Sample records for characterization program milestone

  1. Pediatric Program Director Minimum Milestone Expectations before Allowing Supervision of Others and Unsupervised Practice.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann; Burke, Ann E; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly

    2018-04-25

    The Accreditation Council for Graduate Medical Education requires semiannual Milestone reporting on all residents. Milestone expectations of performance are unknown. Determine pediatric program director (PD) minimum Milestone expectations for residents prior to being ready to supervise and prior to being ready to graduate. Mixed methods survey of pediatric PDs on their programs' Milestone expectations before residents are ready to supervise and before they are ready to graduate, and in what ways PDs use Milestones to make supervision and graduation decisions. If programs had no established Milestone expectations, PDs indicated expectations they considered for use in their program. Mean minimum Milestone level expectations adjusted for program size, region, and clustering of Milestone expectations by program were calculated for prior to supervise and prior to graduate. Free-text questions were analyzed using thematic analysis. The response rate was 56.8% (113/199). Most programs had no required minimum Milestone level before residents are ready to supervise (80%; 76/95) or ready to graduate (84%; 80/95). For readiness to supervise, minimum Milestone expectations PDs considered establishing for their program were highest for humanism (2.46, 95% CI: 2.21-2.71) and professionalization (2.37, 2.15-2.60). Minimum Milestone expectations for graduates were highest for help-seeking (3.14, 2.83-3.46). Main themes included the use of Milestones in combination with other information to assess learner performance and Milestones are not equally weighted when making advancement decisions. Most PDs have not established program minimum Milestones, but would vary such expectations by competency. Copyright © 2018. Published by Elsevier Inc.

  2. Milestones for the Final Mile: Interspecialty Distinctions in Primary Palliative Care Skills Training.

    PubMed

    Harris, John A; Herrel, Lindsey A; Healy, Mark A; Wancata, Lauren M; Perumalswami, Chithra R

    2016-09-01

    Primary palliative care (PPC) skills are useful in a wide variety of medical and surgical specialties, and the expectations of PPC skill training are unknown across graduate medical education. We characterized the variation and quality of PPC skills in residency outcomes-based Accreditation Council for Graduate Medical Education (ACGME) milestones. We performed a content analysis with structured implicit review of 2015 ACGME milestone documents from 14 medical and surgical specialties chosen for their exposure to clinical situations requiring PPC. For each specialty milestone document, we characterized the variation and quality of PPC skills in residency outcomes-based ACGME milestones. We identified 959 occurrences of 29 palliative search terms within 14 specialty milestone documents. Within these milestone documents, implicit review characterized 104 milestones with direct saliency to PPC skills and 196 milestones with indirect saliency. Initial interrater agreement of the saliency rating among the primary reviewers was 89%. Specialty milestone documents varied widely in their incorporation of PPC skills within milestone documents. PPC milestones were most commonly found in milestone documents for Anesthesiology, Pediatrics, Urology, and Physical Medicine and Rehabilitation. PPC-relevant milestones were most commonly found in the Interpersonal and Communication Skills core competency with 108 (36%) relevant milestones classified under this core competency. Future revisions of specialty-specific ACGME milestone documents should focus on currently underrepresented, but important PPC skills. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  3. The New Accreditation Council for Graduate Medical Education Next Accreditation System Milestones Evaluation System: What Is Expected and How Are Plastic Surgery Residency Programs Preparing?

    PubMed

    Sillah, Nyama M; Ibrahim, Ahmed M S; Lau, Frank H; Shah, Jinesh; Medin, Caroline; Lee, Bernard T; Lin, Samuel J

    2015-07-01

    The Accreditation Council for Graduate Medical Education Next Accreditation System milestones were implemented for plastic surgery programs in July of 2014. Forward progress through the milestones is an indicator of trainee-appropriate development, whereas regression or stalling may indicate the need for concentrated, targeted training. Online software at www.surveymonkey.com was used to create a survey about the program's approaches to milestones and was distributed to program directors and administrators of 96 Accreditation Council for Graduate Medical Education-approved plastic surgery programs. The authors had a 63.5 percent response rate (61 of 96 plastic surgery programs). Most programs report some level of readiness, only 22 percent feel completely prepared for the Next Accreditation System milestones, and only 23 percent are completely satisfied with their planned approach for compliance. Seventy-five percent of programs claim to be using some form of electronic tracking system. Programs plan to use multiple tools to capture and report milestone data. Most programs (44.4 percent) plan to administer evaluations at the end of each rotation. Over 70 percent of respondents believe that the milestones approach would improve the quality of resident training. However, programs were less than confident that their current compliance systems would live up to their full potential. The Next Accreditation System has been implemented nationwide for plastic surgery training programs. Milestone-based resident training is a new paradigm for residency training evaluation; programs are in the process of making this transition to find ways to make milestone data meaningful for faculty and residents.

  4. Milestones: Critical Elements in Clinical Informatics Fellowship Programs

    PubMed Central

    Lehmann, Christoph U.; Munger, Benson

    2016-01-01

    Summary Background Milestones refer to points along a continuum of a competency from novice to expert. Resident and fellow assessment and program evaluation processes adopted by the ACGME include the mandate that programs report the educational progress of residents and fellows twice annually utilizing Milestones developed by a specialty specific ACGME working group of experts. Milestones in clinical training programs are largely unmapped to specific assessment tools. Residents and fellows are mainly assessed using locally derived assessment instruments. These assessments are then reviewed by the Clinical Competency Committee which assigns and reports trainee ratings using the specialty specific reporting Milestones. Methods and Results The challenge and opportunity facing the nascent specialty of Clinical Informatics is how to optimally utilize this framework across a growing number of accredited fellowships. The authors review how a mapped milestone framework, in which each required sub-competency is mapped to a single milestone assessment grid, can enable the use of milestones for multiple uses including individualized learning plans, fellow assessments, and program evaluation. Furthermore, such a mapped strategy will foster the ability to compare fellow progress within and between Clinical Informatics Fellowships in a structured and reliable fashion. Clinical Informatics currently has far less variability across programs and thus could easily utilize a more tightly defined set of milestones with a clear mapping to sub-competencies. This approach would enable greater standardization of assessment instruments and processes across programs while allowing for variability in how those sub-competencies are taught. Conclusions A mapped strategy for Milestones offers significant advantages for Clinical Informatics programs. PMID:27081414

  5. ASDS Cosmetic Dermatologic Surgery Fellowship Milestones.

    PubMed

    Waldman, Abigail; Arndt, Kenneth A; Avram, Mathew M; Brown, Mariah R; Dover, Jeffrey S; Fabi, Sabrina G; Friedmann, Daniel P; Geronemus, Roy G; Goldberg, David J; Goldman, Mitchel P; Green, Jeremy B; Ibrahimi, Omar A; Jones, Derek H; Kilmer, Suzanne L; McDaniel, David H; Obagi, Suzan; Ortiz, Arisa E; Rohrer, Thomas E; Taylor, Mark B; Torres, Abel; Weinkle, Susan H; Weiss, Margaret A; Weiss, Eduardo T; Weiss, Robert A; Poon, Emily; Alam, Murad

    2016-10-01

    The American Council of Graduate Medical Education, which oversees much of postgraduate medical education in the United States, has championed the concept of "milestones," standard levels of achievement keyed to particular time points, to assess trainee performance during residency. To develop a milestones document for the American Society for Dermatologic Surgery (ASDS) Cosmetic Dermatologic Surgery (CDS) fellowship program. An ad hoc milestone drafting committee was convened that included members of the ASDS Accreditation Work Group and program directors of ASDS-approved Cosmetic Dermatologic Surgery (CDC) fellowship training programs. Draft milestones were circulated through email in multiple rounds until consensus was achieved. Thirteen milestones were developed in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas, with 8 of these being patient-care milestones. Additional instructions for milestone administration more specific to the CDS fellowship than general ACGME instructions were also approved. Implementation of semiannual milestones was scheduled for the fellowship class entering in July 2018. Milestones are now available for CDS fellowship directors to implement in combination with other tools for fellow evaluation.

  6. Milestone-specific, Observed data points for evaluating levels of performance (MODEL) assessment strategy for anesthesiology residency programs.

    PubMed

    Nagy, Christopher J; Fitzgerald, Brian M; Kraus, Gregory P

    2014-01-01

    Anesthesiology residency programs will be expected to have Milestones-based evaluation systems in place by July 2014 as part of the Next Accreditation System. The San Antonio Uniformed Services Health Education Consortium (SAUSHEC) anesthesiology residency program developed and implemented a Milestones-based feedback and evaluation system a year ahead of schedule. It has been named the Milestone-specific, Observed Data points for Evaluating Levels of performance (MODEL) assessment strategy. The "MODEL Menu" and the "MODEL Blueprint" are tools that other anesthesiology residency programs can use in developing their own Milestones-based feedback and evaluation systems prior to ACGME-required implementation. Data from our early experience with the streamlined MODEL blueprint assessment strategy showed substantially improved faculty compliance with reporting requirements. The MODEL assessment strategy provides programs with a workable assessment method for residents, and important Milestones data points to programs for ACGME reporting.

  7. Shortening the Miles to the Milestones: Connecting EPA-Based Evaluations to ACGME Milestone Reports for Internal Medicine Residency Programs.

    PubMed

    Choe, John H; Knight, Christopher L; Stiling, Rebekah; Corning, Kelli; Lock, Keli; Steinberg, Kenneth P

    2016-07-01

    The Next Accreditation System requires internal medicine training programs to provide the Accreditation Council for Graduate Medical Education (ACGME) with semiannual information about each resident's progress in 22 subcompetency domains. Evaluation of resident "trustworthiness" in performing entrustable professional activities (EPAs) may offer a more tangible assessment construct than evaluations based on expectations of usual progression toward competence. However, translating results from EPA-based evaluations into ACGME milestone progress reports has proven to be challenging because the constructs that underlay these two systems differ.The authors describe a process to bridge the gap between rotation-specific EPA-based evaluations and ACGME milestone reporting. Developed at the University of Washington in 2012 and 2013, this method involves mapping EPA-based evaluation responses to "milestone elements," the narrative descriptions within the columns of each of the 22 internal medicine subcompetencies. As faculty members complete EPA-based evaluations, the mapped milestone elements are automatically marked as "confirmed." Programs can maintain a database that tallies the number of times each milestone element is confirmed for a resident; these data can be used to produce graphical displays of resident progress along the internal medicine milestones.Using this count of milestone elements allows programs to bridge the gap between faculty assessments of residents based on rotation-specific observed activities and semiannual ACGME reports based on the internal medicine milestones. Although potentially useful for all programs, this method is especially beneficial to large programs where clinical competency committee members may not have the opportunity for direct observation of all residents.

  8. Continuous Fiber Ceramic Composite (CFCC) Program: Gaseous Nitridation

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

    R. Suplinskas G. DiBona; W. Grant

    2001-10-29

    Textron has developed a mature process for the fabrication of continuous fiber ceramic composite (CFCC) tubes for application in the aluminum processing and casting industry. The major milestones in this project are System Composition; Matrix Formulation; Preform Fabrication; Nitridation; Material Characterization; Component Evaluation

  9. Tri-Lab Co-Design Milestone: In-Depth Performance Portability Analysis of Improved Integrated Codes on Advanced Architecture.

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

    Hoekstra, Robert J.; Hammond, Simon David; Richards, David

    2017-09-01

    This milestone is a tri-lab deliverable supporting ongoing Co-Design efforts impacting applications in the Integrated Codes (IC) program element Advanced Technology Development and Mitigation (ATDM) program element. In FY14, the trilabs looked at porting proxy application to technologies of interest for ATS procurements. In FY15, a milestone was completed evaluating proxy applications in multiple programming models and in FY16, a milestone was completed focusing on the migration of lessons learned back into production code development. This year, the co-design milestone focuses on extracting the knowledge gained and/or code revisions back into production applications.

  10. Balanced program plan: analysis for biomedical and environmental research. Volume 5. Oil shale technology

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

    Not Available

    1976-06-01

    Oil shale technology has been divided into two sub-technologies: surfaceprocessing and in-situ processing. Definition of the research programs is essentially an amplification of the five King-Muir categories: (A) pollutants: characterization, measurement, and monitoring; (B) physical and chemical processes and effects; (C) health effects; (D) ecological processes and effects; and (E) integrated assessment. Twenty-three biomedical and environmental research projects are described as to program title, scope, milestones, technology time frame, program unit priority, and estimated program unit cost.

  11. Developing a comprehensive resident education evaluation system in the era of milestone assessment.

    PubMed

    Gardner, Aimee K; Scott, Daniel J; Choti, Michael A; Mansour, John C

    2015-01-01

    In an effort to move training programs toward competency-based education, the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which organizes specific milestones regarding resident skills, knowledge, and abilities along a continuum. In order to foster innovation and creativity, the ACGME has provided programs with minimal guidelines regarding the optimal way to approach these milestones. The education team at UT Southwestern embraced the milestones and developed a process in which performance assessment methods were critically evaluated, mapped onto an extrapolated performance list corresponding to the areas required by the ACGME milestones, and filled gaps in the previous system by modifying evaluation tools and creating new program components. Although the authors are early in the evolution of applying the new milestones system, this approach has thus far allowed them to comprehensively evaluate the residents and the program in an efficient and effective fashion, with notable improvements compared to the prior approach. The authors hope that these experiences can inform others embarking upon similar journeys with the milestones. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  12. Adequacy of a Small Quantity Site RH-TRU Waste Program in Meeting Proposed WIPP Characterization Objectives

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

    Biedscheid, J.; Stahl, S.; Devarakonda, M.

    2002-02-26

    The first remote-handled transuranic (RH-TRU) waste is expected to be permanently disposed of at the Waste Isolation Pilot Plant (WIPP) during Fiscal Year (FY) 2003. The first RH-TRU waste shipments are scheduled from the Battelle Columbus Laboratories (BCL) to WIPP in order to facilitate compliance with BCL Decommissioning Project (BCLDP) milestones. Milestones requiring RH-TRU waste containerization and removal from the site by 2004 in order to meet a 2006 site closure goal, established by Congress in the Defense Facilities Closure Projects account, necessitated the establishment and implementation of a site-specific program to direct the packaging of BCLDP RH-TRU waste priormore » to the finalization of WIPP RH-TRU waste characterization requirements. The program was designed to collect waste data, including audio and videotape records of waste packaging, such that upon completion of waste packaging, comprehensive data records exist from which compliance with final WIPP RH-TRU waste characterization requirements can be demonstrated. With the BCLDP data records generated to date and the development by the U.S. Department of Energy (DOE)-Carlsbad Field Office (CBFO) of preliminary documents proposing the WIPP RH-TRU waste characterization program, it is possible to evaluate the adequacy of the BCLDP program with respect to meeting proposed characterization objectives. The BCLDP characterization program uses primarily acceptable knowledge (AK) and visual examination (VE) during waste packaging to characterize RH-TRU waste. These methods are used to estimate physical waste parameters, including weight percentages of metals, cellulosics, plastics, and rubber in the waste, and to determine the absence of prohibited items, including free liquids. AK combined with computer modeling is used to estimate radiological waste parameters, including total activity on a waste container basis, for the majority of BCLDP RH-TRU waste. AK combined with direct analysis is used to characterize radiological parameters for the small populations of the RH-TRU waste generated by the BCLDP. All characterization based on AK is verified. Per its design for comprehensive waste data collection, the BCLDP characterization program using AK and waste packaging procedures, including VE during packaging, meets the proposed WIPP RH-TRU waste characterization objectives. The conservative program design implemented generates certification data that will be adequate to meet any additional program requirements that may be imposed by the CBFO.« less

  13. Competency Assessment in Family Medicine Residency: Observations, Knowledge-Based Examinations, and Advancement.

    PubMed

    Mainous, Arch G; Fang, Bo; Peterson, Lars E

    2017-12-01

    The Family Medicine (FM) Milestones are competency-based assessments of residents in key dimensions relevant to practice in the specialty. Residency programs use the milestones in semiannual reviews of resident performance from the time of entry into the program to graduation. Using a national sample, we investigated the relationship of FM competency-based assessments to resident progress and the complementarity of milestones with knowledge-based assessments in FM residencies. We used midyear and end-of-year milestone ratings for all FM residents in Accreditation Council for Graduate Medical Education-accredited programs during academic years 2014-2015 and 2015-2016. The milestones contain 22 items across 6 competencies. We created a summative index across the milestones. The American Board of Family Medicine database provided resident demographics and in-training examination (ITE) scores. We linked information to the milestone data. The sample encompassed 6630 FM residents. The summative milestone index increased, on average, for each cohort (postgraduate year 1 [PGY-1] to PGY-2 and PGY-2 to PGY-3) at each assessment. The correlation between the milestone index that excluded the medical knowledge milestone and ITE scores was r  = .195 ( P  < .001) for PGY-1 to PGY-2 cohort and r  = .254 ( P  < .001) for PGY-2 to PGY-3 cohort. For both cohorts, ITE scores and composite milestone assessments were higher for residents who advanced than for those who did not. Competency-based assessment using the milestones for FM residents seems to be a viable multidimensional tool to assess the successful progression of residents.

  14. BER balanced program plan: oil shale technology. [23 suggested biomedical and environmental research projects

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

    Schulte, H.F.; Stoker, A.K.; Campbell, E.E.

    1976-06-01

    Oil shale technology has been divided into two sub-technologies: surface processing and in-situ processing. Definition of the research programs is essentially an amplification of the five King-Muir categories: (A) pollutants: characterization, measurement, and monitoring; (B) physical and chemical processes and effects; (C) health effects; (D) ecological processes and effects; and (E) integrated assessment. Twenty-three biomedical and environmental research projects are described as to program title, scope, milestones, technolgy time frame, program unit priority, and estimated program unit cost.

  15. The Road Ahead in Education: Milestones for Geriatric Psychiatry Subspecialty Training.

    PubMed

    Swantek, Sandra S; Maixner, Susan M; Llorente, Maria D; Cheong, Josepha A; Edgar, Laura; Thomas, Christopher R; Ahmed, Iqbal

    2016-09-01

    The Accreditation Council of Graduate Medical Education (ACGME) Milestone Project is the next step in a series of changes revamping the system of graduate medical education. In 2013 the ACGME completed the general psychiatry milestones. The ACGME then pursued creation of milestones for accredited psychiatric subspecialty fellowships. This article documents the work of the geriatric psychiatry subspecialty milestones work group. It reports the history and rationale supporting the milestones, the milestone development process, and the implications for geriatric psychiatry fellowship training. In consultation with the American Association for Geriatric Psychiatry, the American Board of Psychiatry and Neurology, and the ACGME Psychiatry Residency Review Committee, the ACGME appointed a working group to create the geriatric psychiatry milestones using the general psychiatry milestones as a guide. The geriatric psychiatry milestones are the result of an iterative process resulting in the definition of the characteristics vital to a fellowship-trained geriatric psychiatrist. It is premature to assess their effect on psychiatric training. The true impact of the milestones will be determined as each training director uses the milestones to re-evaluate their program curriculum and the educational and clinical learning environment. The ACGME is currently collecting the information about the milestone performance of residents and fellows to further refine and determine how the milestones can best be used to assist programs in improving training. Copyright © 2016 American Association for Geriatric Psychiatry. All rights reserved.

  16. Summary Report for ASC L2 Milestone #4782: Assess Newly Emerging Programming and Memory Models for Advanced Architectures on Integrated Codes

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

    Neely, J. R.; Hornung, R.; Black, A.

    This document serves as a detailed companion to the powerpoint slides presented as part of the ASC L2 milestone review for Integrated Codes milestone #4782 titled “Assess Newly Emerging Programming and Memory Models for Advanced Architectures on Integrated Codes”, due on 9/30/2014, and presented for formal program review on 9/12/2014. The program review committee is represented by Mike Zika (A Program Project Lead for Kull), Brian Pudliner (B Program Project Lead for Ares), Scott Futral (DEG Group Lead in LC), and Mike Glass (Sierra Project Lead at Sandia). This document, along with the presentation materials, and a letter of completionmore » signed by the review committee will act as proof of completion for this milestone.« less

  17. The Milestones Passport: A Learner-Centered Application of the Milestone Framework to Prompt Real-Time Feedback in the Emergency Department.

    PubMed

    Yarris, Lalena M; Jones, David; Kornegay, Joshua G; Hansen, Matthew

    2014-09-01

    In July 2013, emergency medicine residency programs implemented the Milestone assessment as part of the Next Accreditation System. We hypothesized that applying the Milestone framework to real-time feedback in the emergency department (ED) could affect current feedback processes and culture. We describe the development and implementation of a Milestone-based, learner-centered intervention designed to prompt real-time feedback in the ED. We developed and implemented the Milestones Passport, a feedback intervention incorporating subcompetencies, in our residency program in July 2013. Our primary outcomes were feasibility, including faculty and staff time and costs, number of documented feedback encounters in the first 2 months of implementation, and user-reported time required to complete the intervention. We also assessed learner and faculty acceptability. Development and implementation of the Milestones Passport required 10 hours of program coordinator time, 120 hours of software developer time, and 20 hours of faculty time. Twenty-eight residents and 34 faculty members generated 257 Milestones Passport feedback encounters. Most residents and faculty reported that the encounters required fewer than 5 minutes to complete, and 48% (12 of 25) of the residents and 68% (19 of 28) of faculty reported satisfaction with the Milestones Passport intervention. Faculty satisfaction with overall feedback in the ED improved after the intervention (93% versus 54%, P  =  .003), whereas resident satisfaction with feedback did not change significantly. The Milestones Passport feedback intervention was feasible and acceptable to users; however, learner satisfaction with the Milestone assessment in the ED was modest.

  18. Charting the Road to Competence: Developmental Milestones for Internal Medicine Residency Training

    PubMed Central

    Green, Michael L.; Aagaard, Eva M.; Caverzagie, Kelly J.; Chick, Davoren A.; Holmboe, Eric; Kane, Gregory; Smith, Cynthia D.; Iobst, William

    2009-01-01

    Background The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project requires that residency program directors objectively document that their residents achieve competence in 6 general dimensions of practice. Intervention In November 2007, the American Board of Internal Medicine (ABIM) and the ACGME initiated the development of milestones for internal medicine residency training. ABIM and ACGME convened a 33-member milestones task force made up of program directors, experts in evaluation and quality, and representatives of internal medicine stakeholder organizations. This article reports on the development process and the resulting list of proposed milestones for each ACGME competency. Outcomes The task force adopted the Dreyfus model of skill acquisition as a framework the internal medicine milestones, and calibrated the milestones with the expectation that residents achieve, at a minimum, the “competency” level in the 5-step progression by the completion of residency. The task force also developed general recommendations for strategies to evaluate the milestones. Discussion The milestones resulting from this effort will promote competency-based resident education in internal medicine, and will allow program directors to track the progress of residents and inform decisions regarding promotion and readiness for independent practice. In addition, the milestones may guide curriculum development, suggest specific assessment strategies, provide benchmarks for resident self-directed assessment-seeking, and assist remediation by facilitating identification of specific deficits. Finally, by making explicit the profession's expectations for graduates and providing a degree of national standardization in evaluation, the milestones may improve public accountability for residency training. PMID:21975701

  19. The Milestones Passport: A Learner-Centered Application of the Milestone Framework to Prompt Real-Time Feedback in the Emergency Department

    PubMed Central

    Yarris, Lalena M.; Jones, David; Kornegay, Joshua G.; Hansen, Matthew

    2014-01-01

    Background In July 2013, emergency medicine residency programs implemented the Milestone assessment as part of the Next Accreditation System. Objective We hypothesized that applying the Milestone framework to real-time feedback in the emergency department (ED) could affect current feedback processes and culture. We describe the development and implementation of a Milestone-based, learner-centered intervention designed to prompt real-time feedback in the ED. Methods We developed and implemented the Milestones Passport, a feedback intervention incorporating subcompetencies, in our residency program in July 2013. Our primary outcomes were feasibility, including faculty and staff time and costs, number of documented feedback encounters in the first 2 months of implementation, and user-reported time required to complete the intervention. We also assessed learner and faculty acceptability. Results Development and implementation of the Milestones Passport required 10 hours of program coordinator time, 120 hours of software developer time, and 20 hours of faculty time. Twenty-eight residents and 34 faculty members generated 257 Milestones Passport feedback encounters. Most residents and faculty reported that the encounters required fewer than 5 minutes to complete, and 48% (12 of 25) of the residents and 68% (19 of 28) of faculty reported satisfaction with the Milestones Passport intervention. Faculty satisfaction with overall feedback in the ED improved after the intervention (93% versus 54%, P  =  .003), whereas resident satisfaction with feedback did not change significantly. Conclusions The Milestones Passport feedback intervention was feasible and acceptable to users; however, learner satisfaction with the Milestone assessment in the ED was modest. PMID:26279784

  20. Competency champions in the clinical competency committee: a successful strategy to implement milestone evaluations and competency coaching.

    PubMed

    Ketteler, Erika R; Auyang, Edward D; Beard, Kathy E; McBride, Erica L; McKee, Rohini; Russell, John C; Szoka, Nova L; Nelson, M Timothy

    2014-01-01

    To create a clinical competency committee (CCC) that (1) centers on the competency-based milestones, (2) is simple to implement, (3) creates competency expertise, and (4) guides remediation and coaching of residents who are not progressing in milestone performance evaluations. We created a CCC that meets monthly and at each meeting reviews a resident class for milestone performance, a competency (by a faculty competency champion), a resident rotation service, and any other resident or issue of concern. University surgical residency program. The CCC members include the program director, associate program directors, director of surgical curriculum, competency champions, departmental chair, 2 at-large faculty members, and the administrative chief residents. Seven residents were placed on remediation (later renamed as coaching) during the academic year after falling behind on milestone progression in one or more competencies. An additional 4 residents voluntarily placed themselves on remediation for medical knowledge after receiving in-training examination scores that the residents (not the CCC membership) considered substandard. All but 2 of the remediated/coached residents successfully completed all area milestone performance but some chose to stay on the medical knowledge competency strategy. Monthly meetings of the CCC make milestone evaluation less burdensome. In addition, the expectations of the residents are clearer and more tangible. "Competency champions" who are familiar with the milestones allow effective coaching strategies and documentation of clear performance improvements in competencies for successful completion of residency training. Residents who do not reach appropriate milestone performance can then be placed in remediation for more formal performance evaluation. The function of our CCC has also allowed us opportunity to evaluate the required rotations to ensure that they offer experiences that help residents achieve competency performance necessary to be safe and effective surgeons upon completion of training. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

  1. Contracts and Management Services FY 1996 Site Support Program Plan: WBS 6.10.14. Revision 1

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

    Knoll, J.M. Jr.

    1995-09-01

    This is the Contracts and Management Services site support program plan for the US DOE Hanford site. The topics addressed in the program plan include a mission statement, program objectives, planning assumptions, program constraints, work breakdown structure, milestone list, milestone description sheets, and activity detail including cost accounting narrative summary, approved funding budget, and activity detailed description.

  2. The pathology milestones and the next accreditation system.

    PubMed

    Naritoku, Wesley Y; Alexander, C Bruce; Bennett, Betsy D; Black-Schaffer, W Stephen; Brissette, Mark D; Grimes, Margaret M; Hoffman, Robert D; Hunt, Jennifer L; Iezzoni, Julia C; Johnson, Rebecca; Kozel, Jessica; Mendoza, Ricardo M; Post, Miriam D; Powell, Suzanne Z; Procop, Gary W; Steinberg, Jacob J; Thorsen, Linda M; Nestler, Steven P

    2014-03-01

    In the late 1990s, the Accreditation Council for Graduate Medical Education developed the Outcomes Project and the 6 general competencies with the intent to improve the outcome of graduate medical education in the United States. The competencies were used as the basis for developing learning goals and objectives and tools to evaluate residents' performance. By the mid-2000s the stakeholders in resident education and the general public felt that the Outcomes Project had fallen short of expectations. To develop a new evaluation method to track trainee progress throughout residency using benchmarks called milestones. A change in leadership at the Accreditation Council for Graduate Medical Education brought a new vision for the accreditation of training programs and a radically different approach to the evaluation of residents. The Pathology Milestones Working Group reviewed examples of developing milestones in other specialties, the literature, and the Accreditation Council for Graduate Medical Education program requirements for pathology to develop pathology milestones. The pathology milestones are a set of objective descriptors for measuring progress in the development of competency in patient care, procedural skill sets, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. The milestones provide a national standard for evaluation that will be used for the assessment of all residents in Accreditation Council for Graduate Medical Education-accredited pathology training programs.

  3. A pilot study of orthopaedic resident self-assessment using a milestones’ survey just prior to milestones implementation

    PubMed Central

    Bradley, Kendall E.

    2016-01-01

    Objectives To pilot test if Orthopaedic Surgery residents could self-assess their performance using newly created milestones, as defined by the Accreditation Council on Graduate Medical Education.  Methods In June 2012, an email was sent to Program Directors and administrative coordinators of the154 accredited Orthopaedic Surgery Programs, asking them to send their residents a link to an online survey. The survey was adapted from the Orthopaedic Surgery Milestone Project. Completed surveys were aggregated in an anonymous, confidential database. SAS 9.3 was used to perform the analyses. Results Responses from 71 residents were analyzed. First and second year residents indicated through self-assessment that they had substantially achieved Level 1 and Level 2 milestones. Third year residents reported they had substantially achieved 30/41, and fourth year residents, all Level 3 milestones. Fifth year, graduating residents, reported they had substantially achieved 17 Level 4 milestones, and were extremely close on another 15. No milestone was rated at Level 5, the maximum possible.  Earlier in training, Patient Care and Medical Knowledge milestones were rated lower than the milestones reflecting the other four competencies of Practice Based Learning and Improvement, Systems Based Practice, Professionalism, and Interpersonal Communication. The gap was closed by the fourth year. Conclusions Residents were able to successfully self-assess using the 41 Orthopaedic Surgery milestones. Respondents’ rate improved proficiency over time. Graduating residents report they have substantially, or close to substantially, achieved all Level 4 milestones.  Milestone self-assessment may be a useful tool as one component of a program’s overall performance assessment strategy. PMID:26752012

  4. Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties.

    PubMed

    Baker-Genaw, Kimberly; Kokas, Maria S; Ahsan, Syed F; Darnley-Fisch, Deborah; Drake, Sean; Goyal, Nikhil; Inamdar, Kedar; Moutzouros, Vasilios; Prabhakar, Deepak; Rolland, Laurie; Sangha, Roopina; Shreve, Maria; Woodward, Ann

    2016-07-01

    Little is known about residents' performance on the milestones at the institutional level. Our institution formed a work group to explore this using an institutional-level curriculum and residents' evaluation of the milestones. We assessed whether beginner-level milestones for interpersonal and communication skills (ICS) related to observable behaviors in ICS-focused objective structured clinical examinations (OSCEs) for postgraduate year (PGY) 1 residents across specialties. The work group compared ICS subcompetencies across 12 programs to identify common beginner-level physician-patient communication milestones. The selected ICS milestone sets were compared for common language with the ICS-OSCE assessment tool-the Kalamazoo Essential Elements of Communication Checklist-Adapted (KEECC-A). To assess whether OSCE scores related to ICS milestone scores, all PGY-1 residents from programs that were part of Next Accreditation System Phase 1 were identified; their OSCE scores from July 2013 to June 2014 and ICS subcompetency scores from December 2014 were compared. The milestones for 10 specialties and the transitional year had at least 1 ICS subcompetency that related to physician-patient communication. The language of the ICS beginner-level milestones appears similar to behaviors outlined in the KEECC-A. All 60 residents with complete data received at least a beginner-level ICS subcompetency score and at least a satisfactory score on all 3 OSCEs. The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties.

  5. Resident dashboards: helping your clinical competency committee visualize trainees' key performance indicators.

    PubMed

    Friedman, Karen A; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Introduction Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. Methods Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Results Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS) on the ACGME website. Conclusions The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  6. Resident dashboards: helping your clinical competency committee visualize trainees' key performance indicators.

    PubMed

    Friedman, Karen A; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS) on the ACGME website. The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  7. Assessment Report Sandia National Laboratories Fuel Cycle Technologies Quality Assurance Evaluation of FY15 SNL FCT M2 Milestone Deliverables

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

    Appel, Gordon John

    Sandia National Laboratories (SNL) Fuel Cycle Technologies (FCT) program activities are conducted in accordance with FCT Quality Assurance Program Document (FCT-QAPD) requirements. The FCT-QAPD interfaces with SNL approved Quality Assurance Program Description (SNL-QAPD) as explained in the Sandia National Laboratories QA Program Interface Document for FCT Activities (Interface Document). This plan describes SNL's FY16 assessment of SNL's FY15 FCT M2 milestone deliverable's compliance with program QA requirements, including SNL R&A requirements. The assessment is intended to confirm that SNL's FY15 milestone deliverables contain the appropriate authenticated review documentation and that there is a copy marked with SNL R&A numbers.

  8. Milestone-Based Assessments Are Superior to Likert-Type Assessments in Illustrating Trainee Progression

    PubMed Central

    Bartlett, Kathleen W.; Whicker, Shari A.; Bookman, Jack; Narayan, Aditee P.; Staples, Betty B.; Hering, Holly; McGann, Kathleen A.

    2015-01-01

    Background The Pediatrics Milestone Project uses behavioral anchors, narrative descriptions of observable behaviors, to describe learner progression through the Accreditation Council for Graduate Medical Education competencies. Starting June 2014, pediatrics programs were required to submit milestone reports for their trainees semiannually. Likert-type scale assessment tools were not designed to inform milestone reporting, creating a challenge for Clinical Competency Committees. Objective To determine if milestone-based assessments better stratify trainees by training level compared to Likert-type assessments. Methods We compared assessment results for 3 subcompetencies after changing from a 5-point Likert scale to milestone-based behavioral anchors in July 2013. Program leadership evaluated the new system by (1) comparing PGY-1 mean scores on Likert-type versus milestone-based assessments; and (2) comparing mean scores on the Likert-type versus milestone-based assessments across PGY levels. Results Mean scores for PGY-1 residents were significantly higher on the prior year's Likert-type assessments than milestone-based assessments for all 3 subcompetencies (P < .01). Stratification by PGY level was not observed with Likert-type assessments (eg, interpersonal and communication skills 1 [ICS1] mean score for PGY-1, 3.99 versus PGY-3, 3.98; P  =  .98). In contrast, milestone-based assessments demonstrated stratification by PGY level (eg, the ICS1 mean score was 3.06 for PGY-1, 3.83 for PGY-2, and 3.99 for PGY-3; P < .01 for PGY-1 versus PGY-3). Significantly different means by trainee level were noted across 21 subcompetencies on milestone-based assessments (P < .01 for PGY-1 versus PGY-3). Conclusions Initial results indicate milestone-based assessments stratify trainee performance by level better than Likert-type assessments. Average PGY-level scores from milestone-based assessments may ultimately provide guidance for determining whether trainees are progressing at the expected pace. PMID:26217427

  9. Correlations Between Ratings on the Resident Annual Evaluation Summary and the Internal Medicine Milestones and Association With ABIM Certification Examination Scores Among US Internal Medicine Residents, 2013-2014.

    PubMed

    Hauer, Karen E; Vandergrift, Jonathan; Hess, Brian; Lipner, Rebecca S; Holmboe, Eric S; Hood, Sarah; Iobst, William; Hamstra, Stanley J; McDonald, Furman S

    2016-12-06

    US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. To compare ratings of internal medicine residents using the pre-2015 resident annual evaluation summary (RAES), a nondevelopmental rating scale, with developmental milestone ratings. Cross-sectional study of US internal medicine residency programs in the 2013-2014 academic year, including 21 284 internal medicine residents (7048 postgraduate-year 1 [PGY-1], 7233 PGY-2, and 7003 PGY-3). Program director ratings on the RAES and milestone ratings. Correlations of RAES and milestone ratings by training year; correlations of medical knowledge ratings with American Board of Internal Medicine (ABIM) certification examination scores; rating of unprofessional behavior using the 2 systems. Corresponding RAES ratings and milestone ratings showed progressively higher correlations across training years, ranging among competencies from 0.31 (95% CI, 0.29 to 0.33) to 0.35 (95% CI, 0.33 to 0.37) for PGY-1 residents to 0.43 (95% CI, 0.41 to 0.45) to 0.52 (95% CI, 0.50 to 0.54) for PGY-3 residents (all P values <.05). Linear regression showed ratings differed more between PGY-1 and PGY-3 years using milestone ratings than the RAES (all P values <.001). Of the 6260 residents who attempted the certification examination, the 618 who failed had lower ratings using both systems for medical knowledge than did those who passed (RAES difference, -0.9; 95% CI, -1.0 to -0.8; P < .001; milestone medical knowledge 1 difference, -0.3; 95% CI, -0.3 to -0.3; P < .001; and medical knowledge 2 difference, -0.2; 95% CI, -0.3 to -0.2; P < .001). Of the 26 PGY-3 residents with milestone ratings indicating deficiencies on either of the 2 medical knowledge subcompetencies, 12 failed the certification examination. Correlation of RAES ratings for professionalism with residents' lowest professionalism milestone ratings was 0.44 (95% CI, 0.43 to 0.45; P < .001). Among US internal medicine residents in the 2013-2014 academic year, milestone-based ratings correlated with RAES ratings but with a greater difference across training years. Both rating systems for medical knowledge correlated with ABIM certification examination scores. Milestone ratings may better detect problems with professionalism. These preliminary findings may inform establishment of the validity of milestone-based assessment.

  10. Learnings From the Pilot Implementation of Mobile Medical Milestones Application.

    PubMed

    Page, Cristen P; Reid, Alfred; Coe, Catherine L; Carlough, Martha; Rosenbaum, Daryl; Beste, Janalynn; Fagan, Blake; Steinbacher, Erika; Jones, Geoffrey; Newton, Warren P

    2016-10-01

    Implementation of the educational milestones benefits from mobile technology that facilitates ready assessments in the clinical environment. We developed a point-of-care resident evaluation tool, the Mobile Medical Milestones Application (M3App), and piloted it in 8 North Carolina family medicine residency programs. We sought to examine variations we found in the use of the tool across programs and explored the experiences of program directors, faculty, and residents to better understand the perceived benefits and challenges of implementing the new tool. Residents and faculty completed presurveys and postsurveys about the tool and the evaluation process in their program. Program directors were interviewed individually. Interviews and open-ended survey responses were analyzed and coded using the constant comparative method, and responses were tabulated under themes. Common perceptions included increased data collection, enhanced efficiency, and increased perceived quality of the information gathered with the M3App. Residents appreciated the timely, high-quality feedback they received. Faculty reported becoming more comfortable with the tool over time, and a more favorable evaluation of the tool was associated with higher utilization. Program directors reported improvements in faculty knowledge of the milestones and resident satisfaction with feedback. Faculty and residents credited the M3App with improving the quality and efficiency of resident feedback. Residents appreciated the frequency, proximity, and specificity of feedback, and faculty reported the app improved their familiarity with the milestones. Implementation challenges included lack of a physician champion and competing demands on faculty time.

  11. Acquisition Program Transition Workshops: An Element of the DSMC Program Manager Mission Assistance Capability

    DTIC Science & Technology

    2011-10-01

    specific modules as needed. The term “startup” is inclusive of any point in a DoD acquisition program. As noted above, methodology for conducting...Acquisition Sustainment =Decision Point =Milestone Review =Decision Point if PDR is not conducted before Milestone B ProgramA B Initiation) C IOC FOC...start a new program 2.2 Background Conclusions flowing from these observations led the Office of the Secretary of Defense, the De - fense Acquisition

  12. Educational Milestone Development in the First 7 Specialties to Enter the Next Accreditation System

    PubMed Central

    Swing, Susan R.; Beeson, Michael S.; Carraccio, Carol; Coburn, Michael; Iobst, William; Selden, Nathan R.; Stern, Peter J.; Vydareny, Kay

    2013-01-01

    Background The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project introduced 6 general competencies relevant to medical practice but fell short of its goal to create a robust assessment system that would allow program accreditation based on outcomes. In response, the ACGME, the specialty boards, and other stakeholders collaborated to develop educational milestones, observable steps in residents' professional development that describe progress from entry to graduation and beyond. Objectives We summarize the development of the milestones, focusing on 7 specialties, moving to the next accreditation system in July 2013, and offer evidence of their validity. Methods Specialty workgroups with broad representation used a 5-level developmental framework and incorporated information from literature reviews, specialty curricula, dialogue with constituents, and pilot testing. Results The workgroups produced richly diverse sets of milestones that reflect the community's consideration of attributes of competence relevant to practice in the given specialty. Both their development process and the milestones themselves establish a validity argument, when contemporary views of validity for complex performance assessment are used. Conclusions Initial evidence for validity emerges from the development processes and the resulting milestones. Further advancing a validity argument will require research on the use of milestone data in resident assessment and program accreditation. PMID:24404235

  13. Developmental milestones record - 2 years

    MedlinePlus

    ... hour or less is better. Avoid programming with violent content. Redirect the child to reading or play activities. Control the type of games the child plays. Alternative Names Growth milestones for ...

  14. Multidisciplinary Analysis and Optimization Generation 1 and Next Steps

    NASA Technical Reports Server (NTRS)

    Naiman, Cynthia Gutierrez

    2008-01-01

    The Multidisciplinary Analysis & Optimization Working Group (MDAO WG) of the Systems Analysis Design & Optimization (SAD&O) discipline in the Fundamental Aeronautics Program s Subsonic Fixed Wing (SFW) project completed three major milestones during Fiscal Year (FY)08: "Requirements Definition" Milestone (1/31/08); "GEN 1 Integrated Multi-disciplinary Toolset" (Annual Performance Goal) (6/30/08); and "Define Architecture & Interfaces for Next Generation Open Source MDAO Framework" Milestone (9/30/08). Details of all three milestones are explained including documentation available, potential partner collaborations, and next steps in FY09.

  15. Impact on house staff evaluation scores when changing from a Dreyfus- to a Milestone-based evaluation model: one internal medicine residency program's findings.

    PubMed

    Friedman, Karen A; Balwan, Sandy; Cacace, Frank; Katona, Kyle; Sunday, Suzanne; Chaudhry, Saima

    2014-01-01

    As graduate medical education (GME) moves into the Next Accreditation System (NAS), programs must take a critical look at their current models of evaluation and assess how well they align with reporting outcomes. Our objective was to assess the impact on house staff evaluation scores when transitioning from a Dreyfus-based model of evaluation to a Milestone-based model of evaluation. Milestones are a key component of the NAS. We analyzed all end of rotation evaluations of house staff completed by faculty for academic years 2010-2011 (pre-Dreyfus model) and 2011-2012 (post-Milestone model) in one large university-based internal medicine residency training program. Main measures included change in PGY-level average score; slope, range, and separation of average scores across all six Accreditation Council for Graduate Medical Education (ACGME) competencies. Transitioning from a Dreyfus-based model to a Milestone-based model resulted in a larger separation in the scores between our three post-graduate year classes, a steeper progression of scores in the PGY-1 class, a wider use of the 5-point scale on our global end of rotation evaluation form, and a downward shift in the PGY-1 scores and an upward shift in the PGY-3 scores. For faculty trained in both models of assessment, the Milestone-based model had greater discriminatory ability as evidenced by the larger separation in the scores for all the classes, in particular the PGY-1 class.

  16. Impact on house staff evaluation scores when changing from a Dreyfus- to a Milestone-based evaluation model: one internal medicine residency program's findings.

    PubMed

    Friedman, Karen A; Balwan, Sandy; Cacace, Frank; Katona, Kyle; Sunday, Suzanne; Chaudhry, Saima

    2014-01-01

    Purpose As graduate medical education (GME) moves into the Next Accreditation System (NAS), programs must take a critical look at their current models of evaluation and assess how well they align with reporting outcomes. Our objective was to assess the impact on house staff evaluation scores when transitioning from a Dreyfus-based model of evaluation to a Milestone-based model of evaluation. Milestones are a key component of the NAS. Method We analyzed all end of rotation evaluations of house staff completed by faculty for academic years 2010-2011 (pre-Dreyfus model) and 2011-2012 (post-Milestone model) in one large university-based internal medicine residency training program. Main measures included change in PGY-level average score; slope, range, and separation of average scores across all six Accreditation Council for Graduate Medical Education (ACGME) competencies. Results Transitioning from a Dreyfus-based model to a Milestone-based model resulted in a larger separation in the scores between our three post-graduate year classes, a steeper progression of scores in the PGY-1 class, a wider use of the 5-point scale on our global end of rotation evaluation form, and a downward shift in the PGY-1 scores and an upward shift in the PGY-3 scores. Conclusions For faculty trained in both models of assessment, the Milestone-based model had greater discriminatory ability as evidenced by the larger separation in the scores for all the classes, in particular the PGY-1 class.

  17. Practical Implications for an Effective Radiology Residency Quality Improvement Program for Milestone Assessment.

    PubMed

    Leddy, Rebecca; Lewis, Madelene; Ackerman, Susan; Hill, Jeanne; Thacker, Paul; Matheus, Maria; Tipnis, Sameer; Gordon, Leonie

    2017-01-01

    Utilization of a radiology resident-specific quality improvement (QI) program and curriculum based on the Accreditation Council for Graduate Medical Education (ACGME) milestones can enable a program's assessment of the systems-based practice component and prepare residents for QI implementation post graduation. This article outlines the development process, curriculum, QI committee formation, and resident QI project requirements of one institution's designated radiology resident QI program. A method of mapping the curriculum to the ACGME milestones and assessment of resident competence by postgraduate year level is provided. Sample projects, challenges to success, and lessons learned are also described. Survey data of current trainees and alumni about the program reveal that the majority of residents and alumni responders valued the QI curriculum and felt comfortable with principles and understanding of QI. The most highly valued aspect of the program was the utilization of a resident education committee. The majority of alumni responders felt the residency quality curriculum improved understanding of QI, assisted with preparation for the American Board of Radiology examination, and prepared them for QI in their careers. In addition to the survey results, outcomes of resident project completion and resident scholarly activity in QI are evidence of the success of this program. It is hoped that this description of our experiences with a radiology resident QI program, in accordance with the ACGME milestones, may facilitate the development of successful QI programs in other diagnostic radiology residencies. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  18. Competent for Unsupervised Practice: Use of Pediatric Residency Training Milestones to Assess Readiness.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann P; Burke, Ann E; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly A

    2017-03-01

    To describe clinical skills progression during pediatric residency using the distribution of pediatric milestone assessments by subcompetency and year of training and to determine reasonable milestone expectations at time of graduation. Multi-institutional cohort study of the milestones reported to the Accreditation Council for Graduate Medical Education for all 21 pediatric subcompetencies. Most subcompetencies were measured using five milestone levels (1 = novice, 2 = advanced beginner, 3 = competent, 4 = proficient, 5 = master); 3 subcompetencies had only four levels defined. Milestone assessments for 2,030 pediatric residents in 47 programs during academic year 2013-2014 were obtained. There was significant variation in end-of-year milestone ratings for residents within each level of training, which decreased as training level increased. Most (78.9%; 434/550) graduating third-year pediatric residents received a milestone rating of ≥ 3 in all 21 subcompetencies; fewer (21.1%; 116/550) received a rating of ≥ 4 in all subcompetencies. Across all training levels, professionalism and interpersonal communication skills were rated highest; quality improvement was rated lowest. Trainees entered residency with a wide range of skills. As they advanced, skill variability within a training level decreased. Most graduating pediatric residents were still advancing on the milestone continuum toward proficiency and mastery, and an expectation of milestone ratings ≥ 4 in all categories upon graduation is unrealistic; milestone ratings ≥ 3 upon graduation may be more realistic. Understanding current pediatric residents' and graduates' skills can help to identify key areas that should be specifically targeted during training.

  19. Putting the pediatrics milestones into practice: a consensus roadmap and resource analysis.

    PubMed

    Schumacher, Daniel J; Spector, Nancy D; Calaman, Sharon; West, Daniel C; Cruz, Mario; Frohna, John G; Gonzalez Del Rey, Javier; Gustafson, Kristina K; Poynter, Sue Ellen; Rosenbluth, Glenn; Southgate, W Michael; Vinci, Robert J; Sectish, Theodore C

    2014-05-01

    The Accreditation Council for Graduate Medical Education has partnered with member boards of the American Board of Medical Specialties to initiate the next steps in advancing competency-based assessment in residency programs. This initiative, known as the Milestone Project, is a paradigm shift from traditional assessment efforts and requires all pediatrics residency programs to report individual resident progression along a series of 4 to 5 developmental levels of performance, or milestones, for individual competencies every 6 months beginning in June 2014. The effort required to successfully make this shift is tremendous given the number of training programs, training institutions, and trainees. However, it holds great promise for achieving training outcomes that align with patient needs; developing a valid, reliable, and meaningful way to track residents' development; and providing trainees with a roadmap for learning. Recognizing the resources needed to implement this new system, the authors, all residency program leaders, provide their consensus view of the components necessary for implementing and sustaining this effort, including resource estimates for completing this work. The authors have identified 4 domains: (1) Program Review and Development of Stakeholders and Participants, (2) Assessment Methods and Validation, (3) Data and Assessment System Development, and (4) Summative Assessment and Feedback. This work can serve as a starting point and framework for collaboration with program, department, and institutional leaders to identify and garner necessary resources and plan for local and national efforts that will ensure successful transition to milestones-based assessment. Copyright © 2014 by the American Academy of Pediatrics.

  20. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  1. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  2. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  3. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  4. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  5. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  6. 1999 Report on Hanford Site land disposal restriction for mixed waste

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

    BLACK, D.G.

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-011. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility.

  7. The technology application process as applied to a firefighter's breathing system

    NASA Technical Reports Server (NTRS)

    Mclaughlan, P. B.

    1974-01-01

    The FBS Program indicated that applications of advanced technology can result in an improved FBS that will satisfy the requirements defined by municipal fire departments. To accomplish this technology transfer, a substantial commitment of resources over an extended period of time has been required. This program has indicated that the ability of NASA in terms of program management such as requirement definition, system analysis, and industry coordination may play as important a role as specific sources of hardware technology. As a result of the FBS program, a sequence of milestones was passed that may have applications as generalized milestones and objectives for any technical application program.

  8. KSC-2012-4583

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, Scott Thurston, partner integration office manager with the Commercial Crew Program, talks to the media prior to an announcement from NASA Administrator Charles Bolden about new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  9. CVN 78 Gerald R. Ford Class Nuclear Aircraft Carrier (CVN 78)

    DTIC Science & Technology

    2013-12-01

    Capabil... -Follow-on Ship (CVN 79) DAB Program Review - • Start Construction - • Delivery .-:K IOT &E IOT &E Start .-:41 IOT &E Complete e(41 Follow-on...Ship (CVN 80) DAB Program Review -Platform-Level Integration D ... ....., Milestone C .. EMALS EMALS Delivery (with Ship) .-:o; IOC ..:<! IOT ...E IOT &E Start ..:<! IOT &E Complete -· Platform-Level Integration .. ...:<! CVN 78 Milestones SAR Baseline Dev Est Current APB Development

  10. KSC-2012-4585

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  11. KSC-2012-4584

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  12. KSC-2012-4586

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  13. Terry Turbopump Expanded Operating Band Full-Scale Component and Basic Science Detailed Test Plan - Final.

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

    Osborn, Douglas; Solom, Matthew

    This document details the milestone approach to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) efforts. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  14. Terry Turbopump Expanded Operating Band Full-Scale Component and Basic Science Detailed Test Plan-Revision 2

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

    Solom, Matthew; Ross, Kyle; Cardoni, Jeffrey N.

    This document details the milestone approach to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) efforts. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  15. FIELD MEASUREMENT TECHNOLOGY FOR MERCURY IN SOIL AND SEDIMENT MILESTONE INC.'S DIRECT MERCURY ANALYZER (DMA)-80

    EPA Science Inventory

    Milestone's Direct Mercury Analyzer (DMA-80) was demonstrated under the U.S. Environmental Protection Agency Superfund Innovative Technology Evaluation Program in May 2003 at the Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee. The purpose of the Demonstration was to...

  16. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  17. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  18. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  19. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  20. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  1. A multi-source feedback tool for measuring a subset of Pediatrics Milestones.

    PubMed

    Schwartz, Alan; Margolis, Melissa J; Multerer, Sara; Haftel, Hilary M; Schumacher, Daniel J

    2016-10-01

    The Pediatrics Milestones Assessment Pilot employed a new multisource feedback (MSF) instrument to assess nine Pediatrics Milestones among interns and subinterns in the inpatient context. To report validity evidence for the MSF tool for informing milestone classification decisions. We obtained MSF instruments by different raters per learner per rotation. We present evidence for validity based on the unified validity framework. One hundred and ninety two interns and 41 subinterns at 18 Pediatrics residency programs received a total of 1084 MSF forms from faculty (40%), senior residents (34%), nurses (22%), and other staff (4%). Variance in ratings was associated primarily with rater (32%) and learner (22%). The milestone factor structure fit data better than simpler structures. In domains except professionalism, ratings by nurses were significantly lower than those by faculty and ratings by other staff were significantly higher. Ratings were higher when the rater observed the learner for longer periods and had a positive global opinion of the learner. Ratings of interns and subinterns did not differ, except for ratings by senior residents. MSF-based scales correlated with summative milestone scores. We obtain moderately reliable MSF ratings of interns and subinterns in the inpatient context to inform some milestone assignments.

  2. Hardware Based Technology Assessment in Support of Near-Term Space Fission Missions

    NASA Technical Reports Server (NTRS)

    Houts, Mike; VanDyke, Melissa; Godfroy, Tom; Martin, James; BraggSitton, Shannon; Carter, Robert; Dickens, Ricky; Salvail, Pat; Williams, Eric; Harper, Roger

    2003-01-01

    Fission technology can enable rapid, affordable access to any point in the solar system. If fission propulsion systems are to be developed to their full potential; however, near-term customers must be identified and initial fission systems successfully developed, launched, and utilized. Successful utilization will most likely occur if frequent, significant hardware-based milestones can be achieved throughout the program. Achieving these milestones will depend on the capability to perform highly realistic non-nuclear testing of nuclear systems. This paper discusses ongoing and potential research that could help achieve these milestones.

  3. Multi-Disciplinary Analysis and Optimization Frameworks

    NASA Technical Reports Server (NTRS)

    Naiman, Cynthia Gutierrez

    2009-01-01

    Since July 2008, the Multidisciplinary Analysis & Optimization Working Group (MDAO WG) of the Systems Analysis Design & Optimization (SAD&O) discipline in the Fundamental Aeronautics Program s Subsonic Fixed Wing (SFW) project completed one major milestone, Define Architecture & Interfaces for Next Generation Open Source MDAO Framework Milestone (9/30/08), and is completing the Generation 1 Framework validation milestone, which is due December 2008. Included in the presentation are: details of progress on developing the Open MDAO framework, modeling and testing the Generation 1 Framework, progress toward establishing partnerships with external parties, and discussion of additional potential collaborations

  4. AIM-120 Advanced Medium Range Air-to-Air Missile (AMRAAM)

    DTIC Science & Technology

    2013-12-01

    lilA (DAB) DAE Program Review Start Production Deliveries Complete DAOT&E (Air Force) Complete IOT &E!Captive Ca ... Initial EQuipage Milestone... IOT &E OCT 1983 N/A N/A OCT 1983 Certification FEB 1986 FEB 1986 AUG 1986 FEB 1986 Milestone IIIA (DAB) JUN 1987 JUN 1987 DEC 1987 JUN 1987 DAE...Program Review MAY 1988 MAY 1988 NOV 1988 MAY 1988 Start Production Deliveries SEP 1988 SEP 1988 MAR 1989 SEP 1988 Complete D/ IOT &E (Air Force) JAN 1989 JAN

  5. Milestone-compatible neurology resident assessments: A role for observable practice activities.

    PubMed

    Jones, Lyell K; Dimberg, Elliot L; Boes, Christopher J; Eggers, Scott D Z; Dodick, David W; Cutsforth-Gregory, Jeremy K; Leep Hunderfund, Andrea N; Capobianco, David J

    2015-06-02

    Beginning in 2014, US neurology residency programs were required to report each trainee's educational progression within 29 neurology Milestone competency domains. Trainee assessment systems will need to be adapted to inform these requirements. The primary aims of this study were to validate neurology resident assessment content using observable practice activities (OPAs) and to develop assessment formats easily translated to the Neurology Milestones. A modified Delphi technique was used to establish consensus perceptions of importance of 73 neurology OPAs among neurology educators and trainees at 3 neurology residency programs. A content validity score (CVS) was derived for each neurology OPA, with scores ≥4.0 determined in advance to indicate sufficient content validity. The mean CVS for all OPAs was 4.4 (range 3.5-5.0). Fifty-seven (78%) OPAs had a CVS ≥4.0, leaving 16 (22%) below the pre-established threshold for content validity. Trainees assigned a higher importance to individual OPAs (mean CVS 4.6) compared to faculty (mean 4.4, p = 0.016), but the effect size was small (η(2) = 0.10). There was no demonstrated effect of length of education experience on perceived importance of neurology OPAs (p = 0.23). Two sample resident assessment formats were developed, one using neurology OPAs alone and another using a combination of neurology OPAs and the Neurology Milestones. This study provides neurology training programs with content validity evidence for items to include in resident assessments, and sample assessment formats that directly translate to the Neurology Milestones. Length of education experience has little effect on perceptions of neurology OPA importance. © 2015 American Academy of Neurology.

  6. From Early to Current Developments in Online Learning at Nova Southeastern University: Reflections on Historical Milestones.

    ERIC Educational Resources Information Center

    Dringus, Laurie P.; Scigliano, John A.

    2000-01-01

    Traces the major historical milestones achieved by Nova Southeastern University in its pioneering of graduate level online learning programs. Highlights include delivery systems; Web-based electronic classrooms; overview of the technology, including telecommunications through UNIX; evaluation and research; and technology used in the School of…

  7. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  8. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  9. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  10. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  11. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  12. Mapping Residency Global Health Experiences to the ACGME Family Medicine Milestones.

    PubMed

    Grissom, Maureen O; Iroku-Malize, Tochi; Peila, Rita; Perez, Marco; Philippe, Neubert

    2017-07-01

    Global health (GH) experiences are a unique part of family medicine (FM) training that offer an opportunity for residents to demonstrate development across a multitude of the milestones recently implemented by the Accreditation Council for Graduate Medical Education (ACGME). The GH experience presents an opportunity for resident development, and including a component of written reflection can provide tangible evidence of development in areas that can be difficult to assess. A mixed methods approach was used to integrate quantitative (frequency) data with qualitative content from the written reflections of 12 of our FM residents who participated in GH experiences. Written reflections touched on each of the 22 milestones, although some milestones were noted more frequently than others. The most commonly identified milestones fell within the competency areas of systems-based practice, professionalism, and practice-based learning and improvement. Our qualitative approach allowed us to gain an appreciation of the unique experiences that demonstrated growth across the various milestones. We conclude that any program that offers GH experiences should incorporate some form of written reflection to maximize resident growth and offer evaluative faculty a window into that development.

  13. WIPP Remote-Handled TRU Waste Program Update

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

    Most, W.; Kehrman, B.

    2006-07-01

    There are two major regulatory approval milestones necessary in order to commence disposal operations for remote-handled transuranic (RH TRU) waste at the Waste Isolation Pilot Plant (WIPP)-the RH TRU hazardous waste permit modification request [1] and the radiological characterization plan [2]. One of those milestones has been achieved. The US Environmental Protection Agency (EPA) issued its final decision to approve the Department of Energy's (DOE) RH TRU radiological characterization plan along with the RH TRU Waste Characterization Program Implementation Plan [3], on March 26, 2004. The RH TRU hazardous waste permit modification request still awaits agency approval. In EPA's decisionmore » to approve the DOE's RH TRU radiological characterization plan, the EPA also set forth the process for approving site-specific RH TRU waste characterization programs. Included in the March 29, 2005, RH TRU second Notice of Deficiency [4] (NOD) on the Class 3 Permit Modification Request for RH TRU Waste, the New Mexico Environment Department (NMED) requested that the Permittees combine their responses for the RH TRU Waste NOD with the Section 311 permit modification request NOD. The Combined Response Document was submitted April 28, 2005 [5]. Another NOD [6] was issued by the NMED on September 1, 2005, to clarify the Permittees' proposal and submit these clarifications to the administrative record. Combining both the chap. 311 [7] and RH TRU waste permit modification requests allows for both the regulator and Permittees to expedite action on the modification requests. The Combined Response Document preserves human resources and costs by having only one administrative process for both modification requests. Facility readiness requirements of the RH TRU waste final permit [8] must be implemented to declare that the WIPP is ready to receive RH TRU waste for storage and disposal. To demonstrate readiness, the WIPP is preparing for an Operational Readiness Review (ORR) of the RH TRU waste management equipment, system, and procedures. Required by DOE Order, the ORR demonstrates the capability of managing RH TRU waste. The Management and Operating Contractor (MOC) for the WIPP must first perform a Line Management Assessment. Upon successful completion of the Line Management Assessment, the MOC performs the Contractor ORR and presents the results to the local DOE office. At that time, the local DOE office performs its own ORR to declare readiness to DOE Headquarters. (authors)« less

  14. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  15. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  16. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  17. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  18. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  19. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  20. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  1. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  2. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  3. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  4. Peregrine Sustainer Motor Development

    NASA Technical Reports Server (NTRS)

    Brodell, Chuck; Franklin, Philip

    2015-01-01

    The Peregrine sounding rocket is an in-house NASA design that provides approximately 15 percent better performance than the motor it replaces. The design utilizes common materials and well-characterized architecture to reduce flight issues encountered with the current motors. It engages NASA design, analysts, test engineers and technicians, ballisticians, and systems engineers. The in-house work and collaboration within the government provides flexibility to efficiently accommodate design and program changes as the design matures and enhances the ability to meet schedule milestones. It provides a valuable tool to compare industry costs, develop contracts, and it develops foundational knowledge for the next generation of NASA engineers.

  5. A Milestone-Based Evaluation System-The Cure for Grade Inflation?

    PubMed

    Kuo, Lindsay E; Hoffman, Rebecca L; Morris, Jon B; Williams, Noel N; Malachesky, Mark; Huth, Laura E; Kelz, Rachel R

    2015-01-01

    Controversy exists over the optimal use of the Milestones in the process of resident evaluation and feedback. We sought to evaluate the performance of a Milestones-based feedback system in comparison to a traditional model. The traditional evaluation system (TES) consisted of a generic 16-item survey using a 5-point Likert scale ranging from 1 to 5, and a free-text comments section. The Milestones-based evaluation system (MBES) was launched in July 2014, ranging from 0 to 4. Individual milestones were mapped to rotations based on resident educational goals by postgraduate year (PGY). The MBES consisted of a survey with a maximum of 7 items, followed by a free-text comment section. Within each evaluation system, an overall composite score was calculated for each categorical general surgical resident. To scale the 2 systems for comparison, TES scores were adjusted downward by 1 point. Descriptive statistics were performed. Univariate analysis was performed with the Wilcoxon signed-rank test. A test for trend across PGY was used for the MBES only. In the traditional system, the median score was 3.66 (range: 3.2-4.0). There was no meaningful difference in the median score by PGY. In the new system, the median score was 2.69 (range: 1.5-3.7, p < 0.01). The median score differed across PGY and increased by PGY of training (p < 0.01). There was an increase in differences between median scores by PGY. On using the milestones to facilitate faculty evaluation of resident knowledge and skill, there was a trend in increasing score by PGY of training. In the MBES, scores could be used to better discriminate resident skill and knowledge levels and resulted in improved differentiation in scoring by PGY. The use of the milestones as a basis for evaluation enabled the program to provide more meaningful feedback to residents and represents an improvement in surgical education. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  6. Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training

    PubMed Central

    Dayal, Arjun; O’Connor, Daniel M.; Qadri, Usama

    2017-01-01

    Importance Although implicit bias in medical training has long been suspected, it has been difficult to study using objective measures, and the influence of sex and gender in the evaluation of medical trainees is unknown. The emergency medicine (EM) milestones provide a standardized framework for longitudinal resident assessment, allowing for analysis of resident performance across all years and programs at a scope and level of detail never previously possible. Objective To compare faculty-observed training milestone attainment of male vs female residency training Design, Setting, and Participants This multicenter, longitudinal, retrospective cohort study took place at 8 community and academic EM training programs across the United States from July 1, 2013, to July 1, 2015, using a real-time, mobile-based, direct-observation evaluation tool. The study examined 33 456 direct-observation subcompetency evaluations of 359 EM residents by 285 faculty members. Main Outcomes and Measures Milestone attainment for male and female EM residents as observed by male and female faculty throughout residency and analyzed using multilevel mixed-effects linear regression modeling. Results A total of 33 456 direct-observation evaluations were collected from 359 EM residents (237 men [66.0%] and 122 women [34.0%]) by 285 faculty members (194 men [68.1%] and 91 women [31.9%]) during the study period. Female and male residents achieved similar milestone levels during the first year of residency. However, the rate of milestone attainment was 12.7% (0.07 levels per year) higher for male residents through all of residency (95% CI, 0.04-0.09). By graduation, men scored approximately 0.15 milestone levels higher than women, which is equivalent to 3 to 4 months of additional training, given that the average resident gains approximately 0.52 levels per year using our model (95% CI, 0.49-0.54). No statistically significant differences in scores were found based on faculty evaluator gender (effect size difference, 0.02 milestone levels; 95% CI for males, −0.09 to 0.11) or evaluator-evaluatee gender pairing (effect size difference, −0.02 milestone levels; 95% CI for interaction, −0.05 to 0.01). Conclusions and Relevance Although male and female residents receive similar evaluations at the beginning of residency, the rate of milestone attainment throughout training was higher for male than female residents across all EM subcompetencies, leading to a gender gap in evaluations that continues until graduation. Faculty should be cognizant of possible gender bias when evaluating medical trainees. PMID:28264090

  7. ELITE Program: Electric Insertion Transfer Experiment

    NASA Technical Reports Server (NTRS)

    Vondra, Robert

    1992-01-01

    The topics are presented in viewgraph form and include the following: the Cooperative Research & Development Agreement (CRDA); spacecraft; benefits; program milestones; subsystem status; partners; and payloads.

  8. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  9. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  10. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  11. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  12. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  13. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  14. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  15. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  16. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  17. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  18. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  19. Milestones on a Shoestring: A Cost-Effective, Semi-automated Implementation of the New ACGME Requirements for Radiology.

    PubMed

    Schmitt, J Eric; Scanlon, Mary H; Servaes, Sabah; Levin, Dayna; Cook, Tessa S

    2015-10-01

    The advent of the ACGME's Next Accreditation System represents a significant new challenge for residencies and fellowships, owing to its requirements for more complex and detailed information. We developed a system of online assessment tools to provide comprehensive coverage of the twelve ACGME Milestones and digitized them using freely available cloud-based productivity tools. These tools include a combination of point-of-care procedural assessments, electronic quizzes, online modules, and other data entry forms. Using free statistical analytic tools, we also developed an automated system for management, processing, and data reporting. After one year of use, our Milestones project has resulted in the submission of over 20,000 individual data points. The use of automated statistical methods to generate resident-specific profiles has allowed for dynamic reports of individual residents' progress. These profiles both summarize data and also allow program directors access to more granular information as needed. Informatics-driven strategies for data assessment and processing represent feasible solutions to Milestones assessment and analysis, reducing the potential administrative burden for program directors, residents, and staff. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  20. Significance of Objective Structured Clinical Examinations to Plastic Surgery Residency Training.

    PubMed

    Simmons, Brian J; Zoghbi, Yasmina; Askari, Morad; Birnbach, David J; Shekhter, Ilya; Thaller, Seth R

    2017-09-01

    Objective structured clinical examinations (OSCEs) have proven to be a powerful tool. They possess more than a 30-year track record in assessing the competency of medical students, residents, and fellows. Objective structured clinical examinations have been used successfully in a variety of medical specialties, including surgery. They have recently found their way into the subspecialty of plastic surgery. This article uses a systematic review of the available literature on OSCEs and their recent use in plastic surgery. It incorporates survey results assessing program directors' views on the use of OSCEs. Approximately 40% of programs surveyed use OSCEs to assess the Accreditation Council for Graduate Medical Education core competencies. We found that 40% use OSCEs to evaluate specific plastic surgery milestones. Objective structured clinical examinations are usually performed annually. They cost anywhere between $100 and more than $1000 per resident. Four milestones giving residents the most difficulties on OSCEs were congenital anomalies, noncancer breast surgery, breast reconstruction, and practice-based learning and improvement. It was determined that challenges with milestones were due to lack of adequate general knowledge and surgical ward patient care, as well as deficits in professionalism and system-based problems. Programs were able to remediate weakness found by OSCEs using a variety of methods. Objective structured clinical examinations offer a unique tool to objectively assess the proficiency of residents in key areas of the Accreditation Council for Graduate Medical Education core competencies. In addition, they can be used to assess the specific milestones that plastic surgery residents must meet. This allows programs to identify and improve identified areas of weakness.

  1. Progress toward improved leadership and management training in pathology.

    PubMed

    Weiss, Ronald L; Hassell, Lewis A; Parks, Eric R

    2014-04-01

    Competency gaps in leadership and laboratory management skills continue to exist between what training programs deliver and what recent graduates and future employers expect. A number of recent surveys substantiate this. Interest in delivering content in these areas is challenged by time constraints, the presence of knowledgeable faculty role models, and the necessary importance placed on diagnostic skills development, which overshadows any priority trainees have toward developing these skills. To describe the problem, the near-future horizon, the current solutions, and the recommendations for improving resident training in laboratory management. The demands of new health care delivery models and the value being placed on these skills by the Pathology Milestones and Next Accreditation System initiative of the Accreditation Council for Graduate Medical Education for training programs emphasizes their importance. This initiative includes 6 milestone competencies in laboratory management. Organizations like the American Society for Clinical Pathology, the American Pathology Foundation, the College of American Pathologists, and the Association of Pathology Chairs Program Directors Section recognize these competencies and are working to create new tools for training programs to deploy. It is our recommendation that (1) every training program develop a formal educational strategy for management training, (2) greater opportunity and visibility be afforded for peer-reviewed publications on management topics in mainstream pathology literature, and (3) pathology milestones-oriented tools be developed to assist program directors and their trainees in developing this necessary knowledge and skills.

  2. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  3. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  4. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  5. Methods for Analyzing the Attainment of Graduate School Milestones: A Case Study. GRE Board Professional Report No. 86-3P.

    ERIC Educational Resources Information Center

    Zwick, Rebecca; Braun, Henry I.

    Using a data base compiled by the Graduate School of Northwestern University, a longitudinal study of the graduate school careers of 2,211 students in 14 programs was conducted. Among the most prominent findings was the increase in the enrollment of foreign students. The patterns of attainment of graduate school milestones, such as Ph. D.…

  6. Use of Key Performance Indicators to Improve Milestone Assessment in Semi-Annual Clinical Competency Committee Meetings.

    PubMed

    Chen, Fei; Arora, Harendra; Martinelli, Susan M

    2017-01-01

    The Accreditation Council for Graduate Medical Education's Next Accreditation System requires residency programs to semiannually submit composite milestone data on each resident's performance. This report describes and evaluates a new assessment review procedure piloted in our departmental Clinical Competency Committee (CCC) semi-annual meeting in June 2016. A modified Delphi technique was utilized to develop key performance indicators (KPI) linking milestone descriptors to clinical practice. In addition, the CCC identified six specific milestone sub-competencies that would be prescored with objective data prior to the meeting. Each resident was independently placed on the milestones by 3 different CCC faculty members. Milestone placement data of the same cohort of 42 residents (Clinical Anesthesia Years 1-3) were collected to calculate inter-rater reliability of the assessment procedures before and after the implemented changes. A survey was administrated to collect CCC feedback on the new procedure. The procedure assisted in reducing meeting time from 8 to 3.5 hours. Survey of the CCC members revealed positive perception of the procedure. Higher inter-rater reliability of the milestone placement was obtained using the implemented KPIs (Intraclass correlation coefficient [ICC] single measure range: before=.53-.94, after=.74-.98). We found the new assessment procedure beneficial to the efficiency and transparency of the assessment process. Further improvement of the procedure involves refinement of KPIs and additional faculty development on KPIs to allow non-CCC faculty to provide more accurate resident evaluations.

  7. Use of Key Performance Indicators to Improve Milestone Assessment in Semi-Annual Clinical Competency Committee Meetings

    PubMed Central

    Arora, Harendra; Martinelli, Susan M.

    2017-01-01

    Background: The Accreditation Council for Graduate Medical Education's Next Accreditation System requires residency programs to semiannually submit composite milestone data on each resident's performance. This report describes and evaluates a new assessment review procedure piloted in our departmental Clinical Competency Committee (CCC) semi-annual meeting in June 2016. Methods: A modified Delphi technique was utilized to develop key performance indicators (KPI) linking milestone descriptors to clinical practice. In addition, the CCC identified six specific milestone sub-competencies that would be prescored with objective data prior to the meeting. Each resident was independently placed on the milestones by 3 different CCC faculty members. Milestone placement data of the same cohort of 42 residents (Clinical Anesthesia Years 1–3) were collected to calculate inter-rater reliability of the assessment procedures before and after the implemented changes. A survey was administrated to collect CCC feedback on the new procedure. Results: The procedure assisted in reducing meeting time from 8 to 3.5 hours. Survey of the CCC members revealed positive perception of the procedure. Higher inter-rater reliability of the milestone placement was obtained using the implemented KPIs (Intraclass correlation coefficient [ICC] single measure range: before=.53–.94, after=.74–.98). Conclusion: We found the new assessment procedure beneficial to the efficiency and transparency of the assessment process. Further improvement of the procedure involves refinement of KPIs and additional faculty development on KPIs to allow non-CCC faculty to provide more accurate resident evaluations. PMID:29766033

  8. The Pediatrics Milestones Assessment Pilot: Development of Workplace-Based Assessment Content, Instruments, and Processes.

    PubMed

    Hicks, Patricia J; Margolis, Melissa; Poynter, Sue E; Chaffinch, Christa; Tenney-Soeiro, Rebecca; Turner, Teri L; Waggoner-Fountain, Linda; Lockridge, Robin; Clyman, Stephen G; Schwartz, Alan

    2016-05-01

    To report on the development of content and user feedback regarding the assessment process and utility of the workplace-based assessment instruments of the Pediatrics Milestones Assessment Pilot (PMAP). One multisource feedback instrument and two structured clinical observation instruments were developed and refined by experts in pediatrics and assessment to provide evidence for nine competencies based on the Pediatrics Milestones (PMs) and chosen to inform residency program faculty decisions about learners' readiness to serve as pediatric interns in the inpatient setting. During the 2012-2013 PMAP study, 18 U.S. pediatric residency programs enrolled interns and subinterns. Faculty, residents, nurses, and other observers used the instruments to assess learner performance through direct observation during a one-month rotation. At the end of the rotation, data were aggregated for each learner, milestone levels were assigned using a milestone classification form, and feedback was provided to learners. Learners and site leads were surveyed and/or interviewed about their experience as participants. Across the sites, 2,338 instruments assessing 239 learners were completed by 630 unique observers. Regarding end-of-rotation feedback, 93% of learners (128/137) agreed the assessments and feedback "helped me understand how those with whom I work perceive my performance," and 85% (117/137) agreed they were "useful for constructing future goals or identifying a developmental path." Site leads identified several benefits and challenges to the assessment process. PM-based instruments used in workplace-based assessment provide a meaningful and acceptable approach to collecting evidence of learner competency development. Learners valued feedback provided by PM-based assessment.

  9. Realization of entry-to-practice milestones by Canadians who studied medicine abroad and other international medical graduates: a retrospective cohort study.

    PubMed

    Mathews, Maria; Kandar, Rima; Slade, Steve; Yi, Yanqing; Beardall, Sue; Bourgeault, Ivy

    2017-06-19

    International medical graduates must realize a series of milestones to obtain full licensure. We examined the realization of milestones by Canadian and non-Canadian graduates of Western or Caribbean medical schools, and Canadian and non-Canadian graduates from other medical schools. Using the National IMG Database (data available for 2005-2011), we created 2 cohorts: 1) international medical graduates who had passed the Medical Council of Canada Qualifying Examination Part I between 2005 and 2010 and 2) those who had first entered a family medicine postgraduate program between 2005 and 2009, or had first entered a specialty postgraduate program in 2005 or 2006. We examined 3 entry-to-practice milestones; obtaining a postgraduate position, passing the Medical Council of Canada Qualifying Examination Part II and obtaining a specialty designation. Of the 6925 eligible graduates in cohort 1, 2144 (31.0%) had obtained a postgraduate position. Of the 1214 eligible graduates in cohort 2, 1126 (92.8%) had passed the Qualifying Examination Part II, and 889 (73.2%) had obtained a specialty designation. In multivariate analyses, Canadian graduates of Western or Caribbean medical schools (odds ratio [OR] 4.69, 95% confidence interval [CI] 3.82-5.71) and Canadian graduates of other medical schools (OR 1.49, 95% CI 1.31-1.70) were more likely to obtain a postgraduate position than non-Canadian graduates of other (not Western or Caribbean) medical schools. There was no difference among the groups in passing the Qualifying Examination Part II or obtaining a specialty designation. Canadians who studied abroad were more likely than other international medical graduates to obtain a postgraduate position; there were no differences among the groups in realizing milestones once in a postgraduate program. These findings support policies that do not distinguish postgraduate applicants by citizenship or permanent residency status before medical school. Copyright 2017, Joule Inc. or its licensors.

  10. Have First-Year Emergency Medicine Residents Achieved Level 1 on Care-Based Milestones?

    PubMed Central

    Weizberg, Moshe; Bond, Michael C.; Cassara, Michael; Doty, Christopher; Seamon, Jason

    2015-01-01

    Background Residents in Accreditation Council for Graduate Medical Education accredited emergency medicine (EM) residencies were assessed on 23 educational milestones to capture their progression from medical student level (Level 1) to that of an EM attending physician (Level 5). Level 1 was conceptualized to be at the level of an incoming postgraduate year (PGY)-1 resident; however, this has not been confirmed. Objectives Our primary objective in this study was to assess incoming PGY-1 residents to determine what percentage achieved Level 1 for the 8 emergency department (ED) patient care–based milestones (PC 1–8), as assessed by faculty. Secondary objectives involved assessing what percentage of residents had achieved Level 1 as assessed by themselves, and finally, we calculated the absolute differences between self- and faculty assessments. Methods Incoming PGY-1 residents at 4 EM residencies were assessed by faculty and themselves during their first month of residency. Performance anchors were adapted from ACGME milestones. Results Forty-one residents from 4 programs were included. The percentage of residents who achieved Level 1 for each subcompetency on faculty assessment ranged from 20% to 73%, and on self-assessment from 34% to 92%. The majority did not achieve Level 1 on faculty assessment of milestones PC-2, PC-3, PC-5a, and PC-6, and on self-assessment of PC-3 and PC-5a. Self-assessment was higher than faculty assessment for PC-2, PC-5b, and PC-6. Conclusions Less than 75% of PGY-1 residents achieved Level 1 for ED care-based milestones. The majority did not achieve Level 1 on 4 milestones. Self-assessments were higher than faculty assessments for several milestones. PMID:26692971

  11. Incubating the research independence of a medical scientist training program graduate: a case study.

    PubMed

    Dzirasa, Kafui; Krishnan, Ranga R; Williams, R Sanders

    2015-02-01

    Physician-scientists play a critical role in discovering new biological knowledge and translating findings into medical practices that can improve clinical outcomes. Collectively, the National Institutes of Health (NIH) and its affiliated Medical Scientist Training Programs (MSTPs) invest upwards of $500,000 to fully train each of the 900+ MD/PhD students enrolled in these programs. Nevertheless, graduates face the challenges of navigating fragmented intervals of clinical training and research engagement, reinitiating research upon completing their residencies, managing financial pressures, and competing for funding following what is typically four or more years of research inactivity. Together, these barriers contribute to the high attrition rate of MSTP graduates from research careers. The authors designed and implemented (2009-2014), for a single trainee, an alternative postgraduate training model characterized by early research engagement, strategic mentoring, unyoked clinical and research milestones, and dedicated financial support. The pilot training experiment was so successful that the trainee secured an NIH project grant and completed his transition to research independence 3.5 years after starting the experimental training schedule-nearly 9 years earlier (based on age) than is typical for MD/PhDs transitioning from mentored to independent research. This success has demonstrated that unyoking research engagement from conventional calendar-based clinical training milestones is a feasible, effective means of incubating research independence in MSTP graduates. The authors encourage the design and application of similar unconventional approaches that interweave residency training with ongoing research activity for appropriate candidates, especially in subspecialties with increased MSTP graduate enrollment.

  12. Integrating Quality Improvement Education into the Nephrology Curricular Milestones Framework and the Clinical Learning Environment Review

    PubMed Central

    Prince, Lisa K.; Little, Dustin J.; Schexneider, Katherine I.

    2017-01-01

    The Accreditation Council for Graduate Medical Education requires that trainees show progressive milestone attainment in the practice–based learning and systems–based practice competencies. As part of the Clinical Learning Environment Review, sponsoring hospitals must educate trainees in health care quality improvement, provide them with specialty–specific quality data, and ensure trainee participation in quality improvement activities and committees. Subspecialty–specific quality improvement curricula in nephrology training programs have not been reported, although considerable curricular and assessment material exists for specialty residencies, including tools for assessing trainee and faculty competence. Nephrology–specific didactic material exists to assist nephrology fellows and faculty mentors in designing and implementing quality improvement projects. Nephrology is notable among internal medicine subspecialties for the emphasis placed on adherence to quality thresholds—specifically for chronic RRT shown by the Centers for Medicare and Medicaid Services Quality Incentive Program. We have developed a nephrology-specific curriculum that meets Accreditation Council for Graduate Medical Education and Clinical Learning Environment Review requirements, acknowledges regulatory quality improvement requirements, integrates with ongoing divisional quality improvement activities, and has improved clinical care and the training program. In addition to didactic training in quality improvement, we track trainee compliance with Kidney Disease Improving Global Outcomes CKD and ESRD quality indicators (emphasizing Quality Improvement Program indicators), and fellows collaborate on a yearly multidisciplinary quality improvement project. Over the past 6 years, each fellowship class has, on the basis of a successful quality improvement project, shown milestone achievement in Systems-Based Practice and Practice-Based Learning. Fellow quality improvement projects have improved nephrology clinical care within the institution and introduced new educational and assessment tools to the training program. All have been opportunities for quality improvement scholarship. The curriculum prepares fellows to apply quality improvement principals in independent clinical practice—while showing milestone advancement and divisional compliance with Clinical Learning Environment Review requirements. PMID:28174318

  13. Susan Hinnen | NREL

    Science.gov Websites

    Technology to Market subprogram. Sue focuses on effective management, planning, milestone tracking, reporting Market programs, the Federal Energy Management Program Office, and the Office of Strategic Programs administration, planning and financial analysis. Education Human Resources Management, Employee Relations and

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

    Not Available

    This outreach publication highlights federal program milestones and accomplishments of the DOE Geothermal Technologies Program for 2003. This is a special 8-page Spanish supplement for the audience at the Geothermal Resources Council/Geothermal Energy Association Annual Meeting and Industry Exhibit, Morelia, Mexico.

  15. The problem resident behavior guide: strategies for remediation.

    PubMed

    Williamson, Kelly; Quattromani, Erin; Aldeen, Amer

    2016-04-01

    In 2012, the ACGME supplemented the core competencies with outcomes-based milestones for resident performance within the six competency domains. These milestones address the knowledge, skills, abilities, attitudes, and experiences that a resident is expected to progress through during the course of training. Even prior to the initiation of the milestones, there was a paucity of EM literature addressing the remediation of problem resident behaviors and there remain few readily accessible tools to aid in the implementation of a remediation plan. The goal of the "Problem Resident Behavior Guide" is to provide specific strategies for resident remediation based on deficiencies identified within the framework of the EM milestones. The "Problem Resident Behavior Guide" is a written instructional manual that provides concrete examples of remediation strategies to address specific milestone deficiencies. The more than 200 strategies stem from the experiences of the authors who have professional experience at three different academic hospitals and emergency medicine residency programs, supplemented by recommendations from educational leaders as well as utilization of valuable education adjuncts, such as focused simulation exercises, lecture preparation, and themed ED shifts. Most recommendations require active participation by the resident with guidance by faculty to achieve the remediation expectations. The ACGME outcomes-based milestones aid in the identification of deficiencies with regards to resident performance without providing recommendations on remediation. The Problem Resident Behavior Guide can therefore have a significant impact by filling in this gap.

  16. Milestones: a rapid assessment method for the Clinical Competency Committee

    PubMed Central

    Nabors, Christopher; Forman, Leanne; Peterson, Stephen J.; Gennarelli, Melissa; Aronow, Wilbert S.; DeLorenzo, Lawrence; Chandy, Dipak; Ahn, Chul; Sule, Sachin; Stallings, Gary W.; Khera, Sahil; Palaniswamy, Chandrasekar; Frishman, William H.

    2016-01-01

    Introduction Educational milestones are now used to assess the developmental progress of all U.S. graduate medical residents during training. Twice annually, each program’s Clinical Competency Committee (CCC) makes these determinations and reports its findings to the Accreditation Council for Graduate Medical Education (ACGME). The ideal way to conduct the CCC is not known. After finding that deliberations reliant upon the new milestones were time intensive, our internal medicine residency program tested an approach designed to produce rapid but accurate assessments. Material and methods For this study, we modified our usual CCC process to include pre-meeting faculty ratings of resident milestones progress with in-meeting reconciliation of their ratings. Data were considered largely via standard report and presented in a pre-arranged pattern. Participants were surveyed regarding their perceptions of data management strategies and use of milestones. Reliability of competence assessments was estimated by comparing pre-/post-intervention class rank lists produced by individual committee members with a master class rank list produced by the collective CCC after full deliberation. Results Use of the study CCC approach reduced committee deliberation time from 25 min to 9 min per resident (p < 0.001). Committee members believed milestones improved their ability to identify and assess expected elements of competency development (p = 0.026). Individual committee member assessments of trainee progress agreed well with collective CCC assessments. Conclusions Modification of the clinical competency process to include pre-meeting competence ratings with in-meeting reconciliation of these ratings led to shorter deliberation times, improved evaluator satisfaction and resulted in reliable milestone assessments. PMID:28144272

  17. A physics-based crystallographic modeling framework for describing the thermal creep behavior of Fe-Cr alloys

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

    Wen, Wei; Capolungo, Laurent; Patra, Anirban

    This Report addresses the Milestone M2MS-16LA0501032 of NEAMS Program (“Develop hardening model for FeCrAl cladding), with a deadline of 09/30/2016. Here we report a constitutive law for thermal creep of FeCrAl. This Report adds to and complements the one for Milestone M3MS-16LA0501034 (“Interface hardening models with MOOSE-BISON”), where we presented a hardening law for irradiated FeCrAl. The last component of our polycrystal-based constitutive behavior, namely, an irradiation creep model for FeCrAl, will be developed as part of the FY17 Milestones, and the three regimes will be coupled and interfaced with MOOSE-BISON.

  18. Space shuttle requirements/configuration evolution

    NASA Technical Reports Server (NTRS)

    Andrews, E. P.

    1991-01-01

    Space Shuttle chronology; Space Shuttle comparison; Cost comparison; Performance; Program ground rules; Sizing criteria; Crew/passenger provisions; Space Shuttle Main Engine (SSME) characteristics; Space Shuttle program milestones; and Space Shuttle requirements are outlined. This presentation is represented by viewgraphs.

  19. Space research and technology overview

    NASA Technical Reports Server (NTRS)

    Reck, Gregory M.

    1992-01-01

    A series of viewgraphs are presented that describe NASA's space research and technology activities. The following areas are covered: NASA organizational structure, overall program/mission objectives, program elements and milestones, planning and resources, accomplishments, and the role of NASA Centers.

  20. History of the numerical aerodynamic simulation program

    NASA Technical Reports Server (NTRS)

    Peterson, Victor L.; Ballhaus, William F., Jr.

    1987-01-01

    The Numerical Aerodynamic Simulation (NAS) program has reached a milestone with the completion of the initial operating configuration of the NAS Processing System Network. This achievement is the first major milestone in the continuing effort to provide a state-of-the-art supercomputer facility for the national aerospace community and to serve as a pathfinder for the development and use of future supercomputer systems. The underlying factors that motivated the initiation of the program are first identified and then discussed. These include the emergence and evolution of computational aerodynamics as a powerful new capability in aerodynamics research and development, the computer power required for advances in the discipline, the complementary nature of computation and wind tunnel testing, and the need for the government to play a pathfinding role in the development and use of large-scale scientific computing systems. Finally, the history of the NAS program is traced from its inception in 1975 to the present time.

  1. ASC Tri-lab Co-design Level 2 Milestone Report 2015

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

    Hornung, Rich; Jones, Holger; Keasler, Jeff

    2015-09-23

    In 2015, the three Department of Energy (DOE) National Laboratories that make up the Advanced Sci- enti c Computing (ASC) Program (Sandia, Lawrence Livermore, and Los Alamos) collaboratively explored performance portability programming environments in the context of several ASC co-design proxy applica- tions as part of a tri-lab L2 milestone executed by the co-design teams at each laboratory. The programming environments that were studied included Kokkos (developed at Sandia), RAJA (LLNL), and Legion (Stan- ford University). The proxy apps studied included: miniAero, LULESH, CoMD, Kripke, and SNAP. These programming models and proxy-apps are described herein. Each lab focused on amore » particular combination of abstractions and proxy apps, with the goal of assessing performance portability using those. Performance portability was determined by: a) the ability to run a single application source code on multiple advanced architectures, b) comparing runtime performance between \

  2. Navigating the Next Accreditation System: A Dashboard for the Milestones.

    PubMed

    Johna, Samir; Woodward, Brandon

    2015-01-01

    In July 2014, all residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) were enrolled in a new system called the Next Accreditation System. Residency programs may not be clear on how best to comply with these new accreditation requirements. Large amounts of data must be collected, evaluated, and submitted twice a year to the council's Web-based data collection system. One challenge is that the new "end-of-rotation" evaluations must reflect specialty-specific milestones, on which many faculty members are not well versed. Like other residency programs, we tried to address the challenges using our local resources. We used our existing electronic goals and objectives for each rotation coupled with appropriate end-of-rotation evaluations reflecting the specialty-specific milestones through a process of editing and mapping. Data extracted from these evaluations were added to an interactive dashboard that also contained evaluations on additional program-specific modifiers of residents' performance. A resident's final overall performance was visually represented on a plot graph. The novel dashboard included features to save evaluations for future comparisons and to track residents' progress during their entire training. It proved simple to use and was able to reduce the time needed for each resident evaluation to 5 to 10 minutes. This tool has made it much easier and less challenging for the members of our Clinical Competency Committee to start deliberation about each resident's performance.

  3. 48 CFR 234.004 - Acquisition strategy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... acquisition strategy. The documentation— (A) Shall include an explanation of the level of program risk; and (B... the reasons for proceeding with Milestone B approval despite the high level of program risk; and (iii...'s written determination that— (A) The program is so complex and technically challenging that it...

  4. Site characterization plan: Yucca Mountain Site, Nevada Research and Development Area, Nevada: Volume 8, Part B: Chapter 8, Sections 8.3.5 through 8.3.5.20

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

    NONE

    1988-12-01

    This site characterization plan (SCP) has been developed for the candidate repository site at Yucca Mountain in the State of Nevada. The SCP includes a description of the Yucca Mountain site (Chapters 1-5), a conceptual design for the repository (Chapter 6), a description of the packaging to be used for the waste to be emplaced in the repository (Chapter 7), and a description of the planned site characterization activities (Chapter 8). The schedules and milestones presented in Sections 8.3 and 8.5 of the SCP were developed to be consistent with the June 1988 draft Amendment to the DOE`s Mission Planmore » for the Civilian Radioactive Waste Management Program. The five month delay in the scheduled start of exploratory shaft construction that was announced recently is not reflected in these schedules. 68 figs., 102 tabs.« less

  5. Structures and Dynamics Division research and technology plans, fiscal year, 1981

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1981-01-01

    The objectives, expected results, approach, and FY 81 milestones for the Structures and Dynamics Division's research program are presented. This information will be useful in program coordination with other government organizations in areas of mutual interest.

  6. Study Program to Develop and Evaluate Die and Container Materials for the Growth of Silicon Ribbons

    NASA Technical Reports Server (NTRS)

    Ounby, P. D.; Yu, B. B.; Barsoum, M. W.

    1979-01-01

    The completion of a major hardware delivery milestone was accomplished with the delivery of three CNTD Si3N4 coated hot pressed Si3N4 crucibles. A limited characterization of the coating was performed at MRL prior to delivery. The coatings were fine grained alpha - Si3N4. It was determined that a two piece die design is required. The importance of the role of oxygen in influencing the attack of the CNTD materials by molten silicon was demonstrated. The stability is greatly enhanced by maintaining the oxygen partial pressure near or below the Si + O2 = SiO2 equilibrium.

  7. Terry Turbopump Analytical Modeling Efforts in Fiscal Year 2016 ? Progress Report.

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

    Osborn, Douglas; Ross, Kyle; Cardoni, Jeffrey N

    This document details the Fiscal Year 2016 modeling efforts to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) experiments. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  8. MQ-9 Reaper Unmanned Aircraft System (MQ-9 Reaper)

    DTIC Science & Technology

    2013-12-01

    Milestone C ACAT II Block 1 FEB 2008 FEB 2008 FEB 2008 FEB 2008 IOT&E for Block 1 MAY 2008 MAY 2008 MAY 2008 MAY 2008 RAA SEP 2010 JUN 2012 JUN 2012 JUN...milestone change. Memo MQ-9 Reaper December 2013 SAR April 16, 2014 17:17:09 UNCLASSIFIED 9 RAA includes two fixed GCSs, two mobile GCSs...Control Station IOT&E - Initial Operational Test and Evaluation PMAI - Primary Mission Aircraft Inventory PO - Program Office RAA - Required Assets

  9. Level-2 Milestone 3244: Deploy Dawn ID Machine for Initial Science Runs

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

    Fox, D

    2009-09-21

    This report documents the delivery, installation, integration, testing, and acceptance of the Dawn system, ASC L2 milestone 3244: Deploy Dawn ID Machine for Initial Science Runs, due September 30, 2009. The full text of the milestone is included in Attachment 1. The description of the milestone is: This milestone will be a result of work started three years ago with the planning for a multi-petaFLOPS UQ-focused platform (Sequoia) and will be satisfied when a smaller ID version of the final system is delivered, installed, integrated, tested, accepted, and deployed at LLNL for initial science runs in support of SSP mission.more » The deliverable for this milestone will be a LA petascale computing system (named Dawn) usable for code development and scaling necessary to ensure effective use of a final Sequoia platform (expected in 2011-2012), and for urgent SSP program needs. Allocation and scheduling of Dawn as an LA system will likely be performed informally, similar to what has been used for BlueGene/L. However, provision will be made to allow for dedicated access times for application scaling studies across the entire Dawn resource. The milestone was completed on April 1, 2009, when science runs began running on the Dawn system. The following sections describe the Dawn system architecture, current status, installation and integration time line, and testing and acceptance process. A project plan is included as Attachment 2. Attachment 3 is a letter certifying the handoff of the system to a nuclear weapons stockpile customer. Attachment 4 presents the results of science runs completed on the system.« less

  10. Effectiveness of a parenting program in Bangladesh to address early childhood health, growth and development.

    PubMed

    Aboud, Frances E; Singla, Daisy R; Nahil, Md Imam; Borisova, Ivelina

    2013-11-01

    A stratified cluster design was used to evaluate a 10-month parenting program delivered to mothers of children in rural Bangladesh. Intervention mothers through a combination of group meetings and home visits received messages along with an illustrative card concerning hygiene, responsive feeding, play, communication, gentle discipline, and nutritious foods. Control mothers received the standard government care. Three months prior, 463 children between 4 and 14 months in a subdistrict of western Bangladesh were administered the cognitive, receptive language and expressive language Bayley III subtests, their length was taken and past week illness recorded. Gross motor milestones were reported by the mother and verified through observation. Mothers were interviewed concerning their practices: preventive health practices, dietary diversity, home stimulation, and knowledge about development milestones. Maternal depressive symptoms were assessed as a measure of emotional availability. Family sociodemographic variables included maternal education, family assets, decision-making and mobility autonomy. One month after the end of the program, mothers and their children were again assessed. Comparisons were made between intervention and control children who were under-12 months vs. 12 months and older at the start of the program. This may be a critical age, when children begin to be upright and mobile enough to explore on their own and be less dependent on parenting stimulation. Analyses yielded strong intervention effects on the three Bayley subtests and on parenting practices related to stimulation and knowledge of development milestones. Age effects were found only for dietary diversity in that younger children in the program benefited more than older ones. However, all children became more stunted. Findings are discussed in terms of theories of behaviour change and parenting, critical ages for parenting programs, and implications for program delivery. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Campaign 2 Level 2 Milestone Review 2009: Milestone # 3131 Grain Scale Simulation of Pore Collapse

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

    Schwartz, A J

    2009-09-28

    The milestone reviewed on Sept. 16, 2009 was 'High-fidelity simulation of shock initiation of high explosives at the grain scale using coupled hydrodynamics, thermal transport and chemistry'. It is the opinion of the committee that the team has satisfied the milestone. A detailed description of how the goals were met is provided. The milestone leveraged capabilities from ASC Physics and Engineering Materials program combined with experimental input from Campaign 2. A combined experimental-multiscale simulation approach was used to create and validate the various TATB model components. At the lowest length scale, quantum chemical calculations were used to determine equations ofmore » state, thermal transport properties and reaction rates for TATB as it is decomposing. High-pressure experiments conducted in diamond anvil cells, gas guns and the Z machine were used to validate the EOS, thermal conductivity, specific heat and predictions of water formation. The predicted reaction networks and chemical kinetic equations were implemented in Cheetah and validated against the lower length scale data. Cheetah was then used within the ASC code ALE3D for high-resolution, thermo-mechanically coupled simulations of pore collapse at the micron size scale to predict conditions for detonation initiation.« less

  12. Endorsement and Timing of Sexual Orientation Developmental Milestones Among Sexual Minority Young Adults in the Growing Up Today Study

    PubMed Central

    Katz-Wise, Sabra L.; Rosario, Margaret; Calzo, Jerel P.; Scherer, Emily A.; Sarda, Vishnudas; Austin, S. Bryn

    2017-01-01

    This research examined endorsement and timing of sexual orientation developmental milestones. Participants were 1235 females and 398 males from the Growing Up Today Study, ages 22 to 29 years, who endorsed a sexual minority orientation (lesbian/gay, bisexual, mostly heterosexual) or reported same-gender sexual behavior (heterosexual with same-gender sexual experience). An online survey measured current sexual orientation and endorsement and timing (age first experienced) of five sexual orientation developmental milestones: same-gender attractions, other-gender attractions, same-gender sexual experience, other-gender sexual experience, and sexual minority identification. Descriptive analyses and analyses to test for gender and sexual orientation group differences were conducted. Results indicated that females were more likely than males to endorse same-gender attraction, other-gender attraction, and other-gender sexual experience, with the most gender differences in endorsement among mostly heterosexuals and heterosexuals with same-gender sexual experience. In general, males reached milestones earlier than females, with the most gender differences in timing among lesbian and gay individuals and heterosexuals with same-gender sexual experience. Results suggest that the three sexual minority developmental milestones may best characterize the experiences of lesbians, gay males, and female and male bisexuals. More research is needed to understand sexual orientation development among mostly heterosexuals and heterosexuals with same-gender sexual experience. PMID:27148762

  13. Endorsement and Timing of Sexual Orientation Developmental Milestones Among Sexual Minority Young Adults in the Growing Up Today Study.

    PubMed

    Katz-Wise, Sabra L; Rosario, Margaret; Calzo, Jerel P; Scherer, Emily A; Sarda, Vishnudas; Austin, S Bryn

    2017-02-01

    This research examined endorsement and timing of sexual orientation developmental milestones. Participants were 1,235 females and 398 males from the Growing Up Today Study, ages 22 to 29 years, who endorsed a sexual minority orientation (lesbian/gay, bisexual, mostly heterosexual) or reported same-gender sexual behavior (heterosexual with same-gender sexual experience). An online survey measured current sexual orientation and endorsement and timing (age first experienced) of five sexual orientation developmental milestones: same-gender attractions, other-gender attractions, same-gender sexual experience, other-gender sexual experience, and sexual minority identification. Descriptive analyses and analyses to test for gender and sexual orientation group differences were conducted. Results indicated that women were more likely than men to endorse same-gender attraction, other-gender attraction, and other-gender sexual experience, with the most gender differences in endorsement among mostly heterosexuals and heterosexuals with same-gender sexual experience. In general, men reached milestones earlier than women, with the most gender differences in timing among lesbian and gay individuals and heterosexuals with same-gender sexual experience. Results suggest that the three sexual minority developmental milestones may best characterize the experiences of lesbians, gay males, and female and male bisexuals. More research is needed to understand sexual orientation development among mostly heterosexuals and heterosexuals with same-gender sexual experience.

  14. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  15. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  16. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  17. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  18. Space agency notes 20th anniversary

    NASA Technical Reports Server (NTRS)

    Frosch, R. A.

    1978-01-01

    The twentieth anniversary of NASA is announced. A chronology of major milestones of the NASA program is given along with a brief outline of the programs and responsibilities of NASA Headquarters and the NASA centers and facilities. The NASA launch record is included.

  19. Characterizing the Relationship Between Surgical Resident and Faculty Perceptions of Autonomy in the Operating Room.

    PubMed

    Young, Katelyn A; Lane, Samantha M; Widger, John E; Neuhaus, Nina M; Dove, James T; Fluck, Marcus; Hunsinger, Marie A; Blansfield, Joseph A; Shabahang, Mohsen M

    Characterize the concordance among faculty and resident perceptions of surgical case complexity, resident technical performance, and autonomy in a diverse sample of general surgery procedures using case-specific evaluations. A prospective study was conducted in which a faculty surgeon and surgical resident independently completed a postoperative assessment examining case complexity, resident operative performance (Milestone assessment) and autonomy (Zwisch model). Pearson correlation coefficients (r) reaching statistical significance (p < 0.05) were further classified as moderate (r ≥ 0.40), strong (r ≥ 0.60), or very strong (r ≥ 0.80). This study was conducted in the General Surgery Residency Program at an academic tertiary care facility (Geisinger Medical Center, Danville, PA). Participants included 6 faculty surgeons, in addition to 5 postgraduate year (PGY) 1, 6 midlevel (PGY 2-3), and 4 chief (PGY 4-5) residents. In total, 75 surgical cases were analyzed. Midlevel residents accounted for the highest number of cases (35, 46.6%). Overall, faculty and resident perceptions of case complexity demonstrated a strong correlation (r = 0.76, p < 0.0001). Technical performance scores were also strongly correlated (r = 0.66, p < 0.0001), whereas perceptions of autonomy demonstrated a moderate correlation (r = 0.56, p < 0.0001). Subgroup analysis revealed very strong correlations among faculty perceptions of case complexity and the perceptions of PGY 1 (r = 0.80, p < 0.0001) and chief residents (r = 0.82, p < 0.0001). All other intergroup correlations were strong with 2 notable exceptions as follows: midlevel and chief residents failed to correlate with faculty perceptions of autonomy and operative performance, respectively. General surgery residents generally demonstrated high correlations with faculty perceptions of case complexity, technical performance, and operative autonomy. This generalized accord supports the use of the Milestone and Zwisch assessments in residency programs. However, discordance among perceptions of midlevel resident autonomy and chief resident operative performance suggests that these trainees may need more direct communication from the faculty. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  20. From Technical Assistants to Critical Thinkers: The Journey to World War II.

    PubMed

    Butina, Michelle; Leibach, Elizabeth Kenimer

    2014-01-01

    A review of professional literature was conducted to examine the history of the education of medical laboratory practitioners. This comprehensive review included historical educational milestones from the birth of medical technology to the advent of World War II. During this time period standards were developed by clinical pathologists for laboratory personnel and training programs. In addition, a formal educational model began to form and by the 1940's two years of college was required for matriculation into a medical technology program. Intertwined within the educational milestones are imprints of the evolution of critical thinking requirements and skills within the profession. For the first laboratory practitioners, critical thinking was not developed, discussed, or encouraged as duties were primarily repetitive promoting psychomotor skills.

  1. Teaching the Healthcare Economics Milestones to Radiology Residents: Our Pilot Curriculum Experience.

    PubMed

    Prober, Allen S; Mehan, William A; Bedi, Harprit S

    2016-07-01

    Since July 2013, the Accreditation Council for Graduate Medical Education (ACGME) has required radiology residency programs to implement a set of educational milestones to track residents' educational advancement in six core competencies, including Systems-based Practice. The healthcare economics subcompetency of Systems-based Practice has traditionally been relatively neglected, and given the new increased ACGME oversight, will specifically require greater focused attention. A multi-institutional health-care economics pilot curriculum combining didactic and practical components was implemented across five residency programs. The didactic portion included a package of online recorded presentations, reading, and testing materials developed by the American College of Radiology (ACR's) Radiology Leadership Institute. The practical component involved a series of local meetings led by program faculty with the production of a deliverable based on research of local reimbursement for a noncontrast head computed tomography. The capstone entailed the presentation of each program's deliverable during a live teleconference webcast with a Radiology Leadership Institute content expert acting as moderator and discussion leader. The pilot curriculum was well received by residents and faculty moderators, with 100% of survey respondents agreeing that the pilot met its objective of introducing how reimbursement works in American radiology in 2015 and how business terminology applies to their particular institutions. A health-care economics curriculum in the style of a Massive Open Online Course has strong potential to serve as many residency programs' method of choice in meeting the health-care economics milestones. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  2. ARIES Oxide Production Program Annual Report - FY14

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

    Kelley, Evelyn A.; Dinehart, Steven Mark

    A summary of the major accomplishments (September), milestones, financial summary, project performance and issues facing the ARIES Oxide Production Program at the close of FY14 is presented in this Executive Summary. Annual accomplishments are summarized in the body of the report.

  3. Joint Air-to-Surface Standoff Missile (JASSM)

    DTIC Science & Technology

    2013-12-01

    LRIP Decision/Contract Award JAN 2001 JAN 2001 JAN 2002 DEC 2001 Lot II Contract Award JAN 2002 JAN 2002 JAN 2003 NOV 2002 RAA /B-52 SEP 2002 SEP 2002...SEP 2003 SEP 2003 Milestone III OCT 2003 OCT 2003 JUL 2004 APR 2004 RAA /F-16 DEC 2003 DEC 2003 DEC 2004 DEC 2004 IOC/F/A-18 E/F JUN 2009 N/A N/A N/A...Engineering and Manufacturing Development PDRR - Program Definition and Risk Reduction RAA - Required Assets Available JASSM-ER Milestones SAR Baseline Prod

  4. Automated fiber placement: Evolution and current demonstrations

    NASA Technical Reports Server (NTRS)

    Grant, Carroll G.; Benson, Vernon M.

    1993-01-01

    The automated fiber placement process has been in development at Hercules since 1980. Fiber placement is being developed specifically for aircraft and other high performance structural applications. Several major milestones have been achieved during process development. These milestones are discussed in this paper. The automated fiber placement process is currently being demonstrated on the NASA ACT program. All demonstration projects to date have focused on fiber placement of transport aircraft fuselage structures. Hercules has worked closely with Boeing and Douglas on these demonstration projects. This paper gives a description of demonstration projects and results achieved.

  5. 77 FR 52762 - Notice of Lodging of Consent Decree Pursuant to The Clean Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... required projects; (2) more accurately characterize drainage basin overflows and propose mitigation measures; and (3) incorporates a milestone for completing upgrades to the City's treatment plant. Under the...

  6. [Child development in poor areas of Peru].

    PubMed

    Díaz, Adrián Alberto; Gallestey, Jorge Bacallao; Vargas-Machuca, Rocío; Velarde, Roxana Aguilar

    2017-06-08

    The objective of the study was to demonstrate the influence of several socioeconomic factors on the motor and language development of children under 5 from the baseline study conducted within the framework of the Joint Program for Children, Food Security, and Nutrition, implemented by five United Nations agencies across 65 districts in the departments of Loreto, Ayacucho, Huancavelica, and Apurímac, Peru. Dichotomous logistic regression models were used to estimate the likelihood of achievement of motor and language milestones, while polynomial regression models were used to estimate the last milestone achieved and the number of milestones achieved. The study analyzes the influence that maternal education, urban vs. rural housing, and unmet basic needs have on the difference between actual results and expected results for age was analyzed. Children living in rural areas, those whose mothers had low educational attainment, and those from households with unmet basic needs exhibited poorer outcomes in the two areas of development assessed. As the number of risk factors increased, so did the developmental delay. Evaluation of child development and follow-up of families during the child-rearing process should be prioritized by health systems and social programs. The instruments used were sensitive to three criteria for validation.

  7. Targeted Feedback in the Milestones Era: Utilization of the Ask-Tell-Ask Feedback Model to Promote Reflection and Self-Assessment.

    PubMed

    French, Judith C; Colbert, Colleen Y; Pien, Lily C; Dannefer, Elaine F; Taylor, Christine A

    2015-01-01

    The Accreditation Council for Graduate Medical Education's Milestones Project focuses trainee education on the formation of valued behaviors and skills believed to be necessary for trainees to become independent practitioners. The development and refinement of behaviors and skills outlined within the milestones will require learners to monitor, reflect, and assess their own performance over time. External feedback provides an opportunity for learners to recalibrate their self-assessments, thereby enabling them to develop better self-monitoring and self-assessment skills. Yet, feedback to trainees is frequently generic, such as "great job," "nice work," or "you need to read more." In this article, we describe a feedback model that faculty can use to provide specific feedback, while increasing accountability for learners. We offer practical examples of its use in a variety of settings in the milestone era. The Ask-Tell-Ask (ATA) patient communication skills strategy, which was adapted for use as a trainee feedback model 10 years ago at our institution, is a learner-centered approach for reinforcing and modifying behaviors. The model is efficient, promotes learner accountability, and helps trainees develop reflection and self-assessment skills. A feedback agreement further enhances ATA by establishing a shared understanding of goals for the educational encounter. The ATA feedback model, combined with a feedback agreement, encourages learners to self-identify strengths and areas for improvement, before receiving feedback. Personal monitoring, reflection, self-assessment, and increased accountability make ATA an ideal learner-centered feedback model for the milestones era, which focuses on performance improvement over time. We believe the introduction of the ATA feedback model in surgical training programs is a step in the right direction towards meaningful programmatic culture change. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... Children and Families, Office of State Systems. The State shall send to ACF one copy of the request for... than 60 days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  9. Geothermal Today: 2003 Geothermal Technologies Program Highlights (Revised)

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

    Not Available

    2004-05-01

    This outreach publication highlights milestones and accomplishments of the DOE Geothermal Technologies Program for 2003. Included in this publication are discussions of geothermal fundamentals, enhanced geothermal systems, direct-use applications, geothermal potential in Idaho, coating technology, energy conversion R&D, and the GeoPowering the West initiative.

  10. A Financial Approach as an Alternative Organizational Development Intervention.

    DTIC Science & Technology

    1979-12-01

    Participants: (age group) (#Available) (# Program (#confirmed/ designed for) reserved) Program requested by: Board of Directors PSO Staff Community...Milestone chart approved by: on ’ name date 59 APPENDIX F PSO PROGRAM WORKSHEET INSTRUCTIONS Purpose: The Program Worksheet is designed to collect all inform...11. Grossman, Lee, The Change Agent, Amacom, New York, 1974. 12. Harvey, Donald F., and Brown, Donald R., An Eperimental Approach to Organization

  11. Scheduling: A guide for program managers

    NASA Technical Reports Server (NTRS)

    1994-01-01

    The following topics are discussed concerning scheduling: (1) milestone scheduling; (2) network scheduling; (3) program evaluation and review technique; (4) critical path method; (5) developing a network; (6) converting an ugly duckling to a swan; (7) network scheduling problem; (8) (9) network scheduling when resources are limited; (10) multi-program considerations; (11) influence on program performance; (12) line-of-balance technique; (13) time management; (14) recapitulization; and (15) analysis.

  12. Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine

    PubMed Central

    Martin, Shannon K.; Farnan, Jeanne M.; McConville, John F.; Arora, Vineet M.

    2015-01-01

    Background Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. Objective We describe the use of 1 such tool—UPDATED—to assess written handoff communication skills in internal medicine interns. Methods During 2012–2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. Results A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. Conclusions The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time. PMID:26221442

  13. Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine.

    PubMed

    Martin, Shannon K; Farnan, Jeanne M; McConville, John F; Arora, Vineet M

    2015-06-01

    Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. We describe the use of 1 such tool-UPDATED-to assess written handoff communication skills in internal medicine interns. During 2012-2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time.

  14. Thermonuclear milestones: (2) Beginnings of the Soviet H-bomb program

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

    Goncharov, G.A.

    1996-11-01

    Early Soviet theoretical work on thermonuclear ignition was adied by espionage, but many important ideas were conceived and developed independently {copyright} {ital 1996 American Institute of Physics.}

  15. Research and technology plans for FY 1989 and accomplishments for FY 1988. [Structural Mechanics Division

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1989-01-01

    The Objectives, FY 1989 Plans, Approach, and FY 1989 Milestones for the Structural Mechanics Division's research programs are presented. Fiscal year 1988 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  16. Structural Mechanics Division research and technology plans for FY 1990 and accomplishments for FY 1989

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1990-01-01

    The Objectives, FY 1990 Plans, Approach, and FY 1990 Milestones for the Structural Mechanics Division's research programs are presented. FY 1989 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  17. Summary of 1971 pattern recognition program development

    NASA Technical Reports Server (NTRS)

    Whitley, S. L.

    1972-01-01

    Eight areas related to pattern recognition analysis at the Earth Resources Laboratory are discussed: (1) background; (2) Earth Resources Laboratory goals; (3) software problems/limitations; (4) operational problems/limitations; (5) immediate future capabilities; (6) Earth Resources Laboratory data analysis system; (7) general program needs and recommendations; and (8) schedule and milestones.

  18. 75 FR 12743 - Office of Energy Efficiency and Renewable Energy; Request for Information; Weatherization...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ..., and realistic schedule and milestones. The specifics of the outreach/marketing strategy, the funding... on a non-attribution basis for program planning and funding opportunity strategy development. DOE will review and consider all responses in its formulation of program strategies in the pursuant FOA...

  19. 77 FR 56238 - Finance, Budget & Program. Committee Meeting of the Board of Directors; Sunshine Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-12

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Finance, Budget & Program. Committee Meeting of the Board of..., Assistant Corporate Secretary, (202) 220-2376; [email protected] . AGENDA: I. Call to Order II. Executive Session... Associated Budget VI. FY 12 Corporate Milestone Report and Dashboard VII. National Foreclosure Mitigation...

  20. 78 FR 24438 - Board of Directors Finance, Budget & Program Committee: Sunshine Act Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Board of Directors Finance, Budget & Program Committee... Corporate Secretary (202) 220-2376; [email protected] . AGENDA: I. CALL TO ORDER II. FY 2013 Budget Update III... Corporate Milestone Report and Dashboard IX. NFMC, EHLP & MHA X. NeighborhoodLIFT & CityLIFT XI. Recent...

  1. Structures and Dynamics Division research and technology plans for FY 1986 and accomplishments for FY 1985

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1986-01-01

    Presented are the Objectives, FY 1986 Plans, Approach, and FY 1986 Milestones for the Structures and Dynamics Division's research programs. FY 1985 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  2. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  3. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  4. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  5. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  6. Developmental Milestones

    MedlinePlus

    ... 3 years 4 years 5 years Milestone Tracker App Milestones in Action: Photos & Videos 2 months 4 ... milestone checklists (PDF) Download the Milestone Tracker mobile app View the Milestones in Action photo and video ...

  7. [An analysis of residents' self-evaluation and faculty-evaluation in internal medicine standardized residency training program using Milestones evaluation system].

    PubMed

    Zhang, Y; Chu, X T; Zeng, X J; Li, H; Zhang, F C; Zhang, S Y; Shen, T

    2018-06-01

    Objective: To assess the value of internal medicine residency training program at Peking Union Medical College Hospital (PUMCH), and the feasibility of applying revised Milestones evaluation system. Methods: Postgraduate-year-one to four (PGY-1 to PGY-4) residents in PUMCH finished the revised Milestones evaluation scales in September 2017. Residents' self-evaluation and faculty-evaluation scores were calculated. Statistical analysis was conducted on the data. Results: A total of 207 residents were enrolled in this cross-sectional study. Both self and faculty scores showed an increasing trend in senior residents. PGY-1 residents were assessed during their first month of residency with scores of 4 points or higher, suggesting that residents have a high starting level. More strikingly, the mean score in PGY-4 was 7 points or higher, proving the career development of residency training program. There was no statistically significant difference between total self- and faculty-evaluation scores. Evaluation scores of learning ability and communication ability were lower in faculty group ( t =-2.627, -4.279, all P <0.05). The scores in graduate students were lower than those in standardized training residents. Conclusions: The goal of national standardized residency training is to improve the quality of healthcare and residents' career development. The evaluation results would guide curriculum design and emphasize the importance and necessity of multi-level teaching. Self-evaluation contributes to the understanding of training objectives and personal cognition.

  8. Attracting and Retaining Women in Science and Engineering

    ERIC Educational Resources Information Center

    Rosser, Sue V.

    2003-01-01

    Fiscal year 2001 marked an important milestone in policies to attract and retain women in science and engineering. That year, the National Science Foundation (NSF) initiated an awards program called ADVANCE at a funding level of $19 million. The program supports efforts by institutions and individuals to empower women to participate fully in…

  9. A Working Model for the Development, Implementation and Evaluation of an Art Program on the College Level.

    ERIC Educational Resources Information Center

    Demery, Marie; And Others

    Components of an art program that was developed with federal funding are outlined. The model contains information on the grant proposal, including the rationale for funding, implementation strategies, activity timetable, qualifications of key personnel, activity objectives and performance measures, intitutional goals, activity milestones, and…

  10. 78 FR 8193 - Sunshine Act Meeting; Finance, Budget & Program Committee Meeting of the Board of Directors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Sunshine Act Meeting; Finance, Budget & Program Committee...: Erica Hall, Assistant Corporate Secretary, (202) 220-2376; [email protected] . AGENDA: I. Call To Order II.../Treasury Initiative VI. Lease and Move VII. FY 13 Corporate Milestone Report and Dashboard VIII. NFMC and...

  11. Structures and Dynamics Division research and technology plans for FY 1988 and accomplishments for FY 1987

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1988-01-01

    Presented are the Objectives, FY 1988 Plans, Approach, and FY 1988 Milestones for the Structures and Dynamics Division (Langley Research Center) research programs. FY 1987 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  12. Structures and Dynamics Division research and technology plans for FY 1987 and accomplishments for FY 1986

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1987-01-01

    This paper presents the Objectives, FY 1987 Plans, Approach, and FY 1987 Milestones for the Structures and Dynamics Division's research programs. FY 1986 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  13. Structures and Dynamics Division research and technology plans for FY 1985 and accomplishments for FY 1984

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1985-01-01

    The objectives, FY 1985 plans, approach, and FY 1985 milestones for the Structures and Dynamics Division's research programs are presented. The FY 1984 accomplishments are presented where applicable. This information is useful in program coordination with other government organizations in areas of mutual interest.

  14. Characterizing the subsurface geology in and around the U.S. Army Camp Stanley Storage Activity, south-central Texas

    USGS Publications Warehouse

    Blome, Charles D.; Clark, Allan K.

    2018-02-15

    Several U.S. Geological Survey projects, supported by the National Cooperative Geologic Mapping Program, have used multi-disciplinary approaches over a 14-year period to reveal the surface and subsurface geologic frameworks of the Edwards and Trinity aquifers of central Texas and the Arbuckle-Simpson aquifer of south-central Oklahoma. Some of the project achievements include advancements in hydrostratigraphic mapping, three-dimensional subsurface framework modeling, and airborne geophysical surveys as well as new methodologies that link geologic and groundwater flow models. One area where some of these milestones were achieved was in and around the U.S. Army Camp Stanley Storage Activity, located in north­western Bexar County, Texas, about 19 miles north­west of downtown San Antonio.

  15. Case Study of the U.S. Army’s Should-Cost Management Implementation

    DTIC Science & Technology

    2013-12-03

    and Pelvic Protection Systems (PPS). After graduating from the Naval Postgraduate School, Major Choi will be assigned to the U.S. Army...Systems PMO Product/Project/Program Management Office PMT Program Management Training POA&M Plan of Action and Milestones POE Program Office...Intelligence, Electronic Warfare and Sensors  PEO Simulation, Training , and Instrumentation  JPEO Chemical and Biological Defense The researcher

  16. Post Milestone B Funding Climate and Cost Growth in Major Defense Acquisition Programs

    DTIC Science & Technology

    2017-03-01

    by P-5126 supposes that most of the growth in unit cost shown by programs that pass MS B in a bust funding climate is “ baked into” the baselines...that most of the growth in unit cost shown by programs that pass MS B in a bust funding climate is “ baked into” the baselines established at MS B

  17. Solar thermal power storage applications lead laboratory overview

    NASA Technical Reports Server (NTRS)

    Radosevich, L. G.

    1980-01-01

    The implementation of the applications elements of the thermal energy storage for Solar Thermal Applications program is described. The program includes the accelerated development of thermal storage technologies matched to solar thermal power system requirements and scheduled milestones. The program concentrates on storage development in the FY80 to 85 time period with emphasis on the more near-term solar thermal power system application.

  18. Identifying Gaps in the Performance of Pediatric Trainees Who Receive Marginal/Unsatisfactory Ratings.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann; Burke, Ann; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly A

    2018-01-01

    To perform a derivation study to determine in which subcompetencies marginal/unsatisfactory pediatric residents had the greatest deficits compared with their satisfactorily performing peers and which subcompetencies best discriminated between marginal/unsatisfactory and satisfactorily performing residents. Multi-institutional cohort study of all 21 milestones (rated on four or five levels) reported to the Accreditation Council for Graduate Medical Education, and global marginal/unsatisfactory versus satisfactory performance reported to the American Board of Pediatrics. Data were gathered in 2013-2014. For each level of training (postgraduate year [PGY] 1, 2, and 3), mean differences between milestone levels of residents with marginal/unsatisfactory and satisfactory performance adjusted for clustering by program and C-statistics (area under receiver operating characteristic curve) were calculated. A Bonferroni-corrected significance threshold of .0007963 was used to account for multiple comparisons. Milestone and overall performance evaluations for 1,704 pediatric residents in 41 programs were obtained. For PGY1s, two subcompetencies had almost a one-point difference in milestone levels between marginal/unsatisfactory and satisfactory trainees and outstanding discrimination (≥ 0.90): organize/prioritize (0.93; C-statistic: 0.91) and transfer of care (0.97; C-statistic: 0.90). The largest difference between marginal/unsatisfactory and satisfactory PGY2s was trustworthiness (0.78). The largest differences between marginal/unsatisfactory and satisfactory PGY3s were ethical behavior (1.17), incorporating feedback (1.03), and professionalization (0.96). For PGY2s and PGY3s, no subcompetencies had outstanding discrimination. Marginal/unsatisfactory pediatric residents had different subcompetency gaps at different training levels. While PGY1s may have global deficits, senior residents may have different performance deficiencies requiring individualized counseling and targeted performance improvement plans.

  19. Facility Activation and Characterization for IPD Turbopump Testing at NASA Stennis Space Center

    NASA Technical Reports Server (NTRS)

    Sass, J. P.; Pace, J. S.; Raines, N. G.; Meredith, T. O.; Taylor, S. A.; Ryan, H. M.

    2005-01-01

    The Integrated Powerhead Demonstrator (IPD) is a 250K lbf (1.1 MN) thrust cryogenic hydrogen/oxygen engine technology demonstrator that utilizes a full flow staged combustion engine cycle. The Integrated Powerhead Demonstrator (IPD) is, in part, supported by NASA. IPD is also supported through the Department of Defense's Integrated High Payoff Rocket Propulsion Technology (IHPRPT) program, which seeks to increase the performance and capability of today's state-of-the-art rocket propulsion systems while decreasing costs associated with military and commercial access to space. The primary industry participants include Boeing-Rocketdyne and GenCorp Aerojet. The IPD Program recently achieved two major milestones. The first was the successful completion of the IPD Oxidizer Turbopump (OTP) hot-fire test project at the NASA John C. Stennis Space Center (SSC) E-1 test facility in June 2003. A total of nine IPD Workhorse Preburner tests were completed, and subsequently 12 IPD OTP hot-fire tests were completed. The second major milestone was the successful completion of the IPD Fuel Turbopump (FTP) cold-flow test project at the NASA SSC E-1 test facility in November 2003. A total of six IPD FTP cold-flow tests were completed. The next phase of development involves IPD integrated engine system testing also at the NASA SSC E-1 test facility scheduled to begin in early 2005. Following and overview of the NASA SSC E-1 test facility, this paper addresses the facility aspects pertaining to the activation and testing of the IPD oxidizer and fuel turbopumps. In addition, some of the facility challenges encountered and the lessons learned during the test projects shall be detailed.

  20. What Shape is Your Resident in? Using a Radar Plot to Guide a Milestone Clinical Competency Discussion.

    PubMed

    Harrington, David T; Miner, Thomas J; Ng, Thomas; Charpentier, Kevin P; Richardson, Pam; Cioffi, William G

    2015-01-01

    One of the challenges for program directors (PDs) is to sort and weight the tidal wave of assessments that training programs create in the modern Milestone era. We evaluated whether the use of a radar plot (RP) would be helpful in sorting data and providing a graphic representation of each resident's progress. Using at least 2 different types of assessments for each of the 16 surgical Milestones, the data were ranked and weighted by a predetermined method embedded in a computerized workbook (Excel). This process created a unique 16-spoked RP for each resident (Fig. below). The RP allowed the faculty to see areas of weakness (shown by concavity) and allowed an overall grade calculated as a ratio of the area of the smooth outer circle (faculty expectations, triangles) and the resident's unique radar shape (resident performance, squares). To help us validate our new tool, we looked at whether residents with recent remedial issues "looked" different from residents without remedial issues. Of our 30 categorical residents, 8 had significant areas of concavities, suggesting possible areas of improvement. Of these 8 residents, 4 had been on a remediation program in the last 18 months. The average ratio of performance/expectations was 0.709. The 4 residents on recent remediation had a ratio of 0.616 when compared with 0.723 for the residents without remedial issues (p < 0.009). Many exciting challenges await PDs, as we evolve to a competency-based evaluation system. The use of an evaluation summary tool using RPs may aid PDs in leading clinical competency discussions and in monitoring a resident's progress over time. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  1. Measuring radiation damage dynamics by pulsed ion beam irradiation: 2016 project annual report

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

    Kucheyev, Sergei O.

    2017-01-04

    The major goal of this project is to develop and demonstrate a novel experimental approach to access the dynamic regime of radiation damage formation in nuclear materials. In particular, the project exploits a pulsed-ion-beam method in order to gain insight into defect interaction dynamics by measuring effective defect interaction time constants and defect diffusion lengths. For Year 3, this project had the following two major milestones: (i) the demonstration of the measurement of thermally activated defect-interaction processes by pulsed ion beam techniques and (ii) the demonstration of alternative characterization techniques to study defect dynamics. As we describe below, both ofmore » these milestones have been met.« less

  2. Milestoning with coarse memory

    NASA Astrophysics Data System (ADS)

    Hawk, Alexander T.

    2013-04-01

    Milestoning is a method used to calculate the kinetics of molecular processes occurring on timescales inaccessible to traditional molecular dynamics (MD) simulations. In the method, the phase space of the system is partitioned by milestones (hypersurfaces), trajectories are initialized on each milestone, and short MD simulations are performed to calculate transitions between neighboring milestones. Long trajectories of the system are then reconstructed with a semi-Markov process from the observed statistics of transition. The procedure is typically justified by the assumption that trajectories lose memory between crossing successive milestones. Here we present Milestoning with Coarse Memory (MCM), a generalization of Milestoning that relaxes the memory loss assumption of conventional Milestoning. In the method, milestones are defined and sample transitions are calculated in the standard Milestoning way. Then, after it is clear where trajectories sample milestones, the milestones are broken up into distinct neighborhoods (clusters), and each sample transition is associated with two clusters: the cluster containing the coordinates the trajectory was initialized in, and the cluster (on the terminal milestone) containing trajectory's final coordinates. Long trajectories of the system are then reconstructed with a semi-Markov process in an extended state space built from milestone and cluster indices. To test the method, we apply it to a process that is particularly ill suited for Milestoning: the dynamics of a polymer confined to a narrow cylinder. We show that Milestoning calculations of both the mean first passage time and the mean transit time of reversal—which occurs when the end-to-end vector reverses direction—are significantly improved when MCM is applied. Finally, we note the overhead of performing MCM on top of conventional Milestoning is negligible.

  3. Tank characterization report for single-shell tank 241-U-110. Revision 1

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

    Brown, T.M.; Jensen, L.

    1993-09-01

    Tank 241-U-110 (U-110) is a Hanford Site waste tank that was ;most recently sampled in November and December 1989. Analysis of the samples obtained from tank U-110 was conducted to support the characterization of the contents of this tank and to support Hanford Federal Facility Agreement and Consent Order milestone M-10-00 (Ecology, et al. 1992). Because of incomplete recovery of the waste during sampling, there may be bias in the results of this characterization report.

  4. Database and Management Information Support for the U.S. Army SBIR program

    DTIC Science & Technology

    1994-06-10

    milestones under the new process. BRTRC also supported preparations for a video teleconference between Mr. George Singley, the Deputy Assistant...Bob Wrenn, the in the sotware package. It should go smoothly; however, DoD SBIR Program Manager, and the in the interest of safety, please do not...144,206 autostereoscopic video ...................................................... 139 beam processing

  5. Predicting Success: A Study of Admission Processes and Passing the National Physical Therapy Examination for Physical Therapist Assistants

    ERIC Educational Resources Information Center

    Shaab, Kathryn R.

    2013-01-01

    In order to practice physical therapy, physical therapist assistants (PTAs) must graduate from an accredited academic program and pass the National Physical Therapy Examination for Physical Therapist Assistants (PTA-NPTE). The primary objective of academic programs is to prepare students to successfully complete these two milestones to become…

  6. Development of flat conductor cable for commercial and residential wiring

    NASA Technical Reports Server (NTRS)

    Carden, J. R.

    1977-01-01

    The overall spectrum of the space technology spin-off development project: development of Flat Conductor Cable (FCC) for commercial and residential wiring, is presented. A discussion of the background, program milestones, industry participants, system outgrowth, hardware availability, cost estimates, and overall status of the program is presented for the 1970-to-present time period.

  7. Overview Presentation

    NASA Technical Reports Server (NTRS)

    Lytle, John

    2001-01-01

    This report provides an overview presentation of the 2000 NPSS (Numerical Propulsion System Simulation) Review and Planning Meeting. Topics include: 1) a background of the program; 2) 1999 Industry Feedback; 3) FY00 Status, including resource distribution and major accomplishments; 4) FY01 Major Milestones; and 5) Future direction for the program. Specifically, simulation environment/production software and NPSS CORBA Security Development are discussed.

  8. What Can Schools, Colleges, and Youth Programs Do with Predictive Analytics? Practitioner Brief

    ERIC Educational Resources Information Center

    Balu, Rekha; Porter, Kristin

    2017-01-01

    Many low-income young people are not reaching important milestones for success (for example, completing a program or graduating from school on time). But the social-service organizations and schools that serve them often struggle to identify who is at more or less risk. These institutions often either over- or underestimate risk, missing…

  9. Structures and Dynamics Division research and technology plans for FY 1894 and accomplishments for FY 1982

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1984-01-01

    The Objectives, Expected Results, Approach, and Fiscal Year FY 1984 Milestones for the Structures and Dynamics Division's research programs are examined. The FY 1983 Accomplishments are presented where applicable.

  10. ADVANCED NUCLEAR FUEL CYCLE EFFECTS ON THE TREATMENT OF UNCERTAINTY IN THE LONG-TERM ASSESSMENT OF GEOLOGIC DISPOSAL SYSTEMS - EBS INPUT

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

    Sutton, M; Blink, J A; Greenberg, H R

    2012-04-25

    The Used Fuel Disposition (UFD) Campaign within the Department of Energy's Office of Nuclear Energy (DOE-NE) Fuel Cycle Technology (FCT) program has been tasked with investigating the disposal of the nation's spent nuclear fuel (SNF) and high-level nuclear waste (HLW) for a range of potential waste forms and geologic environments. The planning, construction, and operation of a nuclear disposal facility is a long-term process that involves engineered barriers that are tailored to both the geologic environment and the waste forms being emplaced. The UFD Campaign is considering a range of fuel cycles that in turn produce a range of wastemore » forms. The UFD Campaign is also considering a range of geologic media. These ranges could be thought of as adding uncertainty to what the disposal facility design will ultimately be; however, it may be preferable to thinking about the ranges as adding flexibility to design of a disposal facility. For example, as the overall DOE-NE program and industrial actions result in the fuel cycles that will produce waste to be disposed, and the characteristics of those wastes become clear, the disposal program retains flexibility in both the choice of geologic environment and the specific repository design. Of course, other factors also play a major role, including local and State-level acceptance of the specific site that provides the geologic environment. In contrast, the Yucca Mountain Project (YMP) repository license application (LA) is based on waste forms from an open fuel cycle (PWR and BWR assemblies from an open fuel cycle). These waste forms were about 90% of the total waste, and they were the determining waste form in developing the engineered barrier system (EBS) design for the Yucca Mountain Repository design. About 10% of the repository capacity was reserved for waste from a full recycle fuel cycle in which some actinides were extracted for weapons use, and the remaining fission products and some minor actinides were encapsulated in borosilicate glass. Because the heat load of the glass was much less than the PWR and BWR assemblies, the glass waste form was able to be co-disposed with the open cycle waste, by interspersing glass waste packages among the spent fuel assembly waste packages. In addition, the Yucca Mountain repository was designed to include some research reactor spent fuel and naval reactor spent fuel, within the envelope that was set using the commercial reactor assemblies as the design basis waste form. This milestone report supports Sandia National Laboratory milestone M2FT-12SN0814052, and is intended to be a chapter in that milestone report. The independent technical review of this LLNL milestone was performed at LLNL and is documented in the electronic Information Management (IM) system at LLNL. The objective of this work is to investigate what aspects of quantifying, characterizing, and representing the uncertainty associated with the engineered barrier are affected by implementing different advanced nuclear fuel cycles (e.g., partitioning and transmutation scenarios) together with corresponding designs and thermal constraints.« less

  11. Making ITS/CVO happen : Pennsylvania's ITS/CVO business plan

    DOT National Transportation Integrated Search

    1998-12-31

    This business plan will be used to coordinate the deployment of CVO technologies in Pennsylvania. It provides a 'roadmap' for Pennsylvania's ITS/CVO program by defining broad goals and objectives, as well as specific projects, milestones, responsibil...

  12. Optical Communications and Detection Systems

    DOT National Transportation Integrated Search

    1971-08-01

    The two milestones of the program (1) development of a high quantum efficiency 1.06 micron photomissive surface and (2) narrow pulse propatation in the earth's atmosphere at 0.63 microns were completed. : Item 1 was completed in a contract award. : I...

  13. From alcohol initiation to tolerance to problems: Discordant twin modeling of a developmental process

    PubMed Central

    Deutsch, Arielle R.; Slutske, Wendy S.; Lynskey, Michael T.; Bucholz, Kathleen K.; Madden, Pamela A. F.; Heath, Andrew C.; Martin, Nicholas G.

    2017-01-01

    The current study examined a stage-based alcohol use trajectory model to test for potential causal effects of earlier drinking milestones on later drinking milestones in a combined sample of two cohorts of Australian monozygotic and same-sex dizygotic twins (N = 7,398, age M = 30.46, SD = 2.61, 61% mal 56% monozygotic twins). Ages of drinking, drunkenness, regular drinking, tolerance, first nontolerance alcohol use disorder symptom, and alcohol use disorder symptom onsets were assessed retrospectively. Ages of milestone attainment (i.e., age-of-onset) and time between milestones (i.e., time-to-even were examined via frailty models within a multilevel discordant twin design. For age-of-onset models, earlier ages of onset of antecedent drinking milestones increased hazards for earlier ages of onset for more proximal subsequent drinking milestones. For the time-to-event models, however, earlier ag of onset for the “starting” milestone decreased risk for a shorter time period between the starting and the “ending” milestone. Earlier age of onset of intermediate milestones between starting and ending drinking milestones had the opposite effect, increasing risk for a shorter time period between the starti and ending milestones. These results are consistent with a causal effect of an earlier age of drinking milestone onset on temporally proximal subsequent drinking milestones. PMID:27417028

  14. A Generalized Framework for Constrained Design Optimization of General Supersonic Configurations Using Adjoint Based Sensitivity Derivatives

    NASA Technical Reports Server (NTRS)

    Karman, Steve L., Jr.

    2011-01-01

    The Aeronautics Research Mission Directorate (ARMD) sent out an NASA Research Announcement (NRA) for proposals soliciting research and technical development. The proposed research program was aimed at addressing the desired milestones and outcomes of ROA (ROA-2006) Subtopic A.4.1.1 Advanced Computational Methods. The second milestone, SUP.1.06.02 Robust, validated mesh adaptation and error quantification for near field Computational Fluid Dynamics (CFD), was addressed by the proposed research. Additional research utilizing the direct links to geometry through a CAD interface enabled by this work will allow for geometric constraints to be applied and address the final milestone, SUP2.07.06 Constrained low-drag supersonic aerodynamic design capability. The original product of the proposed research program was an integrated system of tools that can be used for the mesh mechanics required for rapid high fidelity analysis and for design of supersonic cruise vehicles. These Euler and Navier-Stokes volume grid manipulation tools were proposed to efficiently use parallel processing. The mesh adaptation provides a systematic approach for achieving demonstrated levels of accuracy in the solutions. NASA chose to fund only the mesh generation/adaptation portion of the proposal. So this report describes the completion of the proposed tasks for mesh creation, manipulation and adaptation as it pertains to sonic boom prediction of supersonic configurations.

  15. Medicaid Long-Term Care Recipients Grew by 37%, Costs by 25% in 3 Years. Trends and Milestones.

    ERIC Educational Resources Information Center

    Anderson, Lynda; And Others

    1997-01-01

    This brief article presents data on trends in costs and numbers of recipients of Medicaid served by the Intermediate Care Facility/Mental Retardation program and the Medicaid Home and Community Based Services program. A table presents the data by state and a graph shows the increasing numbers of recipients and costs. (DB)

  16. Milestone report TCTP application to the SSME hydrogen system analysis

    NASA Technical Reports Server (NTRS)

    Richards, J. S.

    1975-01-01

    The Transient Cryogen Transfer Computer Program (TCTP) developed and verified for LOX systems by analyses of Skylab S-1B stage loading data from John F. Kennedy Space Center launches was extended to include hydrogen as the working fluid. The feasibility of incorporating TCTP into the space shuttle main engine dynamic model was studied. The program applications are documented.

  17. On the assumptions underlying milestoning.

    PubMed

    Vanden-Eijnden, Eric; Venturoli, Maddalena; Ciccotti, Giovanni; Elber, Ron

    2008-11-07

    Milestoning is a procedure to compute the time evolution of complicated processes such as barrier crossing events or long diffusive transitions between predefined states. Milestoning reduces the dynamics to transition events between intermediates (the milestones) and computes the local kinetic information to describe these transitions via short molecular dynamics (MD) runs between the milestones. The procedure relies on the ability to reinitialize MD trajectories on the milestones to get the right kinetic information about the transitions. It also rests on the assumptions that the transition events between successive milestones and the time lags between these transitions are statistically independent. In this paper, we analyze the validity of these assumptions. We show that sets of optimal milestones exist, i.e., sets such that successive transitions are indeed statistically independent. The proof of this claim relies on the results of transition path theory and uses the isocommittor surfaces of the reaction as milestones. For systems in the overdamped limit, we also obtain the probability distribution to reinitialize the MD trajectories on the milestones, and we discuss why this distribution is not available in closed form for systems with inertia. We explain why the time lags between transitions are not statistically independent even for optimal milestones, but we show that working with such milestones allows one to compute mean first passage times between milestones exactly. Finally, we discuss some practical implications of our results and we compare milestoning with Markov state models in view of our findings.

  18. The 25 kW power module evolution study. Part 3: Conceptual designs for power module evolution. Volume 2: Program plans

    NASA Technical Reports Server (NTRS)

    1979-01-01

    A plan is presented for the evolutionary development and deployment of the power module system with performance capabilities required to support the 1983 to 1990 user requirements. Aspects summarized include program functional, operational, and hardware elements; program work breakdown and specification items; development plans and schedules for developmental and technology milestones; test concepts and timeliness; and ground and orbit operations concepts.

  19. Development of the INEEL Site Wide Vadose Zone Roadmap

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

    Yonk, Alan Keith

    2001-09-01

    The INEEL Vadose Zone Roadmap was developed to identify inadquacies in current knowledge, to assist in contaminant management capabilities relative to the INEEL vadose zone, and to ensure that ongoing and planned Science and Technology developments will meet the risk management challenges facing the INEEL in coming years. The primary objective of the Roadmap is to determine the S&T needs that will facilitate monitoring, characterization, prediction, and assessment activities necessary to support INEEL risk management decisions and to ensure that long-term stewardship of contaminated sites at the INEEL is achieved. The mission of the Roadmap is to insure that themore » long-term S&T strategy is aligned with site programs, that it takes advantage of progress made to date, and that it can assist in meeting the milestones and budgets of operations.« less

  20. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  1. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  2. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  3. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  4. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  5. Notes from the field: the economic value chain in disease management organizations.

    PubMed

    Fetterolf, Donald

    2006-12-01

    The disease management (DM) "value chain" is composed of a linear series of steps that include operational milestones in the development of knowledge, each stage evolving from the preceding one. As an adaptation of Michael Porter's "value chain" model, the process flow in DM moves along the following path: (1) data/information technology, (2) information generation, (3) analysis, (4) assessment/recommendations, (5) actionable customer plan, and (6) program assessment/reassessment. Each of these stages is managed as a major line of product operations within a DM company or health plan. Metrics around each of the key production variables create benchmark milestones, ongoing management insight into program effectiveness, and potential drivers for activity-based cost accounting pricing models. The value chain process must remain robust from early entry of data and information into the system, through the final presentation and recommendations for our clients if the program is to be effective. For individuals involved in the evaluation or review of DM programs, this framework is an excellent method to visualize the key components and sequence in the process. The value chain model is an excellent way to establish the value of a formal DM program and to create a consultancy relationship with a client involved in purchasing these complex services.

  6. Mindfulness, burnout, and effects on performance evaluations in internal medicine residents

    PubMed Central

    Braun, Sarah E; Auerbach, Stephen M; Rybarczyk, Bruce; Lee, Bennett; Call, Stephanie

    2017-01-01

    Purpose Burnout has been documented at high levels in medical residents with negative effects on performance. Some dispositional qualities, like mindfulness, may protect against burnout. The purpose of the present study was to assess burnout prevalence among internal medicine residents at a single institution, examine the relationship between mindfulness and burnout, and provide preliminary findings on the relation between burnout and performance evaluations in internal medicine residents. Methods Residents (n = 38) completed validated measures of burnout at three time points separated by 2 months and a validated measure of dispositional mindfulness at baseline. Program director end-of-year performance evaluations were also obtained on 22 milestones used to evaluate internal medicine resident performance; notably, these milestones have not yet been validated for research purposes; therefore, the investigation here is exploratory. Results Overall, 71.1% (n = 27) of the residents met criteria for burnout during the study. Lower scores on the “acting with awareness” facet of dispositional mindfulness significantly predicted meeting burnout criteria χ2(5) = 11.88, p = 0.04. Lastly, meeting burnout criteria significantly predicted performance on three of the performance milestones, with positive effects on milestones from the “system-based practices” and “professionalism” domains and negative effects on a milestone from the “patient care” domain. Conclusion Burnout rates were high in this sample of internal medicine residents and rates were consistent with other reports of burnout during medical residency. Dispositional mindfulness was supported as a protective factor against burnout. Importantly, results from the exploratory investigation of the relationship between burnout and resident evaluations suggested that burnout may improve performance on some domains of resident evaluations while compromising performance on other domains. Implications and directions for future research are discussed. PMID:28860889

  7. The Decision to Incision Curriculum: Teaching Preoperative Skills and Achieving Level 1 Milestones.

    PubMed

    Skinner, Bethany; Morgan, Helen; Kobernik, Emily; Kamdar, Neil; Curran, Diana; Marzano, David; Hammoud, Maya

    2016-01-01

    To evaluate the effectiveness of a preoperative skills curriculum, and to assess and document competence in associated Obstetrics and Gynecology Level 1 Milestones. The Decision to Incision curriculum was developed by a team of medical educators with the goal of teaching and evaluating 5 skills pertinent to Milestone 1: Preoperative consent, patient positioning, Foley catheter placement, surgical scrub, and preoperative time-out. Competence, overall skill performance, and knowledge were assessed by evaluator rating using checklists before and after the educational intervention. Differences between preintervention and postintervention skills performance and competence were assessed using Wilcoxon rank test and Fisher exact test, respectively. Clinical Simulation Center at an academic medical center. Overall, 29 fourth year medical students matriculating into Obstetrics and Gynecology residencies. The proportion of participants meeting Milestone competence significantly increased in all 5 skills, with competence achieved in 95.6% (95% CI: 92.1-99.0) of posttest skills assessments. Median overall performance also significantly improved for all 5 skills, with 83.6% (95% CI: 77.3-89.9) earning scores of 4 out of 5 or greater on the posttest. For knowledge testing, the proportion of correct responses significantly increased for both topics evaluated, from 45.2% to 99.7% (p < 0.0001) for positioning and from 32.8% to 83.1% (p < 0.0001) for time-out. The decision to incision curriculum significantly improved preoperative skills, including skills that may be required on day 1 of residency. This curriculum also facilitated achievement and documentation of competence in multiple Milestones. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. Mindfulness, burnout, and effects on performance evaluations in internal medicine residents.

    PubMed

    Braun, Sarah E; Auerbach, Stephen M; Rybarczyk, Bruce; Lee, Bennett; Call, Stephanie

    2017-01-01

    Burnout has been documented at high levels in medical residents with negative effects on performance. Some dispositional qualities, like mindfulness, may protect against burnout. The purpose of the present study was to assess burnout prevalence among internal medicine residents at a single institution, examine the relationship between mindfulness and burnout, and provide preliminary findings on the relation between burnout and performance evaluations in internal medicine residents. Residents (n = 38) completed validated measures of burnout at three time points separated by 2 months and a validated measure of dispositional mindfulness at baseline. Program director end-of-year performance evaluations were also obtained on 22 milestones used to evaluate internal medicine resident performance; notably, these milestones have not yet been validated for research purposes; therefore, the investigation here is exploratory. Overall, 71.1% (n = 27) of the residents met criteria for burnout during the study. Lower scores on the "acting with awareness" facet of dispositional mindfulness significantly predicted meeting burnout criteria χ 2 (5) = 11.88, p = 0.04. Lastly, meeting burnout criteria significantly predicted performance on three of the performance milestones, with positive effects on milestones from the "system-based practices" and "professionalism" domains and negative effects on a milestone from the "patient care" domain. Burnout rates were high in this sample of internal medicine residents and rates were consistent with other reports of burnout during medical residency. Dispositional mindfulness was supported as a protective factor against burnout. Importantly, results from the exploratory investigation of the relationship between burnout and resident evaluations suggested that burnout may improve performance on some domains of resident evaluations while compromising performance on other domains. Implications and directions for future research are discussed.

  9. 75 FR 968 - Notice of Public Information Collections Being Reviewed by the U.S. Agency for International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-07

    ... . SUPPLEMENTARY INFORMATION: OMB No.: OMB 0412-New. Form No.: N/A. Title: Mentor-Prot[eacute]g[eacute] Program... the mentor-prot[eacute]g[eacute] agreement is meeting its milestones outlined in the original...

  10. Lean and Efficient Software: Whole-Program Optimization of Executables

    DTIC Science & Technology

    2013-01-03

    staffing for the project  Implementing the necessary infrastructure ( testing, performance evaluation, needed support software, bug and issue...in the SOW The result of the planning discussions is shown in the milestone table (section 6). In addition, we selected appropriate engineering

  11. Toward Affordable Systems: Portfolio Analysis and Management for Army Science and Technology Programs

    DTIC Science & Technology

    2009-01-01

    PROGRAM ELEMENT NUMBER 6. AUTHOR (S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand...Decision Authority MDAP major defense acquisition program Abbreviations xxvii MIC marginal implementation cost MOMC marginal operating and...the Milestone Decision Authority (MDA).1 1 This section is based on U.S. Army, 2003, pp. 30–33. This 2003 Army document had taken into account the

  12. Capturing Creative Program Management Best Practices

    DTIC Science & Technology

    2013-04-01

    Maryland Bottleneck Analysis on the DoD Pre-Milestone B Acquisition Processes Danielle Worger and Teresa Wu, Arizona State University Eugene Rex Jalao...Creative Program Management Best Practices Brandon Keller and J. Robert Wirthlin Air Force Institute of Technology The RITE Approach to Agile ...Mechanism for Adaptive Change Kathryn Aten and John T . Dillard Naval Postgraduate School A Comparative Assessment of the Navy’s Future Naval Capabilities

  13. Tank waste remediation system nuclear criticality safety program management review

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

    BRADY RAAP, M.C.

    1999-06-24

    This document provides the results of an internal management review of the Tank Waste Remediation System (TWRS) criticality safety program, performed in advance of the DOE/RL assessment for closure of the TWRS Nuclear Criticality Safety Issue, March 1994. Resolution of the safety issue was identified as Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-40-12, due September 1999.

  14. First NASA/Industry High Speed Research Program Nozzle Symposium

    NASA Technical Reports Server (NTRS)

    Long-Davis, Mary Jo

    1999-01-01

    The First High Speed Research (HSR) Nozzle Symposium was hosted by NASA Lewis Research Center on November 17-19, 1992 in Cleveland, Ohio, and was sponsored by the HSR Source Noise Working Group. The purpose of this symposium was to provide a national forum for the government, industry, and university participants in the program to present and discuss important low noise nozzle research results and technology issues related to the development of appropriate nozzles for a commercially viable, environmentally compatible, U.S. High-Speed Civil Transport. The HSR Phase I research program was initiated in FY90 and is approaching the first major milestone (end of FY92) relative to an initial FAR 36 Stage 3 nozzle noise assessment. Significant research results relative to that milestone were presented. The opening session provided a brief overview of the Program and status of the Phase H plan. The next five sessions were technically oriented and highlighted recent significant analytical and experimental accomplishments. The last Session included a panel discussion by the Session Chairs, summarizing the progress seen to date and discussing issues relative to further advances in technology necessary to achieve the Program Goals. Attendance at the Symposium was by invitation only and included only industry, academic, and government participants who are actively involved in the High-Speed Research Program. The technology presented in this meeting is considered commercially sensitive.

  15. Verifying occulter deployment tolerances as part of NASA's technology development for exoplanet missions

    NASA Astrophysics Data System (ADS)

    Kasdin, N. J.; Lisman, D.; Shaklan, S.; Thomson, M.; Webb, D.; Cady, E.; Marks, G. W.; Lo, A.

    2013-09-01

    An external occulter is a satellite employing a large screen, or starshade, that flies in formation with a spaceborne telescope to provide the starlight suppression needed for detecting and characterizing exoplanets. Among the advantages of using an occulter are the broadband allowed for characterization and the removal of light before entering the observatory, greatly relaxing the requirements on the telescope and instrument. In support of NASA's Exoplanet Exploration Program and the Technology Development for Exoplanet Missions (TDEM), we recently completed a 2 year study of the manufacturability and metrology of starshade petals. In this paper we review the results of that successful first TDEM which demonstrated an occulter petal could be built and measured to an accuracy consistent with close to 10-10 contrast. We then present the results of our second TDEM to demonstrate the next critical technology milestone: precision deployment of the central truss and petals to the necessary accuracy. We show the deployment of an existing deployable truss outfitted with four sub-scale petals and a custom designed central hub.

  16. Milestones for Selection, Characterization, and Analysis of the Performance of a Repository for Spent Nuclear Fuel and High-Level Radioactive Waste at Yucca Mountain.

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

    Rechard, Robert P.

    This report presents a concise history in tabular form of events leading up to site identification in 1978, site selection in 1987, subsequent characterization, and ongoing analysis through 2008 of the performance of a repository for spent nuclear fuel and high-level radioactive waste at Yucca Mountain in southern Nevada. The tabulated events generally occurred in five periods: (1) commitment to mined geologic disposal and identification of sites; (2) site selection and analysis, based on regional geologic characterization through literature and analogous data; (3) feasibility analysis demonstrating calculation procedures and importance of system components, based on rough measures of performance usingmore » surface exploration, waste process knowledge, and general laboratory experiments; (4) suitability analysis demonstrating viability of disposal system, based on environment-specific laboratory experiments, in-situ experiments, and underground disposal system characterization; and (5) compliance analysis, based on completed site-specific characterization. Because the relationship is important to understanding the evolution of the Yucca Mountain Project, the tabulation also shows the interaction between four broad categories of political bodies and government agencies/institutions: (a) technical milestones of the implementing institutions, (b) development of the regulatory requirements and related federal policy in laws and court decisions, (c) Presidential and agency directives and decisions, and (d) critiques of the Yucca Mountain Project and pertinent national and world events related to nuclear energy and radioactive waste.« less

  17. Visuospatial Aptitude Testing Differentially Predicts Simulated Surgical Skill.

    PubMed

    Hinchcliff, Emily; Green, Isabel; Destephano, Christopher; Cox, Mary; Smink, Douglas; Kumar, Amanika; Hokenstad, Erik; Bengtson, Joan; Cohen, Sarah

    2018-02-05

    To determine if visuospatial perception (VSP) testing is correlated to simulated or intraoperative surgical performance as rated by the American College of Graduate Medical Education (ACGME) milestones. Classification II-2 SETTING: Two academic training institutions PARTICIPANTS: 41 residents, including 19 Brigham and Women's Hospital and 22 Mayo Clinic residents from three different specialties (OBGYN, general surgery, urology). Participants underwent three different tests: visuospatial perception testing (VSP), Fundamentals of Laparoscopic Surgery (FLS®) peg transfer, and DaVinci robotic simulation peg transfer. Surgical grading from the ACGME milestones tool was obtained for each participant. Demographic and subject background information was also collected including specialty, year of training, prior experience with simulated skills, and surgical interest. Standard statistical analysis using Student's t test were performed, and correlations were determined using adjusted linear regression models. In univariate analysis, BWH and Mayo training programs differed in both times and overall scores for both FLS® peg transfer and DaVinci robotic simulation peg transfer (p<0.05 for all). Additionally, type of residency training impacted time and overall score on robotic peg transfer. Familiarity with tasks correlated with higher score and faster task completion (p= 0.05 for all except VSP score). There was no difference in VSP scores by program, specialty, or year of training. In adjusted linear regression modeling, VSP testing was correlated only to robotic peg transfer skills (average time p=0.006, overall score p=0.001). Milestones did not correlate to either VSP or surgical simulation testing. VSP score was correlated with robotic simulation skills but not with FLS skills or ACGME milestones. This suggests that the ability of VSP score to predict competence differs between tasks. Therefore, further investigation is required into aptitude testing, especially prior to its integration as an entry examination into a surgical subspecialty. Copyright © 2018. Published by Elsevier Inc.

  18. Airport Noise Tech Challenge Overview

    NASA Technical Reports Server (NTRS)

    Bridges, James

    2011-01-01

    The Supersonics Project, operating under NASA Aeronautics Mission Directorate#s Fundamental Aero Program, has been organized around the Technical Challenges that have historically precluded commercial supersonic flight. One of these Challenges is making aircraft that are capable of such high aerodynamic performance quiet enough around airports that they will not be objectionable. It is recognized that a successful civilian supersonic aircraft will be a system where many new technologies will come together, and for this to happen not only will new low noise propulsion concepts be required, but new engineering tools that predict the noise of the aircraft as these technologies are combined and compromised with the rest of the aircraft design. These are the two main objectives of the Airport Noise Tech Challenge. " ! As a Project in the Fundamental Aero Program, we work at a relatively low level of technology readiness. However, we have high level milestones which force us to integrate our efforts to impact systems-level activities. To keep the low-level work tied to delivering engineering tools and low-noise concepts, we have structured our milestones around development of the concepts and organized our activities around developing and applying our engineering tools to these concepts. The final deliverables in these milestones are noise prediction modules validated against the best embodiment of each concept. These will then be used in cross-disciplinary exercises to demonstrate the viability of aircraft designs to meet all the Technical Challenges. Some of the concepts being developed are shown: Fan Flow Diverters, Multi-jet Shielding, High-Aspect Ratio Embedded Nozzles, Plasma Actuated Instability Manipulation, Highly Variable Cycle Mixer- Ejectors, and Inverted Velocity Profiles. These concepts are being developed for reduced jet noise along with the design tools which describe how they perform when used in various aircraft configurations. Several key upcoming events are highlighted, including tests of the Highly Variable Cycle Mixer-Ejectors, and Inverted Velocity Profiles. Other key events are milestones to be delivered within the next calendar year.

  19. Developmental milestones record - 6 months

    MedlinePlus

    Normal childhood growth milestones - 6 months; Childhood growth milestones - 6 months; Growth milestones for children - 6 months ... the weight on hands (often occurs by 4 months) Able to pick up a dropped object Able ...

  20. KSC-2013-4519

    NASA Image and Video Library

    2013-12-20

    An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  1. Curriculum for the Special Education Early Childhood Center.

    ERIC Educational Resources Information Center

    Taulbee, Dianne R.; And Others

    This document presents Jackson County (Michigan) Intermediate School District's Special Education Early Childhood Center's 1988 curriculum. Sections focus on: (1) the center's program; (2) play observation; (3) eligibility; (4) classroom structure and function; (5) the importance of play; (6) developmental milestones; (7) planning and teaching…

  2. The Trade-off

    ERIC Educational Resources Information Center

    Stuart, Reginald

    2009-01-01

    When Lincoln University opened its state-of-the art $23 million International Cultural Center in November, the small liberal arts college reached another milestone in its sweeping modernization program aimed at boosting its appeal to students in an increasingly competitive higher education environment. To say Lincoln, a small, quasi-private…

  3. Cindy Gerk | NREL

    Science.gov Websites

    results, and working closely with industry and DOE serving as a Project Leader and a Principal Investigator Management of reporting requirements to DOE for financial forecasts, milestone reports, and annual operating plans Management of communications projects for the NREL Biomass program and Bioenergy

  4. A Longitudinal Emergency Medical Services Track in Emergency Medicine Residency.

    PubMed

    Adams, Daniel; Bischof, Jason; Larrimore, Ashley; Krebs, William; King, Andrew

    2017-03-30

    Emergency medicine residency programs offer Emergency Medical Services (EMS) curricula to address Accreditation Council for Graduate Medical Education (ACGME) milestones. While some programs offer advanced clinical tracks in EMS, no standard curriculum exists. We sought to establish a well-defined EMS curriculum to allow interested residents to develop advanced clinical skills and scholarship within this subspecialty. Core EMS fellowship trained faculty were recruited to help develop the curriculum. Building on ACGME graduation requirements and milestones, important elements of EMS fellowship training were incorporated into the curriculum to develop the final document. The final curriculum focuses on scholarly activities relating to the four core areas of EMS identified by The American Board of Emergency Medicine and serves as an intermediary between ACGME graduation requirements for education in EMS and fellowship level training. Standardization of the EMS scholarly track can provide residents with the potential to obtain competency beyond ACGME requirements and prepare them for success in fellowship training and/or leadership within EMS on graduation.

  5. A Longitudinal Emergency Medical Services Track in Emergency Medicine Residency

    PubMed Central

    Bischof, Jason; Larrimore, Ashley; Krebs, William; King, Andrew

    2017-01-01

    Emergency medicine residency programs offer Emergency Medical Services (EMS) curricula to address Accreditation Council for Graduate Medical Education (ACGME) milestones. While some programs offer advanced clinical tracks in EMS, no standard curriculum exists. We sought to establish a well-defined EMS curriculum to allow interested residents to develop advanced clinical skills and scholarship within this subspecialty. Core EMS fellowship trained faculty were recruited to help develop the curriculum. Building on ACGME graduation requirements and milestones, important elements of EMS fellowship training were incorporated into the curriculum to develop the final document. The final curriculum focuses on scholarly activities relating to the four core areas of EMS identified by The American Board of Emergency Medicine and serves as an intermediary between ACGME graduation requirements for education in EMS and fellowship level training. Standardization of the EMS scholarly track can provide residents with the potential to obtain competency beyond ACGME requirements and prepare them for success in fellowship training and/or leadership within EMS on graduation. PMID:28465874

  6. Guide to DCP Study Close-Out: Milestones and Tasks | Division of Cancer Prevention

    Cancer.gov

    This guide assists Consortium Lead Organization (CLO) planning for DCP study close-out. Study close-out tasks are organized under milestones, which help mark progress toward completion of the close-out process. Once tasks associated with a milestone are underway, planning for the next milestone may begin. Click on a milestone to view the associated close-out tasks. |

  7. Pediatrics Milestone Project: Next Steps Toward Meaningful Outcomes Assessment

    PubMed Central

    Hicks, Patricia J.; Englander, Robert; Schumacher, Daniel J.; Burke, Ann; Benson, Bradley J.; Guralnick, Susan; Ludwig, Stephen; Carraccio, Carol

    2010-01-01

    In the September 2010 issue of JGME, the Pediatric Milestones Working Group published “The Pediatrics Milestones: Conceptual Framework, Guiding Principles, and Approach to Development”, a document that describes the construction of the first iteration of the Pediatric Milestones. These Milestones were developed by the Working Group as a group of practical behavioral expectations for each of the 52 sub-competencies. In constructing these Milestones, the authors were cognizant of the need to ground the Milestones themselves in evidence, theories or other conceptual frameworks that would provide the basis for the ontogeny of development for each sub-competency. During this next phase of the Milestones development, the process will continue with consultation with content experts and consideration of assessment of Milestones. We have described possible measurement tools, explored threats to validity, establishment of benchmarks, and possible approaches to reporting of performance. The vision of the Pediatrics Milestone Project is to understand the development of a pediatrician from entry into medical school through the twilight of a physician’s career, and the work will require a collaborative effort of the undergraduate and graduate medical education communities, and the accrediting and certifying bodies. PMID:22132281

  8. Variations in Sexual Identity Milestones among Lesbians, Gay Men and Bisexuals

    PubMed Central

    Martos, Alexander; Nezhad, Sheila; Meyer, Ilan H.

    2016-01-01

    Despite a large body of literature covering sexual identity development milestones, we know little about differences or similarities in patterns of identity development among subgroups of the lesbian, gay, and bisexual (LGB) population. For this study, we assessed identity milestones for 396 LGB New Yorkers, ages 18–59. Sexual identity and disclosure milestones, were measured across gender, sexual identity, race/ethnicity, and age cohort subgroups of the LGB sample. Men experienced most sexual identity milestones earlier than women, but they tended to take more time between milestones. LGBs in younger age cohorts experienced sexual identity milestones and disclosure milestones earlier than the older cohorts. Bisexual people experienced sexual identity and disclosure milestones later than gay and lesbian people. Timing of coming out milestones did not differ by race/ethnicity. By comparing differences within subpopulations, the results of this study help build understanding of the varied identity development experiences of people who are often referred to collectively as “the LGB community.” LGB people face unique health and social challenges; a more complete understanding of variations among LGB people allows health professionals and social service providers to provide services that better fit the needs of LGB communities. PMID:27695579

  9. A survey of resident perspectives on surgical case minimums and the impact on milestones, graduation, credentialing, and preparation for practice: AOA critical issues.

    PubMed

    Jeray, Kyle J; Frick, Steven L

    2014-12-03

    Residency education continues to evolve. Several major changes have occurred in the past several years, including emphasis on core competencies, duty-hour restrictions, and call. The Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System (NAS) implemented educational milestones in orthopaedic surgery in July 2013. Additionally, the Residency Review Committee for orthopaedic surgery published suggested surgical case minimums in 2012, which overlap with several of the milestones.We conducted a survey to assess the opinions of orthopaedic residents regarding the ACGME-suggested surgical case minimums and the effects that these may have on resident education and potential future privileges in hospitals. The survey was sent via e-mail to all of the residents participating in the American Orthopaedic Association (AOA) Resident Leadership Forum for both 2011 and 2012. Participants in the Resident Leadership Forum are in either postgraduate year 4 or postgraduate year 5, are selected by the program directors as resident leaders, and represent 80% of the orthopaedic residency programs in the United States. The survey was completed by 157 of the 314 participants. Sixty-nine percent of the participants believed that case logs with minimum numbers of surgical procedures were an effective way to monitor the work but were not necessarily the only way to monitor the educational progress of the residents. Thirty-two percent believed that the minimums should not be required. Overwhelmingly, there was agreement that important cases were missing from the currently proposed sixteen core surgical minimums. Specifically, the residents believed that a minimum number of cases are necessary for distal radial fracture fixation and proximal humeral fracture fixation and possibly have a milestone to reflect the progress of the residents for each fixation.Most residents thought that surgical case minimums are an effective tool in monitoring the progress of residents and measuring the effectiveness of residency programs. However, the surgical ability of an individual resident should not be evaluated on case minimums alone. The development of the milestones to assess competency should continue, but, as surgical skill is not a specific core competency, perhaps other methods for assessing surgical proficiency need to be developed rather than case minimums. Surgical skills laboratories and proctoring residents independently performing procedures may help to assess surgical proficiency, in addition to traditional faculty and 360° evaluations. Combining these types of assessments with surgical case logs documenting the residents' educational experience seems to be the best path going forward in assessing the development of young surgeons. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

  10. XOPPS - OEL PROJECT PLANNER/SCHEDULER TOOL

    NASA Technical Reports Server (NTRS)

    Mulnix, C. L.

    1994-01-01

    XOPPS is a window-based graphics tool for scheduling and project planning that provides easy and fast on-screen WYSIWYG editing capabilities. It has a canvas area which displays the full image of the schedule being edited. The canvas contains a header area for text and a schedule area for plotting graphic representations of milestone objects in a flexible timeline. XOPPS is object-oriented, but it is unique in its capability for creating objects that have date attributes. Each object on the screen can be treated as a unit for moving, editing, etc. There is a mouse interface for simple control of pointer location. The user can position objects to pixel resolution, but objects with an associated date are positioned automatically in their correct timeline position in the schedule area. The schedule area has horizontal lines across the page with capabilities for multiple pages and for editing the number of lines per page and the line grid. The text on a line can be edited and a line can be moved with all objects on the line moving with it. The timeline display can be edited to plot any time period in a variety of formats from Fiscal year to Calendar Year and days to years. Text objects and image objects (rasterfiles and icons) can be created for placement anywhere on the page. Milestone event objects with a single associated date (and optional text and milestone symbol) and activity objects with start and end dates (and an optional completion date) have unique editing panels for entering data. A representation for schedule slips is also provided with the capability to automatically convert a milestone event to a slip. A milestone schedule on another computer can be saved to an ASCII file to be read by XOPPS. The program can print a schedule to a PostScript file. Dependencies between objects can also be displayed on the chart through the use of precedence lines. This program is not intended to replace a commercial scheduling/project management program. Because XOPPS has an ASCII file interface it can be used in conjunction with a project management tool to produce schedules with a quality appearance. XOPPS is written in C-language for Sun series workstations running SunOS. This package requires MIT's X Window System, Version 11 Revision 4, with OSF/Motif 1.1. A sample executable is included. XOPPS requires 375K main memory and 1.5Mb free disk space for execution. The standard distribution medium is a .25 inch streaming magnetic tape cartridge in UNIX tar format. XOPPS was developed in 1992, based on the Sunview version of OPPS (NPO-18439) developed in 1990. It is a copyrighted work with all copyright vested in NASA.

  11. Internal Medicine Residents' Perspectives on Receiving Feedback in Milestone Format

    PubMed Central

    Angus, Steven; Moriarty, John; Nardino, Robert J.; Chmielewski, Amy; Rosenblum, Michael J.

    2015-01-01

    Background In contrast to historical feedback, which was vague or provided residents' numerical scores without clear meaning, milestone-based feedback is focused on specific knowledge, skills, and behaviors that define developmental trajectory. It was anticipated that residents would welcome the more specific and actionable feedback provided by the milestone framework, but this has not been studied. Objective We assessed internal medicine (IM) residents' perceptions of receiving feedback in the milestone framework, particularly assessing perception of the utility of milestone-based feedback compared to non–milestone-based feedback. Methods We surveyed a total of 510 IM residents from 7 institutions. Survey questions assessed resident perception of milestone feedback in identifying strengths, weaknesses, and trajectory of professional development. Postgraduate years 2 and 3 (PGY-2 and PGY-3) residents were asked to compare milestones with prior methods of feedback. Results Of 510 residents, 356 (69.8%) responded. Slightly less than half of the residents found milestone-based feedback “extremely useful” or “very useful” in identifying strengths (44%), weaknesses (43%), specific areas for improvement (45%), and appropriate education progress (48%). Few residents found such feedback “not very useful” or “not at all useful” in these domains. A total of 51% of PGY-2 and PGY-3 residents agreed that receiving milestone-based feedback was more helpful than previous forms of feedback. Conclusions IM residents are aware of the concepts of milestones, and half of the residents surveyed found milestone feedback more helpful than previous forms of feedback. More work needs to be done to understand how milestone-based feedback could be delivered more effectively to enhance resident development. PMID:26221438

  12. Advanced composites technology program

    NASA Technical Reports Server (NTRS)

    Davis, John G., Jr.

    1993-01-01

    This paper provides a brief overview of the NASA Advanced Composites Technology (ACT) Program. Critical technology issues that must be addressed and solved to develop composite primary structures for transport aircraft are delineated. The program schedule and milestones are included. Work completed in the first 3 years of the program indicates the potential for achieving composite structures that weigh less and are cost effective relative to conventional aluminum structure. Selected technical accomplishments are noted. Readers who are seeking more in-depth technical information should study the other papers included in these proceedings.

  13. Summary of Pellet Technology Program Activities

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

    Gebhart, III, Gerald E.; Baylor, Larry R.; Bell, Gary L.

    This report summarizes the activities and budget information of ORNL’s pellet technology program from the start of FY2014 through FY2017. Cost summaries are broken down by year and spending category. Milestone activities are outlined and described by year and further described in the project narrative. The project narrative outlines the main pellet injection technology advances enabled by the pellet technology program. A list of published research products is included, along with biographies of personnel involved. This document was prepared in support of the April 24, 2018, review of the pellet technology program at ORNL.

  14. Supporting research and technology for automotive Stirling engine development

    NASA Technical Reports Server (NTRS)

    Tomazic, W. A.

    1980-01-01

    The technology advancement topics described are a part of the supporting research and technology (SRT) program conducted to support the major Stirling engine development program. This support focuses on developing alternatives or backups to the engine development in critical areas. These areas are materials, seals control, combustors and system analysis. Specific objectives and planned milestone schedules for future activities as now envisioned are described. These planned SRT activities are related to the timeline of the engine development program that they must support.

  15. Science of health care delivery milestones for undergraduate medical education.

    PubMed

    Havyer, Rachel D; Norby, Suzanne M; Leep Hunderfund, Andrea N; Starr, Stephanie R; Lang, Tara R; Wolanskyj, Alexandra P; Reed, Darcy A

    2017-08-25

    The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians' abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students' competence in SHCD. We reviewed all ACGME milestones for 25 specialties available in September 2013. We used an iterative, qualitative process to group the ACGME milestones into SHCD content domains, from which SHCD milestones were derived. The SHCD milestones were categorized within the current ACGME core competencies and were also mapped to Association of American Medical Colleges' Entrustable Professional Activities (AAMC EPAs). Fifteen SHCD sub-competencies and corresponding milestones are provided, grouped within ACGME core competencies and mapped to multiple AAMC EPAs. This novel set of milestones, grounded within the existing ACGME competencies, defines fundamental expectations within SHCD that can be used and adapted by medical schools in the assessment of medical students in this emerging curricular area. These milestones provide a blueprint for SHCD content and assessment as ongoing revisions to milestones and curricula occur.

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

    Trott, Christian Robert; Lopez, Graham; Shipman, Galen

    This report documents the completion of milestone STPM12-2 Kokkos User Support Infrastructure. The goal of this milestone was to develop and deploy an initial Kokkos support infrastructure, which facilitates communication and growth of the user community, adds a central place for user documentation and manages access to technical experts. Multiple possible support infrastructure venues were considered and a solution was put into place by Q1 of FY 18 consisting of (1) a Wiki programming guide, (2) github issues and projects for development planning and bug tracking and (3) a “Slack” channel for low latency support communications with the Kokkos usermore » community. Furthermore, the desirability of a cloud based training infrastructure was recognized and put in place in order to support training events.« less

  17. Supersonics--Airport Noise

    NASA Technical Reports Server (NTRS)

    Bridges, James

    2007-01-01

    At this, the first year-end meeting of the Fundamental Aeronautics Program, an overview of the Airport Noise discipline of the Supersonics Project leads the presentation of technical plans and achievements in this area of the Project. The overview starts by defining the Technical Challenges targeted by Airport Noise efforts, and the Approaches planned to meet these challenges. These are fleshed out in Elements, namely Prediction, Diagnostics, and Engineering, and broken down into Tasks. The Tasks level is where individual researchers' work is defined and from whence the technical presentations to follow this presentation come. This overview also presents the Milestones accomplished to date and to be completed in the next year. Finally, the NASA Research Announcement cooperative agreement activities are covered and tied to the Tasks and Milestones.

  18. Space Launch System milestone on This Week @NASA - August 29, 2014

    NASA Image and Video Library

    2014-08-29

    On August 27, NASA announced a milestone in development of the Space Launch System heavy-lift rocket. The completion of a rigorous review known as Key Decision Point C, or KDP-C, means NASA can transition from formulation to development of the rocket that will send humans beyond Earth orbit and to Mars. KDP-C outlines a conservative development cost baseline and a launch readiness schedule based on an initial SLS flight no later than November 2018. This marks the country's first commitment to building an exploration class launch vehicle since the Space Shuttle Program. Also, 3-D printed rocket injector test, SLS scale model test, Composite fuel tank tests, Crossing Neptune’s orbit, New Horizons: Continuing Voyager’s legacy and more!

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

    Matyas, Josef; Fryxell, Glen E.; Robinson, Matthew J.

    This is a letter report to complete level 3 milestone "Assess aging characteristics of silica aerogels" for DOE FCRD program. Recently, samples of Ag0-functionalized silica aerogel were aged in flowing dry air for up to 6 months and then loaded with iodine. This dry-air aging simulated the impact of long-term exposure to process gases during process idling. The 6-month aged sample exhibited an iodine sorption capacity of 32 mass%, which was 9 mass % lower than that for an un-aged Ag0-functionalized silica aerogel. In an attempt to understand this decrease in sorption capacity, we characterized physical properties of the agedmore » samples with Brunauer-Emmett-Teller (BET) nitrogen adsorption, X-ray diffraction (XRD), and high resolution scanning electron microscopy (SEM). The results showed no impact of aging on the aerogel microstructure or the silver nanoparticles in the aerogel, including their spatial distribution and morphology.« less

  20. Manufacturing process applications team (MATeam). [NASA/industry relations

    NASA Technical Reports Server (NTRS)

    Bangs, E. R.

    1978-01-01

    Forty additional statements were added to the list of 150 problem/opportunity statements identifying possibilities for transfer of NASA technology to various manufacturing industries. Selected statements that are considered to have a high potential for transfer in the 1978 program year are presented in the form of goals and milestones. The transfer of a flux used in the stud welding of aluminum is reported. Candidate RTOP programs are identified.

  1. Competency-based goals, objectives, and linked evaluations for rheumatology training programs: a standardized template of learning activities from the Carolinas Fellows Collaborative.

    PubMed

    Criscione-Schreiber, Lisa G; Bolster, Marcy B; Jonas, Beth L; O'Rourke, Kenneth S

    2013-06-01

    American Council on Graduate Medical Education program requirements mandate that rheumatology training programs have written goals, objectives, and performance evaluations for each learning activity. Since learning activities are similar across rheumatology programs, we aimed to create competency-based goals and objectives (CBGO) and evaluations that would be generalizable nationally. Through an established collaboration of the 4 training programs' directors in North Carolina and South Carolina, we collaboratively composed CBGO and evaluations for each learning activity for rheumatology training programs. CBGO and linked evaluations were written using appropriate verbs based on Bloom's taxonomy. Draft documents were peer reviewed by faculty at the 4 institutions and by members of the American College of Rheumatology (ACR) Clinician Scholar Educator Group. We completed templates of CBGO for core and elective rotations and conferences. Templates detail progressive fellow performance improvement appropriate to educational level. Specific CBGO are mirrored in learning activity evaluations. Templates are easily modified to fit individual program attributes, have been successfully implemented by our 4 programs, and have proven their value in 4 residency review committee reviews. We propose adoption of these template CBGO by the ACR, with access available to all rheumatology training programs. Evaluation forms that exactly reflect stated objectives ensure that trainees are assessed using standardized measures and that trainees are aware of the learning expectations. The objectives mirrored in the evaluations closely align with the proposed milestones for internal medicine training, and will therefore be a useful starting point for creating these milestones in rheumatology. Copyright © 2013 by the American College of Rheumatology.

  2. Developing an Experiential Learning Program: Milestones and Challenges

    ERIC Educational Resources Information Center

    Austin, M. Jill; Rust, Dianna Zeh

    2015-01-01

    College and University faculty members have increasingly adopted experiential learning teaching methods that are designed to engage students in the learning process. Experiential learning is simply defined as "hands-on" learning and may involve any of the following activities: service learning, applied learning in the discipline,…

  3. Why Isn't There More High-fidelity Simulation Training in Diagnostic Radiology? Results of a Survey of Academic Radiologists.

    PubMed

    Cook, Tessa S; Hernandez, Jessica; Scanlon, Mary; Langlotz, Curtis; Li, Chun-Der L

    2016-07-01

    Despite its increasing use in training other medical specialties, high-fidelity simulation to prepare diagnostic radiology residents for call remains an underused educational resource. To attempt to characterize the barriers toward adoption of this technology, we conducted a survey of academic radiologists and radiology trainees. An Institutional Review Board-approved survey was distributed to the Association of University Radiologists members via e-mail. Survey results were collected electronically, tabulated, and analyzed. A total of 68 survey responses representing 51 programs were received from program directors, department chairs, chief residents, and program administrators. The most common form of educational activity for resident call preparation was lectures. Faculty supervised "baby call" was also widely reported. Actual simulated call environments were quite rare with only three programs reporting this type of educational activity. Barriers to the use of simulation include lack of faculty time, lack of faculty expertise, and lack of perceived need. High-fidelity simulation can be used to mimic the high-stress, high-stakes independent call environment that the typical radiology resident encounters during the second year of training, and can provide objective data for program directors to assess the Accreditation Council of Graduate Medical Education milestones. We predict that this technology will begin to supplement traditional diagnostic radiology teaching methods and to improve patient care and safety in the next decade. Published by Elsevier Inc.

  4. Future HIV Mentoring Programs to Enhance Diversity.

    PubMed

    Stoff, David M; Cargill, Victoria A

    2016-09-01

    This paper proposes a general template to guide future mentoring program development addressing: (i) considerations to ensure an adequate research workforce; (ii) key guidelines and principles of mentoring; and (iii) use of a logic model to develop program milestones, outcomes and evaluation. We focus on these areas to guide and inform the most effective mentoring program components, which we find to be more helpful than identifying specific features and ingredients. Although the focus is on the development of a new generation of investigators from diverse backgrounds, this template may also apply to mentoring programs for other investigators and for disciplines beyond HIV.

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

    Smith, Thomas M.; Berndt, Markus; Baglietto, Emilio

    The purpose of this report is to document a multi-year plan for enhancing turbulence modeling in Hydra-TH for the Consortium for Advanced Simulation of Light Water Reactors (CASL) program. Hydra-TH is being developed to the meet the high- fidelity, high-Reynolds number CFD based thermal hydraulic simulation needs of the program. This work is being conducted within the thermal hydraulics methods (THM) focus area. This report is an extension of THM CASL milestone L3:THM.CFD.P10.02 [33] (March, 2015) and picks up where it left off. It will also serve to meet the requirements of CASL THM level three milestone, L3:THM.CFD.P11.04, scheduled formore » completion September 30, 2015. The objectives of this plan will be met by: maturation of recently added turbulence models, strategic design/development of new models and systematic and rigorous testing of existing and new models and model extensions. While multi-phase turbulent flow simulations are important to the program, only single-phase modeling will be considered in this report. Large Eddy Simulation (LES) is also an important modeling methodology. However, at least in the first year, the focus is on steady-state Reynolds Averaged Navier-Stokes (RANS) turbulence modeling.« less

  6. [Educational model to develop trustworthy professional activities].

    PubMed

    Hamui-Sutton, Alicia; Varela-Ruiz, Margarita; Ortiz-Montalvo, Armando; Torruco-García, Uri

    2015-01-01

    The reorganization of the national health system (SNS), enforces reflection and transformation on medical education in clinical contexts. The study presents an educational model to develop entrusted professionals activities (MEDAPROC) to train human resources in health with reliable knowledge, skills and attitudes to work in the shifting scenario of the SNS. The paper discusses international and national documents on skills in medicine. Based on the analysis of 8 domains, 50 skills and 13 entrusted professional activities (RPA) proposed by the Association of the American Medical College (AAMC) we propose a curriculum design, with the example of the undergraduate program of Gynecology and Obstetrics, with the intention to advance to internship and residency in a continuum that marks milestones and clinical practices. The pedagogical design of MEDAPROC was developed within three areas: 1) proposal of the AAMC; 2) curricular content of programs in pre and postgraduate education 3) organization of the daily agenda with academic mechanisms to develop the competencies, cover program items and develop clinical practice in deliberate learning activities, as well as milestones. The MEDAPROC offers versatility, student mobility and curricular flexibility in a system planed by academic units in diverse clinical settings.

  7. International vision requirements for driver licensing and disability pensions: using a milestone approach in characterization of progressive eye disease

    PubMed Central

    Bron, Alain M; Viswanathan, Ananth C; Thelen, Ulrich; de Natale, Renato; Ferreras, Antonio; Gundgaard, Jens; Schwartz, Gail; Buchholz, Patricia

    2010-01-01

    Objective Low vision that causes forfeiture of driver’s licenses and collection of disability pension benefits can lead to negative psychosocial and economic consequences. The purpose of this study was to review the requirements for holding a driver’s license and rules for obtaining a disability pension due to low vision. Results highlight the possibility of using a milestone approach to describe progressive eye disease. Methods Government and research reports, websites, and journal articles were evaluated to review rules and requirements in Germany, Spain, Italy, France, the UK, and the US. Results Visual acuity limits are present in all driver’s license regulations. In most countries, the visual acuity limit is 0.5. Visual field limits are included in some driver’s license regulations. In Europe, binocular visual field requirements typically follow the European Union standard of ≥120°. In the US, the visual field requirements are typically between 110° and 140°. Some countries distinguish between being partially sighted and blind in the definition of legal blindness, and in others there is only one limit. Conclusions Loss of driving privileges could be used as a milestone to monitor progressive eye disease. Forfeiture could be standardized as a best-corrected visual acuity of <0.5 or visual field of <120°, which is consistent in most countries. However, requirements to receive disability pensions were too variable to standardize as milestones in progressive eye disease. Implementation of the World Health Organization criteria for low vision and blindness would help to establish better comparability between countries. PMID:21179219

  8. Air Force Research Laboratory Technology Milestones 2008

    DTIC Science & Technology

    2008-01-01

    futuristic ‘bots will possess self - healing properties as well, enhancing their resiliency to damage sustained during such missions. Leading the SuperBot...Matrix Composites Pollution Prevention Materials Polymeric Materials Power and Chemical Processes Quantitative Defect Characterization Robotics ...advanced self -sealing CMC manufactured by French company Snecma Propulsion Solide (SPS). Thus far, the seals have performed extremely well, and a

  9. Key Milestones in the Development of Reputation Management in Russian Universities

    ERIC Educational Resources Information Center

    Reznik, Semen D.; Yudina, Tatiana A.

    2018-01-01

    The development of the modern higher school is characterized by a number of trends that cannot always be called positive. The recent reforms in the sphere of higher education in Russia increase uncertainty of the conditions, in which institutions of higher education currently function. The topicality of the problem makes it necessary to study the…

  10. Modeling Spatial Maps Inspired by the Hippocampal System

    DTIC Science & Technology

    2015-08-24

    assigned to the award James Lawton Reporting Period Start Date 04/01/2012 Reporting Period End Date 03/31/2015 Abstract How the hippocampus encodes both...Manager, if any: During this project the Program Manager was changed from Dr. Jay Ayung to Dr. James Lawton . Extensions granted or milestones slipped

  11. KSC-2013-4510

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  12. KSC-2013-4509

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  13. KSC-2013-4521

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. - An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  14. KSC-2013-4520

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. - An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  15. KSC-2013-4511

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  16. KSC-2013-4495

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  17. KSC-2013-4496

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  18. KSC-2013-4497

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  19. 3 CFR 9058 - Proclamation 9058 of November 15, 2013. American Education Week, 2013

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... every child in America; and working to strengthen programs in science, technology, engineering, and... an increasingly competitive world, it gives our children the tools to thrive and our Nation the... throughout America, our children mark the many milestones of learning—from scribbling their first attempts at...

  20. Enhancing Child Development: The Beginning Years. Fostering Families.

    ERIC Educational Resources Information Center

    Schatz, Mona Struhsaker; And Others

    This module is part of a training program for foster parents and foster care workers offered at Colorado State University. The module's learning objectives address: (1) factors that interact to affect child development; (2) developmental milestones for infants and young children; (3) parenting processes appropriate to the childhood years; (4)…

  1. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  2. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  3. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  4. Navy Underway

    Science.gov Websites

    Change of Command DDG-51 Program Marks Start of Construction Milestones at BIW, HII 2017 Sailors of the Deployed NETSAFA Holds Change of Command Pacific Partnership 2018 Kicks-Off in Thailand for First Time Forrest Sherman Holds Change of Command Suicide Prevention: ASIST Course Teaches Service Members to

  5. Bringing Color into the Living Room: Analyzing "TV Guide" Covers, 1953 to 1997

    ERIC Educational Resources Information Center

    Upright, Craig

    2015-01-01

    Many contemporary students are unfamiliar with the cultural history of television programming in the United States. References to iconic series that represented significant milestones in minority representations and discussions of racial issues--such as "I Spy," "Julia," "All in the Family," or even "The Cosby…

  6. Year 2 Report: Protein Function Prediction Platform

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

    Zhou, C E

    2012-04-27

    Upon completion of our second year of development in a 3-year development cycle, we have completed a prototype protein structure-function annotation and function prediction system: Protein Function Prediction (PFP) platform (v.0.5). We have met our milestones for Years 1 and 2 and are positioned to continue development in completion of our original statement of work, or a reasonable modification thereof, in service to DTRA Programs involved in diagnostics and medical countermeasures research and development. The PFP platform is a multi-scale computational modeling system for protein structure-function annotation and function prediction. As of this writing, PFP is the only existing fullymore » automated, high-throughput, multi-scale modeling, whole-proteome annotation platform, and represents a significant advance in the field of genome annotation (Fig. 1). PFP modules perform protein functional annotations at the sequence, systems biology, protein structure, and atomistic levels of biological complexity (Fig. 2). Because these approaches provide orthogonal means of characterizing proteins and suggesting protein function, PFP processing maximizes the protein functional information that can currently be gained by computational means. Comprehensive annotation of pathogen genomes is essential for bio-defense applications in pathogen characterization, threat assessment, and medical countermeasure design and development in that it can short-cut the time and effort required to select and characterize protein biomarkers.« less

  7. CASL L2 milestone report : VUQ.Y1.03, %22Enable statistical sensitivity and UQ demonstrations for VERA.%22

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

    Sung, Yixing; Adams, Brian M.; Witkowski, Walter R.

    2011-04-01

    The CASL Level 2 Milestone VUQ.Y1.03, 'Enable statistical sensitivity and UQ demonstrations for VERA,' was successfully completed in March 2011. The VUQ focus area led this effort, in close partnership with AMA, and with support from VRI. DAKOTA was coupled to VIPRE-W thermal-hydraulics simulations representing reactors of interest to address crud-related challenge problems in order to understand the sensitivity and uncertainty in simulation outputs with respect to uncertain operating and model form parameters. This report summarizes work coupling the software tools, characterizing uncertainties, selecting sensitivity and uncertainty quantification algorithms, and analyzing the results of iterative studies. These demonstration studies focusedmore » on sensitivity and uncertainty of mass evaporation rate calculated by VIPRE-W, a key predictor for crud-induced power shift (CIPS).« less

  8. Trajectory Reconstruction Program Milestone 2/3 Report. Volume 1. Description and Overview

    DTIC Science & Technology

    1974-12-16

    Simulation Data Generation Missile Trajectory Error Analysis Modularized Program Guidance and Targeting Multiple Vehicle Simulation IBM 360/370 Numerical...consists of vehicle simulation subprograms designed and written in FORTRAN for CDC 6600/7600, IBM 360/370, and UNIVAC 1108/1110 series computers. The o-erall...vehicle simulation subprograms designed and written in FORTRAN fcr CDC 6600/7600, IBM 360/370, and UNIVAC l08/1110 series computers. The overall

  9. Technology transfer within the government

    NASA Technical Reports Server (NTRS)

    Russell, John

    1992-01-01

    The report of a workshop panel concerned with technology transfer within the government is presented. The presentation is made in vugraph form. The assigned subtopic for this panel are as follows: (1) transfer from non-NASA US government technology developers to NASA space missions/programs; and (2) transfer from NASA to other US government space mission programs. A specific area of inquiry was Technology Maturation Milestones. Three areas were investigated: technology development; advanced development; and flight hardware development.

  10. Idaho National Laboratory Human Capitol Development Program Summary

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

    Rynes, Amanda R.

    2014-09-01

    The Next Generation Safeguards Initiative HCD Subprogram has successfully employed unique nuclear capabilities and employee expertise through INL to achieve multiple initiatives in FY14. These opportunities range from internship programs to university and training courses. One of the central facets of this work has been the international safeguards pre inspector training course. Another significant milestone is the INL led university engagement effort which resulted in courses being offered at ISU and University of Utah.

  11. New Technologies and the World Ahead: The Top 20 Plus 5

    DTIC Science & Technology

    2011-01-01

    Specialized Agent Software Programs. Bots represent the next great milestone in soft- ware development. The general deployment of bots is projected to be in...knowledge and areas of interest. Powerful personal- agent 206 Moving from Vision to Action programs will search the Internet and its databases based on...language- capable chatbot and avatar interfaces that can control electronic data and also change and manipulate things in the physical world. These

  12. Space station common module power system network topology and hardware development

    NASA Technical Reports Server (NTRS)

    Landis, D. M.

    1985-01-01

    Candidate power system newtork topologies for the space station common module are defined and developed and the necessary hardware for test and evaluation is provided. Martin Marietta's approach to performing the proposed program is presented. Performance of the tasks described will assure systematic development and evaluation of program results, and will provide the necessary management tools, visibility, and control techniques for performance assessment. The plan is submitted in accordance with the data requirements given and includes a comprehensive task logic flow diagram, time phased manpower requirements, a program milestone schedule, and detailed descriptions of each program task.

  13. The ordering of milestones in language development for children from 1 to 6 years of age.

    PubMed

    Luinge, Margreet R; Post, Wendy J; Wit, Hero P; Goorhuis-Brouwer, Sieneke M

    2006-10-01

    To scale language milestones in a group of 527 children to provide an instrument for screening language development. Procedure The questionnaire regarding these milestones was completed by parental report. It was evaluated whether the scaled milestones satisfied the assumptions of the Mokken item response model. The scalability of the final scale of 14 milestones was strong (H = .95), its reliability was high (rho = .96), and it satisfied the assumptions of the Mokken model. A single, unidimensional scale of diverse milestones was developed. It taps lexical, syntactic, and phonological skills, as well as both receptive and expressive language skills, and is well suited for mapping progress in language ability.

  14. US effort on HTS power transformers

    NASA Astrophysics Data System (ADS)

    Mehta, S.

    2011-11-01

    Waukesha Electric Systems has been working in HTS power transformers development program under the auspices of US Government Department of Energy since 1994. This presentation will describe various milestones for this program and program history along with the lessons learned along the way. Our motivations for working on this development program based on man benefits offered by HTS power transformers to power delivery systems will be discussed. Based on various issues encountered during execution of many HTS projects, DOE has set up an independent program review process that is lead by team of experts. This team reviews are integral part of all DOE HTS projects. Success of all projects would be greatly enhanced by identifying critical issues early in the program. Requiring appropriate actions to mitigate the issues before processing further will lead to proactive interrogation and incorporation of expert's ideas in the project plans. Working of this review process will be also described in this presentation. Waukesha Electric Systems team including: Superpower-Inc, Oak Ridge National Laboratory, University of Houston Center for Superconductivity and Southern California Edison company was awarded a cost share grant by US Government in 2010 for development of a fault current limiting HTS power transformer. This multi year's program will require design, manufacture, installation, and monitoring of a 28 MVA tree phase transformer installed at Irvine CA. Smart Grid demonstration site. Transformer specifications along with requirements for fault current limiting and site requirement will be discussed. Design and development of various sub systems in support of this program including: HTS conductor performance specification, Dielectric system design approach, Dewar development for containing phase assemblies, cryo-cooling system design approach, etc. will be described. Finally; overall program schedule, critical milestone events, test plans and progress to date will be reported.

  15. NASA Systems Autonomy Demonstration Program - A step toward Space Station automation

    NASA Technical Reports Server (NTRS)

    Starks, S. A.; Rundus, D.; Erickson, W. K.; Healey, K. J.

    1987-01-01

    This paper addresses a multiyear NASA program, the Systems Autonomy Demonstration Program (SADP), whose main objectives include the development, integration, and demonstration of automation technology in Space Station flight and ground support systems. The role of automation in the Space Station is reviewed, and the main players in SADP and their roles are described. The core research and technology being promoted by SADP are discussed, and a planned 1988 milestone demonstration of the automated monitoring, operation, and control of a complete mission operations subsystem is addressed.

  16. An Innovative Injection and Mixing System for Diesel Fuel Reforming

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

    Spencer Pack

    2007-12-31

    This project focused on fuel stream preparation improvements prior to injection into a solid oxide fuel cell reformer. Each milestone and the results from each milestone are discussed in detail in this report. The first two milestones were the creation of a coking formation test rig and various testing performed on this rig. Initial tests indicated that three anti-carbon coatings showed improvement over an uncoated (bare metal) baseline. However, in follow-up 70 hour tests of the down selected coatings, Scanning Electron Microscope (SEM) analysis revealed that no carbon was generated on the test specimens. These follow-up tests were intended tomore » enable a down selection to a single best anti-carbon coating. Without the formation of carbon it was impossible to draw conclusions as to which anti-carbon coating showed the best performance. The final 70 hour tests did show that AMCX AMC26 demonstrated the lowest discoloration of the metal out of the three down selected anti-carbon coatings. This discoloration did not relate to carbon but could be a useful result when carbon growth rate is not the only concern. Unplanned variations in the series of tests must be considered and may have altered the results. Reliable conclusions could only be drawn from consistent, repeatable testing beyond the allotted time and funding for this project. Milestones 3 and 4 focused on the creation of a preheating pressure atomizer and mixing chamber. A design of experiment test helped identify a configuration of the preheating injector, Build 1, which showed a very uniform fuel spray flow field. This injector was improved upon by the creation of a Build 2 injector. Build 2 of the preheating injector demonstrated promising SMD results with only 22psi fuel pressure and 0.7 in H2O of Air. It was apparent from testing and CFD that this Build 2 has flow field recirculation zones. These recirculation zones may suggest that this Build 2 atomizer and mixer would require steam injection to reduce the auto ignition potential. It is also important to note that to achieve uniform mixing within a short distance, some recirculation is necessary. Milestone 5 generated CFD and FEA results that could be used to optimize the preheating injector. CFD results confirmed the recirculation zones seen in test data and confirmed that the flow field would not change when attached to a reformer. The FEA predicted fuel wetted wall temperatures which led to several suggested improvements that could possibly improve nozzle efficiency. Milestone 6 (originally an optional task) took a different approach than the preheating pressure atomizer. It focused on creation and optimization of a piezoelectric injector which could perform at extremely low fuel pressures. The piezoelectric atomizer showed acceptable SMD results with fuel pressure less than 1.0 psig and air pressure less than 1.0 in H2O. These SMD values were enhanced when a few components were changed, and it is expected would improve further still at elevated air temperatures. It was demonstrated that the piezoelectric injector could accomplish the desired task. The addition of phase tracking and a burst mode to the frequency controller increased the usability of the piezoelectric injector. This injector is ready to move on to the next phase of development. Engine Components has met the required program milestones of this project. Some of the Milestones were adjusted to allow Milestone 6 to be completed in parallel with the other Milestones. Because of this, Task 3.10 and 3.13 were made optional instead of Milestone 6. Engine Components was extremely grateful for the support that was provided by NETL in support of this work.« less

  17. The PLATO System: A Study in the Diffusion of an Innovation.

    ERIC Educational Resources Information Center

    Driscoll, Francis D.; Wolf, W. C., Jr.

    This study was designed to ascertain the relationships between the steps of a tool designed to link knowledge production and the needs of knowledge users (the Wolf-Welsh Linkage Methodology or WWLM) with milestones in the evolution of an innovative computer-assisted instructional system called PLATO (Programming Logic for Advanced Teaching…

  18. Better Buying Power: An Army Program Manager’s Perspective

    DTIC Science & Technology

    2012-05-01

    17. Set shorter timelines is comical . Give the PM the ability to manage to a set of requirements that are stable and with stable funding, and with...enforcing the rules at milestone decision time, not just telling the PMs the doctrine of doing these things. If we just go through the motions but

  19. Wells Fargo Innovation Incubator (IN²) | NREL

    Science.gov Websites

    Incubator (IN2) is now a $30 million program supporting innovative technologies and innovators. IN2 is buildings portfolio of Wells Fargo to help companies derisk technologies and ease their path to market companies' technologies to help them meet critical validation milestones on the path to market. Companies

  20. Development of Milestone Schedules for Selected Logistics Support Directorate Programs. Appendix A. Part 2. Task Summaries.

    DTIC Science & Technology

    1987-09-15

    MAC; CODE NUMBER: NONE AND REPAIR PARTS AND SPECIAL TOOLS LIST (RPSTL). RESPONSIBILITY: ROY & ILS DURATION: 32.00 WORK DAYS PRE PPPL SCHEDULE...ILS DURATION: 22.00 WORK DAYS R/V PPPL SCHEDULE: DVPMARPS REVIEW AND VALIDATE PRELIMINARY PROVISIONING PARTS LIST. CODE NUMBER: NONE RESPONSIBILITY

  1. Building America Residential System Research Results: Achieving 30% Whole House Energy Savings Level in Mixed-Humid Climates; January 2006 - December 2006

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

    Building America Industrialized Housing Partnership; Building Industry Research Alliance; Building Science Consortium

    2006-12-01

    The Building America program conducts the system research required to reduce risks associated with the design and construction of homes that use an average of 30% to 90% less total energy for all residential energy uses than the Building America Research Benchmark, including research on homes that will use zero net energy on annual basis. To measure the program's progress, annual research milestones have been established for five major climate regions in the United States. The system research activities required to reach each milestone take from 3 to 5 years to complete and include research in individual test houses, studiesmore » in pre-production prototypes, and research studies with lead builders that provide early examples that the specified energy savings level can be successfully achieved on a production basis. This report summarizes research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Mixed-Humid Climate Region on a cost-neutral basis.« less

  2. Milestone Completion Report STCO04-1 AAPS: engagements with code teams, vendors, collaborators, developers

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

    Draeger, E. W.

    The Advanced Architecture and Portability Specialists team (AAPS) worked with a select set of LLNL application teams to develop and/or implement a portability strategy for next-generation architectures. The team also investigated new and updated programming models and helped develop programming abstractions targeting maintainability and performance portability. Significant progress was made on both fronts in FY17, resulting in multiple applications being significantly more prepared for the nextgeneration machines than before.

  3. Large-Scale Behavior-Change Initiative for Infant and Young Child Feeding Advanced Language and Motor Development in a Cluster-Randomized Program Evaluation in Bangladesh.

    PubMed

    Frongillo, Edward A; Nguyen, Phuong H; Saha, Kuntal K; Sanghvi, Tina; Afsana, Kaosar; Haque, Raisul; Baker, Jean; Ruel, Marie T; Rawat, Rahul; Menon, Purnima

    2017-02-01

    Promoting adequate nutrition through interventions to improve infant and young child feeding (IYCF) has the potential to contribute to child development. We examined whether an intensive intervention package that was aimed at improving IYCF at scale through the Alive & Thrive initiative in Bangladesh also advanced language and gross motor development, and whether advancements in language and gross motor development were explained through improved complementary feeding. A cluster-randomized design compared 2 intervention packages: intensive interpersonal counseling on IYCF, mass media campaign, and community mobilization (intensive) compared with usual nutrition counseling and mass media campaign (nonintensive). Twenty subdistricts were randomly assigned to receive either the intensive or the nonintensive intervention. Household surveys were conducted at baseline (2010) and at endline (2014) in the same communities (n = ∼4000 children aged 0-47.9 mo for each round). Child development was measured by asking mothers if their child had reached each of multiple milestones, with some observed. Linear regression accounting for clustering was used to derive difference-in-differences (DID) impact estimates, and path analysis was used to examine developmental advancement through indicators of improved IYCF and other factors. The DID in language development between intensive and nonintensive groups was 1.05 milestones (P = 0.001) among children aged 6-23.9 mo and 0.76 milestones (P = 0.038) among children aged 24-47.9 mo. For gross motor development, the DID was 0.85 milestones (P = 0.035) among children aged 6-23.9 mo. The differences observed corresponded to age- and sex-adjusted effect sizes of 0.35 for language and 0.23 for gross motor development. Developmental advancement at 6-23.9 mo was partially explained through improved minimum dietary diversity and the consumption of iron-rich food. Intensive IYCF intervention differentially advanced language and gross motor development, which was partially explained through improved complementary feeding. Measuring a diverse set of child outcomes, including functional outcomes such as child development, is important when evaluating integrated nutrition programs. This trial was registered at clinicaltrials.gov as NCT01678716. © 2017 American Society for Nutrition.

  4. Tumor evolutionary directed graphs and the history of chronic lymphocytic leukemia.

    PubMed

    Wang, Jiguang; Khiabanian, Hossein; Rossi, Davide; Fabbri, Giulia; Gattei, Valter; Forconi, Francesco; Laurenti, Luca; Marasca, Roberto; Del Poeta, Giovanni; Foà, Robin; Pasqualucci, Laura; Gaidano, Gianluca; Rabadan, Raul

    2014-12-11

    Cancer is a clonal evolutionary process, caused by successive accumulation of genetic alterations providing milestones of tumor initiation, progression, dissemination, and/or resistance to certain therapeutic regimes. To unravel these milestones we propose a framework, tumor evolutionary directed graphs (TEDG), which is able to characterize the history of genetic alterations by integrating longitudinal and cross-sectional genomic data. We applied TEDG to a chronic lymphocytic leukemia (CLL) cohort of 70 patients spanning 12 years and show that: (a) the evolution of CLL follows a time-ordered process represented as a global flow in TEDG that proceeds from initiating events to late events; (b) there are two distinct and mutually exclusive evolutionary paths of CLL evolution; (c) higher fitness clones are present in later stages of the disease, indicating a progressive clonal replacement with more aggressive clones. Our results suggest that TEDG may constitute an effective framework to recapitulate the evolutionary history of tumors.

  5. Summary of International Waste Management Programs (LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW)

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

    Greenberg, Harris R.; Blink, James A.; Halsey, William G.

    2011-08-11

    The Used Fuel Disposition Campaign (UFDC) within the Department of Energy’s Office of Nuclear Energy (DOE-NE) Fuel Cycle Technology (FCT) program has been tasked with investigating the disposal of the nation’s spent nuclear fuel (SNF) and high-level nuclear waste (HLW) for a range of potential waste forms and geologic environments. This Lessons Learned task is part of a multi-laboratory effort, with this LLNL report providing input to a Level 3 SNL milestone (System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW). The work package number is: FTLL11UF0328; the work package title is: Technical Bases / Lessons Learned;more » the milestone number is: M41UF032802; and the milestone title is: “LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW”. The system-wide integration effort will integrate all aspects of waste management and disposal, integrating the waste generators, interim storage, transportation, and ultimate disposal at a repository site. The review of international experience in these areas is required to support future studies that address all of these components in an integrated manner. Note that this report is a snapshot of nuclear power infrastructure and international waste management programs that is current as of August 2011, with one notable exception. No attempt has been made to discuss the currently evolving world-wide response to the tragic consequences of the earthquake and tsunami that devastated Japan on March 11, 2011, leaving more than 15,000 people dead and more than 8,000 people missing, and severely damaging the Fukushima Daiichi nuclear power complex. Continuing efforts in FY 2012 will update the data, and summarize it in an Excel spreadsheet for easy comparison and assist in the knowledge management of the study cases.« less

  6. Ways to Write a Milestone: Approaches to Operationalizing the Development of Competence in Graduate Medical Education.

    PubMed

    Leep Hunderfund, Andrea N; Reed, Darcy A; Starr, Stephanie R; Havyer, Rachel D; Lang, Tara R; Norby, Suzanne M

    2017-09-01

    To identify approaches to operationalizing the development of competence in Accreditation Council for Graduate Medical Education (ACGME) milestones. The authors reviewed all 25 "Milestone Project" documents available on the ACGME Web site on September 11, 2013, using an iterative process to identify approaches to operationalizing the development of competence in the milestones associated with each of 601 subcompetencies. Fifteen approaches were identified. Ten focused on attributes and activities of the learner, such as their ability to perform different, increasingly difficult tasks (304/601; 51%), perform a task better and faster (171/601; 45%), or perform a task more consistently (123/601; 20%). Two approaches focused on context, inferring competence from performing a task in increasingly difficult situations (236/601; 29%) or an expanding scope of engagement (169/601; 28%). Two used socially defined indicators of competence such as progression from "learning" to "teaching," "leading," or "role modeling" (271/601; 45%). One approach focused on the supervisor's role, inferring competence from a decreasing need for supervision or assistance (151/601; 25%). Multiple approaches were often combined within a single set of milestones (mean 3.9, SD 1.6). Initial ACGME milestones operationalize the development of competence in many ways. These findings offer insights into how physicians understand and assess the developmental progression of competence and an opportunity to consider how different approaches may affect the validity of milestone-based assessments. The results of this analysis can inform the work of educators developing or revising milestones, interpreting milestone data, or creating assessment tools to inform milestone-based performance measures.

  7. Milestone achievement in emerging adulthood in spina bifida: a longitudinal investigation of parental expectations

    PubMed Central

    Holbein, Christina E; Zebracki, Kathy; Bechtel, Colleen F; Papadakis, Jaclyn Lennon; Bruno, Elizabeth Franks; Holmbeck, Grayson N

    2016-01-01

    Aim To assess changes over time in parents' expectations of adult milestone achievement (college attendance, full-time job attainment, independent living, marriage, parenthood) for young people with spina bifida, to examine how expectancies relate to actual milestone achievement, and to compare milestone achievement in emerging adults with spina bifida with that of peers with typical development. Method Sixty-eight families of children with spina bifida (mean=8.34y, 37 male, 31 female) and 68 families of children with typical development (mean=8.49y, 37 male, 31 female) participated at Time 1. At all subsequent timepoints, parents of young people with spina bifida were asked to rate their expectations of emerging adulthood milestone achievement. At Time 7, when participants were 22 to 23 years old, milestone achievement was assessed. Results Parents of young people with spina bifida lowered their expectations over time for most milestones; parents of children with higher cognitive ability reported decreases of lower magnitude. Parent expectancies were optimistic and unrelated to actual milestone achievement. Emerging adults with spina bifida were less likely than individuals with typical development to achieve all milestones. Interpretation Optimistic parental expectations may be adaptive for children with spina bifida and their families, although it is important for families to set realistic goals. Healthcare providers serve a key role in helping families of young people with spina bifida prepare for emerging adulthood. PMID:27651215

  8. Milestones for Selection, Characterization, and Analysis of the Performance of a Repository for Spent Nuclear Fuel and High-Level Radioactive Waste at Yucca Mountain.

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

    Rechard, Robert P.

    This report presents a concise history in tabular form of events leading up to site identification in 1978, site selection in 1987, subsequent characterization, and ongoing analysis through 2009 of the performance of a repository for spent nuclear fuel and high - level radioactive waste at Yucca Mountain in southern Nevada. The tabulated events generally occurred in five periods: (1) commitment to mined geologic disposal and identification of sites; (2) site selection and analysis, based on regional geologic characterization through literature and analogous data; (3) feasibility analysis demonstrating calculation procedures and importance of system components, based on rough measures ofmore » performance using surface exploration, waste process knowledge, and general laboratory experiments; (4) suitability analysis demonstrating viability of disposal system, based on environment - specific laboratory experiments, in - situ experiments, and underground disposal system characterization; and (5) compliance analysis, based on completed site - specific characterization . The current sixth period beyond 2010 represents a new effort to set waste management policy in the United States. Because the relationship is important to understanding the evolution of the Yucca Mountain Project , the tabulation also shows the interaction between the policy realm and technical realm using four broad categories of events : (a) Regulatory requirements and related federal policy in laws and court decisions, (c) Presidential and agency directives, (c) technical milestones of implementing institutions, and (d) critiques of the Yucca Mountain Project and pertinent national and world events related to nuclear energy and radioactive waste. Preface The historical progression of technical milestones for the Yucca Mountain Project was originally developed for 10 journal articles in a special issue of Reliability Engineering System Safety on the performance assessment for the Yucca Mountain license application [1-10]. The listing of mile stones, a distinct feature of those articles, has been collected and tabulated here. A lthough a brief description is presented here (based on the summaries in the 10 journal articles), the emphasis remains on the tabulation because of its usefulness in providing a comprehensive but concise history of the Yucca Mountain Project. The tabulation presented here is more elaborate than originally presented in that many of the interactions that occurred between the technical realm and policy realm can be depicted in separate columns. The usefulness of the milestones table is due in part to L.A. Connolly, for editorial and reference support, and S.K. Best, Raytheon, and L. Mays, Sandia National Laboratories (SNL), for illustration support. Reviewers P.N. Swift, SNL, and K. Gupta, University of Oklahoma, helped improve the discussion. The historical perspective presented is that of the author and is not necessarily held by reviewers, Sandia National Laboratories , and the US Department of Energy. As a historic perspective, the author is reporting on the work of others; however, any interpretative error s of the documentation are those of the author alone. The characterization and modeling of the Yucca Mountain disposal system required numerous participants with expertise in many areas of science and technology, as evident from the extensive reference list. Their diligent efforts are generally acknowledged here and through the many references to their impressive work, but the 10 journal articles acknowledge by name many of the numerous participants that contributed to the Yucca Mountain Project .« less

  9. Report on milestones for care and support under the U.S. National Plan to Address Alzheimer's Disease.

    PubMed

    Borson, Soo; Boustani, Malaz A; Buckwalter, Kathleen C; Burgio, Louis D; Chodosh, Joshua; Fortinsky, Richard H; Gifford, David R; Gwyther, Lisa P; Koren, Mary Jane; Lynn, Joanne; Phillips, Cheryl; Roherty, Martha; Ronch, Judah; Stahl, Claudia; Rodgers, Lauren; Kim, Hye; Baumgart, Matthew; Geiger, Angela

    2016-03-01

    Under the U.S. national Alzheimer's plan, the National Institutes of Health identified milestones required to meet the plan's biomedical research goal (Goal 1). However, similar milestones have not been created for the goals on care (Goal 2) and support (Goal 3). The Alzheimer's Association convened a workgroup with expertise in clinical care, long-term services and supports, dementia care and support research, and public policy. The workgroup reviewed the literature on Alzheimer's care and support; reviewed how other countries are addressing the issue; and identified public policies needed over the next 10 years to achieve a more ideal care and support system. The workgroup developed and recommended 73 milestones for Goal 2 and 56 milestones for Goal 3. To advance the implementation of the U.S. national Alzheimer's plan, the U.S. government should adopt these recommended milestones, or develop similar milestones, to be incorporated into the national plan. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  10. Pathology Informatics Essentials for Residents: A Flexible Informatics Curriculum Linked to Accreditation Council for Graduate Medical Education Milestones.

    PubMed

    Henricks, Walter H; Karcher, Donald S; Harrison, James H; Sinard, John H; Riben, Michael W; Boyer, Philip J; Plath, Sue; Thompson, Arlene; Pantanowitz, Liron

    2017-01-01

    -Recognition of the importance of informatics to the practice of pathology has surged. Training residents in pathology informatics has been a daunting task for most residency programs in the United States because faculty often lacks experience and training resources. Nevertheless, developing resident competence in informatics is essential for the future of pathology as a specialty. -To develop and deliver a pathology informatics curriculum and instructional framework that guides pathology residency programs in training residents in critical pathology informatics knowledge and skills, and meets Accreditation Council for Graduate Medical Education Informatics Milestones. -The College of American Pathologists, Association of Pathology Chairs, and Association for Pathology Informatics formed a partnership and expert work group to identify critical pathology informatics training outcomes and to create a highly adaptable curriculum and instructional approach, supported by a multiyear change management strategy. -Pathology Informatics Essentials for Residents (PIER) is a rigorous approach for educating all pathology residents in important pathology informatics knowledge and skills. PIER includes an instructional resource guide and toolkit for incorporating informatics training into residency programs that vary in needs, size, settings, and resources. PIER is available at http://www.apcprods.org/PIER (accessed April 6, 2016). -PIER is an important contribution to informatics training in pathology residency programs. PIER introduces pathology trainees to broadly useful informatics concepts and tools that are relevant to practice. PIER provides residency program directors with a means to implement a standardized informatics training curriculum, to adapt the approach to local program needs, and to evaluate resident performance and progress over time.

  11. Characteristics and Outcomes of an Innovative Train-in-Place Residency Program.

    PubMed

    Green-McKenzie, Judith; Emmett, Edward A

    2017-10-01

    Physicians who make a midcareer specialty change may find their options for formal training are limited. Here, we describe a train-in-place program, with measureable outcomes, created to train midcareer physicians who desire formal training in occupational medicine. We evaluated educational outcomes from a novel residency program for midcareer physicians seeking formal training and board certification in occupational medicine. Physicians train in place at selected clinical training sites where they practice, and participate in 18 visits to the primary training site over a 2-year period. Program components include competency-based training structured around rotations, mentored projects, and periodic auditing visits to train-in-site locations by program faculty. Main outcome measures are achievement of Accreditation Council for Graduate Medical Education Occupational Medicine Milestones, American College of Occupational and Environmental Medicine competencies, performance on the American College of Preventive Medicine examinations, diversity in selection, placement of graduates, and the number of graduates who remain in the field. Since inception of this program in 1997, there have been 109 graduates who comprise 7.2% of new American Board of Preventive Medicine diplomates over the past decade. Graduates scored competitively on the certifying examination, achieved all milestones, expressed satisfaction with training, and are geographically dispersed, representing every US region. Most practice outside the 25 largest standard metropolitan statistical areas. More than 95% have remained in the field. Training in place is an effective approach to provide midcareer physicians seeking comprehensive skills and board certification in occupational medicine formal training, and may be adaptable to other specialties.

  12. SOFIA: Flying the Telescope

    NASA Technical Reports Server (NTRS)

    Asher, Troy A.; Cumming, Stephen B.

    2012-01-01

    The primary focus of this paper is how the flight test team for the Stratospheric Observatory For Infrared Astronomy (SOFIA) re-cast an extensive developmental test program to meet key milestones while simultaneously ensuring safe certification of the airframe and delivery of an operationally relevant platform, ultimately saving the overall program from financial demise. Following a brief introduction to the observatory and what it is designed to do, SOFIAs planned developmental test program is summarized, including analysis and design philosophy, envelope expansion, model validation and airframe certification. How NASA used lessons learned from other aircraft that employed open cavities in flight is explained as well as how and why the chosen design was selected. The approach to aerodynamic analysis, including bare airframe testing, wind tunnel testing, computational fluid dynamics and finite element modeling proved absolutely critical. Despite a solid analytical foundation, many unknowns remained. History provides several examples of disastrous effects on both systems and flight safety if cavity design is not approached properly. For these reasons, an extensive test plan was developed to ensure a safe and thorough build-up for envelope expansion, airframe certification and early science missions. Unfortunately, as is often the case, because of chronic delays in overall program execution, severe schedule and funding pressures were present. If critical milestones were not met, domestic as well as international funding was in serious jeopardy, and the demise of the entire program loomed large. Concentrating on rigorous model validation, the test team challenged certification requirements, increased test efficiency and streamlined engineering analysis. This resulted in the safe reduction of test point count by 72%, meeting all program milestones and a platform that soundly satisfied all operational science requirements. Results from early science missions are shown and a proof of concept mission for which SOFIA was opportunely positioned is showcased. Success on this time-critical mission to observe a rare astronomical event proved the usefulness of an airborne observatory and the value in waiting for the capability provided by SOFIA. Finally, lessons learned in the test program are presented with emphasis on how lessons from previous aircraft and successful test programs were applied to SOFIA. Effective application of these lessons was crucial to the success of the SOFIA flight test program. SOFIA is an international cooperative program between NASA and the German Space Agency, DLR. It is a 2.5 meter (100-inch) telescope mounted in a Boeing 747SP aircraft used for astronomical observations at altitudes above 35,000 feet. SOFIA will accommodate a host of scientific instruments from the international science community and has a planned operational lifespan of more than 20 years.

  13. Revisiting and Computing Reaction Coordinates with Directional Milestoning

    PubMed Central

    Kirmizialtin, Serdal; Elber, Ron

    2011-01-01

    The method of Directional Milestoning is revisited. We start from an exact and more general expression and state the conditions and validity of the memory-loss approximation. An algorithm to compute a reaction coordinate from Directional Milestoning data is presented. The reaction coordinate is calculated as a set of discrete jumps between Milestones that maximizes the flux between two stable states. As an application we consider a conformational transition in solvated Adenosine. We compare a long molecular dynamic trajectory with Directional Milestoning and discuss the differences between the maximum flux path and minimum energy coordinates. PMID:21500798

  14. Level-2 Milestone 5213. CTS-1 Contract Award Completed

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

    Leininger, Matt

    2015-09-24

    This report documents the fact that the first commodity technology (CT) system contract award, CTS-1, has been completed. The description of the milestone is: Based on Tri-Lab CTS-1 process and review, LLNL successfully awards the procurement for the next-generation Tri-Lab Linux CTS-1. The milestone completion criterion is: Signed contract. The milestone was completed on September 24th. 2015.

  15. Completion of Level 4 Milestone M4AT-15OR2301039 for the Johnson Noise Thermometry for Drift-free Temperature Measurements Work Package AT-15OR230103

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

    Britton Jr, Charles L.

    This memorandum constitutes our September 2015 level 4 milestone for the project entitled “Johnson Noise Thermometry for Drift-free Temperature Measurements” and satisfies the Milestone/Activity (Conclude HFIR field demonstration of JNT prototype). The progress summary describes the work performed to complete the subject milestone.

  16. Estrogen Effects after a Crush Muscle Injury and Acute Exposure to Hypobaric Hypoxia

    DTIC Science & Technology

    2015-03-01

    15 5.0 M13 /M15/M17...technical milestones that were later combined into one milestone, known as M13 /M15/M17. Research question 5 is as follows: Will estrogen promote...muscle of mice? In Phase 2, there were three technical milestones that were later combined into one milestone, known as M13 /M15/M17. Research

  17. Optoelectronics research for communication programs at the Goddard Space Flight Center

    NASA Technical Reports Server (NTRS)

    Krainak, Michael A.

    1991-01-01

    Current optoelectronics research and development of high-power, high-bandwidth laser transmitters, high-bandwidth, high-sensitivity optical receivers, pointing, acquisition and tracking components, and experimental and theoretical system modeling at the NASA Goddard Space Flight Center is reviewed. Program hardware and space flight milestones are presented. It is believed that these experiments will pave the way for intersatellite optical communications links for both the NASA Advanced Tracking and Data Relay Satellite System and commercial users in the 21st century.

  18. Descriptive Model of Generic WAMS

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

    Hauer, John F.; DeSteese, John G.

    The Department of Energy’s (DOE) Transmission Reliability Program is supporting the research, deployment, and demonstration of various wide area measurement system (WAMS) technologies to enhance the reliability of the Nation’s electrical power grid. Pacific Northwest National Laboratory (PNNL) was tasked by the DOE National SCADA Test Bed Program to conduct a study of WAMS security. This report represents achievement of the milestone to develop a generic WAMS model description that will provide a basis for the security analysis planned in the next phase of this study.

  19. Program Helps Decompose Complicated Design Problems

    NASA Technical Reports Server (NTRS)

    Rogers, James L., Jr.

    1993-01-01

    Time saved by intelligent decomposition into smaller, interrelated problems. DeMAID is knowledge-based software system for ordering sequence of modules and identifying possible multilevel structure for design problem. Displays modules in N x N matrix format. Requires investment of time to generate and refine list of modules for input, it saves considerable amount of money and time in total design process, particularly new design problems in which ordering of modules has not been defined. Program also implemented to examine assembly-line process or ordering of tasks and milestones.

  20. Joint services electronics program

    NASA Astrophysics Data System (ADS)

    Flynn, George W.; Osgood, Richard M., Jr.

    1988-05-01

    Several milestones have been reached in GaAs research. The first active GaAs device, a 1 micrometer channel width MESFET, has been made at Columbia. This device is a basic building block in the GaAs CCD program. GaAs surface studies have also born fruit. UV light has been found to oxidize rapidly the surface of GaAs in an UHV environment containing traces of water vapor and O2. The mechanism appears to be related to the generation of hot photocarriers.

  1. Portfolio Acquisition - How the DoD Can Leverage the Commercial Product Line Model

    DTIC Science & Technology

    2015-04-30

    canceled (Harrison, 2011). A major contributing factor common to these failures is that the programs tried to do too much at once: they used a big - bang ...requirements in a single, big - bang approach. MDAPs take 10 to 15 years from Milestone A to initial operational capability, with many of the largest...2013). The block upgrade model for B-52, F-15, and F-16 proved successful over decades, yet with its big - bang structure the F-35 program is

  2. Lightweight Portable Plasma Medical Device - Plasma Engineering Research Laboratory

    DTIC Science & Technology

    2013-10-01

    Engineering Research Laboratory has made a momentous advancement on meeting the proposed milestones. The project has two objectives, in which the ...pressure plasma jet based on a dielectric barrier discharge configuration. The plasma and biological testing and characterization are in progress...1(b). Direct exposure of plasma involves, exposure of plasma directly on to a target treatment surface whereas the indirect plasma exposure involves

  3. Simpson-Golabi-Behmel syndrome types I and II.

    PubMed

    Tenorio, Jair; Arias, Pedro; Martínez-Glez, Víctor; Santos, Fernando; García-Miñaur, Sixto; Nevado, Julián; Lapunzina, Pablo

    2014-09-20

    Simpson-Golabi-Behmel syndrome (SGBS) is a rare overgrowth syndrome clinically characterized by multiple congenital abnormalities, pre/postnatal overgrowth, distinctive craniofacial features, macrocephaly, and organomegaly. Abnormalities of the skeletal system, heart, central nervous system, kidney, and gastrointestinal tract may also be observed. Intellectual disability, early motor milestones and speech delay are sometimes present; however, there are a considerable number of individuals with normal intelligence.

  4. Recruiting a U.S. national sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and Opportunities

    PubMed Central

    Grov, Christian; Cain, Demetria; Whitfield, Thomas H. F.; Rendina, H. Jonathon; Pawson, Mark; Ventuneac, Ana; Parsons, Jeffrey T.

    2015-01-01

    We describe enrollment for the One Thousand Strong panel, present characteristics of the panel relative to other large U.S. national studies of gay and bisexual men (GBM), and examine demographic and behavioral characteristics that were associated with passing enrollment milestones. A U.S. national sample of HIV-negative men were enrolled via an established online panel of over 22,000 GBM. Participants (n = 1071) passed three milestones to join our panel. Milestone 1 was screening eligible and providing informed consent. Milestone 2 involved completing an hour-long at-home computer-assisted self-interview (CASI) survey. Milestone 3 involved completing at-home self-administered rapid HIV testing and collecting/returning urine and rectal samples for gonorrhea and chlamydia testing. Compared to those who completed milestones: those not passing milestone 1 were more likely to be non-White and older; those not passing milestone 2 were less likely to have insurance or a primary care physician; and those not passing milestone 3 were less educated, more likely to be bisexual as opposed to gay, more likely to live in the Midwest, had fewer male partners in the past year, and less likely to have tested for HIV in the past year. Effect sizes for significant findings were small. We successfully enrolled a national sample of HIV-negative GBM who completed at-home CASI assessments and at-home self-administered HIV and urine and rectal STI testing. This indicates high feasibility and acceptability of incorporating self-administered biological assays into otherwise fully online studies. Differences in completion of study milestones indicate a need for further investigation into the reasons for lower engagement by certain groups. PMID:26858776

  5. Windows of achievement for development milestones of Sri Lankan infants and toddlers: estimation through statistical modelling.

    PubMed

    Thalagala, N

    2015-11-01

    The normative age ranges during which cohorts of children achieve milestones are called windows of achievement. The patterns of these windows of achievement are known to be both genetically and environmentally dependent. This study aimed to determine the windows of achievement for motor, social emotional, language and cognitive development milestones for infants and toddlers in Sri Lanka. A set of 293 milestones identified through a literature review were subjected to content validation using parent and expert reviews, which resulted in the selection of a revised set of 277 milestones. Thereafter, a sample of 1036 children from 2 months to 30 months was examined to see whether or not they had attained the selected milestones. Percentile ages of attaining milestone were determined using a rearranged closed form equation related to the logistic regression. The parameters required for calculations were derived through the logistic regression of milestone achievement statuses against ages of children. These percentile ages were used to define the respective windows of achievement. A set of 178 robust indicators that represent motor, socio emotional, language and cognitive development skills and their windows of achievement relevant to 2 to 24 months of age were determined. Windows of achievement for six gross motor milestones determined in the study were shown to closely overlap a similar set of windows of achievement published by the World Health Organization indicating the validity of some findings. A methodology combining the content validation based on qualitative techniques and age validation based on regression modelling found to be effective for determining age percentiles for realizing milestones and determining respective windows of achievement. © 2015 John Wiley & Sons Ltd.

  6. Seven Research-Based Ways That Families Promote Early Literacy. Research-to-Practice Brief

    ERIC Educational Resources Information Center

    Caspe, Margaret; Lopez, M. Elena

    2017-01-01

    Positive early-literacy experiences--whether at home, in early-childhood programs, schools, or libraries--set children on a trajectory to become confident readers by the time they reach third grade, which is an important milestone on the pathway toward high school graduation. This review outlines seven practices that research shows families use to…

  7. KSC-2013-4518

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter refuels following splash down of SpaceX Dragon test article. The test enables SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place at Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  8. KSC-2013-4506

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article awaits recovery from the Pacific Ocean, off the coast of Morro Bay, Calif following splash down. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  9. KSC-2013-4504

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article splashes down following a test over the Pacific Ocean, off the coast of Morro Bay, Calif. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  10. KSC-2013-4505

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article splashes down following a test over the Pacific Ocean, off the coast of Morro Bay, Calif. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  11. Translanguaging in an Infant Classroom: Using Multiple Languages to Make Meaning

    ERIC Educational Resources Information Center

    Garrity, Sarah; Aquino-Sterling, Cristian R.; Day, Ashley

    2015-01-01

    Numerous theories of development position infants as inherently driven to make sense of the world around them, and the acquisition of language is a fundamental developmental milestone of this period. The purpose of this study was to document the first year of implementation of a Spanish/English dual language program in an infant classroom, using a…

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

    none,

    The Fusion Energy Science Advisory Committee was asked to conduct a review of Fusion Materials Research Program (the Structural Materials portion of the Fusion Program) by Dr. Martha Krebs, Director of Energy Research for the Department of Energy. This request was motivated by the fact that significant changes have been made in the overall direction of the Fusion Program from one primarily focused on the milestones necessary to the construction of successively larger machines to one where the necessary scientific basis for an attractive fusion energy system is. better understood. It was in this context that the review of currentmore » scientific excellence and recommendations for future goals and balance within the Program was requested.« less

  13. Regional Geology Web Map Application Development: Javascript v2.0

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

    Russell, Glenn

    This is a milestone report for the FY2017 continuation of the Spent Fuel, Storage, and Waste, Technology (SFSWT) program (formerly Used Fuel Disposal (UFD) program) development of the Regional Geology Web Mapping Application by the Idaho National Laboratory Geospatial Science and Engineering group. This application was developed for general public use and is an interactive web-based application built in Javascript to visualize, reference, and analyze US pertinent geological features of the SFSWT program. This tool is a version upgrade from Adobe FLEX technology. It is designed to facilitate informed decision making of the geology of continental US relevant to themore » SFSWT program.« less

  14. Benchmarking of OEM Hybrid Electric Vehicles at NREL: Milestone Report

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

    Kelly, K. J.; Rajagopalan, A.

    2001-10-26

    A milestone report that describes the NREL's progress and activities related to the DOE FY2001 Annual Operating Plan milestone entitled ''Benchmark 2 new production or pre-production hybrids with ADVISOR.''

  15. Milestone achievement in emerging adulthood in spina bifida: a longitudinal investigation of parental expectations.

    PubMed

    Holbein, Christina E; Zebracki, Kathy; Bechtel, Colleen F; Lennon Papadakis, Jaclyn; Franks Bruno, Elizabeth; Holmbeck, Grayson N

    2017-03-01

    To assess changes over time in parents' expectations of adult milestone achievement (college attendance, full-time job attainment, independent living, marriage, parenthood) for young people with spina bifida, to examine how expectancies relate to actual milestone achievement, and to compare milestone achievement in emerging adults with spina bifida with that of peers with typical development. Sixty-eight families of children with spina bifida (mean age 8y 4mo, 37 males, 31 females) and 68 families of children with typical development (mean age 8y 6mo, 37 males, 31 females) participated at Time 1. At all subsequent timepoints, parents of young people with spina bifida were asked to rate their expectations of emerging adulthood milestone achievement. At Time 7, when participants were 22 to 23 years old, milestone achievement was assessed. Parents of young people with spina bifida lowered their expectations over time for most milestones; parents of children with higher cognitive ability reported decreases of lower magnitude. Parent expectancies were optimistic and unrelated to actual milestone achievement. Emerging adults with spina bifida were less likely than individuals with typical development to achieve all milestones. Optimistic parental expectations may be adaptive for children with spina bifida and their families, although it is important for families to set realistic goals. Healthcare providers serve a key role in helping families of young people with spina bifida prepare for emerging adulthood. © 2016 Mac Keith Press.

  16. A report documenting the completion of the Los Alamos National Laboratory portion of the ASC level II milestone ""Visualization on the supercomputing platform

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

    Ahrens, James P; Patchett, John M; Lo, Li - Ta

    2011-01-24

    This report provides documentation for the completion of the Los Alamos portion of the ASC Level II 'Visualization on the Supercomputing Platform' milestone. This ASC Level II milestone is a joint milestone between Sandia National Laboratory and Los Alamos National Laboratory. The milestone text is shown in Figure 1 with the Los Alamos portions highlighted in boldfaced text. Visualization and analysis of petascale data is limited by several factors which must be addressed as ACES delivers the Cielo platform. Two primary difficulties are: (1) Performance of interactive rendering, which is the most computationally intensive portion of the visualization process. Formore » terascale platforms, commodity clusters with graphics processors (GPUs) have been used for interactive rendering. For petascale platforms, visualization and rendering may be able to run efficiently on the supercomputer platform itself. (2) I/O bandwidth, which limits how much information can be written to disk. If we simply analyze the sparse information that is saved to disk we miss the opportunity to analyze the rich information produced every timestep by the simulation. For the first issue, we are pursuing in-situ analysis, in which simulations are coupled directly with analysis libraries at runtime. This milestone will evaluate the visualization and rendering performance of current and next generation supercomputers in contrast to GPU-based visualization clusters, and evaluate the perfromance of common analysis libraries coupled with the simulation that analyze and write data to disk during a running simulation. This milestone will explore, evaluate and advance the maturity level of these technologies and their applicability to problems of interest to the ASC program. In conclusion, we improved CPU-based rendering performance by a a factor of 2-10 times on our tests. In addition, we evaluated CPU and CPU-based rendering performance. We encourage production visualization experts to consider using CPU-based rendering solutions when it is appropriate. For example, on remote supercomputers CPU-based rendering can offer a means of viewing data without having to offload the data or geometry onto a CPU-based visualization system. In terms of comparative performance of the CPU and CPU we believe that further optimizations of the performance of both CPU or CPU-based rendering are possible. The simulation community is currently confronting this reality as they work to port their simulations to different hardware architectures. What is interesting about CPU rendering of massive datasets is that for part two decades CPU performance has significantly outperformed CPU-based systems. Based on our advancements, evaluations and explorations we believe that CPU-based rendering has returned as one viable option for the visualization of massive datasets.« less

  17. Milestone Report - Demonstrate Braided Material with 3.5 g U/kg Sorption Capacity under Seawater Testing Condition (Milestone M2FT-15OR0310041 - 1/30/2015)

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

    Janke, Christopher James; Das, Sadananda; Oyola, Yatsandra

    This report describes work on the successful completion of Milestone M2FT-15OR0310041 (1/30/2015) entitled, Demonstrate braided material with 3.5 g U/kg sorption capacity under seawater testing condition . This effort is part of the Seawater Uranium Recovery Program, sponsored by the U.S. Department of Energy, Office of Nuclear Energy, and involved the development of new adsorbent braided materials at the Oak Ridge National Laboratory (ORNL) and marine testing at the Pacific Northwest National Laboratory (PNNL). ORNL has recently developed four braided fiber adsorbents that have demonstrated uranium adsorption capacities greater than 3.5 g U/kg adsorbent after marine testing at PNNL. Themore » braided adsorbents were synthesized by braiding or leno weaving high surface area polyethylene fibers and conducting radiation-induced graft polymerization of itaconic acid and acrylonitrile monomers onto the braided materials followed by amidoximation and base conditioning. The four braided adsorbents demonstrated capacity values ranging from 3.7 to 4.2 g U/kg adsorbent after 56 days of exposure in natural coastal seawater at 20 oC. All data are normalized to a salinity of 35 psu.« less

  18. High performance computing and communications: FY 1997 implementation plan

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

    NONE

    1996-12-01

    The High Performance Computing and Communications (HPCC) Program was formally authorized by passage, with bipartisan support, of the High-Performance Computing Act of 1991, signed on December 9, 1991. The original Program, in which eight Federal agencies participated, has now grown to twelve agencies. This Plan provides a detailed description of the agencies` FY 1996 HPCC accomplishments and FY 1997 HPCC plans. Section 3 of this Plan provides an overview of the HPCC Program. Section 4 contains more detailed definitions of the Program Component Areas, with an emphasis on the overall directions and milestones planned for each PCA. Appendix A providesmore » a detailed look at HPCC Program activities within each agency.« less

  19. NAS-current status and future plans

    NASA Technical Reports Server (NTRS)

    Bailey, F. R.

    1987-01-01

    The Numerical Aerodynamic Simulation (NAS) has met its first major milestone, the NAS Processing System Network (NPSN) Initial Operating Configuration (IOC). The program has met its goal of providing a national supercomputer facility capable of greatly enhancing the Nation's research and development efforts. Furthermore, the program is fulfilling its pathfinder role by defining and implementing a paradigm for supercomputing system environments. The IOC is only the begining and the NAS Program will aggressively continue to develop and implement emerging supercomputer, communications, storage, and software technologies to strengthen computations as a critical element in supporting the Nation's leadership role in aeronautics.

  20. Surplus Highly Enriched Uranium Disposition Program plan

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

    NONE

    1996-10-01

    The purpose of this document is to provide upper level guidance for the program that will downblend surplus highly enriched uranium for use as commercial nuclear reactor fuel or low-level radioactive waste. The intent of this document is to outline the overall mission and program objectives. The document is also intended to provide a general basis for integration of disposition efforts among all applicable sites. This plan provides background information, establishes the scope of disposition activities, provides an approach to the mission and objectives, identifies programmatic assumptions, defines major roles, provides summary level schedules and milestones, and addresses budget requirements.

  1. Space Transportation Propulsion Systems

    NASA Technical Reports Server (NTRS)

    Liou, Meng-Sing; Stewart, Mark E.; Suresh, Ambady; Owen, A. Karl

    2001-01-01

    This report outlines the Space Transportation Propulsion Systems for the NPSS (Numerical Propulsion System Simulation) program. Topics include: 1) a review of Engine/Inlet Coupling Work; 2) Background/Organization of Space Transportation Initiative; 3) Synergy between High Performance Computing and Communications Program (HPCCP) and Advanced Space Transportation Program (ASTP); 4) Status of Space Transportation Effort, including planned deliverables for FY01-FY06, FY00 accomplishments (HPCCP Funded) and FY01 Major Milestones (HPCCP and ASTP); and 5) a review current technical efforts, including a review of the Rocket-Based Combined-Cycle (RBCC), Scope of Work, RBCC Concept Aerodynamic Analysis and RBCC Concept Multidisciplinary Analysis.

  2. Use of Developmental Milestones in Pediatric Residency Training and Practice: Time to Rethink the Meaning of the Mean

    PubMed Central

    Sices, Laura

    2009-01-01

    Objective Pediatricians frequently report the use of developmental milestones in monitoring young children’s development, despite evidence that use of screening tools improves detection of developmental delays. Methods Core texts in the field of pediatrics and developmental-behavioral pediatrics were reviewed for content and presentation on child development. Most texts included and many focused on developmental milestones, many with an emphasis on 50th percentile milestone data. Problems and limitations in the use of 50th percentile milestones to monitor young children’s development and to identify children whose development is suspicious for delay, include questionable utility in clinical decision making and the potential to increase parental anxiety. Results The recommendation is made to reconsider a focus on 50th percentile milestone data in pediatric training and practice, in favor of measures that have better clinical utility and are more psychometrically sound. Conclusion A conceptual approach to the presentation of developmental milestones differentiates the use of the 10th, 50th, and 90th percentiles of age of achievement of skills, based on the clinical purpose of surveillance. PMID:17353732

  3. Origins Space Telescope

    NASA Astrophysics Data System (ADS)

    Cooray, Asantha; Origins Space Telescope Study Team

    2018-01-01

    The Origins Space Telescope (OST) is the mission concept for the Far-Infrared Surveyor, a study in development by NASA in preparation for the 2020 Astronomy and Astrophysics Decadal Survey. Origins is planned to be a large aperture, actively-cooled telescope covering a wide span of the mid- to far-infrared spectrum. Its spectrographs will enable 3D surveys of the sky that will discover and characterize the most distant galaxies, Milky-Way, exoplanets, and the outer reaches of our Solar system. Origins will enable flagship-quality general observing programs led by the astronomical community in the 2030s. The Science and Technology Definition Team (STDT) would like to hear your science needs and ideas for this mission. The team can be contacted at firsurveyor_info@lists.ipac.caltech.edu. This presentation will provide a summary of the OST STDT, our completed first mission concept and an introduction to the second concept that will be studied at the study center in 2018. This presentation will also summarize key science drivers and the key study milestones between 2018 and 2020.

  4. ATDM Rover Milestone Report STDA02-1 (FY2017 Q4)

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

    Larsen, Matt; Laney, Dan E.

    We have successfully completed the MS-4/Y1 Milestone STDA02-1 for the Rover Project. This document describes the milestone and provides an overview of the technical details and artifacts of the milestone. This milestone is focused on building a GPU accelerated ray tracing package capable of doing multi-group radiography, both back-lit and with self-emission as well as serving as a volume rendering plot in VisIt and other VTK-based visualization tools. The long term goal is a package with in-situ capability, but for this first version integration into VisIt is the primary goal. Milestone Execution Plan: Create API for GPU Raytracer that supportsmore » multi-group transport (up to hundreds of groups); Implement components into one or more of: VTK-m, VisIt, and a new library/package implementation to be hosted on LLNL Bitbucket (initially), before releasing to the wider community.« less

  5. Similarities and differences in child development from birth to age 3 years by sex and across four countries: a cross-sectional, observational study.

    PubMed

    Ertem, Ilgi Ozturk; Krishnamurthy, Vibha; Mulaudzi, Mphelekedzeni C; Sguassero, Yanina; Balta, Hakan; Gulumser, Ozlem; Bilik, Burcu; Srinivasan, Roopa; Johnson, Benjamin; Gan, Geliang; Calvocoressi, Lisa; Shabanova, Veronika; Forsyth, Brian W C

    2018-03-01

    Knowledge about typical development is of fundamental importance for understanding and promoting child health and development. We aimed to ascertain when healthy children in four culturally and linguistically different countries attain developmental milestones and to identify similarities and differences across sexes and countries. In this cross-sectional, observational study, we recruited children aged 0-42 months and their caregivers between March 3, 2011, and May 18, 2015, at 22 health clinics in Argentina, India, South Africa, and Turkey. We obtained a healthy subsample, which excluded children with a low birthweight, perinatal complications, chronic illness, undernutrition, or anaemia, and children with missing health data. Using the Guide for Monitoring Child Development, caregivers described their child's development in seven domains: expressive and receptive language, gross and fine motor, play, relating, and self-help. Clinicians examining the children also completed a checklist about the child's health status. We used logit and probit regression models based on the lowest deviance information criterion to generate Bayesian point estimates and 95% credible intervals for the 50th percentile ages of attainment of 106 milestones. We assessed the significance of differences between sexes and countries using predefined criteria and regions of practical equivalence. Of 10 246 children recruited, 4949 children (48·3%) were included in the healthy subsample. For the 106 milestones assessed, the median age of attainment was equivalent for 102 (96%) milestones across sexes and 81 (76%) milestones across the four countries. Across countries, median ages of attainment were equivalent for all play milestones, 20 (77%) of 26 expressive language milestones, ten (67%) of 15 receptive language milestones, nine (82%) of 11 fine motor milestones, 14 (88%) of 16 gross motor milestones, and eight (73%) of 11 relating milestones. However, across the four countries the median age of attainment was equivalent for only two (22%) of nine milestones in the self-help domain. The ages of attainment of developmental milestones in healthy children, and the similarities and differences across sexes and country samples might aid the development of international tools to guide policy, service delivery, and intervention research, particularly in low-income and middle-income countries. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

  6. The study on achievement of motor milestones and associated factors among children in rural North India

    PubMed Central

    Gupta, Arti; Kalaivani, Mani; Gupta, Sanjeev Kumar; Rai, Sanjay K.; Nongkynrih, Baridalyne

    2016-01-01

    Background: Nearly 14% of children worldwide do not reach their developmental potential in early childhood. The early identification of delays in achieving milestones is critical. The World Health Organization (WHO) has developed normal age ranges for the achievement of motor milestones by healthy children. This study aimed to assess the gross motor developmental achievements and associated factors among children in rural India. Materials and Methods: A cross-sectional study was conducted with rural children in North India. A pretested questionnaire was used to collect the data. The median age at the time of the highest observed milestone was calculated and compared with the WHO windows of achievement. Results: Overall, 221 children aged 4–18 months were included in the study. The median age of motor development exhibited a 0.1–2.1-month delay compared to the WHO median age of motor milestone achievement. The prevalence of the gross motor milestone achievements for each of the six milestones ranged from 91.6% to 98.4%. Developmental delay was observed in 6.3% of the children. After adjusting for different variables, children with birth order of second or more were found to be significantly associated with the timely achievement of gross motor milestones. Conclusion: The apparently healthy children of the rural area of Haryana achieved gross motor milestones with some delay with respect to the WHO windows of achievement. Although the median value of this delay was low, awareness campaigns should be implemented to promote timely identification of children with development delays. PMID:27843845

  7. KSC-2012-4601

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  8. KSC-2012-4606

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  9. KSC-2012-4600

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – NASA Administrator Charlie Bolden, right, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  10. KSC-2012-4607

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  11. KSC-2012-4602

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  12. KSC-2012-4605

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  13. KSC-2012-4604

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  14. KSC-2012-4603

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  15. There is variability in the attainment of developmental milestones in the CDKL5 disorder.

    PubMed

    Fehr, Stephanie; Leonard, Helen; Ho, Gladys; Williams, Simon; de Klerk, Nick; Forbes, David; Christodoulou, John; Downs, Jenny

    2015-01-01

    Individuals with the CDKL5 disorder have been described as having severely impaired development. A few individuals have been reported having attained more milestones including walking and running. Our aim was to investigate variation in attainment of developmental milestones and associations with underlying genotype. Data was sourced from the International CDKL5 Disorder Database, and individuals were included if they had a pathogenic or probably pathogenic CDKL5 mutation and information on early development. Kaplan-Meier time-to-event analyses investigated the occurrence of developmental milestones. Mutations were grouped by their structural/functional consequence, and Cox regression was used to investigate the relationship between genotype and milestone attainment. The study included 109 females and 18 males. By 5 years of age, only 75% of the females had attained independent sitting and 25% independent walking whilst a quarter of the males could sit independently by 1 year 3 months. Only one boy could walk independently. No clear relationship between mutation group and milestone attainment was present, although females with a late truncating mutation attained the most milestones. Attainment of developmental milestones is severely impaired in the CDKL5 disorder, with the majority who did attain skills attaining them at a late age. It appears as though males are more severely impaired than the females. Larger studies are needed to further investigate the role of genotype on clinical variability.

  16. Development of New Therapeutics Targeting Biofilm Formation by the Opportunistic Pulmonary Pathogens Pseudomonas aeruginosa and Aspergillus Fumigatus

    DTIC Science & Technology

    2017-10-01

    antibacterial activity . The unexpected departure of PDF Perrin Baker in early June 2017 and the delay in recruiting his...characterize the ability of recombinant GH enzymes to enhance the activity of antimicrobial agents against PA and AF in vitro (2) Perform...major goals of the project as stated in the approved SOW. If the application listed milestones/target dates for important activities

  17. 48 CFR 307.7106 - Acquisition milestones.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Acquisition milestones. 307.7106 Section 307.7106 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES COMPETITION... to track progress of the acquisition. The milestone schedule signatories (see the Requirements and...

  18. 48 CFR 307.7106 - Acquisition milestones.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Acquisition milestones. 307.7106 Section 307.7106 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES COMPETITION... to track progress of the acquisition. The milestone schedule signatories (see the Requirements and...

  19. NASA's Space Launch System Takes Shape: Progress Toward Safe, Affordable, Exploration

    NASA Technical Reports Server (NTRS)

    Askins, Bruce R.; Robinson, Kimberly F.

    2014-01-01

    Development of NASA's Space Launch System (SLS) exploration-class heavy lift rocket has moved from the formulation phase to implementation in 3 years and will make significant progress this year toward its first launch, slated December 2017. SLS represents a safe, affordable, and evolutionary path to development of an unprecedented capability for future human and robotic exploration and use of space. For the United States current development is focused on a configuration with a 70 metric ton (t) payload to low Earth orbit (LEO), more than double any operational vehicle. This version will launch NASA's Orion Multi-Purpose Crew Vehicle (MPCV) on its first autonomous flight beyond the Moon and back, as well as the first crewed Orion flight. SLS is designed to evolve to a 130 t lift capability that can reduce mission costs, simplify payload design, reduce trip times, and lower overall risk. Each vehicle element completed its respective Preliminary Design Reviews, followed by the SLS Program. The Program also completed the Key Decision Point-C milestone to move from formulation to implementation in 2014. NASA hasthorized the program to proceed to Critical Design Review, scheduled for 2015. Accomplihments to date include: manufacture of core stage test hardware, as well as preparations for testing the world's most powerful solid rocket boosters and main engines that flew 135 successful Space Shuttle missions. The Program's success to date is due to prudent use of existing technology, infrastructure, and workforce; streamlined management approach; and judicious use of new technologies. This paper will discuss SLS Program successes over the past year and examine milestones and challenges ahead. The SLS Program and its elements are managed at NASA's Marshall Space Flight Center (MSFC).

  20. Pathology Informatics Essentials for Residents: A flexible informatics curriculum linked to Accreditation Council for Graduate Medical Education milestones

    PubMed Central

    Henricks, Walter H; Karcher, Donald S; Harrison, James H; Sinard, John H; Riben, Michael W; Boyer, Philip J; Plath, Sue; Thompson, Arlene; Pantanowitz, Liron

    2016-01-01

    Context: Recognition of the importance of informatics to the practice of pathology has surged. Training residents in pathology informatics have been a daunting task for most residency programs in the United States because faculty often lacks experience and training resources. Nevertheless, developing resident competence in informatics is essential for the future of pathology as a specialty. Objective: The objective of the study is to develop and deliver a pathology informatics curriculum and instructional framework that guides pathology residency programs in training residents in critical pathology informatics knowledge and skills and meets Accreditation Council for Graduate Medical Education Informatics Milestones. Design: The College of American Pathologists, Association of Pathology Chairs, and Association for Pathology Informatics formed a partnership and expert work group to identify critical pathology informatics training outcomes and to create a highly adaptable curriculum and instructional approach, supported by a multiyear change management strategy. Results: Pathology Informatics Essentials for Residents (PIER) is a rigorous approach for educating all pathology residents in important pathology informatics knowledge and skills. PIER includes an instructional resource guide and toolkit for incorporating informatics training into residency programs that vary in needs, size, settings, and resources. PIER is available at http://www.apcprods.org/PIER (accessed April 6, 2016). Conclusions: PIER is an important contribution to informatics training in pathology residency programs. PIER introduces pathology trainees to broadly useful informatics concepts and tools that are relevant to practice. PIER provides residency program directors with a means to implement a standardized informatics training curriculum, to adapt the approach to local program needs, and to evaluate resident performance and progress over time. PMID:27563486

  1. KSC-2013-4514

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  2. KSC-2013-4491

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  3. KSC-2013-4516

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  4. KSC-2013-4515

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  5. KSC-2013-4485

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A crew member preps an Erickson Sky Crane helicopter for a test of the SpaceX Dragon test article. The test enables SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place at Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  6. KSC-2013-4507

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter recovers the SpaceX Dragon test article following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  7. KSC-2013-4517

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  8. KSC-2013-4490

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – A SpaceX Dragon test article is lifted under an Erickson Sky Crane helicopter before a test to evaluate the spacecraft's parachute deployment system as part of a milestone achievement under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  9. KSC-2013-4508

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter recovers the SpaceX Dragon test article following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place over the Pacific Ocean, off the coast of Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  10. PhOD - The Global Drifter Program

    Science.gov Websites

    February 2018. (As of May 2018). Download all data Subsets of database are also available through February 2018. Download subsets of data Many historical drogue off dates have been reevaluated. As of November buoydata_15001_feb18.dat-gz, dirfl_15001_feb18.dat May 1, 2018: Milestone reached On Tuesday, May 1, 2018, NOAA's

  11. Program Manager’s Handbook

    DTIC Science & Technology

    1989-03-01

    management business with references for sources of more detailed information on each subject. Recipients are provided with updated and new fact sheets as...at Milestone Force, strategic offense, strategic defense; Army, 0 by the Defense Acquisition .oard An Acquisi- O close combat heavy, close combat...assessment of producibi’,ity: realistic competition. Conce-ts such as teaming, leader - industry surge and mobilization capacity: multiyear follower

  12. Point-of-care ultrasonography as a training milestone for internal medicine residents: the time is now.

    PubMed

    Sabath, Bruce F; Singh, Gurkeerat

    2016-01-01

    Point-of-care (POC) ultrasonography is considered fundamental in emergency medicine training and recently has become a milestone in critical care fellowship programs as well. Currently, there is no such standard requirement for internal medicine residency programs in the United States. We present a new case and briefly review another case at our institution - a community hospital - in which internal medicine house staff trained in ultrasonography were able to uncover unexpected and critical diagnoses that significantly changed patient care and outcomes. We also review the growing evidence of the application of ultrasound in the diagnosis of a myriad of conditions encountered in general internal medicine as well as the mounting data on the ability of internal medicine residents to apply this technology accurately at the bedside. We advocate that the literature has sufficiently established the role of POC ultrasonography in general internal medicine that there should no longer be any delay in giving this an official place in the development of internal medicine trainees. This may be particularly useful in the community hospital setting where 24-h echocardiography or other sonography may not be readily available.

  13. Calcination/dissolution chemistry development Fiscal year 1995

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

    Delegard, C.H.

    1995-09-01

    The task {open_quotes}IPC Liaison and Chemistry of Thermal Reconstitution{close_quotes} is a $300,000 program that was conducted in Fiscal Year (FY) 1995 with U.S. Department of Energy (DOE) Office of Research and Development (EM-53) Efficient Separations and Processing Crosscutting Program supported under technical task plan (TTP) RL4-3-20-04. The principal investigator was Cal Delegard of the Westinghouse Hanford Company (WHC). The task encompassed the following two subtasks related to the chemistry of alkaline Hanford Site tank waste: (1) Technical Liaison with the Institute of Physical Chemistry of the Russian Academy of Science (IPC/RAS) and its research into the chemistry of transuranic elementsmore » (TRU) and technetium (Tc) in alkaline media. (2) Laboratory investigation of the chemistry of calcination/dissolution (C/D) (or thermal reconstitution) as an alternative to the present reference Hanford Site tank waste pretreatment flowsheet, Enhanced Sludge Washing (ESW). This report fulfills the milestone for the C/D subtask to {open_quotes}Provide End-of-Year Report on C/D Laboratory Test Results{close_quotes} due 30 September 1995. A companion report, fulfilling the milestone to provide an end-of-year report on the IPC/RAS liaison, also has been prepared.« less

  14. DebriSat - A Planned Laboratory-Based Satellite Impact Experiment for Breakup Fragment Characterization

    NASA Technical Reports Server (NTRS)

    Liou, J.-C.; Fitz-Coy, N.; Werremeyer, M.; Huynh, T.; Voelker, M.; Opiela, J.

    2012-01-01

    DebriSat is a planned laboratory ]based satellite hypervelocity impact experiment. The goal of the project is to characterize the orbital debris that would be generated by a hypervelocity collision involving a modern satellite in low Earth orbit (LEO). The DebriSat project will update and expand upon the information obtained in the 1992 Satellite Orbital Debris Characterization Impact Test (SOCIT), which characterized the breakup of a 1960 's US Navy Transit satellite. There are three phases to this project: the design and fabrication of an engineering model representing a modern, 50-cm/50-kg class LEO satellite known as DebriSat; conduction of a laboratory-based hypervelocity impact to catastrophically break up the satellite; and characterization of the properties of breakup fragments down to 2 mm in size. The data obtained, including fragment size, area ]to ]mass ratio, density, shape, material composition, optical properties, and radar cross ]section distributions, will be used to supplement the DoD fs and NASA fs satellite breakup models to better describe the breakup outcome of a modern satellite. Updated breakup models will improve mission planning, environmental models, and event response. The DebriSat project is sponsored by the Air Force fs Space and Missile Systems Center and the NASA Orbital Debris Program Office. The design and fabrication of DebriSat is led by University of Florida with subject matter experts f support from The Aerospace Corporation. The major milestones of the project include the complete fabrication of DebriSat by September 2013, the hypervelocity impact of DebriSat at the Air Force fs Arnold Engineering Development Complex in early 2014, and fragment characterization and data analyses in late 2014.

  15. Exact milestoning

    PubMed Central

    Bello-Rivas, Juan M.; Elber, Ron

    2015-01-01

    A new theory and an exact computer algorithm for calculating kinetics and thermodynamic properties of a particle system are described. The algorithm avoids trapping in metastable states, which are typical challenges for Molecular Dynamics (MD) simulations on rough energy landscapes. It is based on the division of the full space into Voronoi cells. Prior knowledge or coarse sampling of space points provides the centers of the Voronoi cells. Short time trajectories are computed between the boundaries of the cells that we call milestones and are used to determine fluxes at the milestones. The flux function, an essential component of the new theory, provides a complete description of the statistical mechanics of the system at the resolution of the milestones. We illustrate the accuracy and efficiency of the exact Milestoning approach by comparing numerical results obtained on a model system using exact Milestoning with the results of long trajectories and with a solution of the corresponding Fokker-Planck equation. The theory uses an equation that resembles the approximate Milestoning method that was introduced in 2004 [A. K. Faradjian and R. Elber, J. Chem. Phys. 120(23), 10880-10889 (2004)]. However, the current formulation is exact and is still significantly more efficient than straightforward MD simulations on the system studied. PMID:25747056

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

    Rutqvist, Jonny; Blanco-Martin, Laura; Molins, Sergi

    In this report, we present FY2015 progress by Lawrence Berkeley National Laboratory (LBNL) related to modeling of coupled thermal-hydrological-mechanical-chemical (THMC) processes in salt and their effect on brine migration at high temperatures. This is a combined milestone report related to milestone Salt R&D Milestone “Modeling Coupled THM Processes and Brine Migration in Salt at High Temperatures” (M3FT-15LB0818012) and the Salt Field Testing Milestone (M3FT-15LB0819022) to support the overall objectives of the salt field test planning.

  17. Facility Activation and Characterization for IPD Oxidizer Turbopump Cold-Flow Testing at NASA Stennis Space Center

    NASA Technical Reports Server (NTRS)

    Sass, J. P.; Raines, N. G.; Farner, B. R.; Ryan, H. M.

    2004-01-01

    The Integrated Powerhead Demonstrator (IPD) is a 250K lbf (1.1 MN) thrust cryogenic hydrogen/oxygen engine technology demonstrator that utilizes a full flow staged combustion engine cycle. The Integrated Powerhead Demonstrator (IPD) is part of NASA's Next Generation Launch Technology (NGLT) program, which seeks to provide safe, dependable, cost-cutting technologies for future space launch systems. The project also is part of the Department of Defense's Integrated High Payoff Rocket Propulsion Technology (IHPRPT) program, which seeks to increase the performance and capability of today s state-of-the-art rocket propulsion systems while decreasing costs associated with military and commercial access to space. The primary industry participants include Boeing-Rocketdyne and GenCorp Aerojet. The intended full flow engine cycle is a key component in achieving all of the aforementioned goals. The IPD Program achieved a major milestone with the successful completion of the IPD Oxidizer Turbopump (OTP) cold-flow test project at the NASA John C. Stennis Space Center (SSC) E-1 test facility in November 2001. A total of 11 IPD OTP cold-flow tests were completed. Following an overview of the NASA SSC E-1 test facility, this paper addresses the facility aspects pertaining to the activation and the cold-flow testing of the IPD OTP. In addition, some of the facility challenges encountered during the test project are addressed.

  18. What's New in 10 Years? A Revised Cardiothoracic Curriculum for Diagnostic Radiology Residency with Goals and Objectives Related to General Competencies.

    PubMed

    Nguyen, Elsie T; Ackman, Jeanne B; Rajiah, Prabhakar; Little, Brent; Wu, Carol; Bueno, Juliana M; Gilman, Mathew D; Christensen, Jared D; Madan, Rachna; Laroia, Archana T; Lee, Christopher; Kanne, Jeffrey P; Collins, Jannette

    2016-07-01

    This is a cardiothoracic curriculum document for radiology residents meant to serve not only as a study guide for radiology residents but also as a teaching and curriculum reference for radiology educators and radiology residency program directors. This document represents a revision of a cardiothoracic radiology resident curriculum that was published 10 years ago in Academic Radiology. The sections that have been significantly revised, expanded, or added are (1) lung cancer screening, (2) lung cancer genomic profiling, (3) lung adenocarcinoma revised nomenclature, (4) lung biopsy technique, (5) nonvascular thoracic magnetic resonance, (6) updates to the idiopathic interstitial pneumonias, (7) cardiac computed tomography updates, (8) cardiac magnetic resonance updates, and (9) new and emerging techniques in cardiothoracic imaging. This curriculum was written and endorsed by the Education Committee of the Society of Thoracic Radiology. This curriculum operates in conjunction with the Accreditation Council for Graduate Medical Education (ACGME) milestones project that serves as a framework for semiannual evaluation of resident physicians as they progress through their training in an ACGME-accredited residency or fellowship programs. This cardiothoracic curriculum document is meant to serve not only as a more detailed guide for radiology trainees, educators, and program directors but also complementary to and guided by the ACGME milestones. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  19. Psychosexual development and satisfaction with timing of developmental milestones among adult survivors of childhood cancer.

    PubMed

    Lehmann, Vicky; Keim, Madelaine C; Ferrante, Amanda C; Olshefski, Randal S; Gerhardt, Cynthia A

    2018-04-27

    To extend the limited research on psychosexual development among childhood cancer survivors, by not only focusing on the prevalence and age of milestone attainment, but also survivors' attitudes toward the timing of reaching such milestones. Adult survivors of childhood cancer (N = 90; M age  = 29.8, SD = 5.2), recruited from a US pediatric institution, completed online surveys indicating whether they had reached 5 milestones of psychosexual development (ie, first kiss, first boy-/girlfriend, first physical intimacy, sexual debut, first time in love), age at attainment, and perceptions about the timing (ie, right time, wished it had happened earlier, wished they had waited). Almost all survivors had reached each milestone (≥90%), except for sexual debut (83.3%). Survivors reported their first kiss as the earliest milestone at age 14.6 (N = 82, 92%) and falling in love as the latest milestone at age 18.8 (N = 80; 90%). This timing did not differ by sex/cancer-specific factors. Most survivors (~60%) felt they reached each milestone at the right time. Compared with US normative data, both male and female survivors were less likely to have experienced their sexual debut and were approximately 1.5 years older at sexual debut. Nevertheless, 59% of survivors felt that this timing was right and 31% wished they had waited longer. This is the first study to demonstrate that although childhood cancer survivors may delay some aspects of psychosexual development, most are satisfied with this timing. Research and clinical practice should emphasize survivors' perceptions/satisfaction toward psychosexual development rather than focusing only on normative milestone attainment. Copyright © 2018 John Wiley & Sons, Ltd.

  20. Initiating the 2002 Mars Science Laboratory (MSL) Focused Technology Program

    NASA Technical Reports Server (NTRS)

    Caffrey, Robert T.; Udomkesmalee, Gabriel; Hayati, Samad A.

    2004-01-01

    The Mars Science Laboratory (MSL) Project is an aggressive mission launching in 2009 to deliver a new generation of rover safely to the surface of Mars and conduct comprehensive in situ investigations using a new generation of instruments. This system will be designed to land with precision and be capable of operating over a large percentage on the surface of Mars. It will have capabilities that will support NASA's scientific goals into the next decade of exphation. The MSL Technology program is developing a wide-range of technologies needed for this Mission and potentially other space missions. The MSL Technology Program reports to both the MSL Project and the Mars Technology Program (MTP). The dual reporting process creates a challenging management situation, but ensures the new technology meets both the specific MSL requirements and the broader Mars Program requirements. MTP is a NASA-wide technology development program managed by the Jet Propulsion Laboratory (JPL) and is divided into a Focused Program and a Base Program. The Focused Technology Program addresses technologies that are specific and critical to near-term missions, while the Base Technology Program addresses those technologies that are applicable to multiple missions and which can be characterized as longer term, higher risk, and high payoff technologies. The MSL Technology Program is under the Focused Program and is tightly coupled to MSL's mission milestones and deliverables. The technology budget is separate from the flight Project budget, but the technology s requirements and the development process are tightly coordinated with the Project. The Technology Program combines proven management techniques of flight projects with commercial and academic technology management strategies, to create a technology management program that meets the near-term requirements of MSL and the long-term requirements of MTP. This paper examines the initiation of 2002 MSL Technology program. Some of the areas discussed in this paper include technology definition, task selection, technology management, and technology assessment.

  1. Milestone Completion Report WBS 1.3.5.05 ECP/VTK-m FY17Q3 [MS-17/02] Faceted Surface Normals STDA05-3.

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

    Moreland, Kenneth D.

    2017-07-01

    The FY17Q3 milestone of the ECP/VTK-m project includes the completion of a VTK-m filter that computes normal vectors for surfaces. Normal vectors are those that point perpendicular to the surface and are an important direction when rendering the surface. The implementation includes the parallel algorithm itself, a filter module to simplify integrating it into other software, and documentation in the VTK-m Users’ Guide. With the completion of this milestone, we are able to necessary information to rendering systems to provide appropriate shading of surfaces. This milestone also feeds into subsequent milestones that progressively improve the approximation of surface direction.

  2. Milestones in Rotorcraft Aeromechanics

    NASA Technical Reports Server (NTRS)

    Johnson, Wayne

    2011-01-01

    The subject of this paper is milestones in rotorcraft aeromechanics. Aeromechanics covers much of what the engineer needs: performance, loads, vibration, stability, flight dynamics, noise. These topics cover many of the key performance attributes, and many of the often-encountered problems in rotorcraft designs. A milestone is a critical achievement, a turning point, an event marking a significant change or stage in development. The milestones identified and discussed include the beginnings of aeromechanics with autogyro analysis, ground resonance, aeromechanics books, unsteady aerodynamics and airloads, nonuniform inflow and wakes, beams and dynamics, comprehensive analysis, computational fluid dynamics, and rotor airloads tests. The focus on milestones limits the scope of the history, but allows the author to acknowledge his choices for key steps in the development of the science and engineering of rotorcraft.

  3. Milestones in Medical Research, The Human Genome and ClinicalTrials.gov | NIH MedlinePlus the Magazine

    MedlinePlus

    ... page please turn Javascript on. Milestones in Medical Research, The Human Genome and ClinicalTrials.gov Past Issues / ... 10th anniversary of two important achievements in medical research—the first, a major milestone in understanding the ...

  4. EPA Interim Evaluation of 2016-2017 Milestone Progress in the Chesapeake Bay Watershed

    EPA Pesticide Factsheets

    This page provides the EPA interim evaluations of the 2016-2017 milestones for the Chesapeake Bay TMDL. These interim assessments provide a mid-point check on the progress made on the 2016-2017 milestones, recognizing the achievements made in 2016.

  5. EPA Interim Evaluation of 2012-2013 Milestone Progress in the Chesapeake Bay Watershed

    EPA Pesticide Factsheets

    This page provides the EPA interim evaluations of the 2012-2013 milestones for the Chesapeake Bay TMDL. These interim assessments provide a mid-point check on the progress made on the 2012-2013 milestones, recognizing the achievements made in 2012.

  6. EPA Interim Evaluation of 2014-2015 Milestone Progress in the Chesapeake Bay Watershed

    EPA Pesticide Factsheets

    This page provides the EPA interim evaluations of the 2014-2015 milestones for the Chesapeake Bay TMDL. These interim assessments provide a mid-point check on the progress made on the 2014-2015 milestones, recognizing the achievements made in 2014.

  7. A Process for Curricular Improvement Based on Evaluation of Student Performance on Milestone Examinations

    PubMed Central

    Hylton, Ann C.; Justice, Michael

    2016-01-01

    Objective. To identify and address areas for curricular improvement by evaluating student achievement of expected learning outcomes and competencies on annual milestone examinations. Design. Students were tested each professional year with a comprehensive milestone examination designed to evaluate student achievement of learning outcomes and professional competencies using a combination of multiple-choice questions, standardized patient assessments (SPAs), and objective structured clinical examination (OSCE) questions. Assessment. Based on student performance on milestone examinations, curricular changes were instituted, including an increased emphasis on graded comprehensive cases, OSCE skills days, and use of patient simulation in lecture and laboratory courses. After making these changes, significant improvements were observed in second and third-year pharmacy students’ grades for the therapeutic case and physician interaction/errors and omissions components of the milestone examinations. Conclusion. Results from milestone examinations can be used to identify specific areas in which curricular improvements are needed to foster student achievement of learning outcomes and professional competencies. PMID:28090108

  8. 2017-04-28_W88 ALT 370 Program Overview(OUO).

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

    Daniels, Vonceil

    2017-04-01

    All major program milestones have been met and the program is executing within budget. The ALT 370 program achieved Phase 6.4 authorization in February of this year. Five component Final Design Reviews (FDRs) have been completed, indicating progress in finalizing the design and development phase of the program. A series of ground-based qualification activities have demonstrated that designs are meeting functional requirements. The first fully functional flight test, FCET-53, demonstrated end-to-end performance in normal flight environments in February. Similarly, groundbased nuclear safety and hostile environments testing indicates that the design meets requirements in these stringent environments. The first in amore » series of hostile blast tests was successfully conducted in April.« less

  9. Department of the Navy Supporting Data for Fiscal Year 1983 Budget Estimates Descriptive Summaries Submitted to Congress February 1982. Research, Development, Test and Evaluation, Navy. Book 3 of 3. Tactical Programs, Intelligence & Communications, Management & Support

    DTIC Science & Technology

    1982-02-01

    For these data elements, Initial Milestone 11 values were established as the Flanning Estimate (PE) with the Development Estimate ( DE ) to he based ...development of improved forensic collection techniques for Naval Investigative Agents on ships and overseas bases . As this is a continuing program, the above...overseas bases ), and continue development of improved forensic collection techniques for Naval Investigative Agents on ships and overseas baszs. 4. (U) FY

  10. Analysis of alternatives for immobilized low activity waste disposal

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

    Burbank, D.A.

    This report presents a study of alternative disposal system architectures and implementation strategies to provide onsite near-surface disposal capacity to receive the immobilized low-activity waste produced by the private vendors. The analysis shows that a flexible unit strategy that provides a suite of design solutions tailored to the characteristics of the immobilized low-activity waste will provide a disposal system that best meets the program goals of reducing the environmental, health, and safety impacts; meeting the schedule milestones; and minimizing the life-cycle cost of the program.

  11. The Advanced Photovoltaic Solar Array (APSA) technology status and performance

    NASA Technical Reports Server (NTRS)

    Stella, Paul M.; Kurland, Richard M.

    1991-01-01

    In 1985, the Jet Propulsion Laboratory initiated the Advanced Photovoltaic Solar Array (APSA) program. The program objective is to demonstrate a producible array system by the early 1990s with a specific performance of at least 130 W/kG (beginning-of-life) as an intermediate milestone towards the long range goal of 300 W/kG. The APSA performance represents an approximately four-fold improvement over existing rigid array technology and a doubling of the performance of the first generation NASA/OAST SAFE flexible blanket array of the early 1980s.

  12. Next Generation Operational Control System (OCX)

    DTIC Science & Technology

    2015-12-01

    Operations ( RTO ) and Block 2 RTO in the October 2015 APB. On December 23, 2015 the Program Manager signed a Program Deviation Report declaring a 24-month...slip past the current APB objectives of Milestone C, Block 1 RTO , and 2 RTO . The Air Force is in the process of completing an excursion to the December...Oct 2015 Jul 2018 Jan 2019 Jul 20201 (Ch-2) Block 1 RTO Oct 2016 Jul 2019 Jul 2020 Jul 20211 (Ch-2) Block 2 RTO Jun 2017 Jul 2020 Jul 2021 Jul 20221

  13. Nasa Program Plan

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Major facts are given for NASA'S planned FY-1981 through FY-1985 programs in aeronautics, space science, space and terrestrial applications, energy technology, space technology, space transportation systems, space tracking and data systems, and construction of facilities. Competition and cooperation, reimbursable launchings, schedules and milestones, supporting research and technology, mission coverage, and required funding are considered. Tables and graphs summarize new initiatives, significant events, estimates of space shuttle flights, and major missions in astrophysics, planetary exploration, life sciences, environmental and resources observation, and solar terrestrial investigations. The growth in tracking and data systems capabilities is also depicted.

  14. MRT 5711 - Scope Radiochemical Analysis Comparison: Joint LANL-LLNL FY17 L-2 Milestone

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

    Murray, S. D.; Lee, A. S.

    A 2016 Level-1 milestone highlighted surprising differences in fundamental data used by the two US design laboratories. To better understand and ultimately resolve those differences, two Level-2 milestones were developed for execution in FY-17 and FY-18.

  15. Verify Occulter Deployment Tolerances as Part of NASA's Technology Development for Exoplanet Missions

    NASA Astrophysics Data System (ADS)

    Kasdin, N. J.; Shaklan, S.; Lisman, D.; Thomson, M.; Webb, D.; Cady, E.; Marks, G. W.; Lo, A.

    2013-01-01

    In support of NASA's Exoplanet Exploration Program and the Technology Development for Exoplanet Missions (TDEM), we recently completed a 2 year study of the manufacturability and metrology of starshade petals. An external occult is a satellite employing a large screen, or starshade, that flies in formation with a spaceborne telescope to provide the starlight suppression needed for detecting and characterizing exoplanets. Among the advantages of using an occulter are the broadband allowed for characterization and the removal of light before entering the observatory, greatly relaxing the requirements on the telescope and instrument. This poster presents the results of our successful first TDEM that demonstrated an occulter petal could be built and measured to an accuracy consistent with close to 10^-10 contrast. We also present the progress in our second TDEM to demonstrate the next critical technology milestone: precision deployment of the central truss and petals to the necessary accuracy. We have completed manufacture of four sub-scale petals and a central hub to fit with an existing deployable truss. We show the plans for repeated stow and deploy tests of the assembly and the metrology to confirm that each deploy repeatably meets the absolute positioning requirements of the petals (better than 1.0 mm).

  16. Associations of Early Developmental Milestones with Adult Intelligence

    ERIC Educational Resources Information Center

    Flensborg-Madsen, Trine; Mortensen, Erik L.

    2018-01-01

    The study investigated whether age at attainment of 20 developmental milestones within the areas of language, walking, eating, dressing, social interaction, and toilet training was associated with adult intelligence. Mothers of 821 children of the Copenhagen Perinatal Cohort recorded 20 developmental milestones at a 3-year examination, and all…

  17. Profile of Graduate Management Admission Test[R] Candidates 2007-08 to 2011-12: Five-Year Summary

    ERIC Educational Resources Information Center

    Graduate Management Admission Council, 2012

    2012-01-01

    The 2011-2012 testing year held a number of significant milestones for the Graduate Management Admission Test exam. A total of 286,529 GMAT exams were administered, with 831,337 score reports sent to more than 5,200 graduate-level management programs around the world--all record numbers. This record volume reflects the increase in graduate-level…

  18. Program Manager: Journal of the Defense Systems Management College. Volume 18, Number 3, May-June 1989

    DTIC Science & Technology

    1989-06-01

    Measurable goals and milestones are supported by action plans which include underlying assumptions, allocation of respon- sibility, resource ...military reasons developments to the relationship be- vironmental laws? for starting where he did. To tween hardware and the environment. Responsibility...supporting integrated testing understanding of the concerns of the - Managing test resources military services and which would set - Evaluating system

  19. KSC-2013-4483

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter lands in Morro Bay, Calif., in preparation for the test of the SpaceX Dragon test article. The test enables SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place at Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  20. KSC-2013-4484

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter lands in Morro Bay, Calif., in preparation for the test of the SpaceX Dragon test article. The test enables SpaceX engineers to evaluate the spacecraft's parachute deploymentsystem as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place at Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  1. A resolution honoring the men and women of the National Aeronautics and Space Administration Space Shuttle Program on reaching the historic milestone of the 135th and final flight of the Space Transportation System.

    THOMAS, 112th Congress

    Sen. Nelson, Bill [D-FL

    2011-07-13

    Senate - 07/13/2011 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

  2. Assuring Crew Health Protection

    NASA Technical Reports Server (NTRS)

    Robinson, Judith L.

    2007-01-01

    Amongst the recommendation of the Columbia Accident Investigation Board (CAIB) were the establishment of an independent technical authorities, one of which is the Health and Medical Technical Authority. This viewgraph presentation reviews the work of this Technical Authority in maintaining standards that are aimed at implementing health and medical policy, responding to medical events and emergencies consistent with acceptable levels defined by standards and providing expertise for program milestones.

  3. Nonstrategic Nuclear Weapons at an Inflection Point

    DTIC Science & Technology

    2017-07-01

    11 figure 5. the B61 Mod 12 Nuclear Bomb and the f...B61 Mod 12 Nuclear Bomb , US Department of Energy, “NNSA Reaches B61-12 Life Extension Program Milestone: First Full-System Mechanical Environment Test... bomb ).22 20 Some warheads were to be to be eliminated; others were to be maintained in central storage. See Susan J. Koch, The Presidential Nuclear

  4. ASC Predictive Science Academic Alliance Program (PSAAP) II Review of the Carbon Capture Multidisciplinary Science Center (CCMSC) at the University of Utah

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

    Still, C. H.; Ferencz, R. M.; Hoekstra, R. J.

    2015-06-08

    The review was conducted on March 31 – April 1, 2015 at the University of Utah. Overall the review team was impressed with the work presented and found that the CCMSC had met or exceeded all of their Year 1 milestones. Specific details, comments and recommendations are included in this document.

  5. Ultraviolet Communication for Medical Applications

    DTIC Science & Technology

    2014-05-01

    parent company Imaging Systems Technology (IST) demonstrated feasibility of several key concepts are being developed into a working prototype in the...program using multiple high-end GPUs ( NVIDIA Tesla K20). Finally, the Monte Carlo simulation task will be resumed after the Milestone 2 demonstration...is acceptable for automated printing and handling. Next, the option of having our shells electroded by an external company was investigated and DEI

  6. CNA Independent Assessment: Air Force Acquisition. Return to Excellence

    DTIC Science & Technology

    2009-02-01

    symptoms that indicate problems with its acquisition system and processes. Some of the most pressing of these symptoms have been: Numerous cost...indicate problems with its acquisition system and proc- esses. Some of the most pressing of these symptoms have been: Frequent cost-schedule performance...Military Deputy MS Milestone NAVAIR Naval Air Systems Command PAR Program Assessment Review PCO Principal Contracting Officer PDR

  7. NEAMS FPL M2 Milestone Report: Development of a UO₂ Grain Size Model using Multicale Modeling and Simulation

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

    Tonks, Michael R; Zhang, Yongfeng; Bai, Xianming

    2014-06-01

    This report summarizes development work funded by the Nuclear Energy Advanced Modeling Simulation program's Fuels Product Line (FPL) to develop a mechanistic model for the average grain size in UO₂ fuel. The model is developed using a multiscale modeling and simulation approach involving atomistic simulations, as well as mesoscale simulations using INL's MARMOT code.

  8. Making Their Presence Felt: Online Graduates Are Poised to Have Major Impact--Despite the Absence of a Strong Campus Connection

    ERIC Educational Resources Information Center

    Morrison, Andrew

    2013-01-01

    Last summer, the University of Liverpool welcomed the 4,000th graduate of its online programs to its alumni community. This is a significant milestone in the expansion of their international footprint, considering that just five years earlier the university had enrolled half as many online. Equally as important as the growth of their online…

  9. FT. Sam 91 Whiskey Combat Medic Medical Simulation Training Quantitative Integration Enhancement Program

    DTIC Science & Technology

    2011-07-01

    joined the project team in the statistical and research coordination role. Dr. Collin is an employee at the University of Pittsburgh. A successful...3. Submit to Ft. Detrick Completed Milestone: Statistical analysis planning 1. Review planned data metrics and data gathering tools...approach to performance assessment for continuous quality improvement.  Analyzing data with modern statistical techniques to determine the

  10. Automated Design Tools for Integrated Mixed-Signal Microsystems (NeoCAD)

    DTIC Science & Technology

    2005-02-01

    method, Model Order Reduction (MOR) tools, system-level, mixed-signal circuit synthesis and optimization tools, and parsitic extraction tools. A unique...Mission Area: Command and Control mixed signal circuit simulation parasitic extraction time-domain simulation IC design flow model order reduction... Extraction 1.2 Overall Program Milestones CHAPTER 2 FAST TIME DOMAIN MIXED-SIGNAL CIRCUIT SIMULATION 2.1 HAARSPICE Algorithms 2.1.1 Mathematical Background

  11. Annual immunisation coverage report, 2010.

    PubMed

    Hull, Brynley; Dey, Aditi; Menzies, Rob; McIntyre, Peter

    2013-03-31

    This, the fourth annual immunisation coverage report, documents trends during 2010 for a range of standard measures derived from Australian Childhood Immunisation Register (ACIR) data. These include coverage at standard age milestones and for individual vaccines included on the National Immunisation Program (NIP). For the first time, coverage from other sources for adolescents and the elderly are included. The proportion of children 'fully vaccinated' at 12, 24 and 60 months of age was 91.6%, 92.1% and 89.1% respectively. For vaccines available on the NIP but not currently assessed for 'fully immunised' status or for eligibility for incentive payments (rotavirus and pneumococcal at 12 months and meningococcal C and varicella at 24 months) coverage varied. Although pneumococcal vaccine had similar coverage at 12 months to other vaccines, coverage was lower for rotavirus at 12 months (84.7%) and varicella at 24 months (83.0%). Overall coverage at 24 months of age exceeded that at 12 months of age nationally and for most jurisdictions, but as receipt of varicella vaccine at 18 months is excluded from calculations, this represents delayed immunisation, with some contribution from immunisation incentives. The 'fully immunised' coverage estimates for immunisations due by 60 months increased substantially in 2009, reaching almost 90% in 2010, probably related to completed immunisation by 60 months of age being introduced in 2009 as a requirement for GP incentive payments. As previously documented, vaccines recommended for Indigenous children only (hepatitis A and pneumococcal polysaccharide vaccine) had suboptimal coverage at around 57%. Delayed receipt of vaccines by Indigenous children at the 60-month milestone age improved from 56% to 62% but the disparity in on-time vaccination between Indigenous and non-Indigenous children at earlier age milestones did not improve. Coverage data for human papillomavirus (HPV)from the national HPV register are consistent with high coverage in the school-based program (73%) but were lower for the catch-up program for women outside school (30-38%). Coverage estimates for vaccines on the NIP from 65 years of age were comparable with other developed countries.

  12. Rapid Web-Based Platform for Assessment of Orthopedic Surgery Patient Care Milestones: A 2-Year Validation.

    PubMed

    Gundle, Kenneth R; Mickelson, Dayne T; Cherones, Arien; Black, Jason; Hanel, Doug P

    To determine the validity, feasibility, and responsiveness of a new web-based platform for rapid milestone-based evaluations of orthopedic surgery residents. Single academic medical center, including a trauma center and pediatrics tertiary hospital. Forty residents (PG1-5) in an orthopedic residency program and their faculty evaluators. Residents and faculty were trained and supported in the use of a novel trainee-initiated web-based evaluation system. Residents were encouraged to use the system to track progress on patient care subcompetencies. Two years of prospectively collected data were reviewed from residents at an academic program. The primary outcome was Spearman's rank correlation between postgraduate year (PGY) and competency level achieved as a measure of validity. Secondary outcomes assessed feasibility, resident self-evaluation versus faculty evaluation, the distributions among subcompetencies, and responsiveness over time. Between February 2014 and February 2016, 856 orthopedic surgery patient care subcompetency evaluations were completed (1.2 evaluations per day). Residents promptly requested feedback after a procedure (median = 0 days, interquartile range: 0-2), and faculty responded within 2 days in 51% (median = 2 days, interquartile range: 0-13). Primary outcome showed a correlation between PGY and competency level (r = 0.78, p < 0.001), with significant differences in competency among PGYs (p < 0.001 by Kruskal-Wallis rank sum test). Self-evaluations by residents substantially agreed with faculty-assigned competency level (weighted Cohen's κ = 0.72, p < 0.001). Resident classes beginning the study as PGY1, 2, and 3 separately demonstrated gains in competency over time (Spearman's rank correlation 0.39, 0.60, 0.59, respectively, each p < 0.001). There was significant variance in the number of evaluations submitted per subcompetency (median = 43, range: 6-113) and competency level assigned (p < 0.01). Rapid tracking of trainee competency with milestone-based evaluations in a learner-centered mobile platform demonstrated validity, feasibility, and responsiveness. Next Accreditation System-mandated data may be efficiently collected and used for trainee and program self-study. Published by Elsevier Inc.

  13. Computational Materials Program for Alloy Design

    NASA Technical Reports Server (NTRS)

    Bozzolo, Guillermo

    2005-01-01

    The research program sponsored by this grant, "Computational Materials Program for Alloy Design", covers a period of time of enormous change in the emerging field of computational materials science. The computational materials program started with the development of the BFS method for alloys, a quantum approximate method for atomistic analysis of alloys specifically tailored to effectively deal with the current challenges in the area of atomistic modeling and to support modern experimental programs. During the grant period, the program benefited from steady growth which, as detailed below, far exceeds its original set of goals and objectives. Not surprisingly, by the end of this grant, the methodology and the computational materials program became an established force in the materials communitiy, with substantial impact in several areas. Major achievements during the duration of the grant include the completion of a Level 1 Milestone for the HITEMP program at NASA Glenn, consisting of the planning, development and organization of an international conference held at the Ohio Aerospace Institute in August of 2002, finalizing a period of rapid insertion of the methodology in the research community worlwide. The conference, attended by citizens of 17 countries representing various fields of the research community, resulted in a special issue of the leading journal in the area of applied surface science. Another element of the Level 1 Milestone was the presentation of the first version of the Alloy Design Workbench software package, currently known as "adwTools". This software package constitutes the first PC-based piece of software for atomistic simulations for both solid alloys and surfaces in the market.Dissemination of results and insertion in the materials community worldwide was a primary focus during this period. As a result, the P.I. was responsible for presenting 37 contributed talks, 19 invited talks, and publishing 71 articles in peer-reviewed journals, as detailed later in this Report.

  14. Used Nuclear Fuel Loading and Structural Performance Under Normal Conditions of Transport- Demonstration of Approach and Results on Used Fuel Performance Characterization

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

    Adkins, Harold; Geelhood, Ken; Koeppel, Brian

    2013-09-30

    This document addresses Oak Ridge National Laboratory milestone M2FT-13OR0822015 Demonstration of Approach and Results on Used Nuclear Fuel Performance Characterization. This report provides results of the initial demonstration of the modeling capability developed to perform preliminary deterministic evaluations of moderate-to-high burnup used nuclear fuel (UNF) mechanical performance under normal conditions of storage (NCS) and normal conditions of transport (NCT) conditions. This report also provides results from the sensitivity studies that have been performed. Finally, discussion on the long-term goals and objectives of this initiative are provided.

  15. Annual Progress Report on the Development of Waste Tank Leak Monitoring and Detection and Mitigation Activities in Support of M-45-08

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

    DEFIGH PRICE, C.

    2000-09-25

    Milestone M-45-09E of the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement or TPA) [TPA 1996] requires submittal of an annual progress report on the development of waste tank leak detection, monitoring, and mitigation (LDMM) activities associated with the retrieval of waste from single-shell tanks (SSTs). This report details progress for fiscal year 2000, building on the current LDMM strategy and including discussion of technologies, applications, cost, schedule, and technical data. The report also includes discussion of demonstrations conducted and recommendations for additional testing. Tri-Party Agreement Milestones M-45-08A and M-45-08B required design and demonstration of LDMM systems for initialmore » retrieval of SST waste. These specific milestones have recently been deleted as part of the M-45-00A change package. Future LDMM development work has been incorporated into specific technology demonstration milestones and SST waste retrieval milestones in the M-45-03 and M-45-05 milestone series.« less

  16. The K-8 Aeronautics Internet Testbook: Project Plan-Year 3

    NASA Technical Reports Server (NTRS)

    Pallis, Jani Macari

    1997-01-01

    The Project Plan - Year 3 includes: the major tasks and milestones, the assignment of tasks, and the key personnel assigned to each task, a description of the milestone and major task, and the deliverables for the project. Milestones have project numbers ending in "0.0", such as "25.0.0 Phase III Development". Major tasks under that milestone begin with the same first number such as, "25.0.1 Develop Future Of Aeronautics". The assignment of tasks included in the Year 3 project plan contains the names of the key personnel responsible for the task and others participating on the task. Although the PI has the overall and ultimately responsible for all the tasks and milestones, the name of the first individual on a task or milestone is the person responsible for that task. Other names listed under that task will be participating on the task. Since there are two individuals at Cislunar Aerospace, Inc. with the name "J. Pallis", the principal investigator, Jani Macari Pallis is designated as PI in the Project Plan and James Pallis is designated as J. Pallis.

  17. Social Withdrawal Behaviour at One Year of Age Is Associated with Delays in Reaching Language Milestones in the EDEN Mother-Child Cohort Study.

    PubMed

    Guedeney, Antoine; Forhan, Anne; Larroque, Beatrice; de Agostini, Maria; Pingault, Jean-Baptiste; Heude, Barbara

    2016-01-01

    The aim of the study was to examine the relationship between social withdrawal behaviour at one year and motor and language milestones. One-year old children from the EDEN French population-based birth cohort study (Study on the pre- and postnatal determinants of the child's development and prospective health Birth Cohort Study) were included. Social withdrawal at one year was assessed by trained midwives using the Alarm Distress BaBy (ADBB) scale. Midwives concurrently examined infants' motor and language milestones. Parents reported on child's psychomotor and language milestones, during the interview with the midwife. After adjusting for potential confounding factors, social withdrawal behaviour was significantly associated with concurrent delays in motor and language milestones assessed by the midwife or the parents. Higher scores on social withdrawal behaviour as assessed with the ADBB were associated with delays in reaching language milestones, and to a lesser extent with lower motor ability scores. Taking the contribution of social withdrawal behaviour into account may help understand the unfolding of developmental difficulties in children.

  18. NASA's Space Launch System: Moving Toward the Launch Pad

    NASA Technical Reports Server (NTRS)

    Creech, Stephen D.; May, Todd

    2013-01-01

    The National Aeronautics and Space Administration's (NASA's) Space Launch System (SLS) Program, managed at the Marshall Space Flight Center, is making progress toward delivering a new capability for human space flight and scientific missions beyond Earth orbit. Developed with the goals of safety, affordability, and sustainability in mind, the SLS rocket will launch the Orion Multi-Purpose Crew Vehicle (MPCV), equipment, supplies, and major science missions for exploration and discovery. Supporting Orion's first autonomous flight to lunar orbit and back in 2017 and its first crewed flight in 2021, the SLS will evolve into the most powerful launch vehicle ever flown, via an upgrade approach that will provide building blocks for future space exploration and development. NASA is working to develop this new capability in an austere economic climate, a fact which has inspired the SLS team to find innovative solutions to the challenges of designing, developing, fielding, and operating the largest rocket in history. This paper will summarize the planned capabilities of the vehicle, the progress the SLS program has made in the 2 years since the Agency formally announced its architecture in September 2011, and the path the program is following to reach the launch pad in 2017 and then to evolve the 70 metric ton (t) initial lift capability to 130-t lift capability. The paper will explain how, to meet the challenge of a flat funding curve, an architecture was chosen which combines the use and enhancement of legacy systems and technology with strategic new development projects that will evolve the capabilities of the launch vehicle. This approach reduces the time and cost of delivering the initial 70 t Block 1 vehicle, and reduces the number of parallel development investments required to deliver the evolved version of the vehicle. The paper will outline the milestones the program has already reached, from developmental milestones such as the manufacture of the first flight hardware and the record-breaking testing of the J-2X engine, to life-cycle milestones such as the vehicle's Preliminary Design Review. The paper will also discuss the remaining challenges in both delivering the 70 t vehicle and in evolving its capabilities to the 130 t vehicle, and how the program plans to accomplish these goals. As this paper will explain, SLS is making measurable progress toward becoming a global infrastructure asset for robotic and human scouts of all nations by harnessing business and technological innovations to deliver sustainable solutions for space exploration

  19. 1998 report on Hanford Site land disposal restrictions for mixed waste

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

    Black, D.G.

    1998-04-10

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-26-01H. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of managing land-disposal-restricted mixed waste at the Hanford Facility. The US Department of Energy, its predecessors, and contractors on the Hanford Facility were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid mixed waste. This waste is regulated under authority of bothmore » the Resource Conservation and Recovery Act of l976 and the Atomic Energy Act of 1954. This report covers only mixed waste. The Washington State Department of Ecology, US Environmental Protection Agency, and US Department of Energy have entered into the Tri-Party Agreement to bring the Hanford Facility operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDR) plan and its annual updates to comply with LDR requirements for mixed waste. This report is the eighth update of the plan first issued in 1990. The Tri-Party Agreement requires and the baseline plan and annual update reports provide the following information: (1) Waste Characterization Information -- Provides information about characterizing each LDR mixed waste stream. The sampling and analysis methods and protocols, past characterization results, and, where available, a schedule for providing the characterization information are discussed. (2) Storage Data -- Identifies and describes the mixed waste on the Hanford Facility. Storage data include the Resource Conservation and Recovery Act of 1976 dangerous waste codes, generator process knowledge needed to identify the waste and to make LDR determinations, quantities stored, generation rates, location and method of storage, an assessment of storage-unit compliance status, storage capacity, and the bases and assumptions used in making the estimates.« less

  20. Aligning In-Service Training Examinations in Plastic Surgery and Orthopaedic Surgery With Competency-Based Education.

    PubMed

    Ganesh Kumar, Nishant; Benvenuti, Michael A; Drolet, Brian C

    2017-10-01

    In-service training examinations (ITEs) are used to assess residents across specialties. However, it is not clear how they are integrated with the Accreditation Council for Graduate Medical Education Milestones and competencies. This study explored the distribution of specialty-specific milestones and competencies in ITEs for plastic surgery and orthopaedic surgery. In-service training examinations were publicly available for plastic surgery (PSITE) and orthopaedics (OITE). Questions on the PSITE for 2014-2016 and the OITE for 2013-2015 were mapped to the specialty-specific milestones and the 6 competencies. There was an uneven distribution of milestones and competencies in ITE questions. Nine of the 36 Plastic Surgery Milestones represented 52% (341 of 650) of questions, and 3 were not included in the ITE. Of 41 Orthopaedic Surgery Milestones, 7 represented 51% (201 of 394) of questions, and 5 had no representation on the ITE. Among the competencies, patient care was the most common (PSITE = 62% [403 of 650]; OITE = 59% [233 of 394]), followed by medical knowledge (PSITE = 34% [222 of 650]; OITE = 31% [124 of 394]). Distribution of the remaining competencies differed between the 2 specialties (PSITE = 4% [25 of 650]; OITE = 9% [37 of 394]). The ITEs tested slightly more than half of the milestones for the 2 specialties, and focused predominantly on patient care and medical knowledge competencies.

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

    Kizilyalli, Isik; Evans, Craig; Matocha, Kevin

    The ARPA-E model is unique in that the agency does not just provide teams funding. Throughout the lifetime of an ARPA-E award, ARPA-E Program Directors and Tech-to-Market Advisors also provide teams with expert advice through quarterly reviews and onsite visits. This hands-on approach helps ensure teams can meet ambitious milestones, target and tackle problems early on, and advance their technologies towards commercialization. Program Director Dr. Isik Kizilyalli explains the importance of this active project management approach in helping teams identify and overcome barriers. In this video, Energy Storage Systems (ESS) from the GRIDS program and Monolith Semiconductors from the SWITCHESmore » program discuss how ARPA-E’s active project management approach helped them find solutions to technical challenges.« less

  2. Bio-power, Agamben, and emerging nursing knowledge.

    PubMed

    Georges, Jane M

    2008-01-01

    This philosophical article posits that an emerging theme in contemporary nursing epistemology is bio-power and proposes the use of philosopher Giorgio Agamben's perspectives as a useful approach for the future investigation of bio-power in nursing knowledge. Building upon Meleis' characterization of diversity as the most recent "milestone" of contemporary theoretical development of the nursing discipline, selected recent texts from the nursing literature are analyzed, and implications for future nursing knowledge in the context of Agamben's work are explored.

  3. Treatment of the Cornea Using Transcytotic Delivery into the Tear Film

    DTIC Science & Technology

    2015-12-01

    early April 2013; however, we continue to produce additional material as required (Fig. 4). In milestone 3 we initiated in vivo evaluation of...SI, the minimum and maximum values are 12.4 and 34.4. 8 Aim 2) characterize Lacritin-ELP fusion proteins and evaluate as therapeutic agents...0.0001). Data were analyzed by a two-way ANOVA followed by Tukey’s multiple comparisons test (n=9). 10 Having evaluated the lacritin-ELP fusion in

  4. Early Warning Look Ahead Metrics: The Percent Milestone Backlog Metric

    NASA Technical Reports Server (NTRS)

    Shinn, Stephen A.; Anderson, Timothy P.

    2017-01-01

    All complex development projects experience delays and corresponding backlogs of their project control milestones during their acquisition lifecycles. NASA Goddard Space Flight Center (GSFC) Flight Projects Directorate (FPD) teamed with The Aerospace Corporation (Aerospace) to develop a collection of Early Warning Look Ahead metrics that would provide GSFC leadership with some independent indication of the programmatic health of GSFC flight projects. As part of the collection of Early Warning Look Ahead metrics, the Percent Milestone Backlog metric is particularly revealing, and has utility as a stand-alone execution performance monitoring tool. This paper describes the purpose, development methodology, and utility of the Percent Milestone Backlog metric. The other four Early Warning Look Ahead metrics are also briefly discussed. Finally, an example of the use of the Percent Milestone Backlog metric in providing actionable insight is described, along with examples of its potential use in other commodities.

  5. Milestone Age Affects the Role of Health and Emotions in Life Satisfaction: A Preliminary Inquiry.

    PubMed

    Miron-Shatz, Talya; Bhargave, Rajesh; Doniger, Glen M

    2015-01-01

    Jill turns 40. Should this change how she evaluates her life, and would a similar change occur when she turns 41? Milestone age (e.g., 30, 40, 50)--a naturally occurring feature in personal timelines--has received much attention is popular culture, but little attention in academic inquiry. This study examines whether milestone birthdays change the way people evaluate their life. We show that life outlook is impacted by this temporal landmark, which appears to punctuate people's mental maps of their life cycle. At these milestone junctures, people take stock of where they stand and have a more evaluative perspective towards their lives when making life satisfaction judgments. Correspondingly, they place less emphasis on daily emotional experiences. We find that milestone agers (vs. other individuals) place greater weight on health satisfaction and BMI and lesser weight on daily positive emotions in their overall life satisfaction judgments, whereas negative emotions remain influential.

  6. KSC-2014-1421

    NASA Image and Video Library

    2014-01-06

    HOUSTON – Engineers for Boeing Space Exploration demonstrate that the CST-100 software allows a human pilot to take over control of the spacecraft from the computer during all phases of a mission following separation from the launch vehicle. The pilot-in-the-loop demonstration at the Houston Product Support Center is a milestone under Boeing's Commercial Crew Integrated Capability agreement with the agency and its Commercial Crew Program. Photo credit: NASA/Bill Stafford

  7. KSC-2014-1417

    NASA Image and Video Library

    2014-01-06

    HOUSTON – Engineers for Boeing Space Exploration demonstrate that the CST-100 software allows a human pilot to take over control of the spacecraft from the computer during all phases of a mission following separation from the launch vehicle. The pilot-in-the-loop demonstration at the Houston Product Support Center is a milestone under Boeing's Commercial Crew Integrated Capability agreement with the agency and its Commercial Crew Program. Photo credit: NASA/Bill Stafford

  8. KSC-2013-4494

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article tumbles over the Pacific Ocean, off the coast of Morro Bay, Calif., following its release for an Erickson Sky Crane helicopter. SpaceX engineers induced the tumble to evaluate the spacecraft's parachute deployment system in an emergency abort scenario. The test is part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  9. KSC-2013-4492

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter releases the SpaceX Dragon test article, inducing a tumble similar to what is expected in an emergency abort scenario, over the Pacific Ocean, off the coast of Morro Bay, Calif. The test allowed engineers to better evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  10. KSC-2013-4493

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article tumbles over the Pacific Ocean, off the coast of Morro Bay, Calif., following its release for an Erickson Sky Crane helicopter. SpaceX engineers induced the tumble to evaluate the spacecraft's parachute deployment system in an emergency abort scenario. The test is part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  11. Acquisition Reform: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies

    DTIC Science & Technology

    2015-02-01

    WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Government Accountability Office,441 G Street NW,Washington,DC,20548 8...milestone decision process; and (3) alternative processes used by some DOD programs and leading commercial firms. To perform this work , GAO...Decision Makers 27 Abbreviations ACAT Acquisition Category DOD Department of Defense This is a work of the U.S

  12. Strategic Defense Initiative Demonstration/Validation Program Environmental Assessment. Exoatmospheric Reentry Vehicle Interception System (ERIS),

    DTIC Science & Technology

    1987-08-01

    proceed to Demonstration/Validation for ERIS vould not preclude other technologies, nor vould it mandate the eventual Full-Scale Development or Production ...Full-Scale Development, and Production /Deployment. These four stages are separated by three major decision points (Milestones I, II, and III). Prior...percent facility population increase would require increased power plant gener- ating capacity. One concern is the nitrogen oxide emissions which is

  13. Theological Higher Education in Cuba. Part 4: The Historical Roots and Milestones of the Eastern Cuba Baptist Theological Seminary

    ERIC Educational Resources Information Center

    Esqueda, Octavio J.

    2007-01-01

    This article presents an overview of the Eastern Cuba Baptist Theological Seminary. The seminary was founded in the city of Santiago de Cuba, on October 10, 1949, by the Eastern Baptist Convention. The seminary exists to provide training for pastors in the Eastern Baptist Convention. The school offers a four-year program leading to a bachelor in…

  14. We Don’t Dance Well: Government and Industry Defense Materiel Acquisition

    DTIC Science & Technology

    2010-04-01

    tive prototyping prior to Milestone B and rigorous system engineering. Those activities are extremely important and critical to successful...for the warfighter and is a critical member of the materiel acquisition team. That point seems to be forgotten by some acquisition workforce members...A healthy and engaging relationship with industry partners is a critical component of any program and will surely impact—posi- tively or negatively

  15. Joint Service Chemical and Biological Defense Program. FY00-02 Overview

    DTIC Science & Technology

    2001-09-01

    Development. Contractors: 12 BI DS Biological Integrated Detection System (BIDS) Lead Service Bio Road HERCULES, CA Bruker Analytical Systems BILLERICA, MA...Dynamics Land Systems Division DETROIT, MI Henschel Wehrtechnik GERMANY Bruker -Franzen GERMANY Block II – TBD Milestones Block I MS III (2QFY94) Block...ground. Accessories include hoses and hose reels, two trigger-controlled spray wands , and two electrical-powered scrub brush assemblies. The M22

  16. Lexical Link Analysis Application: Improving Web Service to Acquisition Visibility Portal

    DTIC Science & Technology

    2013-04-01

    Maryland Bottleneck Analysis on the DoD Pre-Milestone B Acquisition Processes Danielle Worger and Teresa Wu, Arizona State University Eugene Rex ...Creative Program Management Best Practices Brandon Keller and J. Robert Wirthlin Air Force Institute of Technology The RITE Approach to Agile ...Mechanism for Adaptive Change Kathryn Aten and John T . Dillard Naval Postgraduate School A Comparative Assessment of the Navy’s Future Naval

  17. A Cost-Reduction Strategy for Weapon System Acquisition

    DTIC Science & Technology

    1990-12-01

    quantities, manufacturing processes, and test and evaluation are made. As a result, by milestone I, approximately 60% of the life-cycle costs are already...Assess the results from the potential SDIO application of the CRS and 5 consider further development and testing of the strategy. - Consider a policy that...eliminating activities must be carefully weighed. For example, extensive testing and I program reviews are typically classified as non-value added activities

  18. From Microelectronics to Nanoelectronics

    NASA Astrophysics Data System (ADS)

    Hoefflinger, Bernd

    We highlight key events in over 100 years of electronic amplifiers and their incorporation in computers and communication in order to appreciate the electron as man's most powerful token of information. We recognize that it has taken about 25 years or almost a generation for inventions to make it into new products, and that, within these periods, it still took major campaigns, like the Sputnik effect or what we shall call 10× programs, to achieve major technology steps. From Lilienfeld's invention 1926 of the solid-state field-effect triode to its realization 1959 in Kahng's MOS field-effect transistor, it took 33 years, and this pivotal year also saw the first planar integrated silicon circuit as patented by Noyce. This birth of the integrated microchip launched the unparalleled exponential growth of microelectronics with many great milestones. Among these, we point out the 3D integration of CMOS transistors by Gibbons in 1979 and the related Japanese program on Future Electron Devices (FED). The 3D domain has finally arrived as a broad development since 2005. Consecutively, we mark the neural networks on-chip of 1989 by Mead and others, now, 20 years later, a major project by DARPA. We highlight cooperatives like SRC and SEMATECH, their impact on progress and more recent nanoelectronic milestones until 2010.

  19. NSW Annual Immunisation Coverage Report, 2009.

    PubMed

    Hull, Brynley; Dey, Aditi; Mahajan, Deepika; Campbell-Lloyd, Sue; Menzies, Robert I; McIntyre, Peter B

    2010-01-01

    This is the first in a series of annual immunisation coverage reports that document trends in NSW for a range of standard measures derived from Australian Childhood Immunisation Register data, including overall coverage at standard age milestones and for individual vaccines. This report includes data up to and including 2009. Data from the Australian Childhood Immunisation Register, the NSW Health Survey and the NSW School Immunisation Program were used to calculate various measures of population coverage relating to childhood vaccines, adult influenza and pneumococcal vaccines and adolescent vaccination, respectively. Immunise Australia Program targets have been reached for children at 12 and 24 months of age but not for children at 5 years of age. Delayed receipt of vaccines is an issue for vaccines recommended for Aboriginal children. Pneumococcal vaccination in the elderly has been steadily rising, although it has remained lower than the influenza coverage estimates. For adolescents, there is better coverage for the first and second doses of human papillomavirus vaccine and the dose of dTpa than for varicella. This comprehensive analysis provides important baseline data for NSW against which future reports can be compared to monitor progress in improving immunisation coverage. Immunisation at the earliest appropriate age should be a public health goal for countries such as Australia where high levels of vaccine coverage at milestone ages have been achieved.

  20. Astronaut Medical Selection and Flight Medicine Care During the Shuttle ERA 1981 to 2011

    NASA Technical Reports Server (NTRS)

    Johnston, S.; Jennings, R.; Stepaniak, P.; Schmid, J.; Rouse, B.; Gray, G.; Tarver, B.

    2011-01-01

    The NASA Shuttle Program began with congressional budget approval in January 5, 1972 and the launch of STS-1 on April 12, 1981 and recently concluded with the landing of STS-135 on July 21, 2011. The evolution of the medical standards and care of the Shuttle Era Astronauts began in 1959 with the first Astronaut selection. The first set of NASA minimal medical standards were documented in 1977 and based on Air Force, Navy, Department of Defense, and the Federal Aviation Administration standards. Many milestones were achieved over the 30 years from 1977 to 2007 and the subsequent 13 Astronaut selections and 4 major expert panel reviews performed by the NASA Flight Medicine Clinic, Aerospace Medicine Board, and Medical Policy Board. These milestones of aerospace medicine standards, evaluations, and clinical care encompassed the disciplines of preventive, occupational, and primary care medicine and will be presented. The screening and retention standards, testing, and specialist evaluations evolved through periodic expert reviews, evidence based medicine, and Astronaut medical care experience. The last decade of the Shuttle Program saw the development of the International Space Station (ISS) with further Space medicine collaboration and knowledge gained from our International Partners (IP) from Russia, Canada, Japan, and the European Space Agencies. The Shuttle Program contribution to the development and implementation of NASA and IP standards and waiver guide documents, longitudinal data collection, and occupational surveillance models will be presented along with lessons learned and recommendations for future vehicles and missions.

  1. Effective nutrition support programs for college athletes.

    PubMed

    Vinci, D M

    1998-09-01

    This paper presents an overview of the Husky Sport Nutrition Program at the University of Washington. This program is a component of the Department of Intercollegiate Athletics Total Student-Athlete Program, an NCAA-sponsored CHAMPS/Life Skills Program that provides life skills assistance to student-athletes. Successful integration of a sport nutrition program requires an understanding of the athletic culture, physiological milestones, and life stressors faced by college athletes. The sport nutritionist functions as an educator, counselor, and administrator. Team presentations and individual nutrition counseling provide athletes with accurate information on healthy eating behaviors for optimal performance. For women's sports, a multidisciplinary team including the sport nutritionist, team physician, clinical psychologist, and athletic trainer work to prevent and treat eating disorders. Case studies are presented illustrating the breadth of nutrition-related issues faced by a sport nutritionist working with college athletes.

  2. NASA's High Speed Research Program - An introduction and status report

    NASA Technical Reports Server (NTRS)

    Wesoky, Howard L.; Prather, Michael J.; Kayten, Gerald G.

    1990-01-01

    NASA's High Speed Research Program (HSRP) gives attention to the potential environmental effects of a next-generation SST in three areas of concern: atmospheric pollution, airport community noise, and sonic boom. Research has accordingly been undertaken in such fields as the validation of ozone depletion predictions, the feasibility a 90-percent NO(x) emissions reduction to minimize ozone-layer impacts, economically viable compliance with FAR 36 Stage 3 airport community noise levels, and the comparative advantages of efficient subsonic flight over land masses or low-sonic-boom-optimized configurations. Interim HSRP milestones for 1991 and 1992 are noted.

  3. EVA - Don't Leave Earth Without It

    NASA Technical Reports Server (NTRS)

    Cupples, J. Scott; Smith, Stephen A.

    2011-01-01

    Modern manned space programs come in two categories: those that need Extravehicular Activity (EVA) and those that will need EVA. This paper discusses major milestones in the Shuttle Program where EVA was used to save payloads, enhance on-orbit capabilities, and build structures in order to ensure success of National Aeronautics and Space Administration (NASA) missions. In conjunction, the Extravehicular Mobility Unit s (EMU) design, and hence, its capabilities evolved as its mission evolved. It is the intent that lessons can be drawn from these case studies so that EVA compatibility is designed into future vehicles and payloads.

  4. Bringing the Flipped Classroom to Day 1: A Novel Didactic Curriculum for Emergency Medicine Intern Orientation

    PubMed Central

    Barrie, Michael G.; Amick, Christopher; Mitzman, Jennifer; Way, David P.; King, Andrew M.

    2018-01-01

    Most emergency medicine (EM) residency programs provide an orientation program for their incoming interns, with the lecture being the most common education activity during this period. Our orientation program is designed to bridge the gap between undergraduate and graduate medical education by ensuring that all learners demonstrate competency on Level 1 Milestones, including medical knowledge (MK). To teach interns core medical knowledge in EM, we reformulated orientation using the flipped-classroom model by replacing lectures with small group, case-based discussions. Interns demonstrated improvement in medical knowledge through higher scores on a posttest. Evaluation survey results were also favorable for the flipped-classroom teaching format. PMID:29383072

  5. Bringing the Flipped Classroom to Day 1: A Novel Didactic Curriculum for Emergency Medicine Intern Orientation.

    PubMed

    Barrie, Michael G; Amick, Christopher; Mitzman, Jennifer; Way, David P; King, Andrew M

    2018-01-01

    Most emergency medicine (EM) residency programs provide an orientation program for their incoming interns, with the lecture being the most common education activity during this period. Our orientation program is designed to bridge the gap between undergraduate and graduate medical education by ensuring that all learners demonstrate competency on Level 1 Milestones, including medical knowledge (MK). To teach interns core medical knowledge in EM, we reformulated orientation using the flipped-classroom model by replacing lectures with small group, case-based discussions. Interns demonstrated improvement in medical knowledge through higher scores on a posttest. Evaluation survey results were also favorable for the flipped-classroom teaching format.

  6. A suggested emergency medicine boot camp curriculum for medical students based on the mapping of Core Entrustable Professional Activities to Emergency Medicine Level 1 milestones.

    PubMed

    Lamba, Sangeeta; Wilson, Bryan; Natal, Brenda; Nagurka, Roxanne; Anana, Michael; Sule, Harsh

    2016-01-01

    An increasing number of students rank Emergency Medicine (EM) as a top specialty choice, requiring medical schools to provide adequate exposure to EM. The Core Entrustable Professional Activities (EPAs) for Entering Residency by the Association of American Medical Colleges combined with the Milestone Project for EM residency training has attempted to standardize the undergraduate and graduate medical education goals. However, it remains unclear as to how the EPAs correlate to the milestones, and who owns the process of ensuring that an entering EM resident has competency at a certain minimum level. Recent trends establishing specialty-specific boot camps prepare students for residency and address the variability of skills of students coming from different medical schools. Our project's goal was therefore to perform a needs assessment to inform the design of an EM boot camp curriculum. Toward this goal, we 1) mapped the core EPAs for graduating medical students to the EM residency Level 1 milestones in order to identify the possible gaps/needs and 2) conducted a pilot procedure workshop that was designed to address some of the identified gaps/needs in procedural skills. In order to inform the curriculum of an EM boot camp, we used a systematic approach to 1) identify gaps between the EPAs and EM milestones (Level 1) and 2) determine what essential and supplemental competencies/skills an incoming EM resident should ideally possess. We then piloted a 1-day, three-station advanced ABCs procedure workshop based on the identified needs. A pre-workshop test and survey assessed knowledge, preparedness, confidence, and perceived competence. A post-workshop survey evaluated the program, and a posttest combined with psychomotor skills test using three simulation cases assessed students' skills. Students (n=9) reported increased confidence in the following procedures: intubation (1.5-2.1), thoracostomy (1.1-1.9), and central venous catheterization (1.3-2) (a three-point Likert-type scale, with 1= not yet confident/able to perform with supervision to 3= confident/able to perform without supervision). Psychomotor skills testing showed on average, 26% of students required verbal prompting with performance errors, 48% with minor performance errors, and 26% worked independently without performance errors. All participants reported: 1) increased knowledge and confidence in covered topics and 2) overall satisfaction with simulation experience. Mapping the Core EPAs for Entering Residency to the EM milestones at Level 1 identifies educational gaps for graduating medical students seeking a career in EM. Educators designing EM boot camps for medical students should consider these identified gaps, procedures, and clinical conditions during the development of a core standardized curriculum.

  7. From Kissing to Coitus? Sex-of-Partner Differences in the Sexual Milestone Achievement of Young Men

    ERIC Educational Resources Information Center

    Smiler, Andrew P.; Frankel, Loren B. W.; Savin-Williams, Ritch C.

    2011-01-01

    Scientific information regarding normative patterns of young men's sexual behavior is insufficient, especially regarding the impact of sex of partner. We explored the age at which 255 young adult men achieved several milestones (e.g., first kiss, manual-genital contact, intercourse) as well as the sequence of milestone achievement and stability in…

  8. Thermal hydraulic simulations, error estimation and parameter sensitivity studies in Drekar::CFD

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

    Smith, Thomas Michael; Shadid, John N.; Pawlowski, Roger P.

    2014-01-01

    This report describes work directed towards completion of the Thermal Hydraulics Methods (THM) CFD Level 3 Milestone THM.CFD.P7.05 for the Consortium for Advanced Simulation of Light Water Reactors (CASL) Nuclear Hub effort. The focus of this milestone was to demonstrate the thermal hydraulics and adjoint based error estimation and parameter sensitivity capabilities in the CFD code called Drekar::CFD. This milestone builds upon the capabilities demonstrated in three earlier milestones; THM.CFD.P4.02 [12], completed March, 31, 2012, THM.CFD.P5.01 [15] completed June 30, 2012 and THM.CFD.P5.01 [11] completed on October 31, 2012.

  9. The relationship between social play and developmental milestones in wild chimpanzees (Pan troglodytes schweinfurthii).

    PubMed

    Heintz, Matthew R; Murray, Carson M; Markham, A Catherine; Pusey, Anne E; Lonsdorf, Elizabeth V

    2017-12-01

    Social play is common among many group-living animals, but the benefits are not well understood. Proposed benefits include increased muscle coordination as the result of increased locomotor versatility and development, and strengthened social bonds through interactions with like-aged individuals. In this study, we used 33 years of long-term behavioral data on infant chimpanzees in Gombe National Park, Tanzania, to examine these potential benefits of social play, specifically how the percentage of time engaged in social play relates to motor and social developmental milestones. We predicted that infants who engaged in more social play would achieve motor and social milestones at younger ages. We found that individuals that spent more time engaging in social play achieved the motor milestones of riding dorsally and traveling independently at earlier ages. Additionally, we found that the amount of play was correlated with earlier ages for reaching the social milestones of spatial independence from mother, first grooming of non-maternal kin, and first observed mating attempt. This is the first study in great apes to demonstrate a relationship between play behavior and developmental milestones, supporting the hypotheses that play provides motor, and social benefits. © 2017 Wiley Periodicals, Inc.

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

    Bello-Rivas, Juan M.; Elber, Ron; Department of Chemistry, University of Texas at Austin, Austin, Texas 78712

    A new theory and an exact computer algorithm for calculating kinetics and thermodynamic properties of a particle system are described. The algorithm avoids trapping in metastable states, which are typical challenges for Molecular Dynamics (MD) simulations on rough energy landscapes. It is based on the division of the full space into Voronoi cells. Prior knowledge or coarse sampling of space points provides the centers of the Voronoi cells. Short time trajectories are computed between the boundaries of the cells that we call milestones and are used to determine fluxes at the milestones. The flux function, an essential component of themore » new theory, provides a complete description of the statistical mechanics of the system at the resolution of the milestones. We illustrate the accuracy and efficiency of the exact Milestoning approach by comparing numerical results obtained on a model system using exact Milestoning with the results of long trajectories and with a solution of the corresponding Fokker-Planck equation. The theory uses an equation that resembles the approximate Milestoning method that was introduced in 2004 [A. K. Faradjian and R. Elber, J. Chem. Phys. 120(23), 10880-10889 (2004)]. However, the current formulation is exact and is still significantly more efficient than straightforward MD simulations on the system studied.« less

  11. Using a Curricular Vision to Define Entrustable Professional Activities for Medical Student Assessment.

    PubMed

    Hauer, Karen E; Boscardin, Christy; Fulton, Tracy B; Lucey, Catherine; Oza, Sandra; Teherani, Arianne

    2015-09-01

    The new UCSF Bridges Curriculum aims to prepare students to succeed in today's health care system while simultaneously improving it. Curriculum redesign requires assessment strategies that ensure that graduates achieve competence in enduring and emerging skills for clinical practice. To design entrustable professional activities (EPAs) for assessment in a new curriculum and gather evidence of content validity. University of California, San Francisco, School of Medicine. Nineteen medical educators participated; 14 completed both rounds of a Delphi survey. Authors describe 5 steps for defining EPAs that encompass a curricular vision including refining the vision, defining draft EPAs, developing EPAs and assessment strategies, defining competencies and milestones, and mapping milestones to EPAs. A Q-sort activity and Delphi survey involving local medical educators created consensus and prioritization for milestones for each EPA. For 4 EPAs, most milestones had content validity indices (CVIs) of at least 78 %. For 2 EPAs, 2 to 4 milestones did not achieve CVIs of 78 %. We demonstrate a stepwise procedure for developing EPAs that capture essential physician work activities defined by a curricular vision. Structured procedures for soliciting faculty feedback and mapping milestones to EPAs provide content validity.

  12. Social Withdrawal Behaviour at One Year of Age Is Associated with Delays in Reaching Language Milestones in the EDEN Mother-Child Cohort Study

    PubMed Central

    Guedeney, Antoine; Forhan, Anne; de Agostini, Maria; Pingault, Jean-Baptiste; Heude, Barbara

    2016-01-01

    Objective The aim of the study was to examine the relationship between social withdrawal behaviour at one year and motor and language milestones. Materials and Methods One-year old children from the EDEN French population-based birth cohort study (Study on the pre- and postnatal determinants of the child’s development and prospective health Birth Cohort Study) were included. Social withdrawal at one year was assessed by trained midwives using the Alarm Distress BaBy (ADBB) scale. Midwives concurrently examined infants’ motor and language milestones. Parents reported on child’s psychomotor and language milestones, during the interview with the midwife. Results After adjusting for potential confounding factors, social withdrawal behaviour was significantly associated with concurrent delays in motor and language milestones assessed by the midwife or the parents. Discussion Higher scores on social withdrawal behaviour as assessed with the ADBB were associated with delays in reaching language milestones, and to a lesser extent with lower motor ability scores. Taking the contribution of social withdrawal behaviour into account may help understand the unfolding of developmental difficulties in children. PMID:27391482

  13. Looking Back to the Future: Current Issues Facing Nursing Education From the Reflections of a Member of the Silent Generation.

    PubMed

    Keating, Sarah B

    2016-07-01

    As a member of the Silent Generation, the author, through her lived experiences, reflects upon the successes and challenges facing nursing education in the mid-20th to 21st centuries. The author looks "back to the future" and reviews current issues that surround four key nursing education milestones. From the early entry-level baccalaureate programs in the 1950s to the current growth of the Doctor of Nursing Practice as entry into advanced practice, milestones in nursing education are linked to the cultural changes and healthcare system demands that took place at the time and their influence on nursing education and the profession. Looking to the future, the author speaks of the implications from the forecasted changes in the healthcare system that will demand interdisciplinary education and practice and the continued need for nursing research to increase the body of scientific knowledge in practice, education, and technology. Keating. © 2015 Wiley Periodicals, Inc.

  14. Birth Cohort Differences in Sexual Identity Development Milestones among HIV-Negative Gay and Bisexual Men in the United States.

    PubMed

    Grov, Christian; Rendina, H Jonathon; Parsons, Jeffrey T

    2017-10-12

    The coming-out process for gay and bisexual men (GBM) involves crossing sexual identity development (SID) milestones: (1) self-awareness of sexual attraction to the same sex, (2) self-acceptance of an identity as gay or bisexual, (3) disclosure of this sexual identity to others, and (4) having sex with someone of the same sex. We examined trends in SID milestones by birth cohort in a 2015 U.S. national sample of GBM (n = 1,023). Birth cohort was independent of when men first felt sexually attracted to someone of the same sex (median age 11 to 12). However, with the exception of age of first same-sex attraction, older cohorts tended to pass other milestones at later ages than younger cohorts. Latent class analysis (LCA) of SID milestone patterns identified three subgroups. The majority (84%) began sexual identity development with same-sex attraction around the onset of puberty (i.e., around age 10) and progressed to self-identification, same-sex sexual activity, and coming out-in that order. The other two classes felt same-sex attraction during teen years (ages 12.5 to 18.0) but achieved the remaining SID milestones later in life. For 13% of men, this was during early adulthood; for 3% of men, this was in middle adulthood. Findings highlight the need to monitor ongoing generational differences in passing SID milestones.

  15. Origins Space Telescope: Study Plan

    NASA Astrophysics Data System (ADS)

    Nayyeri, Hooshang; Cooray, Asantha; Origins Space Telescope Study Team

    2018-01-01

    The Origins Space Telescope (OST) is the mission concept for the Far-Infrared Surveyor, a study in development by NASA in preparation for the 2020 Astronomy and Astrophysics Decadal Survey. Origins is planned to be a large aperture, actively-cooled telescope covering a wide span of the mid- to far-infrared spectrum. Its spectrographs will enable 3D surveys of the sky that will discover and characterize the most distant galaxies, Milky-Way, exoplanets, and the outer reaches of our Solar system. Origins will enable flagship-quality general observing programs led by the astronomical community in the 2030s. The Science and Technology Definition Team (STDT) would like to hear your science needs and ideas for this mission. The team can be contacted at firsurveyor_info@lists.ipac.caltech.edu. This presentation will provide a summary of the OST STDT, the OST Study Team based at NASA Goddard Space Flight Center, study partners, and the advisory panel to the study. This presentation will also summarize recent activities, including the process used to reach a decision on the mission architecture, the identification of key science drivers, and the key study milestones between 2017 and 2020.

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

    Gerald Hill; Kenneth Nemeth; Gary Garrett

    The Southern States Energy Board's (SSEB) 'Regional Effort to Deploy Clean Coal Technologies' program began on June 1, 2003, and was completed on January 31, 2009. The project proved beneficial in providing state decision-makers with information that assisted them in removing barriers or implementing incentives to deploy clean coal technologies. This was accomplished through two specific tasks: (1) domestic energy security and diversity; and (2) the energy-water interface. Milestones accomplished during the project period are: (1) Presentations to Annual Meetings of SSEB Members, Associate Member Meetings, and the Gasification Technologies Council. (2) Energy: Water reports - (A) Regional Efforts tomore » Deploy Clean Coal Technologies: Impacts and Implications for Water Supply and Quality. June 2004. (B) Energy-Water Interface Challenges: Coal Bed Methane and Mine Pool Water Characterization in the Southern States Region. 2004. (C) Freshwater Availability and Constraints on Thermoelectric Power Generation in the Southeast U.S. June 2008. (3) Blackwater Interactive Tabletop Exercise - Decatur, Georgia April 2007. (4) Blackwater Report: Blackwater: Energy and Water Interdependency Issues: Best Practices and Lessons Learned. August 2007. (5) Blackwater Report: BLACKWATER: Energy Water Interdependency Issues REPORT SUMMARY. April 2008.« less

  17. Origins Space Telescope: Study Plan

    NASA Astrophysics Data System (ADS)

    Cooray, Asantha R.; Origins Space Telescope Study Team

    2017-01-01

    The Origins Space Telescope (OST) is the mission concept for the Far-Infrared Surveyor, a study in development by NASA in preparation for the 2020 Astronomy and Astrophysics Decadal Survey. Origins is planned to be a large aperture, actively-cooled telescope covering a wide span of the mid- to far-infrared spectrum. Its spectrographs will enable 3D surveys of the sky that will discover and characterize the most distant galaxies, Milky-Way, exoplanets, and the outer reaches of our Solar system. Origins will enable flagship-quality general observing programs led by the astronomical community in the 2030s. The Science and Technology Definition Team (STDT) would like to hear your science needs and ideas for this mission. The team can be contacted at firsurveyor_info@lists.ipac.caltech.edu. This presentation will provide a summary of the OST STDT, the OST Study Team based at NASA Goddard Space Flight Center, study partners, and the advisory panel to the study. This presentation will also summarize recent activities, including the process used to reach a decision on the mission architecture, the identification of key science drivers, and the key study milestones between 2017 and 2020.

  18. An entrustable professional activity (EPA) for handoffs as a model for EPA assessment development.

    PubMed

    Aylward, Michael; Nixon, James; Gladding, Sophia

    2014-10-01

    Medical education is moving toward assessment of educational outcomes rather than educational processes. The American Board of Internal Medicine and American Board of Pediatrics milestones and the concept of entrustable professional activities (EPA)--skills essential to the practice of medicine that educators progressively entrust learners to perform--provide new approaches to assessing outcomes. Although some defined EPAs exist for internal medicine and pediatrics, the continued development and implementation of EPAs remains challenging. As residency programs are expected to begin reporting milestone-based performance, however, they will need examples of how to overcome these challenges. The authors describe a model for the development and implementation of an EPA using the resident handoff as an example. The model includes nine steps: selecting the EPA, determining where skills are practiced and assessed, addressing barriers to assessment, determining components of the EPA, determining needed assessment tools, developing new assessments if needed, determining criteria for advancement through entrustment levels, mapping milestones to the EPA, and faculty development. Following implementation, 78% of interns at the University of Minnesota Medical School were observed giving handoffs and provided feedback. The authors suggest that this model of EPA development--which includes engaging stakeholders, an iterative process to describing the behavioral characteristics of each domain at each level of entrustment, and the development of specific assessment tools that support both formative feedback and summative decisions about entrustment--can serve as a model for EPA development for other clinical skills and specialty areas.

  19. Associations between Functional Milestones and Psychiatric Admissions in an Urban Area: Utility of a Cluster-Analytical Approach.

    PubMed

    Montemagni, Cristiana; Frieri, Tiziana; Villari, Vincenzo; Rocca, Paola

    2018-06-01

    The purpose of the study was to identify homogenous subgroups, based upon achievement of two functional milestones (marriage and employment) and Global Assessment of Functioning (GAF) score in a sample of 848 acute patients admitted to the Psychiatric Emergency Service (PES) of the Città della Salute e della Scienza di Torino, during a 24-months period. A two-step cluster-analysis, using GAF total score and the achievements in the two milestones as input data was performed. In order to examine whether the identified subgroups differed in external variables that were not included in the clustering process, and consequently to validate the found functional profiles, chi-square tests for categorical variables and analyses of variance (ANOVA) for continuous variables were performed. Five clusters were found. Employed patients (Clusters 4 and 5) had more years of education, less illness chronicity (shorter duration of illness and lower proportion of previous voluntary hospitalizations), lower use of mental health resources in the last year yet higher treatment adherence, larger network size, and higher ordinary discharge. Married inpatients (Clusters 3 and 5) had lower frequencies of substance abuse. The remarkably high rate of unemployment in this inpatients' sample, and the evidence of associations between unemployment and poorer functioning, argue for further research and development of evidence-based supported employment programs, that put forth diligent effort in helping people obtain work quickly and sustain; they may also help to reduce health care service use among that clientele.

  20. Benchmarking emergency department thoracotomy: Using trauma video review to generate procedural norms.

    PubMed

    Dumas, Ryan P; Chreiman, Kristen M; Seamon, Mark J; Cannon, Jeremy W; Reilly, Patrick M; Christie, Jason D; Holena, Daniel N

    2018-05-23

    Emergency department thoracotomy (EDT) must be rapid and well-executed. Currently there are no defined benchmarks for EDT procedural milestones. We hypothesized that trauma video review (TVR) can be used to define the 'normative EDT' and generate procedural benchmarks. As a secondary aim, we hypothesized that data collected by TVR would have less missingness and bias than data collected by review of the Electronic Medical Record (EMR). We used continuously recording video to review all EDTs performed at our centre during the study period. Using skin incision as start time, we defined four procedural milestones for EDT: 1. Decompression of the right chest (tube thoracostomy, finger thoracostomy, or clamshell thoracotomy with transverse sternotomy performed in conjunction with left anterolateral thoracotomy) 2. Retractor deployment 3. Pericardiotomy 4. Aortic Cross-clamp. EDTs with any milestone time ≥ 75 th percentile of time or during which a milestone was omitted were identified as outliers. We compared rates of missingness in data collected by TVR and EMR using McNemar's test. 44 EDTs were included from the study period. Patients had a median age of 30 [IQR 25-44] and were predominantly African-American (95%) males (93%) with penetrating trauma (95%). From skin incision, median times in minutes to milestones were as follows: right chest decompression: 2.11 [IQR 0.68-2.83], retractor deployment 1.35 [IQR 0.96-1.85], pericardiotomy 2.35 [IQR 1.85-3.75], aortic cross-clamp 3.71 [IQR 2.83-5.77]. In total, 28/44 (64%) of EDTs were either high outliers for one or more benchmarks or had milestones that were omitted. For all milestones, rates of missingness for TVR data were lower than EMR data (p < 0.001). Video review can be used to define normative times for the procedural milestones of EDT. Steps exceeding the 75 th percentile of time were common, with over half of EDTs having at least one milestone as an outlier. Data quality is higher using TVR compared to EMR collection. Future work should seek to determine if minimizing procedural technical outliers improves patient outcomes. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. Design, manufacturing and characterization of aero-elastically scaled wind turbine blades for testing active and passive load alleviation techniques within a ABL wind tunnel

    NASA Astrophysics Data System (ADS)

    Campagnolo, Filippo; Bottasso, Carlo L.; Bettini, Paolo

    2014-06-01

    In the research described in this paper, a scaled wind turbine model featuring individual pitch control (IPC) capabilities, and equipped with aero-elastically scaled blades featuring passive load reduction capabilities (bend-twist coupling, BTC), was constructed to investigate, by means of wind tunnel testing, the load alleviation potential of BTC and its synergy with active load reduction techniques. The paper mainly focus on the design of the aero-elastic blades and their dynamic and static structural characterization. The experimental results highlight that manufactured blades show desired bend-twist coupling behavior and are a first milestone toward their testing in the wind tunnel.

  2. Investigation of Cloud Properties and Atmospheric Profiles with Modis

    NASA Technical Reports Server (NTRS)

    Menzel, Paul; Ackerman, Steve; Moeller, Chris; Gumley, Liam; Strabala, Kathy; Frey, Richard; Prins, Elaine; Laporte, Dan; Wolf, Walter

    1997-01-01

    A major milestone was accomplished with the delivery of all five University of Wisconsin MODIS Level 2 science production software packages to the Science Data Support Team (SDST) for integration. These deliveries were the culmination of months of design and testing, with most of the work focused on tasks peripheral to the actual science contained in the code. LTW hosted a MODIS infrared calibration workshop in September. Considerable progress has been made by MCST, with help from LTW, in refining the calibration algorithm, and in identifying and characterization outstanding problems. Work continues on characterizing the effects of non-blackbody earth surfaces on atmospheric profile retrievals and modeling radiative transfer through cirrus clouds.

  3. DNA Damage and Oxidative Stress in Dyskeratosis Congenita: Analysis of Pathways and Therapeutic Stategies Using CPISPR and iPSC Model Systems

    DTIC Science & Technology

    2017-06-01

    Milestone Achieved: HRPO/ACURO Approval 6 Finished Major Task 2 CRISPR knockout/RNAseq Viral infection/prep 3-6 CRISPR KO virus library prep...finished; RNA-Seq: ~75% Cell manipulation 3-6 CRISPR KO virus infection: 50%; Single cDNA infections: finished Bioinformatics 1 CRISPR KO library...characterization 1-3 Finished Update: production of iPSC clones harboring DC mutations generated by CRISPR : Design 1 Finished Update: production of

  4. Milestones of Lynch syndrome: 1895-2015.

    PubMed

    Lynch, Henry T; Snyder, Carrie L; Shaw, Trudy G; Heinen, Christopher D; Hitchins, Megan P

    2015-03-01

    Lynch syndrome, which is now recognized as the most common hereditary colorectal cancer condition, is characterized by the predisposition to a spectrum of cancers, primarily colorectal cancer and endometrial cancer. We chronicle over a century of discoveries that revolutionized the diagnosis and clinical management of Lynch syndrome, beginning in 1895 with Warthin's observations of familial cancer clusters, through the clinical era led by Lynch and the genetic era heralded by the discovery of causative mutations in mismatch repair (MMR) genes, to ongoing challenges.

  5. Scoliosis in children with osteogenesis imperfecta: influence of severity of disease and age of reaching motor milestones.

    PubMed

    Engelbert, Raoul H H; Uiterwaal, Cuno S P M; van der Hulst, Annelies; Witjes, Baukje; Helders, Paul J M; Pruijs, Hans E H

    2003-04-01

    We studied the relationship between the age of reaching motor milestones, especially anti-gravity activities, and the age of development of pathological spinal curvatures in children with osteogenesis imperfecta (OI). We hypothesized that earlier achievement of anti-gravity motor milestones predicts a later development of pathological spinal curvatures. Ninety-six children participated in this retrospective study. The severity of the disease was classified according to Sillence into types I-IV. Spinal radiography was performed annually and spinal deformities were measured according to the Cobb angle. Scoliosis was defined as a Cobb angle exceeding 9 degrees. Pathological thoracic kyphosis was defined as a Cobb angle exceeding 40 degrees. The parents were asked to report the age at which the child achieved motor milestones, and data were checked against health care records. Thirty-seven of 96 children (39%) developed a scoliosis of more than 9 degrees. Nine of 96 children (9%) developed a pathological kyphosis. The age of developing scoliosis was significantly lower than the age of development of the pathological kyphosis (P=0.01). Bone mineral density was measured by dual energy X-ray absorptiometry (DEXA) in 53 children, 28 of whom developed scoliosis, and 25 of whom did not. The mean DEXA Z-score of the 28 children with scoliosis was significantly lower than that of the 25 children without (-5.2, SD 1.3 vs -3.2, SD 1.9; P-value <0.001). Children with OI type IV, but particularly OI type III, reached motor milestones much later than children with OI type I. The motor milestone "supported sitting" showed a significant inverse association with time of the first presence of scoliosis with a Cobb angle greater than 9 degrees (linear regression coefficient: -1.3, 95% confidence interval: -2.6 to -0.03). The age of achieving the motor milestones "lifting the head to 45 degrees in prone position", "rolling", and "supported-" and "unsupported standing" were not significantly associated with age of the first presence of scoliosis with a Cobb angle greater than 9 degrees. However, the directions of associations suggest that here, too, there is a tendency for later development of scoliosis in those who reach milestones at earlier ages. Multivariable analyses showed that the motor milestone "sitting with support" was significantly associated with age of first achieving scoliosis, independent of gender and type of OI (linear regression coefficient: -0.9, 95% confidence interval: -1.3 to -0.5). We conclude that in children with OI, the age of anti-gravity motor milestones was associated with the age of development of pathological spinal curvatures. Earlier achievement of the motor milestone "supported sitting" predicted significantly a later development of pathological spinal curvatures, independent of gender and type of OI.

  6. 1995 Report on Hanford site land disposal restrictions for mixed waste

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

    Black, D.G.

    This report was submitted to meet the requirements of Hanford Federal Facility Agreement and Consent Order Milestone M-26-01E. This milestone requires the preparation of an annual report that covers characterization, treatment, storage, minimization, and other aspects of land disposal restricted mixed waste at the Hanford Site. The U.S. Department of Energy, its predecessors, and contractors at the Hanford Site were involved in the production and purification of nuclear defense materials from the early 1940s to the late 1980s. These production activities have generated large quantities of liquid and solid radioactive mixed waste. This waste is subject to regulation under authoritymore » of both the Resource Conservation and Recovery Act of 1976 and Atomic Energy Act of 1954. This report covers mixed waste only. The Washington State Department of Ecology, U.S. Environmental Protection Agency, and U.S. Department of Energy have entered into an agreement, the Hanford Federal Facility Agreement and Consent Order (commonly referred to as the Tri-Party Agreement) to bring the Hanford Site operations into compliance with dangerous waste regulations. The Tri-Party Agreement required development of the original land disposal restrictions (LDRs) plan and its annual updates to comply with LDR requirements for radioactive mixed waste. This report is the fifth update of the plan first issued in 1990. Tri-Party Agreement negotiations completed in 1993 and approved in January 1994 changed and added many new milestones. Most of the changes were related to the Tank Waste Remediation System and these changes are incorporated into this report.« less

  7. Are All Competencies Equal in the Eyes of Residents? A Multicenter Study of Emergency Medicine Residents' Interest in Feedback.

    PubMed

    Bentley, Suzanne; Hu, Kevin; Messman, Anne; Moadel, Tiffany; Khandelwal, Sorabh; Streich, Heather; Noelker, Joan

    2017-01-01

    Feedback, particularly real-time feedback, is critical to resident education. The emergency medicine (EM) milestones were developed in 2012 to enhance resident assessment, and many programs use them to provide focused resident feedback. The purpose of this study was to evaluate EM residents' level of interest in receiving real-time feedback on each of the 23 competencies/sub-competencies. This was a multicenter cross-sectional study of EM residents. We surveyed participants on their level of interest in receiving real-time on-shift feedback on each of the 23 competencies/sub-competencies. Anonymous paper or computerized surveys were distributed to residents at three four-year training programs and three three-year training programs with a total of 223 resident respondents. Residents rated their level of interest in each milestone on a six-point Likert-type response scale. We calculated average level of interest for each of the 23 sub-competencies, for all 223 respondents and separately by postgraduate year (PGY) levels of training. One-way analyses of variance were performed to determine if there were differences in ratings by level of training. The overall survey response rate across all institutions was 82%. Emergency stabilization had the highest mean rating (5.47/6), while technology had the lowest rating (3.24/6). However, we observed no differences between levels of training on any of the 23 competencies/sub-competencies. Residents seem to ascribe much more value in receiving feedback on domains involving high-risk, challenging procedural skills as compared to low-risk technical and communication skills. Further studies are necessary to determine whether residents' perceived importance of competencies/sub-competencies needs to be considered when developing an assessment or feedback program based on these 23 EM competencies/sub-competencies.

  8. Resident-Specific Morbidity Reduced Following ACS NSQIP Data-Driven Quality Program.

    PubMed

    Turrentine, Florence E; Hanks, John B; Tracci, Megan C; Jones, R Scott; Schirmer, Bruce D; Smith, Philip W

    2018-04-16

    The Accreditation Council for Graduate Medical Education Milestone Project for general surgery provided a more robust method for developing and tracking residents' competence. This framework enhanced systematic and progressive development of residents' competencies in surgical quality improvement. A 22-month interactive, educational program based on resident-specific surgical outcomes data culminated in a quality improvement project for postgraduate year 4 surgery residents. Self- assessment, quality knowledge test, and resident-specific American College of Surgeons National Surgical Quality Improvement Program Quality In-Training Initiative morbidity were compared before and after the intervention. Quality in-training initiative morbidity decreased from 25% (82/325) to 18% (93/517), p = 0.015 despite residents performing more complex cases. All participants achieved level 4 competency (4/4) within the general surgery milestones improvement of care, practice-based learning and improvement competency. Institutional American College of Surgeons National Surgical Quality Improvement Program general surgery morbidity improved from the ninth to the sixth decile. Quality assessment and improvement self-assessment postintervention scores (M = 23.80, SD = 4.97) were not significantly higher than preintervention scores (M = 19.20, SD = 5.26), p = 0.061. Quality Improvement Knowledge Application Tool postintervention test scores (M = 17.4, SD = 4.88), were not significantly higher than pretest scores (M = 13.2, SD = 1.92), p = 0.12. Sharing validated resident-specific clinical data with participants was associated with improved surgical outcomes. Participating fourth year surgical residents achieved the highest score, a level 4, in the practice based learning and improvement competency of the improvement of care practice domain and observed significantly reduced surgical morbidity for cases in which they participated. Copyright © 2018. Published by Elsevier Inc.

  9. Radiation-hard analog-to-digital converters for space and strategic applications

    NASA Technical Reports Server (NTRS)

    Gauthier, M. K.; Dantas, A. R. V.

    1985-01-01

    During the course of the Jet Propulsion Laboratory's program to study radiation-hardened analog-to-digital converters (ADCs), numerous milestones have been reached in manufacturers' awareness and technology development and transfer, as well as in user awareness of these developments. The testing of ADCs has also continued with twenty different ADCs from seven manufacturers, all tested for total radiation dose and three tested for neutron effects. Results from these tests are reported.

  10. Guide for the Management of Multinational Programs. A Handbook for Managers Entering the World of International Acquisition. Second Edition

    DTIC Science & Technology

    1987-05-11

    Labor Stability and Ccupensation Practices . . . . 4-9 Management Styles . . . . . . . . . . . . . . . . 4-12 Canadian Relationship to The US...Systýem (PAPS) Milestones and Phases ...... _ . . . 3-8 3-4 Phased Armaments Programminq System(PAPS)/ DoD Systems Acquisition Structural Relationship ...sharing o Armaments cooperation o An understanding of the relationship between economics and security. In concert with the above efforts were various allied

  11. The United States Army Logistics Center Historical Summary. (RCS-HIS-6 (R2)). 1 October 1976 to 30 September 1978.

    DTIC Science & Technology

    1980-01-10

    Experimentation (FDTE) 138 Corps Automation Requirements Baseline Identification Test (CARBIT) 138 Division Materiel Management Center (DMMC) 139 Concept...Evaluation Programs (CEP) 139 Test Design and Evaluation 140 Test and Evaluation Milestone Management System (TEMMS) 140 Manpower Analysis/Force...System (CS3) Maintenance Reporting and Management (MRM) 153 DA - Standard Port System (DASPS) 154 DA - Standard Port System - Enhancement (DASPS-E) 155 DA

  12. Nanoparticle Based Contrast Enhancement for Discriminating Indolent From Aggressive Prostate Cancer

    DTIC Science & Technology

    2016-06-01

    contrast agent Major Task 1: Evaluate nanoparticle contrast in a saline model Milestones: Relationship between electrical properties and NP concentration...by Jan 2017 5 What was accomplished under these goals? 1) Major Activities ( Saline Model) – Our major focus of the 1st year of this program was to...develop an electrode array for saline tests and to begin evaluation of using nanoparticles as a contrast agent for electrical impedance measurements

  13. Tevatron Legacy

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

    Peters, Yvonne

    2012-02-01

    Several major milestones and discoveries were attained during the lifetime of the Tevatron proton-antiproton collider at Fermilab, from 1987 to 2011. One of the most important was the discovery of the top quark in 1995, followed by an intense program to study that particle in greater detail. In this article, I give an overview of the history of the top quark, its current status as well as the still to be completed legacy measurements at the Tevatron.

  14. Plan of Action and Milestones for Navy Combustion Toxicity.

    DTIC Science & Technology

    1981-01-01

    widespread gasoline fire. This type of hit would be equivalent to today’s cruise missile threat and would cause shipboard plastic materials to burn...NAVSUP). Toxi - city experiments are under program element 61153N at the Naval Medical Research and Development Command. Fundamental research on combustion...smoke toxicants were discussed and a method of estimating these limits for the more common toxi - cants was presented. The tenability time (TL), also

  15. Therapeutic Targeting of Lipid Droplets as Disease Markers in Ovarian Cancer

    DTIC Science & Technology

    2016-03-01

    COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 5d. PROJECT NUMBER 5e. TASK NUMBER 5f...CONTENTS Page # INTRODUCTION 2 KEYWORDS 2 PROJECT SUMMARY 2-9 KEY RESEARCH ACCOMPLISHMENTS 10 CONCLUSION AND FUTIRE PLANS 10 PUBLICATION/ABSTRACTS...Time to Recurrence, PFS- Progression Free Survival, OS-Overall Survival 3. OVERALL PROJECT SUMMARY: Milestone 1: Animal Use Approval-Prepare IACUC

  16. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... assigned to an EN (or State VR agency acting as an EN) takes his or her ticket out of assignment (see § 411.145), the EN (or State VR agency) can receive payments under its elected payment system for milestones... EN or State VR agency based on the same milestone or outcome. [73 FR 29351, May 20, 2008] ...

  17. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (including a State VR agency acting as an EN) to receive payment based on the same milestone or outcome. If the beneficiary has assigned the ticket to more than one EN (or State VR agency acting as an EN) at different times, and more than one EN (or State VR agency) requests payment for the same milestone, outcome...

  18. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... assigned to an EN (or State VR agency acting as an EN) takes his or her ticket out of assignment (see § 411.145), the EN (or State VR agency) can receive payments under its elected payment system for milestones... EN or State VR agency based on the same milestone or outcome. [73 FR 29351, May 20, 2008] ...

  19. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (including a State VR agency acting as an EN) to receive payment based on the same milestone or outcome. If the beneficiary has assigned the ticket to more than one EN (or State VR agency acting as an EN) at different times, and more than one EN (or State VR agency) requests payment for the same milestone, outcome...

  20. No Differences in Achieving Hepatitis C Virus Care Milestones Between Patients Identified by Birth Cohort or Risk-Based Screening.

    PubMed

    Norton, Brianna L; Southern, William N; Steinman, Meredith; Smith, Bryce D; Deluca, Joseph; Rosner, Zachary; Litwin, Alain H

    2016-09-01

    National hepatitis C virus (HCV) screening guidelines recommended 1-time testing of persons born between 1945 and 1965. We performed a retrospective study to compare care milestones achieved by HCV-infected patients identified by birth cohort versus risk-based screens. We determined the proportions of patients newly identified with HCV infection who met care milestones (viral load, referral to and evaluation by a specialist, offer of treatment, initiation of treatment, and sustained viral response) and the time it took to reach them. We found no differences in HCV care milestones for patients identified via birth cohort testing versus risk-based screening. Overall, only 43% of HCV antibody-positive patients were referred to care, and less than 4% started treatment. The time to each care milestone was lengthy and varied greatly; treatment was initiated in a median of 308 days. Although birth cohort testing will likely increase identification of patients with HCV infection, it does not seem to increase the number of patients that meet management milestones. New methods are needed to increase access to care and establish efficient models of health care delivery. Copyright © 2016 AGA Institute. Published by Elsevier Inc. All rights reserved.

  1. The Mars Technology Program

    NASA Technical Reports Server (NTRS)

    Hayati, Samad A.

    2002-01-01

    Future Mars missions require new capabilities that currently are not available. The Mars Technology Program (MTP) is an integral part of the Mars Exploration Program (MEP). Its sole purpose is to assure that required technologies are developed in time to enable the baselined and future missions. The MTP is a NASA-wide technology development program managed by JPL. It is divided into a Focused Program and a Base Program. The Focused Program is tightly tied to the proposed Mars Program mission milestones. It involves time-critical deliverables that must be developed in time for infusion into the proposed Mars 2005, and, 2009 missions. In addition a technology demonstration mission by AFRL will test a LIDAR as part of a joint NASNAFRL experiment. This program bridges the gap between technology and projects by vertically integrating the technology work with pre-project development in a project-like environment with critical dates for technology infusion. A Base Technology Program attacks higher riskhigher payoff technologies not in the critical path of missions.

  2. Speech and Language Impairments

    MedlinePlus

    ... by a professional. ______________________ More on the Milestones of Language Development What are the milestones of typical speech-language development? What level of communication skill does a typical ...

  3. Code Verification Capabilities and Assessments in Support of ASC V&V Level 2 Milestone #6035

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

    Doebling, Scott William; Budzien, Joanne Louise; Ferguson, Jim Michael

    This document provides a summary of the code verification activities supporting the FY17 Level 2 V&V milestone entitled “Deliver a Capability for V&V Assessments of Code Implementations of Physics Models and Numerical Algorithms in Support of Future Predictive Capability Framework Pegposts.” The physics validation activities supporting this milestone are documented separately. The objectives of this portion of the milestone are: 1) Develop software tools to support code verification analysis; 2) Document standard definitions of code verification test problems; and 3) Perform code verification assessments (focusing on error behavior of algorithms). This report and a set of additional standalone documents servemore » as the compilation of results demonstrating accomplishment of these objectives.« less

  4. Longitudinal Ultrasound Education Track Curriculum Implemented Within an Emergency Medicine Residency Program.

    PubMed

    Boulger, Creagh; Adams, Daniel Z; Hughes, Daralee; Bahner, David P; King, Andrew

    2017-06-01

    Emergency Medicine residency programs offer ultrasound-focused curricula to address Accreditation Council for Graduate Medical Education (ACGME) milestones. Although some programs offer advanced clinical tracks in ultrasound, no standard curriculum exists. We sought to establish a well-defined ultrasound track curriculum to allow interested residents to develop advanced clinical skills and scholarship within this academic niche. The curriculum involves a greater number of clinical scans, ultrasound-focused scholarly and quality improvement projects, enhanced faculty-driven ultrasound focused didactics, and participation at a national ultrasound conference to receive certification. Successful ultrasound scholarly tracks can provide residents with the potential to obtain fellowships or competency beyond ACGME requirements. © 2017 by the American Institute of Ultrasound in Medicine.

  5. NASA's Space Launch System: Moving Toward the Launch Pad

    NASA Technical Reports Server (NTRS)

    Creech, Stephen D.; May, Todd A.

    2013-01-01

    The National Aeronautics and Space Administration's (NASA's) Space Launch System (SLS) Program, managed at the Marshall Space Flight Center (MSFC), is making progress toward delivering a new capability for human space flight and scientific missions beyond Earth orbit. Designed with the goals of safety, affordability, and sustainability in mind, the SLS rocket will launch the Orion Multi-Purpose Crew Vehicle (MPCV), equipment, supplies, and major science missions for exploration and discovery. Supporting Orion's first autonomous flight to lunar orbit and back in 2017 and its first crewed flight in 2021, the SLS will evolve into the most powerful launch vehicle ever flown via an upgrade approach that will provide building blocks for future space exploration. NASA is working to deliver this new capability in an austere economic climate, a fact that has inspired the SLS team to find innovative solutions to the challenges of designing, developing, fielding, and operating the largest rocket in history. This paper will summarize the planned capabilities of the vehicle, the progress the SLS Program has made in the 2 years since the Agency formally announced its architecture in September 2011, the path it is following to reach the launch pad in 2017 and then to evolve the 70 metric ton (t) initial lift capability to 130-t lift capability after 2021. The paper will explain how, to meet the challenge of a flat funding curve, an architecture was chosen that combines the use and enhancement of legacy systems and technology with strategic new developments that will evolve the launch vehicle's capabilities. This approach reduces the time and cost of delivering the initial 70 t Block 1 vehicle, and reduces the number of parallel development investments required to deliver the evolved 130 t Block 2 vehicle. The paper will outline the milestones the program has already reached, from developmental milestones such as the manufacture of the first flight hardware, to life-cycle milestones such as the vehicle's Preliminary Design Review (PDR). The paper will also discuss the remaining challenges both in delivering the 70-t vehicle and in evolving its capabilities to the 130-t vehicle, and how NASA plans to accomplish these goals. As this paper will explain, SLS is making measurable progress toward becoming a global infrastructure asset for robotic and human scouts of all nations by harnessing business and technological innovations to deliver sustainable solutions for space exploration.

  6. NASA's Space Launch System: An Enabling Capability for Discovery

    NASA Technical Reports Server (NTRS)

    Creech, Stephen D.

    2014-01-01

    The National Aeronautics and Space Administration's (NASA's) Space Launch System (SLS) Program, managed at the Marshall Space Flight Center, is making progress toward delivering a new capability for human spaceflight and scientific missions beyond Earth orbit. Developed with the goals of safety, affordability, and sustainability in mind, the SLS rocket will launch the Orion Multi-Purpose Crew Vehicle (MPCV), equipment, supplies, and major science missions for exploration and discovery. Making its first uncrewed test flight in 2017 and its first crewed flight in 2021, the SLS will evolve into the most powerful launch vehicle ever flown, capable of supporting human missions into deep space and to Mars. This paper will summarize the planned capabilities of the vehicle, the progress the SLS Program has made in the years since the Agency formally announced its architecture in September 2011, and the path the program is following to reach the launch pad in 2017 and then to evolve the 70 metric ton (t) initial lift capability to 130 t lift capability. The paper will outline the milestones the program has already reached, from developmental milestones such as the manufacture of the first flight hardware and recordbreaking engine testing, to life-cycle milestones such as the vehicle's Preliminary Design Review in the summer of 2013. The paper will also discuss the remaining challenges in both delivering the 70 t vehicle and in evolving its capabilities to the 130 t vehicle, and how the program plans to accomplish these goals. In addition, this paper will demonstrate how the Space Launch System is being designed to enable or enhance not only human exploration missions, but robotic scientific missions as well. Because of its unique launch capabilities, SLS will support simplifying spacecraft complexity, provide improved mass margins and radiation mitigation, and reduce mission durations. These capabilities offer attractive advantages for ambitious science missions by reducing infrastructure requirements, cost, and schedule. A traditional baseline approach for a mission to investigate the Jovian system would require a complicated trajectory with several gravity-assist planetary fly-bys to achieve the necessary outbound velocity. The SLS rocket, offering significantly higher C3 energies, can more quickly and effectively take the mission directly to its destination, providing scientific results sooner and at lower operational cost. The SLS rocket will launch payloads of unprecedented mass and volume, such as "monolithic" telescopes and in-space infrastructure, and will revolutionize science mission planning and design for years to come. As this paper will explain, SLS is making measurable progress toward becoming a global infrastructure asset for robotic and human scouts of all nations by harnessing business and technological innovations to deliver sustainable solutions for space exploration.

  7. Evaluation of Robotic Systems to Carry Out Traverse Execution, Opportunistic Science, and Landing Site Evaluation Tasks

    NASA Technical Reports Server (NTRS)

    Hoffman, Stephen J.; Leonard, Matther J.; Pacal, Lee

    2011-01-01

    This report covers the execution of and results from the activities proposed and approved in Exploration Analogs and Mission Development (EAMD) Field Test Protocol HMP2010: Evaluation of Robotic Systems to carry out Traverse Execution, Opportunistic Science, and Landing Site Evaluation Tasks. The field tests documented in this report examine one facet of a larger program of planetary surface exploration. This program has been evolving and maturing for several years, growing from a broad policy statement with a few specified milestones for NASA to an international effort with much higher fidelity descriptions of systems and operations necessary to accomplish this type of exploration.

  8. Cryo-Vacuum Testing of the JWST Integrated Science Instrument Module

    NASA Technical Reports Server (NTRS)

    Kimble, Randy A.; Vila, M. Begona; Van Campen, Julie M.; Birkmann, Stephen M.; Comber, Brian J.; Fatig, Curtis C.; Glasse, Alistair C. H.; Glazer, Stuart D.; Kelly, Douglas M.; Mann, Steven D.; hide

    2016-01-01

    In late 2015 early 2016, a major cryo-vacuum test was carried out for the Integrated Science Instrument Module (ISIM) of the James Webb Space Telescope. This test comprised the final cryo-certification and calibration test of the ISIM before its delivery for integration with the rest of the JWST observatory. Over the roughly 100-day period of the round-the-clock test program, the full complement of ISIM flight instruments, structure, harness radiator, and electronics were put through a comprehensive program of thermal, optical, electrical, and operational tests. We briefly summarize the goals, setup, execution, and key results for this critical JWST milestone.

  9. Results of NASA/Army transmission research

    NASA Technical Reports Server (NTRS)

    Coy, John J.; Townsend, Dennis P.; Coe, Harold H.

    1988-01-01

    Since 1970 the NASA Lewis Research Center and the U.S. Army Aviation Systems Command have shared an interest in advancing the technology for helicopter propulsion systems. In particular, that portion of the program that applies to the drive train and its various mechanical components are outlined. The major goals of the program were (and continue to be) to increase the life, reliability, and maintainability, reduce the weight, noise, and vibration, and maintain the relatively high mechanical efficiency of the gear train. Major historical milestones are reviewed, significant advances in technology for bearings, gears, and transmissions are discussed, and the outlook for the future is presented. The reference list is comprehensive.

  10. CRRES Prelaunch Mission Operation Report

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The overall NASA Combined Release and Radiation Effects Satellite (CRRES) program consists of a series of chemical releases from the PEGSAT spacecraft, the CRRES spacecraft and sounding rockets. The first chemical releases were made from the PEGSAT spacecraft in April, 1990 over northern Canada. In addition to the releases planned from the CRRES spacecraft there are releases from sounding rockets planned from the Kwajalein rocket range in July and August, 1990 and from Puerto Rico in June and July, 1991. It shows the major milestones in the overall CRRES program. This Mission Operations Report only describes the NASA mission objectives of the CRRES/Geosynchronous Transfer Orbit (GTO) mission.

  11. History of Diabetes Insipidus.

    PubMed

    Valenti, Giovanna; Tamma, Grazia

    2016-02-01

    Under physiological conditions, fluid and electrolyte homoeostasis is maintained by the kidney adjusting urine volume and composition according to body needs. Diabetes Insipidus is a complex and heterogeneous clinical syndrome affecting water balance and characterized by constant diuresis, resulting in large volumes of dilute urine. With respect to the similarly named Diabetes Mellitus, a disease already known in ancient Egypt, Greece and Asia, Diabetes Insipidus has been described several thousand years later. In 1670s Thomas Willis, noted the difference in taste of urine from polyuric subjects compared with healthy individuals and started the differentiation of Diabetes Mellitus from the more rare entity of Diabetes Insipidus. In 1794, Johann Peter Frank described polyuric patients excreting nonsaccharine urine and introduced the term of Diabetes Insipidus. An hystorical milestone was the in 1913, when Farini successfully used posterior pituitary extracts to treat Diabetes Insipidus. Until 1920s the available evidence indicated Diabetes Insipidus as a disorder of the pituitary gland. In the early 1928, De Lange first observed that some patients with Diabetes Insipidus did not respond to posterior pituitary extracts and subsequently Forssman and Waring in 1945 established that the kidney had a critical role for these forms of Diabetes Insipidus resistant to this treatment. In 1947 Williams and Henry introduced the term Nephrogenic Diabetes Insipidus for the congenital syndrome characterized by polyuria and renal concentrating defect resistant to vasopressin. In 1955, du Vigneaud received the 1955 Nobel Prize in chemistry for the first synthesis of the hormone vasopressin representing a milestone for the treatment of Central Diabetes Insipidus.

  12. X-37 Flight Demonstrator: A Building Block in NASA's Future Access to Space

    NASA Technical Reports Server (NTRS)

    Jacobson, David

    2004-01-01

    X-37 is a fully automated winged vehicle designed to go into low-Earth orbit, maneuver, reenter Earth's atmosphere, and glide back to a landing site. This viewgraph presentation gives an overview of the X-37 flight demonstrator, including cut-away diagrams of its interior, the phased approach to its orbital flight demonstrations, and the experience the program will give aerospace engineers. The presentation also lists X-37 applications, partners, and milestones.

  13. GWOT Vascular Injury Study 2 Supplemental Project: Impact of Prophylactic Fasciotomy

    DTIC Science & Technology

    2017-10-01

    of the project ? The overall goal is to determine the impact of the widespread use of fasciotomies on current medical/surgical practices, management ...Diane Miller Project Role: Program Manager Nearest person month worked: 12 Contribution to Project : Ms. Miller is responsible for the day-to-day...each branch of service. Goals/Milestones CY14 Goal – Protocol/Staffing  Write and submit protocol to IRB  Hire project manager CY15 Goals – Data

  14. Research, monitoring and evaluation of fish and wildlife restoration projects in the Columbia River Basin: Lessons learned and suggestions for large-scale monitoring programs.

    Treesearch

    Lyman L. McDonald; Robert Bilby; Peter A. Bisson; Charles C. Coutant; John M. Epifanio; Daniel Goodman; Susan Hanna; Nancy Huntly; Erik Merrill; Brian Riddell; William Liss; Eric J. Loudenslager; David P. Philipp; William Smoker; Richard R. Whitney; Richard N. Williams

    2007-01-01

    The year 2006 marked two milestones in the Columbia River Basin and the Pacific Northwest region's efforts to rebuild its once great salmon and steelhead runs: the 25th anniversary of the creation of the Northwest Power and Conservation Council and the 10th anniversary of an amendment to the Northwest Power Act that formalized scientific peer review of the council...

  15. X-33. Phase 2

    NASA Technical Reports Server (NTRS)

    1998-01-01

    In response to the Cooperative Agreement, Lockheed Martin Skunk Works has compiled an Annual Performance Report of the X-33/RLV Program. This report consists of individual reports from all industry team members, as well as NASA team centers. The first milestone was hand delivered to NASA MSFC. The second year has been one of significant accomplishment in which team members have demonstrated their ability to meet vital benchmarks while continuing on the technical adventure of the 20th century.

  16. Airborne Warning and Control System Block 40/45 Upgrade (AWACS Blk 40/45 Upgrade)

    DTIC Science & Technology

    2013-12-01

    MILCON - Military Construction N /A - Not Applicable O&S - Operating and Support Oth - Other PAUC - Program Acquisition Unit Cost PB - President’s...and Evaluation SAR - Selected Acquisition Report Sch - Schedule Spt - Support TBD - To Be Determined TY - Then Year UCR - Unit Cost Reporting AWACS Blk...Objective and Threshold, and Current Estimate for IOT&E milestone have been corrected from June 2011 to June 2012, to reflect the actual date of

  17. Atezolizumab: First Global Approval.

    PubMed

    Markham, Anthony

    2016-08-01

    Atezolizumab (Tecentriq™)-a monoclonal antibody targeting programmed death ligand 1 (PD-L1 or CD274 antigen)-is being developed by Genentech as treatment for a variety of haematological malignancies and solid tumours. It been approved in the US as a second-line therapy for urothelial carcinoma and is awaiting approval as a second-line therapy for non-small cell lung cancer. This article summarizes the milestones in the development of atezolizumab leading to this first approval for urothelial carcinoma.

  18. A Program Office Guide to Technology Transfer

    DTIC Science & Technology

    1988-11-01

    Requirements 2-4 2.4.1 Equipment Complexity 2-5 2.4.2 Industrial Capabilities 2-5 2.4.3 Logistics Requirements/Configuration Control 2-5 2.4.4 Schedule...accomplishment of these milestones re- with the leverage of the FSD and production pro- sults in second source full production capability , grams. For more...MANUFACTURING PROCESSES BUILD UP COMPETITIVE PRODUCTION RATE CAPABILITY DURING LOT III Table 1.2-1 AMRAAM Technology Transfer The leader-follower approach is

  19. Defining Uniform Processes for Remediation, Probation and Termination in Residency Training.

    PubMed

    Smith, Jessica L; Lypson, Monica; Silverberg, Mark; Weizberg, Moshe; Murano, Tiffany; Lukela, Michael; Santen, Sally A

    2017-01-01

    It is important that residency programs identify trainees who progress appropriately, as well as identify residents who fail to achieve educational milestones as expected so they may be remediated. The process of remediation varies greatly across training programs, due in part to the lack of standardized definitions for good standing, remediation, probation, and termination . The purpose of this educational advancement is to propose a clear remediation framework including definitions, management processes, documentation expectations and appropriate notifications. Informal remediation is initiated when a resident's performance is deficient in one or more of the outcomes-based milestones established by the Accreditation Council for Graduate Medical Education, but not significant enough to trigger formal remediation. Formal remediation occurs when deficiencies are significant enough to warrant formal documentation because informal remediation failed or because issues are substantial. The process includes documentation in the resident's file and notification of the graduate medical education office; however, the documentation is not disclosed if the resident successfully remediates. Probation is initiated when a resident is unsuccessful in meeting the terms of formal remediation or if initial problems are significant enough to warrant immediate probation. The process is similar to formal remediation but also includes documentation extending to the final verification of training and employment letters. Termination involves other stakeholders and occurs when a resident is unsuccessful in meeting the terms of probation or if initial problems are significant enough to warrant immediate termination.

  20. 2014 Report on the Milestones for the US National Plan to Address Alzheimer's Disease.

    PubMed

    Fargo, Keith N; Aisen, Paul; Albert, Marilyn; Au, Rhoda; Corrada, Maria M; DeKosky, Steven; Drachman, David; Fillit, Howard; Gitlin, Laura; Haas, Magali; Herrup, Karl; Kawas, Claudia; Khachaturian, Ara S; Khachaturian, Zaven S; Klunk, William; Knopman, David; Kukull, Walter A; Lamb, Bruce; Logsdon, Rebecca G; Maruff, Paul; Mesulam, Marsel; Mobley, William; Mohs, Richard; Morgan, David; Nixon, Ralph A; Paul, Steven; Petersen, Ronald; Plassman, Brenda; Potter, William; Reiman, Eric; Reisberg, Barry; Sano, Mary; Schindler, Rachel; Schneider, Lon S; Snyder, Peter J; Sperling, Reisa A; Yaffe, Kristine; Bain, Lisa J; Thies, William H; Carrillo, Maria C

    2014-10-01

    With increasing numbers of people with Alzheimer's and other dementias across the globe, many countries have developed national plans to deal with the resulting challenges. In the United States, the National Alzheimer's Project Act, signed into law in 2011, required the creation of such a plan with annual updates thereafter. Pursuant to this, the US Department of Health and Human Services (HHS) released the National Plan to Address Alzheimer's Disease in 2012, including an ambitious research goal of preventing and effectively treating Alzheimer's disease by 2025. To guide investments, activities, and the measurement of progress toward achieving this 2025 goal, in its first annual plan update (2013) HHS also incorporated into the plan a set of short, medium and long-term milestones. HHS further committed to updating these milestones on an ongoing basis to account for progress and setbacks, and emerging opportunities and obstacles. To assist HHS as it updates these milestones, the Alzheimer's Association convened a National Plan Milestone Workgroup consisting of scientific experts representing all areas of Alzheimer's and dementia research. The workgroup evaluated each milestone and made recommendations to ensure that they collectively constitute an adequate work plan for reaching the goal of preventing and effectively treating Alzheimer's by 2025. This report presents these Workgroup recommendations. Copyright © 2014 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

  1. Retrospective Recall of Sexual Orientation Identity Development Among Gay, Lesbian, and Bisexual Adults

    PubMed Central

    Calzo, Jerel P.; Antonucci, Toni C.; Mays, Vickie M.; Cochran, Susan D.

    2011-01-01

    Although recent attention has focused on the likelihood that contemporary sexual minority youth (i.e., gay, lesbian, bisexual [GLB]) are “coming out” at younger ages, few studies have examined if early sexual orientation identity development is also present in older GLB cohorts. We analyze retrospective data on the timing of sexual orientation milestones in a sample of sexual minorities drawn from the California Quality of Life Surveys. Latent profile analysis of 1,260 GLB adults, ages 18-84 years identified three trajectories of development: Early (n = 951, milestones spanning ages 12 to 20), Middle (n = 239, milestones spanning ages 18 to 31), and Late (n = 70, milestones spanning ages 32 to 43). Motivated by previous research on variability in adolescent developmental trajectories, post-hoc analyses of the Early Profile group identified two sub-groups: Child-Onset (n = 284, milestones spanning ages 8 to 18), and Teen-Onset (n = 667, milestones spanning ages 14 to 22). Nearly all patterns of development were identity-centered, with average age of self-identification as GLB preceding average age of first same-sex sexual activity. Overall, younger participants and the majority of older participants were classified to the Early Profile, suggesting that early development is common regardless of age cohort. The additional gender differences observed in the onset and pace of sexual orientation identity development warrant future research. PMID:21942662

  2. Fermilab Today - Guidelines

    Science.gov Websites

    range of story topics, including: Professional achievements and milestones (awards, retirements, records -saving practices at the lab Research milestones, records Scientific research, advances in technology The

  3. Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond

    PubMed Central

    Rosenman, Elizabeth D.; Branzetti, Jeremy B.; Fernandez, Rosemarie

    2016-01-01

    Background Team leadership is a critical skill for emergency medicine physicians that directly affects team performance and the quality of patient care. There exists a robust body of team science research supporting team leadership conceptual models and behavioral skill sets. However, to date, this work has not been widely incorporated into health care team leadership education. Objective This narrative review has 3 aims: (1) to synthesize the team science literature and to translate important concepts and models to health care team leadership; (2) to describe how team leadership is currently represented in the health care literature and in the Accreditation Council for Graduate Medical Education Milestones for emergency medicine; and (3) to propose a novel, evidence-based framework for the assessment of team leadership in emergency medicine. Methods We conducted a narrative review of the team science and health care literature. We summarized our findings and identified a list of team leadership behaviors that were then used to create a framework for team leadership assessment. Results Current health care team leadership measurement tools do not incorporate evidence-based models of leadership concepts from other established domains. The emergency medicine milestones include several team leadership behaviors as part of a larger resident evaluation program. However, they do not offer a comprehensive or cohesive representation of the team leadership construct. Conclusions Despite the importance of team leadership to patient care, there is no standardized approach to team leadership assessment in emergency medicine. Based on the results of our review, we propose a novel team leadership assessment framework that is supported by the team science literature. PMID:27413434

  4. Evidence-based medicine teaching requirements in the USA: taxonomy and themes.

    PubMed

    Shaughnessy, Allen F; Torro, John R; Frame, Kara A; Bakshi, Munish

    2016-05-01

    In the USA, recent changes to oversight of residency training codify the requirements for teaching evidence-based medicine and information mastery (lifelong learning) knowledge, skills, and attitudes. The goal of this project is to determine current requirements for teaching of evidence-based medicine (EBM) and information mastery (IM) in specialty residency education in the USA. The project was a qualitative thematic analysis using content analysis. The source of the requirements for EBM and IM were the "milestone" statements for all 28 major specialties and transition year programs. Milestone descriptors related to EBM/IM were extracted and codes were developed and applied to each descriptor by four researchers. The resulting codes were coalesced into themes and tested against the milestone descriptors. The coding process identified 15 content areas comprising five themes. Two themes related to the knowledge and skills of EBM and three themes related to the knowledge, skills, and attitudes of IM. EBM themes encompassed basic critical appraisal skills and knowledge of clinical epidemiology principles and statistics. IM themes centered on identifying one's information needs for patient-specific information, using information sources, and using current awareness services to remain abreast of changes in medicine. In general, they align well with the Sicily Statement on Evidence-Based Practice. No specialty required competence in all areas. New training requirements for specialties in the USA require the development of both classic EBM skills as well as skills for managing information. However, there is marked variation in the requirements among specific specialties. © 2016 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

  5. Two F/A-18B aircraft involved in the AFF program return to base in close formation with the autonomo

    NASA Technical Reports Server (NTRS)

    2001-01-01

    After completing a milestone autonomous station-keeping formation, two F/A-18B aircraft from the NASA Dryden Flight Research Center, Edwards, California, return to base in close formation with the autonomous function disengaged. For the milestone, the aircraft were spaced approximately 200 feet nose-to-tail and 50 feet apart laterally and vertically. Autonomous formation control was maintained by the trailing aircraft, the Systems Research Aircraft (SRA), in the lateral and vertical axes to within five feet of the commanded position. Nose-to-tail separation of the aircraft was controlled by manual throttle inputs by the trailing aircraft's pilot. The milestone was accomplished on the seventh flight of a 12 flight phase. The AFF flights were a first for a project under NASA's Revolutionary (RevCon) in Aeronautics Project. Dryden was the lead NASA center for RevCon, an endeavor to accelerate the exploration of high-risk, revolutionary technologies in atmospheric flight. Automated formation flight could lead to formation fuel efficiencies and higher air traffic capacity. In the background is the U. S. Borax mine, Boron, California, near the Dryden/Edwards Air Force Base complex. Autonomous Formation Flight (AFF) is intended to allow an aircraft to fly in close formation over long distances using advanced positioning and controls technology. It utilizes Global Positioning System satellites and inertial navigation systems to position two or more aircraft in formation, with an accuracy of a few inches. This capability is expected to yield fuel efficiency improvements.

  6. Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond.

    PubMed

    Rosenman, Elizabeth D; Branzetti, Jeremy B; Fernandez, Rosemarie

    2016-07-01

    Team leadership is a critical skill for emergency medicine physicians that directly affects team performance and the quality of patient care. There exists a robust body of team science research supporting team leadership conceptual models and behavioral skill sets. However, to date, this work has not been widely incorporated into health care team leadership education. This narrative review has 3 aims: (1) to synthesize the team science literature and to translate important concepts and models to health care team leadership; (2) to describe how team leadership is currently represented in the health care literature and in the Accreditation Council for Graduate Medical Education Milestones for emergency medicine; and (3) to propose a novel, evidence-based framework for the assessment of team leadership in emergency medicine. We conducted a narrative review of the team science and health care literature. We summarized our findings and identified a list of team leadership behaviors that were then used to create a framework for team leadership assessment. Current health care team leadership measurement tools do not incorporate evidence-based models of leadership concepts from other established domains. The emergency medicine milestones include several team leadership behaviors as part of a larger resident evaluation program. However, they do not offer a comprehensive or cohesive representation of the team leadership construct. Despite the importance of team leadership to patient care, there is no standardized approach to team leadership assessment in emergency medicine. Based on the results of our review, we propose a novel team leadership assessment framework that is supported by the team science literature.

  7. Evaluation of Roadmap to Achieve Energy Delivery Systems Cybersecurity

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

    Chavez, Adrian R.

    The Department of Energy/Office of Electricity Delivery and Energy Reliability (DOE/OE) Cybersecurity for Energy Delivery Systems (CEDS) program is currently evaluating the Roadmap to Achieve Energy Delivery Systems Cybersecurity document that sets a vision and outlines a set of milestones. The milestones are divided into five strategic focus areas that include: 1. Build a Culture of Security; 2. Assess and Monitor Risk; 3. Develop and Implement New Protective Measures to Reduce Risk; 4. Manage Incidents; and 5. Sustain Security Improvements. The most current version of the roadmap was last updated in September of 2016. Sandia National Laboratories (SNL) has beenmore » tasked with revisiting the roadmap to update the current state of energy delivery systems cybersecurity protections. SNL is currently working with previous and current partners to provide feedback on which of the roadmap milestones have been met and to identify any preexisting or new gaps that are not addressed by the roadmap. The specific focus areas SNL was asked to evaluate are: 1. Develop and Implement New Protective Measures to Reduce Risk and 2. Sustain Security Improvements. SNL has formed an Industry Advisory Board (IAB) to assist in answering these questions. The IAB consists of previous partners on past CEDS funded efforts as well as new collaborators that have unique insights into the current state of cybersecurity within energy delivery systems. The IAB includes asset owners, utilities and vendors of control systems. SNL will continue to maintain regular communications with the IAB to provide various perspectives on potential future updates to further improve the breadth of cybersecurity coverage of the roadmap.« less

  8. Immunisation coverage, 2012.

    PubMed

    Hull, Brynley P; Dey, Aditi; Menzies, Rob I; Brotherton, Julia M; McIntyre, Peter B

    2014-09-30

    This, the 6th annual immunisation coverage report, documents trends during 2012 for a range of standard measures derived from Australian Childhood Immunisation Register (ACIR) data, and National Human Papillomavirus (HPV) Vaccination Program Register data. These include coverage at standard age milestones and for individual vaccines included on the National Immunisation Program (NIP) and coverage in adolescents and adults. The proportion of Australian children 'fully vaccinated' at 12, 24 and 60 months of age was 91.7%, 92.5% and 91.2%, respectively. For vaccines available on the NIP but not assessed during 2012 for 'fully vaccinated' status or for eligibility for incentive payments (rotavirus and pneumococcal at 12 months and meningococcal C and varicella at 24 months) coverage varied. Although pneumococcal vaccine had similar coverage at 12 months to other vaccines, coverage was lower for rotavirus at 12 months (83.6%) and varicella at 24 months (84.4%). Although 'fully vaccinated' coverage at 12 months of age was lower among Indigenous children than non-Indigenous children in all jurisdictions, the extent of the difference varied, reaching a 15 percentage point differential in South Australia but only a 0.4 percentage point differential in the Northern Territory. Overall, Indigenous coverage at 24 months of age exceeded that at 12 months of age nationally and for all jurisdictions, but as receipt of varicella vaccine at 18 months is excluded from calculations, this represents delayed immunisation, with some contribution from immunisation incentives. The 'fully vaccinated' coverage estimates for vaccinations due by 60 months of age for Indigenous children exceeded 90% at 91% in 2012. Unlike in 2011, at 60 months of age, there was no dramatic variation in coverage between Indigenous and non-Indigenous children for individual jurisdictions. As previously documented, vaccines recommended for Indigenous children only, hepatitis A and pneumococcal vaccine, had suboptimal coverage at 60.1% and 73.1%, respectively, although there was a considerable improvement in coverage from 2011, 57.7% and 68.2% respectively. On-time receipt (before 49 months of age) of vaccines by Indigenous children at the 60-month milestone age improved substantially between 2011 (19%) and 2012 (38%) but the disparity in on-time vaccination between Indigenous and non-Indigenous children worsened at the 60-month age milestone from 2011 (from 1.8 to 5.4 percentage points) and remained the same for the 12 and 24-month age milestones. By late 2012, the percentage of children who received the 1st dose of DTPa vaccine dose at less than 8 weeks of age was greater than 50% in all but 1 jurisdiction and greater than 70% for New South Wales, the Australian Capital Territory and Tasmania. Further, by late 2012, the percentage of children who received the 4th dose of DTPa vaccine dose at less than 4 years of age was greater than 30% in 3 jurisdictions. The percentage of children whose parents officially objected to vaccination in Australia was 1.7% and this figure varied by jurisdiction. However, there is a further 2.1% of children whose parents don't officially object but whose children have no vaccines recorded on the ACIR. Coverage data for the 3rd dose of HPV from the national HPV register in the school catch up program was similar to 2011 at 71% but was substantially lower for the catch up program for females outside school (44%-69%), although this was an improvement from 2011.

  9. A Needs Assessment of Air Force Systems Command Buying Activity Acquisition Management Information System (AMIS) Users

    DTIC Science & Technology

    1989-09-01

    Guidelines Generation #2 b. Electronic Submission of Commerce Business Daily ( CBD ) Notices #6 c. On-line Debarred/Suspended List #5 d. On-Line Contract...a number of years. Reality of system differs from manual. One reference - easy to follow, block by block - is needed. -Imaging and CBD electronic...milestones are tracked - and those milestones should be monitored as a natural outcome of thc process - e.g. A milestone is noted when the RFP is

  10. Precursors to the Development of Anxiety Disorders in Young Children with Autism Spectrum Disorder

    DTIC Science & Technology

    2016-10-01

    SOR and anxiety measures 6/29/2017 48% 48% 48% Milestone #12: Publish results of study on risk factors for anxiety in young children with ASD. 9...with ASD Milestone #14: Publish study on the role of anxiety as a mediator of the impact of SOR on negative outcomes for children with ASD. 9/29...48% 48% Milestone #18: Results of study on automated coding as a valid measure of attention in young children with ASD are published 9/29/2017

  11. The association of 2-year-old training milestones with career length and racing success in a sample of Thoroughbred horses in New Zealand.

    PubMed

    Tanner, J C; Rogers, C W; Firth, E C

    2013-01-01

    There is increasing evidence that exercise early in life has a positive effect on musculoskeletal health. At present, there is little whole population research investigating the effect of racing as 2-year-olds on future racing career. To investigate the association between attaining training milestones as 2-year-olds with length of career and racing success in Thoroughbred horses in New Zealand. Retrospective data were obtained of the 2001/02-born Thoroughbred foal crop. The 3 training milestones were: registered with a trainer, trialled and raced. The association of the training milestones with career length was measured using the outcomes: number of race starts and number of years raced, in a Cox regression model. Logistic regression models analysed the association of the training milestones with the outcomes: won or placed in a race. Linear regression was performed to assess the association of training milestones with total career earnings. Of 4683 horses in the population; 3152 horses were registered with a trainer, 2661 horses trialled and 2109 horses raced. Horses that raced as 2-year-olds had significantly (P<0.001) more race starts than those first raced as 3-year-olds or older, this was also true when the 2-year-old year data were omitted. Horses that raced as 2-year-olds had significantly (P<0.001) more years racing. Horses registered with a trainer, trialled or raced as 2-year-olds were more likely to have won or been placed in a race than those that achieved the milestones as 3-year-olds or older. Horses that first trialled and raced as 2-year-olds had greater total earnings than those that first trialled or raced at a later age. Two-year-old training milestones had a strong association with positive racing career outcomes. Horses in training or racing as 2-year-olds may have better musculoskeletal health throughout life than horses that are first in training or racing at a later age. © 2012 EVJ Ltd.

  12. Social communication impairments: pragmatics.

    PubMed

    Russell, Robert L

    2007-06-01

    Social communication or pragmatic impairments are characterized and illustrated as involving inappropriate or ineffective use of language and gesture in social contexts. Three clinical vignettes illustrate different pragmatic impairments and the wealth of diagnostic information that can be garnered from observation of a child's social communication behavior. Definitions of, and developmental milestones in, domains of pragmatic competence are provided. Several screening instruments are suggested for use in assessing pragmatic competence within the time-frame of a pediatric examination. Frequent comorbid psychiatric conditions are described and a sample of current neurobiologic research is briefly summarized.

  13. Atmospheric ionization and cosmic rays: studies and measurements before 1912

    NASA Astrophysics Data System (ADS)

    de Angelis, Alessandro

    2014-01-01

    The discovery of cosmic rays, a milestone in science, was based on the work by scientists in Europe and the New World and took place during a period characterized by nationalism and lack of communication. Many scientists that took part in this research a century ago were intrigued by the penetrating radiation and tried to understand the origin of it. Several important contributions to the discovery of the origin of cosmic rays have been forgotten; historical, political and personal facts might have contributed to their substantial disappearance from the history of science.

  14. Solar Total Energy Project (STEP) Performance Analysis of High Temperature Energy Storage Subsystem

    NASA Technical Reports Server (NTRS)

    Moore, D. M.

    1984-01-01

    The 1982 milestones and lessons learned; performance in 1983; a typical day's operation; collector field performance and thermal losses; and formal testing are highlighted. An initial test that involves characterizing the high temperature storage (hts) subsystem is emphasized. The primary element is on 11,000 gallon storage tank that provides energy to the steam generator during transient solar conditions or extends operating time. Overnight, thermal losses were analyzed. The length of time the system is operated at various levels of cogeneration using stored energy is reviewed.

  15. M3 Status and Science Discussion

    NASA Technical Reports Server (NTRS)

    Pieters, Carle

    2007-01-01

    Members of the M3 Science Team will attend the Chandrayaan-I Science Team Meeting in Bangalore, India to present a brief summary of instrument status and the near-term milestones (e.g., final I&T, pre-ship review). The principal purpose of the meeting is to interact with other members of the Chandrayaan-I Science Team to prepare for successful science return. The objectives are: 1) Characterize the diversity and extent of different types of basaltic volcanism; 2) Constrain evolution over time; and 3) Examine high priority regional sites.

  16. Developmental milestones record

    MedlinePlus

    ... in the early years is to follow your child's development. Most parents also watch for different milestones. Talk ... child's provider if you have concerns about your child's development. Closely watching a "checklist" or calendar of developmental ...

  17. Program risk analysis handbook

    NASA Technical Reports Server (NTRS)

    Batson, R. G.

    1987-01-01

    NASA regulations specify that formal risk analysis be performed on a program at each of several milestones. Program risk analysis is discussed as a systems analysis approach, an iterative process (identification, assessment, management), and a collection of techniques. These techniques, which range from extremely simple to complex network-based simulation, are described in this handbook in order to provide both analyst and manager with a guide for selection of the most appropriate technique. All program risk assessment techniques are shown to be based on elicitation and encoding of subjective probability estimates from the various area experts on a program. Techniques to encode the five most common distribution types are given. Then, a total of twelve distinct approaches to risk assessment are given. Steps involved, good and bad points, time involved, and degree of computer support needed are listed. Why risk analysis should be used by all NASA program managers is discussed. Tools available at NASA-MSFC are identified, along with commercially available software. Bibliography (150 entries) and a program risk analysis check-list are provided.

  18. Environmental Hazards Assessment Program. Quarterly report, January 1994--March 1994

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

    Not Available

    1994-05-04

    The objectives of the EHAP program are to: Develop a holistic, national basis for risk assessment, risk management and risk communication; Develop a pool of talented scientists and experts in cleanup activities, especially in human health aspects, and; Identify needs and develop programs addressing the critical shortage of well-educated, highly-skilled technical and scientific personnel to address the health oriented aspects of environmental restoration and waste management. This report describes activities and reports on progress for the third quarter of year two (January-March, 1994) of the grant. To better accomplish objectives, grant efforts are organized into three major elements: The Crossroadsmore » of Humanity Series; Research, Science and Education Programs; and Program Management. The Crossroads of Humanity Series charted a new course, incorporating lessons learned during previous quarters into a series of programs designed to address environmental issues in a real world setting. Reports are included on the various research programs with milestones and deliverables from the third quarter.« less

  19. 10 CFR 603.570 - Determining milestone payment amounts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Pre-Award Business Evaluation Accounting, Payments, and Recovery of Funds § 603.570 Determining... share for early milestones if a project involves a start-up company with limited resources. (c) For an...

  20. Speech and Language Problems in Children

    MedlinePlus

    Children vary in their development of speech and language skills. Health care professionals have lists of milestones ... normal. These milestones help figure out whether a child is on track or if he or she ...

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