will include: (1) how to write good manuscripts and useful referee reports; (2) differences between manuscripts and referee reports for PRL and PR; (3) the roles of authors and referees in the review process; etc. Following a short presentation from the editors, there will be a moderated discussion of these and other topics. Questions from the audience will be most welcome. Refreshments will be served.

  12. Tutorial for Authors and Referees

    NASA Astrophysics Data System (ADS)

    2013-03-01

    Editors from Physical Review Letters and Physical Review will provide information and tips for our less experienced referees and authors. This session is aimed at anyone looking to submit to or review for any of the APS journals, as well as anyone who would like to learn more about the authoring and refereeing processes. Topics for discussion will include advice on how to write good manuscripts, similarities and differences in writing referee reports for PRL and PR, and other ways in which authors, referees, and editors can work together productively. Following a short presentation from the editors, there will be a m oderated discussion. A light breakfast of bagels, pastries, coffee and tea will be served.

  13. Author Credit for Transdisciplinary Collaboration

    PubMed Central

    Xu, Jian; Ding, Ying; Malic, Vincent

    2015-01-01

    Transdisciplinary collaboration is the key for innovation. An evaluation mechanism is necessary to ensure that academic credit for this costly process can be allocated fairly among coauthors. This paper proposes a set of quantitative measures (e.g., t_credit and t_index) to reflect authors’ transdisciplinary contributions to publications. These measures are based on paper-topic probability distributions and author-topic probability distributions. We conduct an empirical analysis of the information retrieval domain which demonstrates that these measures effectively improve the results of harmonic_credit and h_index measures by taking into account the transdisciplinary contributions of authors. The definitions of t_credit and t_index provide a fair and effective way for research organizations to assign credit to authors of transdisciplinary publications. PMID:26375678

  14. Integrating palliative care: a postmodern perspective.

    PubMed

    Zimmermann, Camilla; Wennberg, Richard

    2006-01-01

    Hospice and palliative care philosophy is becoming increasingly incorporated into medical practice, education, and research. However, this process of integration may be hindered by continued adherence to several perceived conceptual dichotomies: natural and medicalized death, research and clinical care, and acceptance and denial of dying. These dichotomies were perhaps essential for the initial development of palliative care but could undermine the continuing evolution of care for the terminally ill. In this article, the authors deconstruct these dichotomies and advocate for a fully integrated model of palliative care.

  15. Mexican Americans' perceptions of culturally competent care.

    PubMed

    Warda, M R

    2000-03-01

    Although the literature abounds with authors' discussions of the need for nurses and other health care providers to deliver safe and optimal care to patients of diverse ethnic groups, little work has focused on defining and measuring the dimensions of culturally competent care. The purpose of this research was to identify culturally competent concepts from the perspective of Mexican Americans. Focus group interviews with Mexican American registered nurses and Mexican American lay recipients of health care were used to explore the participants' subjective perceptions regarding the indicators of culturally competent care. For this group of Mexican American registered nurses, the influence of culture remained strong despite nursing professional experience and knowledge of Western biomedical system. The predominance of themes emphasizing respect, caring, understanding, and patience in health care encounters support the critical importance of personal processes of health care with Hispanics.

  16. Patterns in home care use in Manitoba.

    PubMed

    Mitchell, Lori; Roos, Noralou P; Shapiro, Evelyn

    2005-01-01

    Administrative home care data from the Manitoba Support Services Payroll (MSSP) system for fiscal years 1995/1996 to 1998/1999 were utilized to study home care client characteristics and changes in home care use over time. Patterns in home care access and use after hospitalization, before admission to a nursing home, and before death were examined. The study found that the majority of home care clients were female, aged 65 and over, and not married. The proportion of Manitobans using home care increased slowly, but significantly, over the 4 years. The greatest increases were found among the older age groups. The average number of days that clients received home care before death or before admission to a nursing home was stable over time, while a significant increase over time in home care use after hospitalization was experienced. These findings can be useful to regional health authorities for planning and budgeting. PMID:16080138

  17. Relationship marketing in health care.

    PubMed

    Wagner, H C; Fleming, D; Mangold, W G; LaForge, R W

    1994-01-01

    Building relationships with patients is critical to the success of many health care organizations. The authors profile the relationship marketing program for a hospital's cardiac center and discuss the key strategic aspects that account for its success: a focus on a specific hospital service, an integrated marketing communication strategy, a specially designed database, and the continuous tracking of results.

  18. Spanish for Health Care Personnel

    ERIC Educational Resources Information Center

    Palmer, Joe L.; Shawl, James R.

    1978-01-01

    Because a degree of competency in Spanish has become recognized as an essential skill for persons involved in health care activities, Northern Illinois University has developed a Spanish course tailored to the background and abilities of pre-service and in-service medical personnel. (Author/NCR)

  19. Mathematical Caring Relations in Action

    ERIC Educational Resources Information Center

    Hackenberg, Amy J.

    2010-01-01

    In a small-scale, 8-month teaching experiment, the author aimed to establish and maintain "mathematical caring relations" (MCRs) (Hackenberg, 2005c) with 4 6th-grade students. From a teacher's perspective, establishing MCRs involves holding the work of orchestrating mathematical learning for students together with an orientation to monitor and…

  20. On the palliative care unit.

    PubMed

    Selwyn, Peter A

    2016-06-01

    As a physician working in palliative care, the author is often privileged to share special moments with patients and their families at the end of life. This haiku poem recalls one such moment in that precious space between life and death, as an elderly woman, surrounded by her adult daughters, takes her last breath. (PsycINFO Database Record PMID:27270255

  1. Wound Care.

    PubMed

    Balsa, Ingrid M; Culp, William T N

    2015-09-01

    Wound care requires an understanding of normal wound healing, causes of delays of wound healing, and the management of wounds. Every wound must be treated as an individual with regard to cause, chronicity, location, and level of microbial contamination, as well as patient factors that affect wound healing. Knowledge of wound care products available and when negative pressure wound therapy and drain placement is appropriate can improve outcomes with wound healing. Inappropriate product use can cause delays in healing. As a wound healing progresses, management of a wound and the bandage material used must evolve.

  2. Authority, Gender, Power, and Tokenism

    ERIC Educational Resources Information Center

    Deaux, Kay

    1978-01-01

    The role of women in leadership positions can be understood fully only by considering both the process and the broader structural aspects of the organization. Available from: JABS Order Dept., NTL Institute for Applied Behavior Science, P.O. Box 9155, Rosslyn Station, Arlington, Virginia 22209 (Author)

  3. The Video Nova Authoring System.

    ERIC Educational Resources Information Center

    Edwards, Sheila

    1986-01-01

    The Video Nova Authoring System (VNAS) was developed by computer programmers and instructional designers to provide noncomputer programmers with a tool to design interactive videodisc programs. VNAS allows the instructor complete design freedom, and although menu-driven, doesn't rely on preset lesson plans. Illustrations and sources for evaluation…

  4. Multiple Vantage Points: Author's Reply

    ERIC Educational Resources Information Center

    Bernard, Rhoda

    2007-01-01

    The author's article, "Making Music, Making Selves," was written as "an effort to broaden the academic conversation about music educators and identity, to make room for a wider range of perspectives on identity, and to help everyone in the field to think deeply about what it means to be a music educator and what it means to become a music…

  5. Achieving Journalistic Authority through Narrative.

    ERIC Educational Resources Information Center

    Zelizer, Barbie

    1990-01-01

    Examines how journalists use three narrative strategies (synecdoche, omission, and personalization) to assert their authority in their retellings of the John F. Kennedy assassination. Finds that, by giving themselves a central position within the story, journalists make the assassination story as much about American journalists as about Kennedy's…

  6. Registering Researchers in Authority Files

    ERIC Educational Resources Information Center

    Smith-Yoshimura, Karen; Altman, Micah; Conlon, Michael; Cristán, Ana Lupe; Dawson, Laura; Dunham, Joanne; Hickey, Thom; Hook, Daniel; Horstmann, Wolfram; MacEwan, Andrew; Schreur, Philip; Smart, Laura; Wacker, Melanie; Woutersen, Saskia

    2014-01-01

    Written by OCLC Research Program Officer Karen Smith-Yoshimura and the 13 members of the Registering Researchers in Authority Files Task Group comprised of specialists from the US, UK, and the Netherlands, this report summarizes their research into approaches to providing authoritative researcher identifiers. Registering researchers in some type…

  7. Columbine Author Speaks at Conference

    ERIC Educational Resources Information Center

    Cook, Andrea J.

    2004-01-01

    Brooks Brown, the author of No Easy Answers: The Truth Behind Death at Columbine High School, spoke at the 11th annual Reclaiming Youth International No Disposable Kids conference at Rushmore Plaza Holiday Inn. Brown, who worked with Michael Moore on his Academy Award winning documentary, "Bowling for Columbine," said the letters he received from…

  8. Authoring Educational Courseware Using OXYGEN.

    ERIC Educational Resources Information Center

    Ip, Albert

    Engaging learners on the World Wide Web is more than sending Web pages to the user. However, for many course delivery software programs, the smallest unit of delivery is a Web page. How content experts can create engaging Web pages has largely been ignored or taken for granted. This paper reports on an authoring model for creating pedagogically…

  9. The Role of Faculty Authority.

    ERIC Educational Resources Information Center

    Clark, Burton R.

    A strong trend toward a federated structure in colleges and universities is affectin g faculty authority by weakening faculty as a whole and strengthening the faculty in its many parts. The collection of professional experts on one campus represents a system of groups with similar status and power that coexist or battle with each other within the…

  10. Overview: Patterns of Classroom Authority.

    ERIC Educational Resources Information Center

    Borman, Kathryn M.

    1978-01-01

    The following themes integrate the collection of papers presented in this issue: ethnographic approaches; the importance of the teacher's role as arbitrator; the necessity to study firsthand the interaction of teachers and students; and the need not to separate the classroom from its larger institutional and social settings. (Author/MC)

  11. NASA Publications Guide for Authors

    NASA Technical Reports Server (NTRS)

    2015-01-01

    This document presents guidelines for use by NASA authors in preparation and publication of their scientific and technical information (STI). Section 2 gives an overview. Section 2 describes types of publication. Section 3 discusses technical, data/information, and dissemination reviews. Section 4 provides recommended standards and gives the elements of a typical report. Section 5 presents miscellaneous preparation recommendations.

  12. A Virtual International Authority File.

    ERIC Educational Resources Information Center

    Tillett, Barbara B.

    A pool of authority records for bibliographic entities (persons, corporate bodies, works/expressions, concepts, objects, events, and places) to use on the Internet is of interest, not only to libraries and their users, but also to publishers, copyright and rights management organizations, museums, and archives. This paper explores different models…

  13. Where should health services go: local authorities versus the NHS?

    PubMed Central

    Pollock, A. M.

    1995-01-01

    The Association of Metropolitan Authorities has recently proposed that responsibility for the NHS should pass from health authorities to local authorities. One of the fiercest debates at the outset of the NHS was whether the hospitals should be run by local authorities. In the end the minister for health, Aneurin Bevan, decided against local democracy and in favour of a national health service. His arguments included the fact that equality of treatment could not be guaranteed if facilities varied with local finances and that even the largest authorities were not big enough to pool risks and expertise. All these arguments still apply today, and the recent changes in community care provide an insight into how a market model of local authority control might work. The changes have been accompanied by a shift from public to private sector provision and the introduction of charges for services that the NHS once provided free. As important, the willingness and ability of local authorities to raise extra revenue from local taxes and charges affect the service they can provide, so leading to inequalities of provision. Local authorities have yet to make the case that they can preserve the fundamental principles and benefits of the NHS, including its reliance on central taxation and unified funding formulas. PMID:7787651

  14. Paying for Health Care: The Unequal Burdens

    ERIC Educational Resources Information Center

    Myers, Beverlee A.

    1977-01-01

    This article addresses the issue of national health care. Neither Medicare nor Medicaid equitably meet the health needs of the entire population. The author suggests criteria which must be met by a national health program if it is to eliminate inequalities in costs, access to services and quality of care. (GC)

  15. Emancipation Services for Adolescents in Foster Care.

    ERIC Educational Resources Information Center

    Barth, Richard P.

    1986-01-01

    Many adolescents in foster care who are not adopted are discharged from care when they reach the age of majority. Reviews studies on the likely social and educational futures for such adolescents and on the range of services that may promote adolescents' successful transition to independent living. (Author/ABB)

  16. Segmenting the mental health care market.

    PubMed

    Stone, T R; Warren, W E; Stevens, R E

    1990-03-01

    The authors report the results of a segmentation study of the mental health care market. A random sample of 387 residents of a western city were interviewed by telephone. Cluster analysis of the data identified six market segments. Each is described according to the mental health care services to which it is most sensitive. Implications for targeting the segments are discussed.

  17. 7 CFR 371.7 - Animal Care.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 5 2014-01-01 2014-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care....

  18. 7 CFR 371.7 - Animal Care.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 5 2011-01-01 2011-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care....

  19. 7 CFR 371.7 - Animal Care.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 5 2012-01-01 2012-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care....

  20. 7 CFR 371.7 - Animal Care.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 5 2013-01-01 2013-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care....

  1. From Teacher to Day Care Center Director!

    ERIC Educational Resources Information Center

    De Viteri, Jorge Saenz

    This paper addresses the roles and responsibilities of a day care center director, based on the author's personal experience as an interim director during his junior year at college and a survey of other directors. The paper aims to provide insight into the reality of being a day care center director, particularly the acquisition of knowledge,…

  2. 7 CFR 371.7 - Animal Care.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care....

  3. Evaluating quality in managed care networks.

    PubMed

    O'Leary, D

    1995-10-01

    If managed care is to succeed, methods for evaluating individual networks are essential. The author outlines crucial areas of the evaluation process, including rights, responsibilities, and ethics; continuum of care; education and communication; network leadership; human resources management; management of information; and performance improvement. Public disclosure of such evaluations is necessary to ensure their efficacy.

  4. Prenatal Care.

    ERIC Educational Resources Information Center

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Office for Maternal and Child Health Services.

    This booklet is the first in a series of publications designed to provide parents with useful information about childrearing. Contents are organized into three parts. Part I focuses on the pregnancy, prenatal care, development of the baby, pregnant lifestyles, nutrition, common discomforts, and problems of pregnancy. Part II provides information…

  5. Infant Care.

    ERIC Educational Resources Information Center

    North, A. Frederick

    This new addition of a government pamphlet is a guide offering advice and information to new parents. Sections include: You and Your New Baby (handling the baby, care of the mother, feeding, etc.); First Weeks at Home (equipment, formula preparation, bathing, sleeping, crying, colic, etc.); After the First Weeks (temperament, "difficult" babies,…

  6. Just caring.

    PubMed

    Hussey, Trevor

    2012-01-01

    Social justice is concerned with fair distribution of the benefits and burdens of living together in society. Regarding nursing care, social justice is concerned with who should receive its benefits, how much they should receive, and who should take up the burden of providing and paying for it. A specific thesis is offered: 'Health care, including nursing care, should be distributed on the basis of need, free at the point of use, the cost being born by the community involved.' This thesis is shown to be incompatible with consequentialist (utilitarian) and libertarian approaches to social justice, but reasons are given for rejecting these theories. It is shown that it may be compatible with Rawl's liberal theory of justice and definitely compatible with a version of the teleological (Aristotelian) theory. The thesis is then defended against criticisms concerned with desert and responsibility: that the provident ought not to pay for the improvident, and that those who are responsible for their health do not deserve free care. There are answered by an epistemological argument concerning what we need to know before we can decide what people deserve, and an argument about social cohesion. The conclusion is that the thesis can be offered as a moral principle for a fair society. PMID:22176544

  7. Collabortive Authoring of Walden's Paths

    SciTech Connect

    Li, Yuanling; Bogen II, Paul Logasa; Pogue, Daniel; Furuta, Richard Keith; Shipman, Frank Major

    2012-01-01

    This paper presents a prototype of an authoring tool to allow users to collaboratively build, annotate, manage, share and reuse collections of distributed resources from the World Wide Web. This extends on the Walden’s Path project’s work to help educators bring resources found on the World Wide Web into a linear contextualized structure. The introduction of collaborative authoring feature fosters collaborative learning activities through social interaction among participants, where participants can coauthor paths in groups. Besides, the prototype supports path sharing, branching and reusing; specifically, individual participant can contribute to the group with private collections of knowledge resources; paths completed by group can be shared among group members, such that participants can tailor, extend, reorder and/or replace nodes to have sub versions of shared paths for different information needs.

  8. Strenghening Safeguards Authorities and Institutions

    SciTech Connect

    Goodman,M.; Lockwood, d.; Rosenthal, M.D.; Tape, J.W.

    2008-06-06

    The International Atomic Energy Agency (IAEA) safeguards system has changed in major ways from the establishment of the IAEA in 1957 until the present. Changes include strengthening the legal framework of safeguards; improvements in concepts and approaches for safeguards implementation; and significant improvements in the technical tools available to inspectors. In this paper, we explore three broad areas related to strengthening safeguards authorities and institutions: integrated safeguards and State-Level Approaches; special inspections; and NPT withdrawal and the continuation of safeguards.

  9. Integrating Behavioral Health into Primary Care.

    PubMed

    McGough, Peter M; Bauer, Amy M; Collins, Laura; Dugdale, David C

    2016-04-01

    Depression is one of the more common diagnoses encountered in primary care, and primary care in turn provides the majority of care for patients with depression. Many approaches have been tried in efforts to improve the outcomes of depression management. This article outlines the partnership between the University of Washington (UW) Neighborhood Clinics and the UW Department of Psychiatry in implementing a collaborative care approach to integrating the management of anxiety and depression in the ambulatory primary care setting. This program was built on the chronic care model, which utilizes a team approach to caring for the patient. In addition to the patient and the primary care provider (PCP), the team included a medical social worker (MSW) as care manager and a psychiatrist as team consultant. The MSW would manage a registry of patients with depression at a clinic with several PCPs, contacting the patients on a regular basis to assess their status, and consulting with the psychiatrist on a weekly basis to discuss patients who were not achieving the goals of care. Any recommendation (eg, a change in medication dose or class) made by the psychiatrist was communicated to the PCP, who in turn would work with the patient on the new recommendation. This collaborative care approach resulted in a significant improvement in the number of patients who achieved care plan goals. The authors believe this is an effective method for health systems to integrate mental health services into primary care. (Population Health Management 2016;19:81-87). PMID:26348355

  10. Promoting Patient- and Family-Centered Care Through Personal Stories.

    PubMed

    Johnson, Beverley H

    2016-03-01

    Patient- and family-centered care is an approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among patients, their families, and health care professionals. It redefines the relationships in health care by placing an emphasis on collaborating with patients of all ages, and their families, at all levels of care, in all health care settings, and in organizational change and improvement. This collaboration ensures that health care is responsive to an individual's priorities, preferences, and values. In patient- and family-centered care, patients define their "family" and determine how they and their family will participate in care and decision making. While patient- and family-centered care can improve the experience of care, safety, and quality, it also can improve the learning environment for students and trainees. The author shares personal stories to illustrate the core concepts of patient- and family-centered care, when they are present in health care interactions, and when they are not. Drawing from these stories and the author's experience in working with academic medical centers and other health care organizations over many decades, recommendations for changes in medical education are suggested that can contribute to the development of a health care workforce with the skills and commitment to partner respectfully, effectively, and authentically with patients and families. The implementation of the Affordable Care Act gives new impetus for building a health care delivery system and related educational programs to support patient- and family-centered practice. PMID:26796094

  11. 78 FR 10117 - Use of Medicare Procedures To Enter Into Provider Agreements for Extended Care Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... alternative to nursing home care. Under this proposed rule, VA would be able to obtain extended care services... eligible veterans, including geriatric evaluation, nursing home care, domiciliary services, and adult day health care. Subsection (a) of 38 U.S.C. 1720 authorizes VA to pay for the nursing home care in...

  12. The Burnout Syndrome: Caring for Yourself.

    ERIC Educational Resources Information Center

    Muldoon, John F.

    1980-01-01

    The author explores the problem of burnout among staff in human services fields. Three causes of burnout are cited: environmental factors, cultural predispositions, and personal characteristics. Burnout, the author asserts, can be prevented through self-reflection, care of the body, learning to relax, and working on aspects of the work environment…

  13. [Suspected "Legionnaire's disease" (author's transl)].

    PubMed

    Steinhüser, R; Koch, D

    1981-08-01

    A 46 years old man was admitted to the medical intensive care unit on account of bronchopneumonia with high fever. Because of increasing respiratory insufficiency he was transferred to the anaesthesiological intensive care unit where he was intubated and artificially ventilated until his death 32 days later. Samples of blood, urine and cerebrospinal fluid and tracheal swabs proved sterile when cultured and serological titration methods for the presence of a variety of virus, Chlamydia and Rickettsia gave negative results. Repeated consultations with the bacteriologist finally led to the diagnosis of suspected "legionnaire's disease". Chemotherapy with a great variety of antibiotics failed to bring down the high fever. It was only after 30 days of artificial ventilation that the immuno-fluorescence test for "legionnaire's disease" showed a titre of 1:128 which, according to the literature, constitutes an indication of the presence of this rare disease. A change of antibiotic therapy to erythromycin did not prevent the fatal outcome and the patient died of hypoxic cardiovascular failure.

  14. What is palliative care?

    MedlinePlus

    Comfort care; End of life - palliative care; Hospice - palliative care ... Both palliative care and hospice care provide comfort. But palliative care can begin at diagnosis, and at the same time as treatment. Hospice care begins after treatment of the disease is ...

  15. 42 CFR 32.90 - Notification to health authorities regarding discharged patients.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... discharged patients. 32.90 Section 32.90 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS MEDICAL CARE FOR PERSONS WITH HANSEN'S DISEASE AND OTHER PERSONS IN EMERGENCIES Persons with Hansen's Disease § 32.90 Notification to health authorities regarding...

  16. 42 CFR 32.90 - Notification to health authorities regarding discharged patients.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... discharged patients. 32.90 Section 32.90 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS MEDICAL CARE FOR PERSONS WITH HANSEN'S DISEASE AND OTHER PERSONS IN EMERGENCIES Persons with Hansen's Disease § 32.90 Notification to health authorities regarding...

  17. Monitoring of Childcare Fees: Prices Surveillance Authority Monitoring Report No. 13.

    ERIC Educational Resources Information Center

    Prices Surveillance Authority, Melbourne (Australia).

    This report documents a survey conducted to determine if Australian parents have benefited from an increase in child care assistance subsidies authorized in April 1993. A total of 281 day care centers across Australia responded to surveys mailed in July 1992, February 1993, and May 1993. Data was also collected about profit margins, quality of…

  18. 75 FR 82405 - Statement of Organization, Functions, and Delegations of Authority

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-30

    ... improve care coordination, reduce costs, and improve the beneficiary experience for individuals dually... would improve care coordination and benefits for dual eligible individuals. Authority: 44 U.S.C. 3101... amended at 75 FR 14176- 14178, dated March 24, 2010) is amended to change the title of the Office...

  19. Medicaid managed care: the next generation?

    PubMed

    Fisher, R S

    1994-05-01

    The author provides an overview of the motivation leading nearly every state to develop managed health care arrangements under the state and federally funded Medicaid program for the poor. With managed care already a reform movement in state Medicaid efforts, further expansions of similar types of organized systems of care are anticipated in the future U.S. health care system. The author explores the acceleration of state investment in managed care planning and operations in terms of what is happening and whether expectations are being met. Specific plan features representing two very different managed care models within the evolution of how these plans have developed over time--Arizona's statewide prepaid plan begun in 1982 and New York's recently expanded statewide program designed to enroll 50% of those eligible within five years--are described. The author raises questions about these programs based on recent literature and discussions with key informants. Are sufficient providers out there and are there optimum ways to organize delivery networks? What additional safeguards may be required to protect consumers under managed care arrangements, and what are the effects of such programs on access to services and quality of care? What obstacles do health plans that traditionally serve mainly poor women and children have to overcome when serving people with disabilities or those with chronic health conditions? The author considers other barriers faced by states, providers, and policymakers in meeting the high expectations for the current generation of state-supported managed care plans. These questions and issues will remain important for some time as the states' efforts to promote managed care continue their anticipated expansion under health care reform.

  20. [Postacute care].

    PubMed

    Admetlla Falgueras, Margarita; Fusté Sugrañes, Josep

    2014-07-01

    The aging of the population and changes in family and social structures have led to increasing care needs for elderly persons following an acute disease or accident, with consequent concerns regarding costs and sustainability within the public health system. The main objective of postacute care (PAC) is to restore the functional capabilities of the patient after an acute event and contribute to determine the patient's outcome and future healthcare requirements. With this background, we carried out a systematic review of the published literature from 1990 to 2011 focused on the following aspects of PAC: a) objectives; b) estimations of the need and the indicators for access to it, and c) transfer strategies from acute care to PAC. The results of this review indicate that PAC is an efficient approach to improve patients' quality of life and to sustain the public healthcare system. The choice of candidates for PAC should be based on both health and social indicators, and the overall process viewed in a cross-sectional manner in order to avoid increases in total cost. PMID:23896450

  1. Learning from UK primary care.

    PubMed

    Hays, Richard

    2009-03-01

    The Australian Government is wise to examine other health care systems as it strives to improve the quality of care and address rising costs to both governments and individuals. Focus is currently on the United Kingdom, whose National Health Service (NHS) stands out as one that delivers good care at a reasonable price to all who need it. The Australian and UK systems have many similarities: universal access, tax payer support, no or low cost at point of delivery, and good population health outcomes. They also face similar pressures on services from aging, increasingly unwell yet expectant populations.However, there are also differences, largely in the way that health care is funded, organised and delivered. The NHS is a huge system for 60 million people in four home countries with diverging policies. Within England, the system is managed through 10 strategic health authorities, each responsible for about 5 million people and having the right to interpret national policy. Population based health care, including tertiary care, is funded locally via primary care trusts. PMID:19283244

  2. MEDEVAC: critical care transport from the battlefield.

    PubMed

    Higgins, R A

    2010-01-01

    In current military operations, the survival rates of critically injured casualties are unprecedented. An often hidden aspect of casualty care is safe transport from the point of injury to a field hospital and subsequently on to higher levels of care. This en route critical care, which is provided by flight medics under the most austere and rigorous conditions, is a crucial link in the care continuum. This article introduces the role and capabilities of US Army MEDEVAC and reflects the author's recent experience in Afghanistan as a flight medic. This article provides an assessment of the operational issues, medical capabilities, and transport experiences to provide a real-world view of critical care transport from the battlefield. The MEDEVAC helicopter environment is one of the most difficult, if not the most demanding, critical care environments. This overview brings to light a small but important piece of the care continuum.

  3. Avlosarservice Som Stod Till Familjer Med Barn Med Funktionsnedsattningar. En Enkatstudie i 245 Kommuner. Familjestodsprojektet (FAS-Projektet). Teknik, Kommunikation, Handikapp, Forskningsrapport n11 (Respite Care Service as Support for Families with Children with Disabilities. A Survey in 245 Local Authorities. The Family Support Project. Technology, Communication, Disability Research Report, No. 11).

    ERIC Educational Resources Information Center

    Brodin, Jane

    This study surveyed how respite care services functioned for Swedish families who have children with disabilities and compared the results with a previous study made 6 years earlier. The study was based on a questionnaire completed by 245 of Sweden's municipalities. The study examined the quantity and quality of the services and respondents' views…

  4. Humane Neonatal Care Initiative.

    PubMed

    Levin, A

    1999-04-01

    The author has worked for many years in experimental departments in the former Soviet health system. Now, with integration into the western health system, many questions are being asked about high-technology neonatal medicine and whether it is sufficiently humane. The Baby Friendly Hospital Initiative (BFHI) movement is well known all over the world, but unfortunately it is only used for healthy children in maternity hospitals. A paradoxical situation has been created: the routines of maternity wards comply with the BFHI, whereas a neonatal intensive care unit in the same hospital may not meet the requirements of the BFHI. BFHI mainly cover breastfeeding in maternity hospitals. Humane Neonatal Care Initiatives include minimum aggressive therapy, minimum contact between sick newborns and medical staff, and maximum contact with mothers; the number of tests and examinations should be reduced to a minimum. Eleven steps towards the improvement of psychosocial and medical care in units for sick newborns are presented. This article is intended to provoke serious discussion. PMID:10342526

  5. 10 CFR 26.59 - Authorization reinstatement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Authorization reinstatement. 26.59 Section 26.59 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.59 Authorization reinstatement. (a) In order to grant authorization to an individual whose authorization has...

  6. 10 CFR 26.55 - Initial authorization.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Initial authorization. 26.55 Section 26.55 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.55 Initial authorization. (a) Before granting authorization to an individual who has never held authorization under...

  7. 10 CFR 26.57 - Authorization update.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Authorization update. 26.57 Section 26.57 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.57 Authorization update. (a) Before granting authorization to an individual whose authorization has been interrupted...

  8. Multiple Charter Authorizing Options. Policy Guide

    ERIC Educational Resources Information Center

    O'Neill, Paul T.

    2009-01-01

    "Multiple authorizers" refers to situations where more than one entity is able to authorize charter schools in any given community. The presence of multiple authorizers can strengthen a state's charter school sector because a diversity of authorizers can promote professional practices among authorizers and provide checks and balances in charter…

  9. 46 CFR Sec. 2 - General Agents' authority.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 8 2014-10-01 2014-10-01 false General Agents' authority. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY AUTHORITY AND... AGREEMENT Sec. 2 General Agents' authority. The General Agents are: (a) Hereby delegated authority...

  10. 46 CFR Sec. 2 - General Agents' authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false General Agents' authority. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY AUTHORITY AND... AGREEMENT Sec. 2 General Agents' authority. The General Agents are: (a) Hereby delegated authority...

  11. 46 CFR Sec. 2 - General Agents' authority.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 8 2013-10-01 2013-10-01 false General Agents' authority. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY AUTHORITY AND... AGREEMENT Sec. 2 General Agents' authority. The General Agents are: (a) Hereby delegated authority...

  12. 46 CFR Sec. 2 - General Agents' authority.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 8 2012-10-01 2012-10-01 false General Agents' authority. Sec. 2 Section 2 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY AUTHORITY AND... AGREEMENT Sec. 2 General Agents' authority. The General Agents are: (a) Hereby delegated authority...

  13. 10 CFR 26.59 - Authorization reinstatement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Authorization reinstatement. 26.59 Section 26.59 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.59 Authorization reinstatement. (a) In order to grant authorization to an individual whose authorization has...

  14. 10 CFR 26.55 - Initial authorization.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Initial authorization. 26.55 Section 26.55 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.55 Initial authorization. (a) Before granting authorization to an individual who has never held authorization under...

  15. 10 CFR 26.59 - Authorization reinstatement.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Authorization reinstatement. 26.59 Section 26.59 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.59 Authorization reinstatement. (a) In order to grant authorization to an individual whose authorization has...

  16. 10 CFR 26.59 - Authorization reinstatement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Authorization reinstatement. 26.59 Section 26.59 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.59 Authorization reinstatement. (a) In order to grant authorization to an individual whose authorization has...

  17. 10 CFR 26.55 - Initial authorization.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Initial authorization. 26.55 Section 26.55 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.55 Initial authorization. (a) Before granting authorization to an individual who has never held authorization under...

  18. 10 CFR 26.57 - Authorization update.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Authorization update. 26.57 Section 26.57 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.57 Authorization update. (a) Before granting authorization to an individual whose authorization has been interrupted...

  19. 10 CFR 26.57 - Authorization update.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Authorization update. 26.57 Section 26.57 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.57 Authorization update. (a) Before granting authorization to an individual whose authorization has been interrupted...

  20. 10 CFR 26.57 - Authorization update.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Authorization update. 26.57 Section 26.57 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.57 Authorization update. (a) Before granting authorization to an individual whose authorization has been interrupted...

  1. 10 CFR 26.55 - Initial authorization.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Initial authorization. 26.55 Section 26.55 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.55 Initial authorization. (a) Before granting authorization to an individual who has never held authorization under...

  2. 10 CFR 26.57 - Authorization update.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Authorization update. 26.57 Section 26.57 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.57 Authorization update. (a) Before granting authorization to an individual whose authorization has been interrupted...

  3. 10 CFR 26.59 - Authorization reinstatement.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Authorization reinstatement. 26.59 Section 26.59 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.59 Authorization reinstatement. (a) In order to grant authorization to an individual whose authorization has...

  4. 10 CFR 26.55 - Initial authorization.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Initial authorization. 26.55 Section 26.55 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Granting and Maintaining Authorization § 26.55 Initial authorization. (a) Before granting authorization to an individual who has never held authorization under...

  5. BJPsych Bulletin author mentoring scheme - helping trainees become published authors.

    PubMed

    Pimm, Jonathan; Galbraith, Niall

    2016-02-01

    The publishing world is changing rapidly. Innovations include the move to open access, the rise of social media and the transition to digitalisation. In the light of these developments and with ever-increasing pressures on early career psychiatrists and trainees to publish papers in journals with a recognised pedigree, the BJPsych Bulletin is piloting an author mentoring scheme. Mentors will help clinicians and aspiring academics develop articles from a pedestrian manuscript to one that will hopefully provoke important debate and aid changes in current practices. The scheme will run on a trial basis for approximately 12 months and will then be reviewed. Mentoring has been found to have an important effect of research output including publication and grant success; the hope is that this new initiative at the BJPsych Bulletin will result in such dividends to all involved. PMID:26958356

  6. BJPsych Bulletin author mentoring scheme - helping trainees become published authors.

    PubMed

    Pimm, Jonathan; Galbraith, Niall

    2016-02-01

    The publishing world is changing rapidly. Innovations include the move to open access, the rise of social media and the transition to digitalisation. In the light of these developments and with ever-increasing pressures on early career psychiatrists and trainees to publish papers in journals with a recognised pedigree, the BJPsych Bulletin is piloting an author mentoring scheme. Mentors will help clinicians and aspiring academics develop articles from a pedestrian manuscript to one that will hopefully provoke important debate and aid changes in current practices. The scheme will run on a trial basis for approximately 12 months and will then be reviewed. Mentoring has been found to have an important effect of research output including publication and grant success; the hope is that this new initiative at the BJPsych Bulletin will result in such dividends to all involved.

  7. The Affordable Care Act and emergency care.

    PubMed

    McClelland, Mark; Asplin, Brent; Epstein, Stephen K; Kocher, Keith Eric; Pilgrim, Randy; Pines, Jesse; Rabin, Elaine Judith; Rathlev, Niels Kumar

    2014-10-01

    The Affordable Care Act (ACA) will have far-reaching effects on the way health care is designed and delivered. Several elements of the ACA will directly affect both demand for ED care and expectations for its role in providing coordinated care. Hospitals will need to employ strategies to reduce ED crowding as the ACA expands insurance coverage. Discussions between EDs and primary care physicians about their respective roles providing acute unscheduled care would promote the goals of the ACA.

  8. Specifying process requirements for holistic care.

    PubMed

    Poulymenopoulou, M; Malamateniou, F; Vassilacopoulos, G

    2013-09-01

    Holistic (health and social) care aims at providing comprehensive care to the community, especially to elderly people and people with multiple illnesses. In turn, this requires using health and social care resources more efficiently through enhanced collaboration and coordination among the corresponding organizations and delivering care closer to patient needs and preferences. This paper takes a patient-centered, process view of holistic care delivery and focuses on requirements elicitation for supporting holistic care processes and enabling authorized users to access integrated patient information at the point of care when needed. To this end, an approach to holistic care process-support requirements elicitation is presented which is based on business process modeling and places particular emphasis on empowering collaboration, coordination and information sharing among health and social care organizations by actively involving users and by providing insights for alternative process designs. The approach provides a means for integrating diverse legacy applications in a process-oriented environment using a service-oriented architecture as an appropriate solution for supporting and automating holistic care processes. The approach is applied in the context of emergency medical care aiming at streamlining and providing support technology to cross-organizational health and social care processes to address global patient needs.

  9. Specifying process requirements for holistic care.

    PubMed

    Poulymenopoulou, M; Malamateniou, F; Vassilacopoulos, G

    2013-09-01

    Holistic (health and social) care aims at providing comprehensive care to the community, especially to elderly people and people with multiple illnesses. In turn, this requires using health and social care resources more efficiently through enhanced collaboration and coordination among the corresponding organizations and delivering care closer to patient needs and preferences. This paper takes a patient-centered, process view of holistic care delivery and focuses on requirements elicitation for supporting holistic care processes and enabling authorized users to access integrated patient information at the point of care when needed. To this end, an approach to holistic care process-support requirements elicitation is presented which is based on business process modeling and places particular emphasis on empowering collaboration, coordination and information sharing among health and social care organizations by actively involving users and by providing insights for alternative process designs. The approach provides a means for integrating diverse legacy applications in a process-oriented environment using a service-oriented architecture as an appropriate solution for supporting and automating holistic care processes. The approach is applied in the context of emergency medical care aiming at streamlining and providing support technology to cross-organizational health and social care processes to address global patient needs. PMID:23514044

  10. The Future of Home Health Care

    PubMed Central

    Landers, Steven; Madigan, Elizabeth; Leff, Bruce; Rosati, Robert J.; McCann, Barbara A.; Hornbake, Rodney; MacMillan, Richard; Jones, Kate; Bowles, Kathryn; Dowding, Dawn; Lee, Teresa; Moorhead, Tracey; Rodriguez, Sally; Breese, Erica

    2016-01-01

    The Future of Home Health project sought to support transformation of home health and home-based care to meet the needs of patients in the evolving U.S. health care system. Interviews with key thought leaders and stakeholders resulted in key themes about the future of home health care. By synthesizing this qualitative research, a literature review, case studies, and the themes from a 2014 Institute of Medicine and National Research Council workshop on “The Future of Home Health Care,” the authors articulate a vision for home-based care and recommend a bold framework for the Medicare-certified home health agency of the future. The authors also identify challenges and recommendations for achievement of this framework. PMID:27746670

  11. 32 CFR 564.40 - Procedures for obtaining medical care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Procedures for obtaining medical care. 564.40... care. (a) When a member of the ARNG incurs a disease or an injury, while performing training duty under... benefits. (b) Authorization for care in civilian facility. (1) An individual who desires medical or...

  12. Evolving Systems of Care with Total Clinical Outcomes Management

    ERIC Educational Resources Information Center

    Lyons, John S.; Epstein, Richard A.; Jordan, Neil

    2010-01-01

    The current article proposes that further specification of the system of care concept is required. Based on the assertions that the system of care concept (a) refers to an ideal as opposed to an observable phenomenon, and (b) is engaged in offering transformational experiences, the authors propose that the system of care definition must be…

  13. Conceptual Frameworks for Child Care Decision-Making. White Paper

    ERIC Educational Resources Information Center

    Chaudry, Ajay; Henly, Julia; Meyers, Marcia

    2010-01-01

    This working paper is one in a series of projects initiated by the Administration for Children and Families (ACF) to improve knowledge for child care researchers and policy makers about parental child care decision making. In this paper, the authors identify three distinct conceptual frameworks for understanding child care decisions--a rational…

  14. The Heroic Beginnings of Child Care: Looking Back Two Centuries

    ERIC Educational Resources Information Center

    Neugebauer, Roger; Hartzell, Debra

    2010-01-01

    The field of early care and education has a long, proud history. In conducting research on the oldest child care centers in the United States, the authors discovered 75 organizations that have been in operation research more than 90 years; the oldest of which, Newark Day Care Center, has been in operation for 207 years! Rather than summarizing…

  15. Health Care of the Elderly in Medically Disadvantaged Populations.

    ERIC Educational Resources Information Center

    German, Pearl S.; And Others

    1978-01-01

    This study of three disadvantaged urban areas reports on the relationship between available resources and ambulatory health care. Findings indicate a high proportion of elderly receiving care for serious conditions but a sharp drop in care for less serious but potentially disabling conditions. (Author)

  16. Concept mapping: reducing clinical care plan paperwork and increasing learning.

    PubMed

    Schuster, P M

    2000-01-01

    The author describes how concept maps were used in place of nursing care plans to reduce care planning paperwork in fundamentals and medical-surgical clinical courses in acute care facilities. In addition to less paperwork, clinical concept mapping enhances students' critical thinking skills and clinical reasoning because students and faculty can clearly and succinctly visualize priorities and identify relationships in clinical patient data.

  17. 42 CFR 456.80 - Individual written plan of care.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL Utilization Control: Hospitals Plan of Care § 456.80 Individual written plan of care. (a) Before admission to a hospital or before authorization for... personnel involved in the recipient's case must review each plan of care at least every 60 days....

  18. Obstetrics Patients' Assessment of Medical Students' Role in Their Care.

    ERIC Educational Resources Information Center

    Magrane, Diane

    1988-01-01

    Obstetric patients rated the skills and assessed the roles of students caring for them during a clinical clerkship. They rated skills and attitudes high, generally, with lower ratings for their ability to answer questions and preparation to participate in care. Most felt students improved their care, primarily in supportive ways. (Author/MSE)

  19. Developing an Ethic of Care in the Classroom

    ERIC Educational Resources Information Center

    Caldwell, Paula F.; Sholtis, Stephanie A.

    2008-01-01

    Daily, teachers step foot inside their classrooms with the intentions of making a difference in their students' lives by demonstrating care. Depending on a teacher's individual style, care may be demonstrated in multiple ways. The author explores four distinctive themes of a caring teacher. These are: (1) student-oriented; (2) work-oriented; (3)…

  20. 31 CFR 0.205 - Care of documents and data.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Federal Government without proper authority. (b) Employees are required to care for documents according to... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false Care of documents and data. 0.205... TREASURY EMPLOYEE RULES OF CONDUCT Rules of Conduct § 0.205 Care of documents and data. (a) Employees...

  1. 49 CFR 40.297 - Does anyone have the authority to change a SAP's initial evaluation?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Does anyone have the authority to change a SAP's... the Return-to-Duty Process § 40.297 Does anyone have the authority to change a SAP's initial... managed-care provider, any service agent) may change in any way the SAP's evaluation or...

  2. 49 CFR 40.297 - Does anyone have the authority to change a SAP's initial evaluation?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Does anyone have the authority to change a SAP's... the Return-to-Duty Process § 40.297 Does anyone have the authority to change a SAP's initial... managed-care provider, any service agent) may change in any way the SAP's evaluation or...

  3. 49 CFR 40.297 - Does anyone have the authority to change a SAP's initial evaluation?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Does anyone have the authority to change a SAP's... the Return-to-Duty Process § 40.297 Does anyone have the authority to change a SAP's initial... managed-care provider, any service agent) may change in any way the SAP's evaluation or...

  4. 49 CFR 40.297 - Does anyone have the authority to change a SAP's initial evaluation?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Does anyone have the authority to change a SAP's... the Return-to-Duty Process § 40.297 Does anyone have the authority to change a SAP's initial... managed-care provider, any service agent) may change in any way the SAP's evaluation or...

  5. 49 CFR 40.297 - Does anyone have the authority to change a SAP's initial evaluation?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Does anyone have the authority to change a SAP's... the Return-to-Duty Process § 40.297 Does anyone have the authority to change a SAP's initial... managed-care provider, any service agent) may change in any way the SAP's evaluation or...

  6. 45 CFR 205.190 - Standard-setting authority for institutions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... assistance; (ii) A record naming the State authority(ies) responsible for establishing and maintaining standards for such types of institutions; (iii) The standards to be utilized by such State authority(ies...(ies) in the development of standards directed toward assuring adequate quality of care; in...

  7. 45 CFR 205.190 - Standard-setting authority for institutions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... assistance; (ii) A record naming the State authority(ies) responsible for establishing and maintaining standards for such types of institutions; (iii) The standards to be utilized by such State authority(ies...(ies) in the development of standards directed toward assuring adequate quality of care; in...

  8. 45 CFR 205.190 - Standard-setting authority for institutions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... assistance; (ii) A record naming the State authority(ies) responsible for establishing and maintaining standards for such types of institutions; (iii) The standards to be utilized by such State authority(ies...(ies) in the development of standards directed toward assuring adequate quality of care; in...

  9. 47 CFR 0.371 - Authority delegated.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMISSION ORGANIZATION Delegations of Authority Office of Communications Business Opportunities § 0.371 Authority delegated. The Director, Office of Communications Business Opportunities, or his/her designee, is hereby delegated authority to: (a) Manage...

  10. 50 CFR 38.5 - Emergency authority.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... NATIONAL WILDLIFE REFUGE SYSTEM MIDWAY ATOLL NATIONAL WILDLIFE REFUGE Executive Authority; Authorized... Midway Atoll National Wildlife Refuge. ... 50 Wildlife and Fisheries 9 2013-10-01 2013-10-01 false Emergency authority. 38.5 Section...

  11. 50 CFR 38.5 - Emergency authority.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... NATIONAL WILDLIFE REFUGE SYSTEM MIDWAY ATOLL NATIONAL WILDLIFE REFUGE Executive Authority; Authorized... Midway Atoll National Wildlife Refuge. ... 50 Wildlife and Fisheries 9 2012-10-01 2012-10-01 false Emergency authority. 38.5 Section...

  12. 50 CFR 38.5 - Emergency authority.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... NATIONAL WILDLIFE REFUGE SYSTEM MIDWAY ATOLL NATIONAL WILDLIFE REFUGE Executive Authority; Authorized... Midway Atoll National Wildlife Refuge. ... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false Emergency authority. 38.5 Section...

  13. 50 CFR 38.5 - Emergency authority.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... NATIONAL WILDLIFE REFUGE SYSTEM MIDWAY ATOLL NATIONAL WILDLIFE REFUGE Executive Authority; Authorized... Midway Atoll National Wildlife Refuge. ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Emergency authority. 38.5 Section...

  14. 50 CFR 38.5 - Emergency authority.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... NATIONAL WILDLIFE REFUGE SYSTEM MIDWAY ATOLL NATIONAL WILDLIFE REFUGE Executive Authority; Authorized... Midway Atoll National Wildlife Refuge. ... 50 Wildlife and Fisheries 9 2014-10-01 2014-10-01 false Emergency authority. 38.5 Section...

  15. An Author's Philosophy of Physiology Textbook Writing.

    ERIC Educational Resources Information Center

    Guyton, Arthur C.

    1998-01-01

    Discusses the factors that have determined the author's approach to writing medical physiology textbooks. Reviews the author's career and the events surrounding the development of each textbook. Explains the motivation behind critical decisions made during the authoring process. (DDR)

  16. 47 CFR 0.291 - Authority delegated.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMISSION ORGANIZATION Delegations of Authority Chief, Wireline Competition Bureau § 0.291 Authority delegated. The Chief, Wireline Competition Bureau, is hereby... exceptions and limitations. (a) Authority concerning applications. (1) The Chief, Wireline Competition...

  17. 12 CFR 614.4910 - Basic authorities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Market Authorities § 614.4910 Basic authorities. (a) Any bank or association of the Farm Credit System, except a bank for cooperatives, with direct lending authority may originate agricultural real...

  18. Creating a Culture of Consumer Engagement in Maternity Care

    PubMed Central

    Romano, Amy M.

    2010-01-01

    In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses opportunities to establish a culture of consumer engagement in maternity care. The author demonstrates how improving health literacy, ensuring multi-stakeholder participation in the development of clinical guidelines, and supporting comparative effectiveness research of woman- and family-centered care practices may improve maternity care. PMID:21358836

  19. Home Health Care

    MedlinePlus

    ... Page Resize Text Printer Friendly Online Chat Home Health Care Home health care helps older adults live independently for as long ... need for long-term nursing home care. Home health care may include occupational and physical therapy, speech therapy, ...

  20. Enlarged prostate - after care

    MedlinePlus

    BPH - self-care; Benign prostatic hypertrophy - self-care; Benign prostatic hyperplasia - self-care ... Your health care provider may have you take a medicine called alpha-1- blocker. Most people find that these drugs help ...