75 FR 71693 - Pesticide Program Dialogue Committee; Announcement of New Membership and Notice of Public Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-24

...; Comparative Safety Statements for Pesticide Product Labeling; and Public Health Work Group. Discussion topics... Century Science and Integrated Testing and Assessment Strategies: Transitioning Research to Regulatory...

Financial Management: Extending the Financial Statements Audit Requirement of the CFO Act to Additional Federal Agencies

DTIC Science & Technology

2002-05-14

Defense Nuclear Facilities Safety Board has balance-sheet-only audits every 3 to 5 years, most recently for fiscal year 1997. It did not prepare fiscal...associated with the agency’s operations were the most important factors to Have had financial statements audits Defense Nuclear Facilities Safety...audits, the International Trade Commission and the Defense Nuclear Facilities Safety Board, did not have financial statements audits for fiscal year

Moving forward with safety culture.

PubMed

Weber, Michael

2012-04-01

Radiation safety and protection of people are shared goals of the Health Physics Society (HPS) and the U.S. Nuclear Regulatory Commission (NRC). A positive safety culture contributes to achieving radiation safety and protection of people, which are important to both the HPS and the NRC. Through unprecedented collaboration and engagement with diverse stakeholders, the NRC and the stakeholders developed a Safety Culture Policy Statement. The policy statement defines safety culture and describes the traits of a positive safety culture. Consideration of both safety and security issues and the interface of safety and security are underlying principles that support the policy. Examination of significant events, both within the nuclear industry and in society at large, illustrates how weaknesses in these traits can contribute to the occurrence and consequences of safety incidents, including serious injury and loss of life. With the policy statement in place, the NRC is moving forward with outreach and education about safety culture. Health physicists and other radiation safety specialists play an essential role in enhancing safety culture.

Proposing a tornado watch scale

NASA Astrophysics Data System (ADS)

Mason, Jonathan Brock

This thesis provides an overview of language used in tornado safety recommendations from various sources, along with developing a rubric for scaled tornado safety recommendations, and subsequent development and testing of a tornado watch scale. The rubric is used to evaluate tornado refuge/shelter adequacy responses of Tuscaloosa residents gathered following the April 27, 2011 Tuscaloosa, Alabama EF4 tornado. There was a significant difference in the counts of refuge adequacy for Tuscaloosa residents when holding the locations during the April 27th tornado constant and comparing adequacy ratings for weak (EF0-EF1), strong (EF2-EF3) and violent (EF4-EF5) tornadoes. There was also a significant difference when comparing future tornado refuge plans of those same participants to the adequacy ratings for weak, strong and violent tornadoes. The tornado refuge rubric is then revised into a six-class, hierarchical Tornado Watch Scale (TWS) from Level 0 to Level 5 based on the likelihood of high-impact or low-impact severe weather events containing weak, strong or violent tornadoes. These levels represent maximum expected tornado intensity and include tornado safety recommendations from the tornado refuge rubric. Audio recordings similar to those used in current National Oceanic and Atmospheric Administration (NOAA) weather radio communications were developed to correspond to three levels of the TWS, a current Storm Prediction Center (SPC) tornado watch and a particularly dangerous situation (PDS) tornado watch. These were then used in interviews of Alabama residents to determine how changes to the information contained in the watch statements would affect each participant's tornado safety actions and perception of event danger. Results from interview participants (n=38) indicate a strong preference (97.37%) for the TWS when compared to current tornado watch and PDS tornado watch statements. Results also show the TWS elicits more adequate safety decisions from participants along with a more appropriate perception of the danger being conveyed by each statement.

77 FR 40891 - Towing Safety Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-11

... ``Recommendations for Safety Standards of Portable Facility Vapor Control Systems.'' (4) Period for public comment... teleconference to review and discuss a new Task Statement titled ``Recommendations for Safety Standards of Portable Facility Vapor Control Systems'' and to discuss the progress of open Task Statements. This meeting...

The REFLECT statement: methods and processes of creating reporting guidelines for randomized controlled trials for livestock and food safety by modifying the CONSORT statement.

PubMed

O'Connor, A M; Sargeant, J M; Gardner, I A; Dickson, J S; Torrence, M E; Dewey, C E; Dohoo, I R; Evans, R B; Gray, J T; Greiner, M; Keefe, G; Lefebvre, S L; Morley, P S; Ramirez, A; Sischo, W; Smith, D R; Snedeker, K; Sofos, J; Ward, M P; Wills, R

2010-03-01

The conduct of randomized controlled trials in livestock with production, health and food-safety outcomes presents unique challenges that may not be adequately reported in trial reports. The objective of this project was to modify the CONSORT (Consolidated Standards of Reporting Trials) statement to reflect the unique aspects of reporting these livestock trials. A 2-day consensus meeting was held on 18-19 November 2008 in Chicago, IL, USA, to achieve the objective. Prior to the meeting, a Web-based survey was conducted to identify issues for discussion. The 24 attendees were biostatisticians, epidemiologists, food-safety researchers, livestock-production specialists, journal editors, assistant editors and associate editors. Prior to the meeting, the attendees completed a Web-based survey indicating which CONSORT statement items may need to be modified to address unique issues for livestock trials. The consensus meeting resulted in the production of the REFLECT (Reporting Guidelines for Randomized Control Trials) statement for livestock and food safety and 22-item checklist. Fourteen items were modified from the CONSORT checklist and an additional sub-item was proposed to address challenge trials. The REFLECT statement proposes new terminology, more consistent with common usage in livestock production, to describe study subjects. Evidence was not always available to support modification to or inclusion of an item. The use of the REFLECT statement, which addresses issues unique to livestock trials, should improve the quality of reporting and design for trials reporting production, health and food-safety outcomes.

Occupational safety and health aspects of corporate social responsibility (CSR) in Japanese companies listed on the Tokyo Stock Exchange (TSE) first section.

PubMed

Kawashita, Futoshi; Taniyama, Yukari; Hwi, Song You; Fujisaki, Takeshi; Kameda, Takashi; Mori, Koji

2005-11-01

Recently, corporate social responsibility (CSR) is becoming widely recognized as an issue for Japanese companies. Corporate responsibility for employees is considered important by various stakeholders, and occupational safety and health is regarded as one of these responsibilities. The present authors examined this issue from the viewpoint of corporate management by analysis of statements found in CSR-related reports. For companies listed on the First Section of the Tokyo Stock Exchange (TSE), we searched for CSR-related reports, and titles and contents, based on two established guidelines: the GRI Sustainability Reporting Guidelines 2002 as the international reference and the Environmental Reporting Guidelines of the Ministry of the Environment, Government of Japan, as the domestic reference. Corporations that published CSR reports were 26.3% (416/1,581) of the total, and large differences were recognized by type of industry. Comparing the numbers of pages for various contents, more concern was shown about the environment than about social activity, indicating the environment to be the main issue of CSR in Japan. In the items included in the guidelines, many matters about occupational accidents were mentioned, but it was found that statements regarding HIV/AIDS, which is not of such strong social concern in Japan, and statements regarding the costs of safety that are difficult to calculate were few. However, statements regarding mental health, which is of high interest socially, were many, even though this issue is not included in the two guidelines used. In revising the guidelines, these matters should be reviewed. In the future, continuance of analysis of CSR-related reports with regard to changes and comparisons with overseas reports will help improve occupational safety and health.

Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy

PubMed Central

Armstrong, David; Barkun, Alan; Bridges, Ron; Carter, Rose; de Gara, Chris; Dubé, Catherine; Enns, Robert; Hollingworth, Roger; MacIntosh, Donald; Borgaonkar, Mark; Forget, Sylviane; Leontiadis, Grigorios; Meddings, Jonathan; Cotton, Peter; Kuipers, Ernst J; Valori, Roland

2012-01-01

BACKGROUND: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality, highlight the need for clearly defined, evidence-based processes to support quality improvement in endoscopy. OBJECTIVE: To identify processes and indicators of quality and safety relevant to high-quality endoscopy service delivery. METHODS: A multidisciplinary group of 35 voting participants developed recommendation statements and performance indicators. Systematic literature searches generated 50 initial statements that were revised iteratively following a modified Delphi approach using a web-based evaluation and voting tool. Statement development and evidence evaluation followed the AGREE (Appraisal of Guidelines, REsearch and Evaluation) and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) guidelines. At the consensus conference, participants voted anonymously on all statements using a 6-point scale. Subsequent web-based voting evaluated recommendations for specific, individual quality indicators, safety indicators and mandatory endoscopy reporting fields. Consensus was defined a priori as agreement by 80% of participants. RESULTS: Consensus was reached on 23 recommendation statements addressing the following: ethics (statement 1: agreement 100%), facility standards and policies (statements 2 to 9: 90% to 100%), quality assurance (statements 10 to 13: 94% to 100%), training, education, competency and privileges (statements 14 to 19: 97% to 100%), endoscopy reporting standards (statements 20 and 21: 97% to 100%) and patient perceptions (statements 22 and 23: 100%). Additionally, 18 quality indicators (agreement 83% to 100%), 20 safety indicators (agreement 77% to 100%) and 23 recommended endoscopy-reporting elements (agreement 91% to 100%) were identified. DISCUSSION: The consensus process identified a clear need for high-quality clinical and outcomes research to support quality improvement in the delivery of endoscopy services. CONCLUSIONS: The guidelines support quality improvement in endoscopy by providing explicit recommendations on systematic monitoring, assessment and modification of endoscopy service delivery to yield benefits for all patients affected by the practice of gastrointestinal endoscopy. PMID:22308578

The REFLECT statement: methods and processes of creating reporting guidelines for randomized controlled trials for livestock and food safety.

PubMed

O'Connor, A M; Sargeant, J M; Gardner, I A; Dickson, J S; Torrence, M E; Dewey, C E; Dohoo, I R; Evans, R B; Gray, J T; Greiner, M; Keefe, G; Lefebvre, S L; Morley, P S; Ramirez, A; Sischo, W; Smith, D R; Snedeker, K; Sofos, J; Ward, M P; Wills, R

2010-01-01

The conduct of randomized controlled trials in livestock with production, health, and food-safety outcomes presents unique challenges that might not be adequately reported in trial reports. The objective of this project was to modify the CONSORT (Consolidated Standards of Reporting Trials) statement to reflect the unique aspects of reporting these livestock trials. A 2-day consensus meeting was held on November 18-19, 2008 in Chicago, IL, to achieve the objective. Before the meeting, a Web-based survey was conducted to identify issues for discussion. The 24 attendees were biostatisticians, epidemiologists, food-safety researchers, livestock production specialists, journal editors, assistant editors, and associate editors. Before the meeting, the attendees completed a Web-based survey indicating which CONSORT statement items would need to be modified to address unique issues for livestock trials. The consensus meeting resulted in the production of the REFLECT (Reporting Guidelines for Randomized Control Trials) statement for livestock and food safety and 22-item checklist. Fourteen items were modified from the CONSORT checklist, and an additional subitem was proposed to address challenge trials. The REFLECT statement proposes new terminology, more consistent with common usage in livestock production, to describe study subjects. Evidence was not always available to support modification to or inclusion of an item. The use of the REFLECT statement, which addresses issues unique to livestock trials, should improve the quality of reporting and design for trials reporting production, health, and food-safety outcomes.

77 FR 38751 - Codification of Animal Testing Policy

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

... Animal Testing Policy AGENCY: Consumer Product Safety Commission. ACTION: Proposed Statement of Policy on Animal Testing SUMMARY: The Consumer Product Safety Commission (CPSC or Commission) proposes to codify its statement of policy on animal testing, as amended, which was previously published in the Federal...

The REFLECT statement: methods and processes of creating reporting guidelines for randomized controlled trials for livestock and food safety.

PubMed

O'Connor, A M; Sargeant, J M; Gardner, I A; Dickson, J S; Torrence, M E; Dewey, C E; Dohoo, I R; Evans, R B; Gray, J T; Greiner, M; Keefe, G; Lefebvre, S L; Morley, P S; Ramirez, A; Sischo, W; Smith, D R; Snedeker, K; Sofos, J; Ward, M P; Wills, R

2010-01-01

The conduct of randomized controlled trials in livestock with production, health, and food-safety outcomes presents unique challenges that may not be adequately reported in trial reports. The objective of this project was to modify the CONSORT (Consolidated Standards of Reporting Trials) statement to reflect the unique aspects of reporting these livestock trials. A two-day consensus meeting was held on November 18-19, 2008 in Chicago, IL, United States of America, to achieve the objective. Prior to the meeting, a Web-based survey was conducted to identify issues for discussion. The 24 attendees were biostatisticians, epidemiologists, food-safety researchers, livestock-production specialists, journal editors, assistant editors, and associate editors. Prior to the meeting, the attendees completed a Web-based survey indicating which CONSORT statement items may need to be modified to address unique issues for livestock trials. The consensus meeting resulted in the production of the REFLECT (Reporting Guidelines For Randomized Control Trials) statement for livestock and food safety (LFS) and 22-item checklist. Fourteen items were modified from the CONSORT checklist, and an additional sub-item was proposed to address challenge trials. The REFLECT statement proposes new terminology, more consistent with common usage in livestock production, to describe study subjects. Evidence was not always available to support modification to or inclusion of an item. The use of the REFLECT statement, which addresses issues unique to livestock trials, should improve the quality of reporting and design for trials reporting production, health, and food-safety outcomes.

The REFLECT statement: methods and processes of creating reporting guidelines for randomized controlled trials for livestock and food safety.

PubMed

O'Connor, A M; Sargeant, J M; Gardner, I A; Dickson, J S; Torrence, M E; Dewey, C E; Dohoo, I R; Evans, R B; Gray, J T; Greiner, M; Keefe, G; Lefebvre, S L; Morley, P S; Ramirez, A; Sischo, W; Smith, D R; Snedeker, K; Sofos, J N; Ward, M P; Wills, R

2010-01-01

The conduct of randomized controlled trials in livestock with production, health, and food-safety outcomes presents unique challenges that may not be adequately reported in trial reports. The objective of this project was to modify the CONSORT (Consolidated Standards of Reporting Trials) statement to reflect the unique aspects of reporting these livestock trials. A two-day consensus meeting was held on November 18-19, 2008 in Chicago, Ill, United States of America, to achieve the objective. Prior to the meeting, a Web-based survey was conducted to identify issues for discussion. The 24 attendees were biostatisticians, epidemiologists, food-safety researchers, livestock production specialists, journal editors, assistant editors, and associate editors. Prior to the meeting, the attendees completed a Web-based survey indicating which CONSORT statement items may need to be modified to address unique issues for livestock trials. The consensus meeting resulted in the production of the REFLECT (Reporting Guidelines for Randomized Control Trials) statement for livestock and food safety (LFS) and 22-item checklist. Fourteen items were modified from the CONSORT checklist, and an additional sub-item was proposed to address challenge trials. The REFLECT statement proposes new terminology, more consistent with common usage in livestock production, to describe study subjects. Evidence was not always available to support modification to or inclusion of an item. The use of the REFLECT statement, which addresses issues unique to livestock trials, should improve the quality of reporting and design for trials reporting production, health, and food-safety outcomes.

10 CFR 1706.1 - Scope; statement of policy.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Scope; statement of policy. 1706.1 Section 1706.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.1... the Defense Nuclear Facilities Safety Board will follow in determining whether a contractor or offeror...

10 CFR 1706.1 - Scope; statement of policy.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Scope; statement of policy. 1706.1 Section 1706.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.1... the Defense Nuclear Facilities Safety Board will follow in determining whether a contractor or offeror...

10 CFR 1706.1 - Scope; statement of policy.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Scope; statement of policy. 1706.1 Section 1706.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.1... the Defense Nuclear Facilities Safety Board will follow in determining whether a contractor or offeror...

10 CFR 1706.1 - Scope; statement of policy.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Scope; statement of policy. 1706.1 Section 1706.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.1... the Defense Nuclear Facilities Safety Board will follow in determining whether a contractor or offeror...

10 CFR 1706.1 - Scope; statement of policy.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Scope; statement of policy. 1706.1 Section 1706.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.1... the Defense Nuclear Facilities Safety Board will follow in determining whether a contractor or offeror...

78 FR 49735 - Intent To Prepare a Draft Environmental Impact Statement for Dam Safety Study, Lake Lewisville...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-15

... determine appropriate permanent methods for correcting potential problems, interim risk reduction measures... Environmental Impact Statement for Dam Safety Study, Lake Lewisville Dam, Elm Fork Trinity River, Denton County... primary purposes of the project are flood risk management, [[Page 49736

The European Federation of Organisations for Medical Physics Policy Statement No 14: the role of the Medical Physicist in the management of safety within the magnetic resonance imaging environment: EFOMP recommendations.

PubMed

Hand, J; Bosmans, H; Caruana, C; Keevil, S; Norris, D G; Padovani, R; Speck, O

2013-03-01

This European Federation of Organisations for Medical Physics (EFOMP) Policy Statement outlines the way in which a Safety Management System can be developed for MRI units. The Policy Statement can help eliminate or at least minimize accidents or incidents in the magnetic resonance environment and is recommended as a step towards harmonisation of safety of workers, patients, and the general public regarding the use of magnetic resonance imaging systems in diagnostic and interventional procedures. Copyright © 2012 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

77 FR 64836 - Notice of Availability of Draft Environmental Impact Statement (DEIS), Draft Section 4(f...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... DEIS for Proposed Runway Safety Area Improvements at the Kodiak Airport, Kodiak, AK AGENCY: Federal... advise the public that a Draft Environmental Impact Statement (DEIS) for proposed Runway Safety Area... the DEIS can be submitted to the individual listed in the section, FOR FURTHER INFORMATION CONTACT. A...

ERIP Project No. 670, Nevada Energy Control Systems, Inc.. Final techincal progress report

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

Kimber, D.J.

1998-02-11

In order to gauge the effectiveness of the ERIP Project No. 670, Nevada Energy Control Systems, Inc., Grant Number DE-FG01-96EE15670, the Statement of Work must be compared to the achievements by NECSI during the grant period. The following report reflects the aforementioned statement and is coordinated directly with it. The project goal is to gather data and test in order to validate earlier tests of energy savings,safety,reliability and practicality of the NECSI Evaporator Fan Controller in order to fully commercialize and market the product.

21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 7 2013-04-01 2013-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 7 2012-04-01 2012-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 7 2014-04-01 2014-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

Statement of Intent between EPA and the European Chemicals Agency (ECHA)

EPA Pesticide Factsheets

This page contains a Statement of Intent between EPA and the European Chemicals Agency (ECHA) to exchange information, training and experience on chemical safety and the 2015-2016 Rolling Work Plan of activities to implement the Statement of Intent.

76 FR 7893 - FAA Policy Statement on Expungement of Certain Enforcement Actions

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration FAA Policy Statement on Expungement of Certain Enforcement Actions AGENCY: Federal Aviation Administration, DOT. ACTION: Policy statement... policy. On August 1, 2010, the Airline Safety and Federal Aviation Administration Extension Act of 2010...

49 CFR 571.120 - Tire selection and rims and motor home/recreation vehicle trailer load carrying capacity...

Code of Federal Regulations, 2012 CFR

2012-10-01

...: XXX kg or XXX lbs” in block letters with appropriate values included. (d) The statement “Safety belt equipped seating capacity: XXX” with the appropriate value included. This is the total number of safety belt equipped seating positions. (e) The statement: “CAUTION: A full load of water equals XXX kg or XXX...

49 CFR 571.120 - Tire selection and rims and motor home/recreation vehicle trailer load carrying capacity...

Code of Federal Regulations, 2014 CFR

2014-10-01

...: XXX kg or XXX lbs” in block letters with appropriate values included. (d) The statement “Safety belt equipped seating capacity: XXX” with the appropriate value included. This is the total number of safety belt equipped seating positions. (e) The statement: “CAUTION: A full load of water equals XXX kg or XXX...

49 CFR 571.120 - Tire selection and rims and motor home/recreation vehicle trailer load carrying capacity...

Code of Federal Regulations, 2013 CFR

2013-10-01

...: XXX kg or XXX lbs” in block letters with appropriate values included. (d) The statement “Safety belt equipped seating capacity: XXX” with the appropriate value included. This is the total number of safety belt equipped seating positions. (e) The statement: “CAUTION: A full load of water equals XXX kg or XXX...

49 CFR 571.120 - Tire selection and rims and motor home/recreation vehicle trailer load carrying capacity...

Code of Federal Regulations, 2011 CFR

2011-10-01

...: XXX kg or XXX lbs” in block letters with appropriate values included. (d) The statement “Safety belt equipped seating capacity: XXX” with the appropriate value included. This is the total number of safety belt equipped seating positions. (e) The statement: “CAUTION: A full load of water equals XXX kg or XXX...

Final Environmental Impact Statement. Mankato-North Mankato-Le Hillier Flood Control. Phase I (As Amended 18 January 1972). Final Supplement II-C.

DTIC Science & Technology

1983-11-01

I A 11 Cultural Resources I 11 Noise CC7A&I 1.. Water Resources T, B 12 Traffic Service and Safety _._ 12 Rail Operations and Service 1 13 Avall e.no...Recreation 114 Cultural Resources 15 Noise 15 Water Resources 15 Traffic Service and Safety 16 Rail Operations and Service 16 6.00 Public Involvement 17...renovate the trusses, the disturbance to rail service that would occur during construction, and the small potential cost saving compared to the risks

29 CFR 2200.39 - Statement of position.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Statement of position. 2200.39 Section 2200.39 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION RULES OF PROCEDURE... intervene, may file a statement of position with respect to any or all issues to be heard. The Judge may...

Good practice statements on safe laboratory testing: A mixed methods study by the LINNEAUS collaboration on patient safety in primary care.

PubMed

Bowie, Paul; Forrest, Eleanor; Price, Julie; Verstappen, Wim; Cunningham, David; Halley, Lyn; Grant, Suzanne; Kelly, Moya; Mckay, John

2015-09-01

The systems-based management of laboratory test ordering and results handling is a known source of error in primary care settings worldwide. The consequences are wide-ranging for patients (e.g. avoidable harm or poor care experience), general practitioners (e.g. delayed clinical decision making and potential medico-legal implications) and the primary care organization (e.g. increased allocation of resources to problem-solve and dealing with complaints). Guidance is required to assist care teams to minimize associated risks and improve patient safety. To identify, develop and build expert consensus on 'good practice' guidance statements to inform the implementation of safe systems for ordering laboratory tests and managing results in European primary care settings. Mixed methods studies were undertaken in the UK and Ireland, and the findings were triangulated to develop 'good practice' statements. Expert consensus was then sought on the findings at the wider European level via a Delphi group meeting during 2013. We based consensus on 10 safety domains and developed 77 related 'good practice' statements (≥ 80% agreement levels) judged to be essential to creating safety and minimizing risks in laboratory test ordering and subsequent results handling systems in international primary care. Guidance was developed for improving patient safety in this important area of primary care practice. We need to consider how this guidance can be made accessible to frontline care teams, utilized by clinical educators and improvement advisers, implemented by decision makers and evaluated to determine acceptability, feasibility and impacts on patient safety.

78 FR 52848 - Occupational Safety and Health Standards for Aircraft Cabin Crewmembers

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-27

... [Docket No.: FAA-2012-0953] Occupational Safety and Health Standards for Aircraft Cabin Crewmembers AGENCY... regulation of some occupational safety and health conditions affecting cabin crewmembers on aircraft by the Occupational Safety and Health Administration. This policy statement will enhance occupational safety and...

Laboratory testing of extravascular body fluids in Croatia: a survey of the Working group for extravascular body fluids of the Croatian Society of Medical Biochemistry and Laboratory Medicine.

PubMed

Kopcinovic, Lara Milevoj; Vogrinc, Zeljka; Kocijan, Irena; Culej, Jelena; Aralica, Merica; Jokic, Anja; Antoncic, Dragana; Bozovic, Marija

2016-10-15

We hypothesized that extravascular body fluid (EBF) analysis in Croatia is not harmonized and aimed to investigate preanalytical, analytical and postanalytical procedures used in EBF analysis in order to identify key aspects that should be addressed in future harmonization attempts. An anonymous online survey created to explore laboratory testing of EBF was sent to secondary, tertiary and private health care Medical Biochemistry Laboratories (MBLs) in Croatia. Statements were designed to address preanalytical, analytical and postanalytical procedures of cerebrospinal, pleural, peritoneal (ascites), pericardial, seminal, synovial, amniotic fluid and sweat. Participants were asked to declare the strength of agreement with proposed statements using a Likert scale. Mean scores for corresponding separate statements divided according to health care setting were calculated and compared. The survey response rate was 0.64 (58 / 90). None of the participating private MBLs declared to analyse EBF. We report a mean score of 3.45 obtained for all statements evaluated. Deviations from desirable procedures were demonstrated in all EBF testing phases. Minor differences in procedures used for EBF analysis comparing secondary and tertiary health care MBLs were found. The lowest scores were obtained for statements regarding quality control procedures in EBF analysis, participation in proficiency testing programmes and provision of interpretative comments on EBF's test reports. Although good laboratory EBF practice is present in Croatia, procedures for EBF analysis should be further harmonized to improve the quality of EBF testing and patient safety.

75 FR 57081 - Revised Draft Safety Culture Policy Statement: Request for Comments

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-17

... on Safety Culture at the Health Physics Society Annual Meeting, and presentations on the development... holders \\2\\ establish and maintain a positive safety culture that protects public health and safety and... public health and safety, the Commission has required the regulated entity involved to determine the...

76 FR 34773 - Final Safety Culture Policy Statement

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-14

... Special Joint Session on Safety Culture at the Health Physics Society Annual Meeting, and presentations on... safety-first focus in nuclear work environments for public health and safety. The Commission's emphasis... operations, if attacked, could have an impact on public health and safety. During the early years of...

77 FR 75443 - Draft Safety Culture Policy Statement: Request for Public Comments

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-20

... personal and organizational characteristics are present in a positive safety culture. A characteristic, in this case, is a pattern of thinking, feeling, and behaving that emphasizes safety, particularly in goal...

Warning Statements and Safety Practices among Manufacturers and Distributors of Electronic Cigarette Liquids in the United States.

PubMed

Fagan, Pebbles; Pokhrel, Pallav; Herzog, Thaddeus A; Guy, Mignonne C; Sakuma, Kari-Lyn K; Trinidad, Dennis R; Cassel, Kevin; Jorgensen, Dorothy; Lynch, Tania; Felicitas-Perkins, Jamie Q; Palafox, Sherilyn; Hamamura, Faith; Maloney, Sarah; Degree, Kaylah; Sterling, Kymberle; Moolchan, Eric; Clanton, Mark S; Eissenberg, Thomas

2017-05-18

Prior to the Food and Drug Administration's (FDA) regulation of electronic cigarettes and warning statements related to nicotine addiction, there was no critical examination of manufacturer/distributor voluntary practices that could potentially inform FDA actions aimed to protect consumers. This study examined the content of warning statements and safety characteristics of electronic cigarette liquid bottles using a national sample. Research staff randomly selected four electronic cigarette liquid manufacturers/distributors from four U.S. geographic regions. Staff documented the characteristics of product packaging and content of warning statements on 147 electronic cigarette liquids (0-30 mg/ml of nicotine) purchased online from 16 manufacturers/distributors in April of 2016. Data showed that 97.9% of the electronic cigarette liquid bottles included a warning statement, most of which focused on nicotine exposure rather than health. Only 22.4% of bottles used a warning statement that indicated the product "contained nicotine". Of bottles that advertised a nicotine-based concentration of 12 mg/ml, 26% had a warning statements stated that the product "contains nicotine". None of the statements that indicated that the product "contained nicotine" stated that nicotine was "addictive". All bottles had a safety cap and 12% were in plastic shrink-wrap. Fifty-six percent of the websites had a minimum age requirement barrier that prevented under-aged persons from entering. Most manufacturers/distributors printed a warning statement on electronic cigarette liquid bottles, but avoided warning consumers about the presence and the addictiveness of nicotine. Studies are needed to examine manufacturer/distributor modifications to product packaging and how packaging affects consumer behaviors. These data can inform future FDA requirements related to the packaging and advertising of e-cigarette liquids; regulation related to the content of warning statements, including exposure warning statements, which are not currently mandated; and requirements on websites or language on packaging to help manufacturers adhere to the minimum age of purchase regulation. The data can also be used to help FDA develop additional guidance on the framing of statements on packaging that helps consumers make informed decisions about purchasing the product or protecting young people from use or unintentional exposure to the product. © The Author 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Food safety: importance of composition for assessing genetically modified cassava (Manihot esculenta Crantz).

PubMed

van Rijssen, Fredrika W Jansen; Morris, E Jane; Eloff, Jacobus N

2013-09-04

The importance of food composition in safety assessments of genetically modified (GM) food is described for cassava ( Manihot esculenta Crantz) that naturally contains significantly high levels of cyanogenic glycoside (CG) toxicants in roots and leaves. The assessment of the safety of GM cassava would logically require comparison with a non-GM crop with a proven "history of safe use". This study investigates this statement for cassava. A non-GM comparator that qualifies would be a processed product with CG level below the approved maximum level in food and that also satisfies a "worst case" of total dietary consumption. Although acute and chronic toxicity benchmark CG values for humans have been determined, intake data are scarce. Therefore, the non-GM cassava comparator is defined on the "best available knowledge". We consider nutritional values for cassava and conclude that CG residues in food should be a priority topic for research.

The 2012 Hormone Therapy Position Statement of The North American Menopause Society

PubMed Central

2012-01-01

Objective This position statement aimed to update the evidence-based position statement published by The North American Menopause Society (NAMS) in 2010 regarding recommendations for hormone therapy (HT) for postmenopausal women. This updated position statement further distinguishes the emerging differences in the therapeutic benefit-risk ratio between estrogen therapy (ET) and combined estrogen-progestogen therapy (EPT) at various ages and time intervals since menopause onset. Methods An Advisory Panel of expert clinicians and researchers in the field of women’s health was enlisted to review the 2010 NAMS position statement, evaluate new evidence, and reach consensus on recommendations. The Panel’s recommendations were reviewed and approved by the NAMS Board of Trustees as an official NAMS position statement. Results Current evidence supports the use of HT for perimenopausal and postmenopausal women when the balance of potential benefits and risks is favorable for the individual woman. This position statement reviews the effects of ET and EPT on many aspects of women’s health and recognizes the greater safety profile associated with ET. Conclusions Recent data support the initiation of HT around the time of menopause to treat menopause-related symptoms and to prevent osteoporosis in women at high risk of fracture. The more favorable benefit-risk ratio for ET allows more flexibility in extending the duration of use compared with EPT, where the earlier appearance of increased breast cancer risk precludes a recommendation for use beyond 3 to 5 years. PMID:22367731

Third year nursing students' viewpoints about circumstances which threaten safety in the clinical setting.

PubMed

Montgomery, Phyllis; Killam, Laura; Mossey, Sharolyn; Heerschap, Corey

2014-02-01

Evidence emphasizes that learners, educators, clinicians, programs, and organizations share the responsibility for establishing and maintaining safety throughout undergraduate nursing education. Increased knowledge about students' perceptions of threats to safety in the clinical setting may guide educators' efforts to promote the development of safe novice practitioners while preserving patient safety. The purpose of this study was to describe third year nursing students' viewpoints of the circumstances which threaten safety in the clinical setting. Using Q methodology, 34 third year Bachelor of Science in Nursing students sorted 43 theoretical statement cards. Each card identified a statement describing a threat to safety in the clinical setting. These statements were generated through a review of nursing literature and consultation with experts in nursing education. Centroid factor analysis and varimax rotation identified viewpoints regarding circumstances that most threaten safety. Three discrete viewpoints and one consensus perspective constituted students' description of threatened safety. The discrete viewpoints were labeled lack of readiness, misdirected practices, and negation of professional boundaries. There was consensus that it is most unsafe in the clinical setting when novices fail to consolidate an integrated cognitive, behavioral, and ethical identity. This unifying perspective was labeled non-integration. Third year nursing students and their educators are encouraged to be mindful of the need to ensure readiness prior to entry into the clinical setting. In the clinical setting, the learning of prepared students must be guided by competent educators. Finally, both students and their educators must respect professional boundaries to promote safety for students and patients. © 2013.

National Athletic Trainers' Association position statement: lightning safety for athletics and recreation.

PubMed

Walsh, Katie M; Cooper, Mary Ann; Holle, Ron; Rakov, Vladimir A; Roeder, William P; Ryan, Michael

2013-01-01

To present recommendations for the education, prevention, and management of lightning injuries for those involved in athletics or recreation. Lightning is the most common severe-storm activity encountered annually in the United States. The majority of lightning injuries can be prevented through an aggressive educational campaign, vacating outdoor activities before the lightning threat, and an understanding of the attributes of a safe place from the hazard. This position statement is focused on supplying information specific to lightning safety and prevention and treatment of lightning injury and providing lightning-safety recommendations for the certified athletic trainer and those who are involved in athletics and recreation.

[CGM-continuous glucose monitoring - statement of the Austrian Diabetes Association].

PubMed

Schütz-Fuhrmann, Ingrid; Schober, Edith; Rami, Birgit; Stadler, Marietta; Bischof, Martin; Fortunat, Sandra; Laimer, Markus; Weitgasser, Raimund; Prager, Rudolf

2012-12-01

This position statement represents the recommendations of the Austrian Diabetes Association regarding the clinical diagnostic and therapeutic application, safety and benefits of continuous subcutaneous glucose monitoring systems in patients with diabetes mellitus, based on current evidence.

[CGM-Continuous Glucose Monitoring--Statement of the Austrian Diabetes Association].

PubMed

Schütz-Fuhrmann, Ingrid; Rami-Merhar, Birgit; Hofer, Sabine; Stadler, Marietta; Bischof, Martin; Zlamal-Fortunat, Sandra; Laimer, Markus; Weitgasser, Raimund; Prager, Rudolf

2016-04-01

This position statement represents the recommendations of the Austrian Diabetes Association regarding the clinical diagnostic and therapeutic application, safety and benefits of continuous subcutaneous glucose monitoring systems in patients with diabetes mellitus, based on current evidence.

31 CFR 538.519 - Aircraft and maritime safety.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Aircraft and maritime safety. 538.519..., Authorizations, and Statements of Licensing Policy § 538.519 Aircraft and maritime safety. Specific licenses may... aircraft, and to ensure the safety of ocean-going maritime traffic in international waters. ...

31 CFR 560.528 - Aircraft safety.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Aircraft safety. 560.528 Section 560..., Authorizations and Statements of Licensing Policy § 560.528 Aircraft safety. Specific licenses may be issued on a... the safety of civil aviation and safe operation of U.S.-origin commercial passenger aircraft. ...

31 CFR 560.528 - Aircraft safety.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Aircraft safety. 560.528 Section 560..., Authorizations and Statements of Licensing Policy § 560.528 Aircraft safety. Specific licenses may be issued on a... the safety of civil aviation and safe operation of U.S.-origin commercial passenger aircraft. ...

Pennsylvania Industrial Arts Safety Guide.

ERIC Educational Resources Information Center

Stoudt, John Y., Ed.; And Others

Safety education information is provided in this guide designed for Pennsylvania industrial arts teachers. Twelve sections and section topics include the following: introduction (policy statement on safety); responsibility (school board and superintendent, principal and/or department head, the teacher); emergency action (primary concerns,…

Science, law, and politics in the Food and Drug Administration's genetically engineered foods policy: FDA's 1992 policy statement.

PubMed

Pelletier, David L

2005-05-01

The US Food and Drug Administration's (FDA's) 1992 policy statement was developed in the context of critical gaps in scientific knowledge concerning the compositional effects of genetic transformation and severe limitations in methods for safety testing. FDA acknowledged that pleiotropy and insertional mutagenesis may cause unintended changes, but it was unknown whether this happens to a greater extent in genetic engineering compared with traditional breeding. Moreover, the agency was not able to identify methods by which producers could screen for unintended allergens and toxicants. Despite these uncertainties, FDA granted genetically engineered foods the presumption of GRAS (Generally Recognized As Safe) and recommended that producers use voluntary consultations before marketing them.

75 FR 81640 - Record of Decision

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... on the Final Environmental Impact Statement/Cape Hatteras National Seashore Off-Road Vehicle... Environmental Impact Statement (Final EIS) for the Cape Hatteras National Seashore (Seashore) Off-Road Vehicle... temporary ORV use restrictions, for such things as ramp maintenance, resource and public safety closures...

Pavement markings and safety : tech transfer summary.

DOT National Transportation Integrated Search

2010-11-01

Objective: This study explores the statistical relationship between crash occurrence probability and longitudinal pavement marking retroreflectivity. : Problem Statement: Previous research on pavement markings, from a safety perspective, tackled vari...

Laboratory testing of extravascular body fluids in Croatia: a survey of the Working group for extravascular body fluids of the Croatian Society of Medical Biochemistry and Laboratory Medicine

PubMed Central

Kopcinovic, Lara Milevoj; Vogrinc, Zeljka; Kocijan, Irena; Culej, Jelena; Aralica, Merica; Jokic, Anja; Antoncic, Dragana; Bozovic, Marija

2016-01-01

Introduction We hypothesized that extravascular body fluid (EBF) analysis in Croatia is not harmonized and aimed to investigate preanalytical, analytical and postanalytical procedures used in EBF analysis in order to identify key aspects that should be addressed in future harmonization attempts. Materials and methods An anonymous online survey created to explore laboratory testing of EBF was sent to secondary, tertiary and private health care Medical Biochemistry Laboratories (MBLs) in Croatia. Statements were designed to address preanalytical, analytical and postanalytical procedures of cerebrospinal, pleural, peritoneal (ascites), pericardial, seminal, synovial, amniotic fluid and sweat. Participants were asked to declare the strength of agreement with proposed statements using a Likert scale. Mean scores for corresponding separate statements divided according to health care setting were calculated and compared. Results The survey response rate was 0.64 (58 / 90). None of the participating private MBLs declared to analyse EBF. We report a mean score of 3.45 obtained for all statements evaluated. Deviations from desirable procedures were demonstrated in all EBF testing phases. Minor differences in procedures used for EBF analysis comparing secondary and tertiary health care MBLs were found. The lowest scores were obtained for statements regarding quality control procedures in EBF analysis, participation in proficiency testing programmes and provision of interpretative comments on EBF’s test reports. Conclusions Although good laboratory EBF practice is present in Croatia, procedures for EBF analysis should be further harmonized to improve the quality of EBF testing and patient safety. PMID:27812307

16 CFR 1021.14 - Environmental impact statement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 1021.14 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL ENVIRONMENTAL REVIEW Contents of Environmental Review Documents § 1021.14 Environmental impact statement. (a) Draft and final... which are not effects on the natural or physical environment, but rather are, for example, purely...

31 CFR 538.519 - Aircraft and maritime safety.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Aircraft and maritime safety. 538.519..., Authorizations, and Statements of Licensing Policy § 538.519 Aircraft and maritime safety. Specific licenses may... technology to insure the safety of civil aviation and safe operation of U.S.-origin commercial passenger...

10 CFR Appendix A to Subpart B of... - General Statement of Safety Basis Policy

Code of Federal Regulations, 2012 CFR

2012-01-01

... with DOE Policy 450.2A, “Identifying, Implementing and Complying with Environment, Safety and Health..., safety, and health into work planning and execution (48 CFR 970.5223-1, Integration of Environment...) Using the method in DOE-STD-1120-98, Integration of Environment, Safety, and Health into Facility...

10 CFR Appendix A to Subpart B of... - General Statement of Safety Basis Policy

Code of Federal Regulations, 2014 CFR

2014-01-01

... with DOE Policy 450.2A, “Identifying, Implementing and Complying with Environment, Safety and Health..., safety, and health into work planning and execution (48 CFR 970.5223-1, Integration of Environment...) Using the method in DOE-STD-1120-98, Integration of Environment, Safety, and Health into Facility...

10 CFR Appendix A to Subpart B of... - General Statement of Safety Basis Policy

Code of Federal Regulations, 2013 CFR

2013-01-01

... with DOE Policy 450.2A, “Identifying, Implementing and Complying with Environment, Safety and Health..., safety, and health into work planning and execution (48 CFR 970.5223-1, Integration of Environment...) Using the method in DOE-STD-1120-98, Integration of Environment, Safety, and Health into Facility...

Model Policy for Security and Safety Committee.

ERIC Educational Resources Information Center

Perillo, Stephen E.

The starting point of an effective school safety program is the development of a written policy statement that reflects the school board's belief in safety for its students and that is widely publicized to the staff and community. A sample safety/security policy is provided that lists, first, the superintendent's responsibilities in establishing a…

75 FR 52046 - Development of U.S. Nuclear Regulatory Commission Safety Culture Policy Statement: Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-24

... focuses on the unique aspects of nuclear safety and security and highlights the Commission's expectations... safety culture and (2) high level descriptions or traits of areas important to safety culture. The... NRC headquarters. Please allow time at both locations to register with building security upon entering...

National Athletic Trainers' Association Position Statement: Lightning Safety for Athletics and Recreation

PubMed Central

Walsh, Katie M.; Cooper, Mary Ann; Holle, Ron; Rakov, Vladimir A.; Roeder, William P.; Ryan, Michael

2013-01-01

Objective: To present recommendations for the education, prevention, and management of lightning injuries for those involved in athletics or recreation. Background: Lightning is the most common severe-storm activity encountered annually in the United States. The majority of lightning injuries can be prevented through an aggressive educational campaign, vacating outdoor activities before the lightning threat, and an understanding of the attributes of a safe place from the hazard. Recommendations: This position statement is focused on supplying information specific to lightning safety and prevention and treatment of lightning injury and providing lightning-safety recommendations for the certified athletic trainer and those who are involved in athletics and recreation. PMID:23672391

29 CFR 11.2 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-07-01

... environment assessments or environmental impact statements. These are the Occupational Safety and Health Administration (OSHA), which acts pursuant to the Occupational Safety and Health Act of 1970 (29 U.S.C. 651, et seq.); the Mine Safety and Health Administration (MSHA), which acts pursuant to the Federal Mine...

29 CFR 11.2 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-07-01

... environment assessments or environmental impact statements. These are the Occupational Safety and Health Administration (OSHA), which acts pursuant to the Occupational Safety and Health Act of 1970 (29 U.S.C. 651, et seq.); the Mine Safety and Health Administration (MSHA), which acts pursuant to the Federal Mine...

29 CFR 11.2 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-07-01

... environment assessments or environmental impact statements. These are the Occupational Safety and Health Administration (OSHA), which acts pursuant to the Occupational Safety and Health Act of 1970 (29 U.S.C. 651, et seq.); the Mine Safety and Health Administration (MSHA), which acts pursuant to the Federal Mine...

29 CFR 11.2 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-07-01

... environment assessments or environmental impact statements. These are the Occupational Safety and Health Administration (OSHA), which acts pursuant to the Occupational Safety and Health Act of 1970 (29 U.S.C. 651, et seq.); the Mine Safety and Health Administration (MSHA), which acts pursuant to the Federal Mine...

29 CFR 11.2 - Applicability.

Code of Federal Regulations, 2011 CFR

2011-07-01

... environment assessments or environmental impact statements. These are the Occupational Safety and Health Administration (OSHA), which acts pursuant to the Occupational Safety and Health Act of 1970 (29 U.S.C. 651, et seq.); the Mine Safety and Health Administration (MSHA), which acts pursuant to the Federal Mine...

Draft environmental impact statement : corporate average fuel economy standards, passenger cars and light trucks, model years 2011-2015.

DOT National Transportation Integrated Search

2008-06-01

The National Highway Traffic Safety Administration (NHTSA) has prepared this Draft Environmental Impact Statement (DEIS) to disclose and analyze the potential environmental impacts of the proposed new Corporate Average Fuel Economy (CAFE) standards a...

78 FR 13154 - Petition for Waiver of Compliance

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-26

...; Sleeping Quarters. (See Statement of Agency Policy Concerning Jurisdiction Over the Safety of Railroad... these proceedings by submitting written views, data, or comments. FRA does not anticipate scheduling a... regulations.gov or interested parties may review DOT's complete Privacy Act Statement in the Federal Register...

75 FR 28811 - Statement of Organization, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-24

... comprehensive strategic human resource leadership and career training and development program for all... statement for the Office of Health and Safety (CAJP), insert the following: Human Capital Management Office... training programs; (3) develops, designs, and implements a comprehensive strategic human resource...

24 CFR 232.570 - Endorsement of credit instrument.

Code of Federal Regulations, 2012 CFR

2012-04-01

... of Fire Safety Equipment Eligible Security Instruments § 232.570 Endorsement of credit instrument.... (c) Statement by the Secretary of Health and Human Services that the fire safety equipment noted in...

24 CFR 232.570 - Endorsement of credit instrument.

Code of Federal Regulations, 2014 CFR

2014-04-01

... of Fire Safety Equipment Eligible Security Instruments § 232.570 Endorsement of credit instrument.... (c) Statement by the Secretary of Health and Human Services that the fire safety equipment noted in...

24 CFR 232.570 - Endorsement of credit instrument.

Code of Federal Regulations, 2013 CFR

2013-04-01

... of Fire Safety Equipment Eligible Security Instruments § 232.570 Endorsement of credit instrument.... (c) Statement by the Secretary of Health and Human Services that the fire safety equipment noted in...

Aviation Safety: Targeting and Training of FAA's Safety Inspector Workforce

DOT National Transportation Integrated Search

1996-04-30

This is the statement of Gerald L. Dillingham, Associate Director, : Transportation and Telecommunications Issues, Resources, Community, and : Economic Development Division, General Accounting Office, on the Federal : Aviation Administration's (FAA) ...

78 FR 29233 - Public Safety Officers' Benefits Program

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... to men and women seeking careers as public safety officers and to make a strong statement about the..., employment, investment, productivity, innovation, or on the ability of United States-based enterprises to...

75 FR 1656 - Draft Safety Culture Policy Statement: Request for Public Comments; Extension of Comment Period

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-12

... unique aspects of nuclear safety and security, and to note the Commission's expectations that all NRC... health and safety and the common defense and security when carrying out licensed activities. The comment...) development of high-level [[Page 1657

76 FR 77561 - Atomic Safety and Licensing Board; In the Matter of Progress Energy Florida, Inc.; (Levy County...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-13

...] Atomic Safety and Licensing Board; In the Matter of Progress Energy Florida, Inc.; (Levy County Nuclear... Statements) This Atomic Safety and Licensing Board hereby gives notice that it will accept oral or written..., Inc.; Establishment of Atomic Safety and Licensing Board, 74 FR 9113 (Mar. 2, 2009) (ADAMS Accession...

33 CFR 96.250 - What documents and reports must a safety management system have?

Code of Federal Regulations, 2013 CFR

2013-07-01

... about safety and environmental pollution; and(2) Ability to request the company's help when necessary... requirements (a) Safety and environmental policy statements (1) Meet the objectives of § 96.230; and(2) Are... and affecting the safety and pollution prevention operations of the company and vessel(s); and (4) A...

33 CFR 96.250 - What documents and reports must a safety management system have?

Code of Federal Regulations, 2014 CFR

2014-07-01

... about safety and environmental pollution; and(2) Ability to request the company's help when necessary... requirements (a) Safety and environmental policy statements (1) Meet the objectives of § 96.230; and(2) Are... and affecting the safety and pollution prevention operations of the company and vessel(s); and (4) A...

33 CFR 96.250 - What documents and reports must a safety management system have?

Code of Federal Regulations, 2011 CFR

2011-07-01

... about safety and environmental pollution; and(2) Ability to request the company's help when necessary... requirements (a) Safety and environmental policy statements (1) Meet the objectives of § 96.230; and(2) Are... and affecting the safety and pollution prevention operations of the company and vessel(s); and (4) A...

33 CFR 96.250 - What documents and reports must a safety management system have?

Code of Federal Regulations, 2012 CFR

2012-07-01

... about safety and environmental pollution; and(2) Ability to request the company's help when necessary... requirements (a) Safety and environmental policy statements (1) Meet the objectives of § 96.230; and(2) Are... and affecting the safety and pollution prevention operations of the company and vessel(s); and (4) A...

29 CFR 11.10 - Identification of agency actions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... environmental document (i.e. an environmental assessment or an environmental impact statement); or usually will... require preparation of either an environmental assessment or an environmental impact statement, because... environmental impact. (ix) State grants under Sec. 503 of the Federal Mine Safety and Health Act These grants...

29 CFR 11.10 - Identification of agency actions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... environmental document (i.e. an environmental assessment or an environmental impact statement); or usually will... require preparation of either an environmental assessment or an environmental impact statement, because... environmental impact. (ix) State grants under Sec. 503 of the Federal Mine Safety and Health Act These grants...

29 CFR 11.10 - Identification of agency actions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... environmental document (i.e. an environmental assessment or an environmental impact statement); or usually will... require preparation of either an environmental assessment or an environmental impact statement, because... environmental impact. (ix) State grants under Sec. 503 of the Federal Mine Safety and Health Act These grants...

49 CFR 655.15 - Policy statement contents.

Code of Federal Regulations, 2013 CFR

2013-10-01

... immediately from his or her safety-sensitive function and be evaluated by a substance abuse professional, as..., DEPARTMENT OF TRANSPORTATION PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS Program Requirements § 655.15 Policy statement contents. The local governing board of the employer or...

49 CFR 655.15 - Policy statement contents.

Code of Federal Regulations, 2010 CFR

2010-10-01

... immediately from his or her safety-sensitive function and be evaluated by a substance abuse professional, as..., DEPARTMENT OF TRANSPORTATION PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS Program Requirements § 655.15 Policy statement contents. The local governing board of the employer or...

49 CFR 655.15 - Policy statement contents.

Code of Federal Regulations, 2011 CFR

2011-10-01

... immediately from his or her safety-sensitive function and be evaluated by a substance abuse professional, as..., DEPARTMENT OF TRANSPORTATION PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS Program Requirements § 655.15 Policy statement contents. The local governing board of the employer or...

49 CFR 655.15 - Policy statement contents.

Code of Federal Regulations, 2012 CFR

2012-10-01

... immediately from his or her safety-sensitive function and be evaluated by a substance abuse professional, as..., DEPARTMENT OF TRANSPORTATION PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS Program Requirements § 655.15 Policy statement contents. The local governing board of the employer or...

49 CFR 805.735-22 - Effect of statements on other requirements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 7 2011-10-01 2011-10-01 false Effect of statements on other requirements. 805.735-22 Section 805.735-22 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD EMPLOYEE RESPONSIBILITIES AND CONDUCT § 805.735-22 Effect of...

49 CFR 805.735-22 - Effect of statements on other requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Effect of statements on other requirements. 805.735-22 Section 805.735-22 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD EMPLOYEE RESPONSIBILITIES AND CONDUCT § 805.735-22 Effect of...

The reporting characteristics of bovine respiratory disease clinical intervention trials published prior to and following publication of the REFLECT statement.

PubMed

Totton, Sarah C; Cullen, Jonah N; Sargeant, Jan M; O'Connor, Annette M

2018-02-01

The goal of the REFLECT Statement (Reporting guidElines For randomized controLled trials in livEstoCk and food safeTy) (published in 2010) was to provide the veterinary research community with reporting guidelines tailored for randomized controlled trials for livestock and food safety. Our objective was to determine the prevalence of REFLECT Statement reporting of items 1-19 in controlled trials published in journals between 1970 and 2017 examining the comparative efficacy of FDA-registered antimicrobials against naturally acquired BRD (bovine respiratory disease) in weaned beef calves in Canada or the USA, and to compare the prevalence of reporting before and after 2010, when REFLECT was published. We divided REFLECT Statement, items 3, 5, 10, and 11 into subitems, because each dealt with multiple elements requiring separate assessment. As a result, 28 different items or subitems were evaluated independently. We searched MEDLINE ® and CABI (CAB Abstracts ® and Global Health ® ) (Web of Science™) in April 2017 and screened 2327 references. Two reviewers independently assessed the reporting of each item and subitem. Ninety-five references were eligible for the study. The reporting of the REFLECT items showed a point estimate for the prevalence ratio >1 (i.e. a higher proportion of studies published post-2010 reported this item compared to studies published pre-2010), apart from items 10.3, i.e., item 10, subitem 3 (who assigned study units to the interventions), 13 (the flow of study units through the study), 16 (number of study units in analysis), 18 (multiplicity), and 19 (adverse effects). Fifty-three (79%) of 67 studies published before 2010 and all 28 (100%) papers published after 2010 reported using a random allocation method in either the title, abstract, or methods (Prevalence ratio = 1.25; 95% CI (1.09,1.43)). However, 8 studies published prior to 2010 and 7 studies published post-2010 reported the term "systematic randomization" or variations of this term (which is not true randomization) to describe the allocation procedure. Fifty-five percent (37/67) of studies published pre-2010 reported blinding status (blinded/not blinded) of outcome assessors, compared to 24/28 (86%) of studies published post-2010 (Prevalence ratio = 1.5, 95% CI (1.19, 2.02)). The reporting of recommended items in journal articles in this body of work is generally improving; however, there is also evidence of confusion about what constitutes a random allocation procedure, and this suggests an educational need. As this study is observational, this precludes concluding that the publication of the REFLECT Statement was the cause of this trend. Copyright © 2017 Elsevier B.V. All rights reserved.

78 FR 57602 - Rules of Practice in Air Safety Proceedings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-19

... Practice in Air Safety Proceedings AGENCY: National Transportation Safety Board (NTSB or Board). ACTION... currently prohibits motions to dismiss the complaint or motions for a more definite statement of the complaint's allegations. Instead, Sec. 821.55(c) provides ``the substance [of such motions] may be stated in...

75 FR 54351 - Statement of Organization, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-07

... helping staff create a safe, healthful workplace environment, by assisting in the prevention of work... Health and Safety (CAJP), and insert the following: Office of Safety, Health, and Environment (CAJP). The mission of the Office of Safety, Health, and Environment (OSHE) of the Centers for Disease Control and...

School Safety under NCLB's Unsafe School Choice Option

ERIC Educational Resources Information Center

Gastic, Billie; Gasiewski, Josephine Ann

2008-01-01

Despite its flaws, the USCO created the conditions for an unprecedented national statement on school safety. This study asks: How do states conceptualize school safety? While critics have denounced the dizzying assortment of states' persistently dangerous criteria, we argue that these differences have been grossly exaggerated. We contend that…

75 FR 51178 - Safety Standard for Infant Walkers; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-19

... provision concerning warning statements on walkers with parking brakes. DATES: Effective on December 21... the last sentence. Another provision, at Sec. 1216.2(b)(21)(i), concerning a warning statement for walkers with parking brakes omitted a phrase indicating that the warning is only required for walkers that...

75 FR 70274 - Statement of Organization, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-17

... designs to prevent slope and highwall failures; (5) conducts research using a variety of techniques...) designs and conducts epidemiological research studies to identify and classify risk factors that cause, or... the titles and functional statements for the Office of Mine Safety and Health Research (CCM) and...

49 CFR Appendix C to Part 218 - Statement of Agency Enforcement Policy on Tampering

Code of Federal Regulations, 2014 CFR

2014-10-01

... Tampering C Appendix C to Part 218 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD OPERATING PRACTICES Pt. 218, App. C Appendix C to Part 218—Statement of Agency Enforcement Policy on Tampering The Rail Safety Improvement Act...

49 CFR Appendix C to Part 218 - Statement of Agency Enforcement Policy on Tampering

Code of Federal Regulations, 2013 CFR

2013-10-01

... Tampering C Appendix C to Part 218 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD OPERATING PRACTICES Pt. 218, App. C Appendix C to Part 218—Statement of Agency Enforcement Policy on Tampering The Rail Safety Improvement Act...

49 CFR 830.15 - Reports and statements to be filed.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Reports and statements to be filed. 830.15 Section 830.15 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD NOTIFICATION AND REPORTING OF AIRCRAFT ACCIDENTS OR INCIDENTS AND OVERDUE AIRCRAFT, AND PRESERVATION OF AIRCRAFT WRECKAGE, MAIL,...

49 CFR Appendix C to Part 218 - Statement of Agency Enforcement Policy on Tampering

Code of Federal Regulations, 2010 CFR

2010-10-01

... Tampering C Appendix C to Part 218 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD OPERATING PRACTICES Pt. 218, App. C Appendix C to Part 218—Statement of Agency Enforcement Policy on Tampering The Rail Safety Improvement Act...

9 CFR 355.37 - Alteration or limitation of statement of certification.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Alteration or limitation of statement of certification. 355.37 Section 355.37 Animals and Animal Products FOOD SAFETY AND INSPECTION... PRODUCTS INSPECTION AND VOLUNTARY INSPECTION AND CERTIFICATION CERTIFIED PRODUCTS FOR DOGS, CATS, AND OTHER...

Medical and surgical tourism: the new world of health care globalization and what it means for the practicing surgeon.

PubMed

Unti, James A

2009-04-01

In this issue of the Bulletin, the leadership of the American College of Surgeons has published a Statement on Medical and Surgical Tourism (see page 26). The statement addresses a number of concerns about this new industry and some of the safety and quality issues that patients may encounter if they seek health care services outside of the U.S. On June 16, 2008, the American Medical Association adopted its own first set of guidelines on medical tourism to help ensure the safety of patients who are considering traveling abroad for medical care. The American College of Surgeons' statement and the American Medical Association's guidelines together provide an important set of principles for consideration by patients, employers, insurers, and other third-party groups responsible for coordinating such travel outside of the country.

Trampoline safety in childhood and adolescence.

PubMed

Briskin, Susannah; LaBotz, Michele

2012-10-01

Despite previous recommendations from the American Academy of Pediatrics discouraging home use of trampolines, recreational use of trampolines in the home setting continues to be a popular activity among children and adolescents. This policy statement is an update to previous statements, reflecting the current literature on prevalence, patterns, and mechanisms of trampoline-related injuries. Most trampoline injuries occur with multiple simultaneous users on the mat. Cervical spine injuries often occur with falls off the trampoline or with attempts at somersaults or flips. Studies on the efficacy of trampoline safety measures are reviewed, and although there is a paucity of data, current implementation of safety measures have not appeared to mitigate risk substantially. Therefore, the home use of trampolines is strongly discouraged. The role of trampoline as a competitive sport and in structured training settings is reviewed, and recommendations for enhancing safety in these environments are made.

Food-safety educational goals for dietetics and hospitality students.

PubMed

Scheule, B

2000-08-01

To identify food-safety educational goals for dietetics and hospitality management students. Written questionnaires were used to identify educational goals and the most important food safety competencies for entry-level dietitians and foodservice managers. The sample included all directors of didactic programs in dietetics approved by the American Dietetic Association and baccalaureate-degree hospitality programs with membership in the Council on Hotel, Restaurant, and Institutional Education. Fifty-one percent of the directors responded. Descriptive statistics were calculated. chi 2 analysis and independent t tests were used to compare educators' responses for discrete and continuous variables, respectively. Exploratory factor analysis grouped statements about food safety competence. Internal consistency of factors was measured using Cronbach alpha. Thirty-four percent of dietetics programs and 70% of hospitality programs required or offered food safety certification. Dietetics educators reported multiple courses with food safety information, whereas hospitality educators identified 1 or 2 courses. In general, the educators rated food-safety competencies as very important or essential. Concepts related to Hazard Analysis and Critical Control Points (HAACP), irradiation, and pasteurization were rated less highly, compared with other items. Competencies related to reasons for outbreaks of foodborne illness were rated as most important. Food safety certification of dietitians and an increased emphasis on HAACP at the undergraduate level or during the practice component are suggested. Research is recommended to assess the level of food-safety competence expected by employers of entry-level dietitians and foodservice managers.

Safety, Health, and Fire Prevention Guide for Hospital Safety Managers

DTIC Science & Technology

1993-03-01

Safety committee S 2-5 Oxygen quality assurance program 0 2-6 Safety and fire prevention library 0 2-7 Safety services to Dental Activities • 2-8...Chapter 2 Safety Management 2-1. Safety policy statement Health Services Command (HSC) Supplement (Suppl) 1 to Army Regulation (AR) 385-10 and the...Management. (b) The medical staff. (c) The nursing service . (d) Logistics. (e) Nutritional care. (f) Preventive medicine. * 2-3 USAEHA TG No. 152 March 1993 (g

10 CFR Appendix A to Subpart B of... - General Statement of Safety Basis Policy

Code of Federal Regulations, 2011 CFR

2011-01-01

... for the design and construction of a new DOE nuclear facility or a major modification to an existing... acceptable nuclear safety design criteria for use in preparing a preliminary documented safety analysis. As a... mitigate hazards to workers, the public, or the environment. They include (1) physical, design, structural...

49 CFR Appendix C to Part 553 - Statement of Policy: Implementation of the United Nations/Economic Commission for Europe (UN/ECE...

Code of Federal Regulations, 2013 CFR

2013-10-01

... Agreement Continuously improve safety and seek high levels of safety, particularly by developing and... and regions, thereby providing greater safety protection with available government resources. II... a working party of experts recommends a harmonized or new global technical regulation, it sends a...

Special Education/Traffic Safety Education. Curriculum Guide.

ERIC Educational Resources Information Center

McBrayer, Clyde; Tidwell, Fred

The curriculum guide for special education students is intended to serve as a supplement to the Washington 1980 State Traffice Safety Education Curriculum Guide. The guide is also correlated with two popular traffic safety texts. Each of the 21 modules contains a goal statement, a list of vocabulary words that might be difficult, a check sheet…

77 FR 12004 - Stanislaus National Forest, CA; Notice of Intent To Prepare an Environmental Impact Statement for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-28

... Prepare an Environmental Impact Statement for Candy Rock Quarry Management AGENCY: Forest Service, USDA... Forest proposes to set permanent limitations on recreational target shooting at Candy Rock Quarry near... an appropriate activity at Candy Rock Quarry in the context of safety, public health, and applicable...

Complexity and Safety (FAA)

DTIC Science & Technology

2016-10-27

Software Engineering Institute Carnegie Mellon University Pittsburgh, PA 15213 © 2016 Carnegie Mellon University [DISTRIBUTION STATEMENT A: This... Carnegie Mellon University [DISTRIBUTION STATEMENT A: This material has been approved for public release and unlimited distribution] Copyright 2016 Carnegie ... Carnegie Mellon University for the operation of the Software Engineering Institute, a federally funded research and development center sponsored by

49 CFR 599.508 - Statements of matters in dispute and submission of supporting information.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Statements of matters in dispute and submission of supporting information. 599.508 Section 599.508 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) REQUIREMENTS AND PROCEDURES FOR CONSUME...

77 FR 5041 - National Offshore Safety Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-01

... recommendations on (1) the Diving Subcommittee and Task Statement to Study the Matter of Medical Treatment of... and recommendations on: (a) Diving Sub-committee and Task Statement to Study the Matter of Medical... Advisory Committee Act (FACA), 5 U.S.C. App. (Pub. L. 92-463). NOSAC provides advice and recommendations to...

Final Programmatic Environment Impact Statement for Commercial Reentry Vehicles

DOT National Transportation Integrated Search

1992-05-28

To ensure that space launch services provided by private enterprises are : consistent with national security and foreign policy interests of the U.S., : and do not jeopardize public safety and safety of property, the Department of : Transportation (D...

ISASS Policy Statement – Lumbar Artificial Disc

PubMed Central

Garcia, Rolando

2015-01-01

Purpose The primary goal of this Policy Statement is to educate patients, physicians, medical providers, reviewers, adjustors, case managers, insurers, and all others involved or affected by insurance coverage decisions regarding lumbar disc replacement surgery. Procedures This Policy Statement was developed by a panel of physicians selected by the Board of Directors of ISASS for their expertise and experience with lumbar TDR. The panel's recommendation was entirely based on the best evidence-based scientific research available regarding the safety and effectiveness of lumbar TDR. PMID:25785243

49 CFR Appendix A to Part 211 - Statement of Agency Policy Concerning Waivers Related to Shared Use of Trackage or Rights-of-Way...

Code of Federal Regulations, 2011 CFR

2011-10-01

....” 49 U.S.C. 20103(d). Waiver petitions are reviewed by FRA's Railroad Safety Board (the “Safety Board... that the facts are different from those presented or have changed substantially, FRA may revise its... safety issues involved in each specific shared use operation and a voice in shaping the safety...

49 CFR Appendix A to Part 211 - Statement of Agency Policy Concerning Waivers Related to Shared Use of Trackage or Rights-of-Way...

Code of Federal Regulations, 2010 CFR

2010-10-01

....” 49 U.S.C. 20103(d). Waiver petitions are reviewed by FRA's Railroad Safety Board (the “Safety Board... that the facts are different from those presented or have changed substantially, FRA may revise its... safety issues involved in each specific shared use operation and a voice in shaping the safety...

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement.

PubMed

Ambrosino, Nicolino; Vitacca, Michele; Dreher, Michael; Isetta, Valentina; Montserrat, Josep M; Tonia, Thomy; Turchetti, Giuseppe; Winck, Joao Carlos; Burgos, Felip; Kampelmacher, Michael; Vagheggini, Guido

2016-09-01

The estimated prevalence of ventilator-dependent individuals in Europe is 6.6 per 100 000 people. The increasing number and costs of these complex patients make present health organisations largely insufficient to face their needs. As a consequence, their burden lays mostly over families. The need to reduce healthcare costs and to increase safety has prompted the development of tele-monitoring for home ventilatory assistance.A European Respiratory Society Task Force produced a literature research based statement on commonly accepted clinical criteria for indications, follow-up, equipment, facilities, legal and economic issues of tele-monitoring of these patients.Many remote health monitoring systems are available, ensuring safety, feasibility, effectiveness, sustainability and flexibility to face different patients' needs. The legal problems associated with tele-monitoring are still controversial. National and European Union (EU) governments should develop guidelines and ethical, legal, regulatory, technical, administrative standards for remote medicine. The economic advantages, if any, of this new approach must be compared to a "gold standard" of home care that is very variable among different European countries and within each European country.Much more research is needed before considering tele-monitoring a real improvement in the management of these patients. Copyright ©ERS 2016.

[2015 updated position statement of the management of hyperglycaemia in type 2 diabetes].

PubMed

Scheen, A J; Paquot, N

2015-08-26

The strategy for the management ot type 2 diabetes, summarized by a group of European and American experts, has been updated early 2015. A patient-centered approach is recommended and the first drug choice is metformin combined with lifestyle improvement. After failure of metformin monotherapy, the selection of a second drug should be based on the efficacy, safety and cost of each pharmacological class. When compared to the position statement of 2012, the most important changes are the possible addition of a gliptin to a dual oral therapy or even to insulin, the commercialization of sodium-glucose cotransporters type 2 (SGLT2) inhibitors (gliflozins, to be used in dual or triple therapy, even in combination with insulin) and the possible combination of a glucagon-like peptide-I receptor agonist together with a basal insulin.

78 FR 27419 - Final Safety Culture Policy Statement

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-10

.... The BSEE appreciates this suggestion and is currently working to develop information sessions and... industries (e.g., Federal Aviation Administration, Nuclear Regulatory Commission, Petroleum Safety Authority... environmental stewardship to a vigorous and respected offshore energy industry. Each and every person involved...

Methods and processes of developing the strengthening the reporting of observational studies in epidemiology - veterinary (STROBE-Vet) statement.

PubMed

Sargeant, J M; O'Connor, A M; Dohoo, I R; Erb, H N; Cevallos, M; Egger, M; Ersbøll, A K; Martin, S W; Nielsen, L R; Pearl, D L; Pfeiffer, D U; Sanchez, J; Torrence, M E; Vigre, H; Waldner, C; Ward, M P

2016-11-01

The reporting of observational studies in veterinary research presents many challenges that often are not adequately addressed in published reporting guidelines. To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. A consensus meeting of experts was organized to develop an extension of the STROBE statement to address observational studies in veterinary medicine with respect to animal health, animal production, animal welfare, and food safety outcomes. Consensus meeting May 11-13, 2014 in Mississauga, Ontario, Canada. Seventeen experts from North America, Europe, and Australia attended the meeting. The experts were epidemiologists and biostatisticians, many of whom hold or have held editorial positions with relevant journals. Prior to the meeting, 19 experts completed a survey about whether they felt any of the 22 items of the STROBE statement should be modified and if items should be added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. At the meeting, the participants were provided with the survey responses and relevant literature concerning the reporting of veterinary observational studies. During the meeting, each STROBE item was discussed to determine whether or not re-wording was recommended, and whether additions were warranted. Anonymous voting was used to determine whether there was consensus for each item change or addition. The consensus was that six items needed no modifications or additions. Modifications or additions were made to the STROBE items numbered: 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). Published literature was not always available to support modification to, or inclusion of, an item. The methods and processes used in the development of this statement were similar to those used for other extensions of the STROBE statement. The use of this extension to the STROBE statement should improve the reporting of observational studies in veterinary research related to animal health, production, welfare, or food safety outcomes by recognizing the unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

49 CFR Appendix A to Part 237 - Supplemental Statement of Agency Policy on the Safety of Railroad Bridges

Code of Federal Regulations, 2011 CFR

2011-10-01

... pier reactions as necessary for a comprehensive evaluation and statement of the capacity of a bridge... seismic activity in an area. (c) The predicted attenuation of ground motion varies considerably within the United States. Local ground motion attenuation values and the magnitude of an earthquake both influence...

ESR statement on radiation protection: globalisation, personalised medicine and safety (the GPS approach).

PubMed

2013-12-01

In keeping with its responsibility for the radiation protection of patients undergoing radiological examinations and procedures, as well as of staff who are getting exposed, and with due regard to requirements under European Directives, the European Society of Radiology (ESR) issues this statement. It provides a holistic approach, termed as Globalisation (indicating all the steps and involving all stakeholders), Personalisation (referring to patient-centric) and Safety-thus called GPS. While being conscious that there is need to increase access of radiological imaging, ESR is aware about the increasing inappropriate medical exposures to ionising radiation and wide variation in patient doses for the same examination. The ESR is convinced that the different components of radiation protection are often interrelated and cannot be considered in isolation The ESR's GPS approach stands for: Globalisation (indicating all the steps and involving all stakeholders), Personalisation (referring to patient-centric) and Safety-thus called GPS It can be anticipated that enhanced protection of patients in Europe will result through the GPS approach. Although the focus is on patient safety, staff safety issues will find a place wherever pertinent.

The REFLECT statement: reporting guidelines for randomized controlled trials in livestock and food safety: explanation and elaboration.

PubMed

Sargeant, J M; O'Connor, A M; Gardner, I A; Dickson, J S; Torrence, M E; Dohoo, I R; Lefebvre, S L; Morley, P S; Ramirez, A; Snedeker, K

2010-03-01

Concerns about the completeness and accuracy of reporting of randomized clinical trials (RCTs) and the impact of poor reporting on decision-making have been documented in the medical field over the past several decades. Experience from RCTs in human medicine would suggest that failure to report critical trial features can be associated with biased estimated effect measures, and there is evidence to suggest similar biases occur in RCTs conducted in livestock populations. In response to these concerns, standardized guidelines for reporting RCTs were developed and implemented in human medicine. The Consolidated Standards of Reporting Trials (CONSORT) statement was first published in 1996 with a revised edition published in 2001. The CONSORT statement consists of a 22-item checklist for reporting a RCT and a flow diagram to follow the number of participants at each stage of a trial. An explanation and elaboration document not only defines and discusses the importance of each of the items, but also provides examples of how this information could be supplied in a publication. Differences between human and livestock populations necessitate modifications to the CONSORT statement to maximize its usefulness for RCTs involving livestock. These have been addressed in an extension of the CONSORT statement titled the REFLECT statement: Methods and processes of creating reporting guidelines for randomized control trials for livestock and food safety. The modifications made for livestock trials specifically addressed the common use of group housing and group allocation to intervention in livestock studies, the use of a deliberate challenge model in some trials, and common use of non-clinical outcomes, such as contamination with a foodborne pathogen. In addition, the REFLECT statement for RCTs in livestock populations proposed specific terms or further clarified terms as they pertained to livestock studies.

The REFLECT statement: reporting guidelines for Randomized Controlled Trials in livestock and food safety: explanation and elaboration.

PubMed

Sargeant, J M; O'Connor, A M; Gardner, I A; Dickson, J S; Torrence, M E

2010-03-01

Concerns about the completeness and accuracy of reporting of randomized clinical trials (RCTs) and the impact of poor reporting on decision making have been documented in the medical field over the past several decades. Experience from RCTs in human medicine would suggest that failure to report critical trial features can be associated with biased estimated effect measures, and there is evidence to suggest that similar biases occur in RCTs conducted in livestock populations. In response to these concerns, standardized guidelines for reporting RCTs were developed and implemented in human medicine. The Consolidated Standards of Reporting Trials (CONSORT) statement was first published in 1996, with a revised edition published in 2001. The CONSORT statement consists of a 22-item checklist for reporting a RCT and a flow diagram to follow the number of participants at each stage of a trial. An explanation and elaboration document not only defines and discusses the importance of each of the items, but also provides examples of how this information could be supplied in a publication. Differences between human and livestock populations necessitate modifications to the CONSORT statement to maximize its usefulness for RCTs involving livestock. These have been addressed in an extension of the CONSORT statement titled the REFLECT statement: Methods and processes of creating reporting guidelines for randomized control trials for livestock and food safety. The modifications made for livestock trials specifically addressed the common use of group housing and group allocation to intervention in livestock studies; the use of deliberate challenge models in some trials and the common use of non-clinical outcomes, such as contamination with a foodborne pathogen. In addition, the REFLECT statement for RCTs in livestock populations proposed specific terms or further clarified terms as they pertained to livestock studies.

Public Forum on Youth and Tobacco: Breaking the Cycle. Hearing on Examining Proposals To Deter Youth From Using Tobacco Products before the Subcommittee on Public Health and Safety of the Committee on Labor and Human Resources. United States Senate, One Hundred Fifth Congress, First Session (October 27, 1997).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

This publication contains the testimony from a hearing on growth and tobacco use. Statements include: (1) Opening Statement of Senator Bill Frist; (2) Statements of a panel of teens, Brandi Battle, Washington, DC; Kellie Jolly, Tennessee; Nickita Bradley, Maryland; and Josh, Virginia; followed by discussion; (3) Discussion and prepared statements…

Approaches to the management of agents used for the treatment of multiple sclerosis: consensus statements from a panel of U.S. managed care pharmacists and physicians.

PubMed

Miller, Ross M; Happe, Laura E; Meyer, Kellie L; Spear, Rachel J

2012-01-01

Multiple sclerosis (MS) is a chronic, disabling, and costly disease with several treatment options available; however, there is variability in evidence-based clinical guidelines. Therefore, payers are at a disadvantage when making management decisions without the benefit of definitive guidance from treatment guidelines. To outline approaches for the management of agents used to treat MS, as determined from a group of U.S. managed care pharmacists and physicians. A modified Delphi process was used to develop consensus statements regarding MS management approaches. The panel was composed of experts in managed care and included 8 pharmacy directors and 6 medical directors presently or previously involved in formulary decision making from 12 health plans, 1 specialty pharmacy, and 1 consulting company. These decision makers, who have experience designing health care benefits that include MS treatments, provided anonymous feedback through 2 rounds of web-based surveys and participated in 1 live panel meeting held in December 2010. Consensus was defined as a mean response of at least 3.3 or 100% of responses either "agree" or "strongly agree" (i.e., no panelist answered "disagree" or "strongly disagree") on a 4-item Likert scale (1=strongly disagree, 2=disagree, 3=agree, 4=strongly agree). After 3 phases, these managed care representatives reached consensus on 25 statements for management of patients with MS. Consistent with managed care principles, this group of managed care experts found that health plans should consider efficacy, effectiveness, and safety, as well as patient preference, when evaluating MS therapies for formulary placement. Cost and contracting should be considered if efficacy and safety are judged to be comparable between agents. The consensus statements developed by a panel of managed care representatives provide some insight into decision making in formulary and utilization management of MS therapies.

24 CFR 232.570 - Endorsement of credit instrument.

Code of Federal Regulations, 2011 CFR

2011-04-01

... AUTHORITIES MORTGAGE INSURANCE FOR NURSING HOMES, INTERMEDIATE CARE FACILITIES, BOARD AND CARE HOMES, AND... of Fire Safety Equipment Eligible Security Instruments § 232.570 Endorsement of credit instrument.... (c) Statement by the Secretary of Health and Human Services that the fire safety equipment noted in...

49 CFR 577.5 - Notification pursuant to a manufacturer's decision.

Code of Federal Regulations, 2011 CFR

2011-10-01

... includes the words “SAFETY,” “RECALL,” and “NOTICE,” all in capital letters and in type that is larger than... and Spanish. (b) An opening statement: “This notice is sent to you in accordance with the requirements... include an additional statement to that effect. (e) A clear description of the defect or noncompliance...

Predictors of Payer Mix and Financial Performance Among Safety Net Hospitals Prior to the Affordable Care Act.

PubMed

Sommers, Benjamin D; Stone, Juliana; Kane, Nancy

2016-01-01

The objective of this study was to use audited hospital financial statements to identify predictors of payer mix and financial performance in safety net hospitals prior to the Affordable Care Act. We analyzed the 2010 financial statements of 98 large, urban safety net hospital systems in 34 states, supplemented with data on population demographics, hospital features, and state policies. We used multivariate regression to identify independent predictors of three outcomes: 1) Medicaid-reliant payer mix (hospitals for which at least 25% of hospital days are paid for by Medicaid); 2) safety net revenue-to-cost ratio (Medicaid and Medicare Disproportionate Share Hospital payments and local government transfers, divided by charity care costs and Medicaid payment shortfall); and 3) operating margin. Medicaid-reliant payer mix was positively associated with more inclusive state Medicaid eligibility criteria and more minority patients. More inclusive Medicaid eligibility and higher Medicaid reimbursement rates positively predicted safety net revenue-to-cost ratio. University governance was the strongest positive predictor of operating margin. Safety net hospital financial performance varied considerably. Academic hospitals had higher operating margins, while more generous Medicaid eligibility and reimbursement policies improved hospitals' ability to recoup costs. Institutional and state policies may outweigh patient demographics in the financial health of safety net hospitals. © The Author(s) 2015.

49 CFR Appendix C to Part 209 - FRA's Policy Statement Concerning Small Entities

Code of Federal Regulations, 2014 CFR

2014-10-01

... RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Pt. 209, App... history of compliance, FRA inspectors consider “such other factors as the immediate circumstances make... eliminating the safety hazard; the entity's culpability; the entity's compliance history; the entity's ability...

Aviation Safety and Security: Challenges to Implementing the Recommendations of the White House Commission on Aviation Safety and Security -- GAO/T-RCED-97-90

DOT National Transportation Integrated Search

1997-03-05

This statement before Congress by Gerald L. Dillingham, Associate Director, : Transportation Issues, Resources, Community, and Economic Development Division, : General Accounting Office (GAO) assesses the recommendations contained in the : recently r...

Test and Evaluation Master Plan (TEMP) for the Ports and Waterways Safety System (PAWSS) Project

DOT National Transportation Integrated Search

1997-01-01

This document outlines the Test Concept for the Ports and Waterways Safety System (PAWSS) Project. This Test and Evaluation Master Plan (TEMP) purpose is to reduce risk and ensure the PAWSS project meets all System Specification and Statement of Work...

49 CFR Appendix C to Part 209 - FRA's Policy Statement Concerning Small Entities

Code of Federal Regulations, 2010 CFR

2010-10-01

... new regulations, persistent safety concerns, emerging technology, and compliance issues. Also, FRA... history of compliance, FRA inspectors consider “such other factors as the immediate circumstances make... eliminating the safety hazard; the entity's culpability; the entity's compliance history; the entity's ability...

Safety in the Air: A Curriculum about Flight and Air Traffic Control Designed for Middle School Students.

ERIC Educational Resources Information Center

Colton, Ted

This six-lesson unit is designed to familiarize sixth, seventh, and eighth grade students with air traffic safety and the individuals who make air traffic safety possible. Each lesson consists of a statement of the concept fostered, a list of objectives, a brief discussion on the focus of the unit, and instructional strategies for lesson topics…

Child Safety: It's No Accident. An Issue Statement.

ERIC Educational Resources Information Center

Virginia State Div. for Children, Richmond.

The three major causes of injury and mortality among children in the state of Virginia are, in order of frequency, automobile-related accidents, poison ingestion, and suicide. With respect to injuries sustained in automobile accidents, adults traveling with children by car must accept responsibility for the safety of child passengers. Acute…

78 FR 54873 - Notice of Intent To Prepare an Environmental Impact Statement for Multiple Projects in Support of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-06

... standards, life safety, sustainability, and energy efficiency, and Anti-Terrorism and Force Protection (AT.../FP and life safety standards, improve space utilization, and meet sustainability goals. The... public services for DC residents, to include public housing, education, or public recreation services...

Advanced missions safety. Volume 3: Appendices. Part 2: Experiment

NASA Technical Reports Server (NTRS)

Hinton, M. G., Jr.

1972-01-01

Supporting documentation pertaining to the hazards of transporting experimental equipment on the Earth Orbit Shuttle is presented. The subjects discussed are: (1) experiment and hardware definition, (2) hazard analysis, (3) preventive measure assessment, (4) preventive measures statements, (5) remedial measure assessment, and (6) experiment interaction safety considerations.

A Sacred Trust: The Safety of Our Children.

ERIC Educational Resources Information Center

Momentum, 2002

2002-01-01

Provides the text of the National Catholic Educational Association Statement on Child Abuse. This document, titled A Sacred Trust: The Safety of Our Children, was generated in response to the growing number of both confirmed and alleged cases of pedophilia and sexual abuse within the Catholic Church. (RC)

49 CFR 567.4 - Requirements for manufacturers of motor vehicles.

Code of Federal Regulations, 2010 CFR

2010-10-01

... applicable Federal motor vehicle safety, bumper, and theft prevention standards in effect on the date of... statement: “This vehicle conforms to all applicable Federal motor vehicle safety and theft prevention... conforms to the applicable Federal motor vehicle theft prevention standard in effect on the date of...

42 CFR 3.420 - Notice of proposed determination.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Instructions for responding to the notice, including a statement of the respondent's right to a hearing, a... PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.420 Notice of... Secretary's intent to impose a penalty. This notice of proposed determination must include: (1) Reference to...

42 CFR 3.420 - Notice of proposed determination.

Code of Federal Regulations, 2013 CFR

2013-10-01

...) Instructions for responding to the notice, including a statement of the respondent's right to a hearing, a... PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.420 Notice of... Secretary's intent to impose a penalty. This notice of proposed determination must include: (1) Reference to...

42 CFR 3.420 - Notice of proposed determination.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Instructions for responding to the notice, including a statement of the respondent's right to a hearing, a... PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.420 Notice of... Secretary's intent to impose a penalty. This notice of proposed determination must include: (1) Reference to...

42 CFR 3.420 - Notice of proposed determination.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) Instructions for responding to the notice, including a statement of the respondent's right to a hearing, a... PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.420 Notice of... Secretary's intent to impose a penalty. This notice of proposed determination must include: (1) Reference to...

42 CFR 3.420 - Notice of proposed determination.

Code of Federal Regulations, 2012 CFR

2012-10-01

...) Instructions for responding to the notice, including a statement of the respondent's right to a hearing, a... PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.420 Notice of... Secretary's intent to impose a penalty. This notice of proposed determination must include: (1) Reference to...

Sanitation and Safety for School Food Service: Program Development. Bulletin No. 92408.

ERIC Educational Resources Information Center

Bass, Kathleen S.

This resource manual contains criteria, prototype policies, procedure, and forms for establishing a comprehensive sanitation and safety program in Wisconsin public schools. The introduction contains a mission statement and a description of responsibilities for various state employees. The section on policy and procedure development outlines…

10 CFR Appendix A to Subpart B of... - General Statement of Safety Basis Policy

Code of Federal Regulations, 2010 CFR

2010-01-01

... Analysis Reports for Nuclear Power Plants, or successor document. (2) A DOE nonreactor nuclear facility... with DOE Policy 450.2A, “Identifying, Implementing and Complying with Environment, Safety and Health..., the public and the environment from adverse consequences. These analyses and hazard controls...

10 CFR Appendix B to Part 851 - General Statement of Enforcement Policy

Code of Federal Regulations, 2013 CFR

2013-01-01

... the general framework through which the U.S. Department of Energy (DOE) will seek to ensure compliance... Administrator acts after consideration of the Director's recommendation. V. Procedural Framework (a) Title 10... varying degrees of safety and health significance. Therefore, the relative safety and health risk of each...

10 CFR Appendix B to Part 851 - General Statement of Enforcement Policy

Code of Federal Regulations, 2014 CFR

2014-01-01

... the general framework through which the U.S. Department of Energy (DOE) will seek to ensure compliance... Administrator acts after consideration of the Director's recommendation. V. Procedural Framework (a) Title 10... varying degrees of safety and health significance. Therefore, the relative safety and health risk of each...

The European Federation of Organisations for Medical Physics Policy Statement No. 6.1: Recommended Guidelines on National Registration Schemes for Medical Physicists.

PubMed

Christofides, Stelios; Isidoro, Jorge; Pesznyak, Csilla; Bumbure, Lada; Cremers, Florian; Schmidt, Werner F O

2016-01-01

This EFOMP Policy Statement is an update of Policy Statement No. 6 first published in 1994. The present version takes into account the European Union Parliament and Council Directive 2013/55/EU that amends Directive 2005/36/EU on the recognition of professional qualifications and the European Union Council Directive 2013/59/EURATOM laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation. The European Commission Radiation Protection Report No. 174, Guidelines on Medical Physics Expert and the EFOMP Policy Statement No. 12.1, Recommendations on Medical Physics Education and Training in Europe 2014, are also taken into consideration. The EFOMP National Member Organisations are encouraged to update their Medical Physics registration schemes where these exist or to develop registration schemes taking into account the present version of this EFOMP Policy Statement (Policy Statement No. 6.1"Recommended Guidelines on National Registration Schemes for Medical Physicists"). Copyright © 2016. Published by Elsevier Ltd.

Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology-Veterinary (STROBE-Vet) Statement.

PubMed

Sargeant, J M; O'Connor, A M; Dohoo, I R; Erb, H N; Cevallos, M; Egger, M; Ersbøll, A K; Martin, S W; Nielsen, L R; Pearl, D L; Pfeiffer, D U; Sanchez, J; Torrence, M E; Vigre, H; Waldner, C; Ward, M P

2016-12-01

Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines. Our objective was to develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. We conducted a consensus meeting with 17 experts in Mississauga, Canada. Experts completed a premeeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended, and whether additions were warranted. Anonymous voting was used to determine consensus. Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources and measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife.

The Crisis in Homelessness: Effects on Children and Families. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundredth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

This document presents witness testimonies and prepared statements from the Congressional hearing called to examine the effects of homelessness on children and families. In their opening statements, Representatives George Miller and Dan Coats emphasize that homelessness threatens the physical health and safety of children, places them at risk of…

School Nurse Workload: Staffing for Safe Care. Position Statement

ERIC Educational Resources Information Center

Dolatowski, Rosemary; Endsley, Patricia; Hiltz, Cynthia; Johansen, Annette; Maughan, Erin; Minchella, Lindsey; Trefry, Sharonlee

2015-01-01

It is the position of the National Association of School Nurses (NASN) that daily access to a registered professional school nurse (hereinafter referred to as a school nurse) can significantly improve students' health, safety, and abilities to learn. To meet the health and safety needs of students, families, and school communities, school nurse…

77 FR 45415 - Preparation of an Environmental Impact Statement for the Redlands; Passenger Rail Project in the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

..., travel times, and corridor safety. DATES: The date, time, and location for the public scoping meetings... mobility, travel times, and corridor safety while minimizing adverse environmental impacts. The RPRP would provide travelers and commuters with a new mobility option that would achieve more-efficient travel times...

Message T-Shirts and School Safety

ERIC Educational Resources Information Center

Workman, Jane E.; Webb, Ashley L.; Freeburg, Beth Winfrey

2011-01-01

The purpose of this study was to investigate message T-shirts and school safety as rated by high school teachers (n = 47) and students (n = 275). Wearing message T-shirts displaying offensive statements/images may contribute to perceptions of a psychologically and/or physically unsafe school environment. Participants gave their impressions of 12…

76 FR 72823 - Voluntary Mergers of Federal Home Loan Banks

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

..., Senior Financial Analyst, Policy and Program Development, [email protected] , (202) 408-2828 (this is... Housing Enterprises Financial Safety and Soundness Act of 1992 (Safety and Soundness Act).\\6\\ \\6\\ See 12 U... final rule. A definition for the term ``Financial Statements'' has been added to the final rule to refer...

Final (Tier 1) environmental impact statement for the Galileo and Ulysses Missions

NASA Technical Reports Server (NTRS)

1988-01-01

Presented here is a Final (Tier 1) Environmental Impact Statement (EIS) addressing the potential environmental consequences associated with continuing the modifications of the Galileo and Ulysses spacecraft for launch using a booster/upper stage combination that is different from the one planned for use prior to the Challenger accident, while conducting the detailed safety and environmental analysis in order to preserve the October 1989 launch opportunity for Galileo and an October 1990 launch opportunity for Ulysses. While detailed safety and environmental analyses associated with the missions are underway, they currently are not complete. Nevertheless, sufficient information is available to enable a choice among the reconfiguration alternatives presented. Relevant assessments of the potential for environmental impacts are presented.

Environmental Impact Statement. Deactivation of the Minuteman II Missile Wing at Whiteman Air Force Base, Missouri

DTIC Science & Technology

1992-08-01

Hazardous Air Pollutants NHPA National Historic Preservation Act NIOSH National Institute for Occupational Safety and Health 1 NOEL no observed effect ...Pantex 3 document concluded that direct measurable effects to the health and safety of the general public or adverse impacts to the environment are likely...safety; and transportation accident potential. Solid wastes and underground storage tanks are also discussed in thic ection. Potential effects to health

Methods and strategies for future reactor safety goals

NASA Astrophysics Data System (ADS)

Arndt, Steven Andrew

There have been significant discussions over the past few years by the United States Nuclear Regulatory Commission (NRC), the Advisory Committee on Reactor Safeguards (ACRS), and others as to the adequacy of the NRC safety goals for use with the next generation of nuclear power reactors to be built in the United States. The NRC, in its safety goals policy statement, has provided general qualitative safety goals and basic quantitative health objectives (QHOs) for nuclear reactors in the United States. Risk metrics such as core damage frequency (CDF) and large early release frequency (LERF) have been used as surrogates for the QHOs. In its review of the new plant licensing policy the ACRS has looked at the safety goals, as has the NRC. A number of issues have been raised including what the Commission had in mind when it drafted the safety goals and QHOs, how risk from multiple reactors at a site should be combined for evaluation, how the combination of a new and old reactor at the same site should be evaluated, what the criteria for evaluating new reactors should be, and whether new reactors should be required to be safer than current generation reactors. As part of the development and application of the NRC safety goal policy statement the Commissioners laid out the expectations for the safety of a nuclear power plant but did not address the risk associated with current multi-unit sites, potential modular reactor sites, and hybrid sites that could contain current generation reactors, new passive reactors, and/or modular reactors. The NRC safety goals and the QHOs refer to a "nuclear power plant," but do not discuss whether a "plant" refers to only a single unit or all of the units on a site. There has been much discussion on this issue recently due to the development of modular reactors. Additionally, the risk of multiple reactor accidents on the same site has been largely ignored in the probabilistic risk assessments (PRAs) done to date, and in most risk-informed analyses and discussions. This dissertation examines potential approaches to updating the safety goals that include the establishment of new quantitative safety goal associated with the comparative risk of generating electricity by viable competing technologies and modifications of the goals to account for multi-plant reactor sites, and issues associated with the use of safety goals in both initial licensing and operational decision making. This research develops a new quantitative health objective that uses a comparable benefit risk metric based on the life-cycle risk of the construction, operation and decommissioning of a comparable non-nuclear electric generation facility, as well as the risks associated with mining and transportation. This dissertation also evaluates the effects of using various methods for aggregating site risk as a safety metric, as opposed to using single plant safety goals. Additionally, a number of important assumptions inherent in the current safety goals, including the effect of other potential negative societal effects such as the generation of greenhouse gases (e.g., carbon dioxide) have on the risk of electric power production and their effects on the setting of safety goals, is explored. Finally, the role risk perception should play in establishing safety goals has been explored. To complete this evaluation, a new method to analytically compare alternative technologies of generating electricity was developed, including development of a new way to evaluate risk perception, and a new method was developed for evaluating the risk at multiple units on a single site. To test these modifications to the safety goals a number of possible reactor designs and configurations were evaluated using these new proposed safety goals to determine the goals' usefulness and utility. The results of the analysis showed that the modifications provide measures that more closely evaluate the potential risk to the public from the operation of nuclear power plants than the current safety goals, while still providing a straight-forward process for assessment of reactor design and operation.

Safety and effectiveness of the herpes zoster vaccine to prevent postherpetic neuralgia: 2014 Update and consensus statement from the Canadian Pain Society

PubMed Central

2015-01-01

The Canadian Pain Society (CPS) hosted its first Study Day in Toronto in July 2014, attended by experts in various fields of pain management and research (listed below). The aim was to review the National Advisory Committee on Immunization guidelines and to prepare a CPS position statement concerning the use of the zoster vaccine in Canada. PMID:25664540

Identifying research priorities for patient safety in mental health: an international expert Delphi study

PubMed Central

Murray, Kevin; Thibaut, Bethan; Ramtale, Sonny Christian; Adam, Sheila; Darzi, Ara; Archer, Stephanie

2018-01-01

Objective Physical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health. Design Semistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements. Setting and participants Academic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included. Main outcome measures Agreement in research priorities on a five-point scale. Results Seventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important. Conclusions This is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this. PMID:29502096

77 FR 26815 - Motor Carrier Safety Advisory Committee (MCSAC): Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-07

...--005; H-08-013; H-09-019--020; and H-09-037--041. Long-Haul Cross Border Trucking Pilot Program Task... Metro station. Copies of all MCSAC Task Statements and an agenda for the entire meeting will be made... Transportation Safety Board (NTSB) At this meeting, the MCSAC will hear presentations and deliberate on Task 12...

School transportation safety.

PubMed

Agran, Phyllis F

2007-07-01

This policy statement replaces the previous version published in 1996. It provides new information, studies, regulations, and recommendations related to the safe transportation of children to and from school and school-related activities. Pediatricians can play an important role at the patient/family, community, state, and national levels as child advocates and consultants to schools and early education programs about transportation safety.

42 CFR 3.548 - Appeal of the ALJ's decision.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.548 Appeal of the ALJ's... copy of the Board's decision and a statement describing the right of any respondent who is penalized to... 42 Public Health 1 2010-10-01 2010-10-01 false Appeal of the ALJ's decision. 3.548 Section 3.548...

42 CFR 3.548 - Appeal of the ALJ's decision.

Code of Federal Regulations, 2013 CFR

2013-10-01

... SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.548 Appeal of the ALJ's... copy of the Board's decision and a statement describing the right of any respondent who is penalized to... 42 Public Health 1 2013-10-01 2013-10-01 false Appeal of the ALJ's decision. 3.548 Section 3.548...

42 CFR 3.548 - Appeal of the ALJ's decision.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.548 Appeal of the ALJ's... copy of the Board's decision and a statement describing the right of any respondent who is penalized to... 42 Public Health 1 2012-10-01 2012-10-01 false Appeal of the ALJ's decision. 3.548 Section 3.548...

42 CFR 3.548 - Appeal of the ALJ's decision.

Code of Federal Regulations, 2011 CFR

2011-10-01

... SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.548 Appeal of the ALJ's... copy of the Board's decision and a statement describing the right of any respondent who is penalized to... 42 Public Health 1 2011-10-01 2011-10-01 false Appeal of the ALJ's decision. 3.548 Section 3.548...

The European Federation of Organisations for Medical Physics. Policy Statement No. 7.1: The roles, responsibilities and status of the medical physicist including the criteria for the staffing levels in a Medical Physics Department approved by EFOMP Council on 5th February 2016.

PubMed

Evans, Stephen; Christofides, Stelios; Brambilla, Marco

2016-04-01

This EFOMP Policy Statement is an amalgamation and an update of the EFOMP Policy Statements No. 2, 4 and 7. It presents guidelines for the roles, responsibilities and status of the medical physicist together with recommended minimum staffing levels. These recommendations take into account the ever-increasing demands for competence, patient safety, specialisation and cost effectiveness of modern healthcare services, the requirements of the European Union Council Directive 2013/59/Euratom laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation, the European Commission's Radiation Protection Report No. 174: "Guidelines on medical physics expert", as well as the relevant publications of the International Atomic Energy Agency. The provided recommendations on minimum staffing levels are in very good agreement with those provided by both the European Commission and the International Atomic Energy Agency. Copyright © 2016. Published by Elsevier Ltd.

ACVIM small animal consensus statement on safe use of cytotoxic chemotherapeutics in veterinary practice

PubMed Central

Klahn, Shawna; Phillips, Brenda; Parshley, Lisa; Bennett, Peter; Flory, Andi; Calderon, Rosemary

2018-01-01

The purpose of this report is to offer a consensus opinion of ACVIM oncology diplomates and technicians on the safe use of cytotoxic chemotherapeutics in veterinary practice. The focus is on minimizing harm to the personnel exposed to the drugs: veterinary practitioners, veterinary technicians, veterinary staff, and pet owners. The safety of the patient receiving these drugs is also of paramount importance, but is not addressed in this statement. Much of the information presented is based on national recommendations by Occupational Safety and Health Administration, National Institute for Occupational Safety and Health, United States Pharmacopeia, and other published regulations. These directives reflect an abundance of caution to minimize exposure to medical personnel, but large‐scale studies about the consequences of long‐term occupational exposure are not available in veterinary medicine. Challenges in the delivery of optimal treatment safely and economically to veterinary patients in general practice without access to a veterinary oncologist or other specialist, because of costs or proximity, remain. PMID:29603372

Consensus statement on blocking the effects of interleukin-6 and in particular by interleukin-6 receptor inhibition in rheumatoid arthritis and other inflammatory conditions

PubMed Central

Smolen, Josef S; Schoels, Monika M; Nishimoto, Norihiro; Breedveld, Ferdinand C; Burmester, Gerd R; Dougados, Maxime; Emery, Paul; Ferraccioli, Gianfranco; Gabay, Cem; Gibofsky, Allan; Gomez-Reino, Juan Jesus; Jones, Graeme; Kvien, Tore K; Murakami, Miho; Betteridge, Neil; Bingham, Clifton O; Bykerk, Vivian; Choy, Ernest H; Combe, Bernard; Cutolo, Maurizio; Graninger, Winfried; Lanas, Angel; Martin-Mola, Emilio; Montecucco, Carlomaurizio; Ostergaard, Mikkel; Pavelka, Karel; Rubbert-Roth, Andrea; Sattar, Naveed; Scholte-Voshaar, Marieke; Tanaka, Yoshiya; Trauner, Michael; Valentini, Gabriele; Winthrop, Kevin L; de Wit, Maarten; van der Heijde, Désirée

2013-01-01

Background Since approval of tocilizumab (TCZ) for treatment of rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA), interleukin 6 (IL-6) pathway inhibition was evaluated in trials of TCZ and other agents targeting the IL-6 receptor and ligand in various RA populations and other inflammatory diseases. This consensus document informs on interference with the IL-6 pathway based on evidence and expert opinion. Methods Preparation of this document involved international experts in RA treatment and RA patients. A systematic literature search was performed that focused on TCZ and other IL6-pathway inhibitors in RA and other diseases. Subsequently, incorporating available published evidence and expert opinion, the steering committee and a broader expert committee (both including RA patients) formulated the current consensus statement. Results The consensus statement covers use of TCZ as combination- or monotherapy in various RA populations and includes clinical, functional and structural aspects. The statement also addresses the second approved indication in Europe JIA and non-approved indications. Also early phase trials involving additional agents that target the IL-6 receptor or IL-6 were evaluated. Safety concerns, including haematological, hepatic and metabolic issues as well as infections, are addressed likewise. Conclusions The consensus statement identifies points to consider when using TCZ, regarding indications, contraindications, screening, dose, comedication, response evaluation and safety. The document is aimed at supporting clinicians and informing patients, administrators and payers on opportunities and limitations of IL-6 pathway inhibition. PMID:23172750

Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology - Veterinary (STROBE-Vet) Statement.

PubMed

Sargeant, J M; O'Connor, A M; Dohoo, I R; Erb, H N; Cevallos, M; Egger, M; Ersbøll, A K; Martin, S W; Nielsen, L R; Pearl, D L; Pfeiffer, D U; Sanchez, J; Torrence, M E; Vigre, H; Waldner, C; Ward, M P

2016-12-01

The reporting of observational studies in veterinary research presents many challenges that often are not adequately addressed in published reporting guidelines. A consensus meeting of experts was organized to develop an extension of the STROBE statement to address observational studies in veterinary medicine with respect to animal health, animal production, animal welfare and food safety outcomes. The consensus meeting was held 11-13 May 2014 in Mississauga, Ontario, Canada. Seventeen experts from North America, Europe and Australia attended the meeting. The experts were epidemiologists and biostatisticians, many of whom hold or have held editorial positions with relevant journals. Prior to the meeting, 19 experts completed a survey about whether they felt any of the 22 items of the STROBE statement should be modified and whether items should be added to address unique issues related to observational studies in animal species with health, production, welfare or food safety outcomes. At the meeting, the participants were provided with the survey responses and relevant literature concerning the reporting of veterinary observational studies. During the meeting, each STROBE item was discussed to determine whether or not re-wording was recommended, and whether additions were warranted. Anonymous voting was used to determine whether there was consensus for each item change or addition. The consensus was that six items needed no modifications or additions. Modifications or additions were made to the STROBE items numbered as follows: 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations) and 22 (funding). Published literature was not always available to support modification to, or inclusion of, an item. The methods and processes used in the development of this statement were similar to those used for other extensions of the STROBE statement. The use of this extension to the STROBE statement should improve the reporting of observational studies in veterinary research related to animal health, production, welfare or food safety outcomes by recognizing the unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture and wildlife. © 2016 The Authors. Zoonoses and Public Health published by Blackwell Verlag GmbH.

Reporting guidelines for primary research: Saying what you did.

PubMed

O'Connor, Annette

2010-12-01

Reporting guidelines aim to facilitate publication of a full and accurate description of research conducted. The motivations for a full and accurate description of research is to enable reproduction of the study, assessment of bias, extraction of data from the study, and to fulfill an ethical obligation to maximize the utility of research findings. Many reporting guidelines exist and most are based on a specific study design such as randomized controlled trials (CONSORT statement) and observational studies (STROBE statement). The REFLECT statement focuses on randomized control trials in livestock and food safety studies. The REFLECT statement has increased emphasis on conveying information about animal housing, group level allocation and challenge studies. Guidelines can be used by authors, reviewers and editors to provide readers with a full and accurate description of the work conducted. Copyright © 2010 Elsevier B.V. All rights reserved.

Documentation of pediatric drug safety in manufacturers' product monographs: a cross-sectional evaluation of the canadian compendium of pharmaceuticals and specialities.

PubMed

Uppal, Navjeet K; Dupuis, Lee L; Parshuram, Christopher S

2008-01-01

To describe the provision of pediatric drug safety information in a national formulary of manufacturers' drug product monographs. We performed a cross-sectional evaluation of comprehensive product monographs contained in the 2005 Canadian Compendium of Pharmaceuticals and Specialities (CPS). We abstracted data describing indications for prescription, statements about pediatric safety, available preparations, and provision of dosing guidelines. For each monograph we classified pediatric safety data as either present, present but limited or absent. We then described the pediatric safety data in CPS monographs for drugs listed in the published formulary of the Hospital for Sick Children, Toronto, Ontario, Canada. A total of 2232 product monographs were screened; 684 were excluded and 1548 (66%) were further analyzed. 1462 (94%) had indications that did not exclude children. Pediatric safety information was present in 592 (38%), present but limited in 148 (10%), and absent in 808 (52%) drug monographs. Safety statements were absent in 224 (14%) drug monographs that provided both dosing guidelines and formulations suitable for administration to children, and in 214 (52%) of 411 drugs in the pediatric hospital formulary. We evaluated a widely available national source of pediatric prescribing information. Safety data for children was not mentioned in more than half of the product monographs. Moreover, the provision of safety data was discordant with indications for prescription, the availability of pediatric formulations, and dosing guidelines within the monographs, and with inclusion in a pediatric hospital formulary. Our study suggests that the presentation of pediatric safety data in drug product monographs can be improved to better inform prescribing and to optimize pharmacotherapy in children.

Position statement: start middle and high schools at 8:30 am or later to promote student health and learning.

PubMed

Trevorrow, Tracy; Zhou, Eric S; Dietch, Jessica R; Gonzalez, Brian D

2018-03-13

The Society of Behavioral Medicine recommends school officials start middle and high school classes at 8:30 am or later. Such a schedule promotes students' sleep health, resulting in improvements in physical health, psychological well-being, attention and concentration, academic performance, and driving safety. In this position statement, we propose a four-tiered approach to promote later school start times for middle and high schools.

GH safety workshop position paper: A critical appraisal of recombinant human GH therapy in children and adults

USDA-ARS?s Scientific Manuscript database

Recombinant human Growth Hormone (rhGH) has been in use for 30 years, and over that time its safety and efficacy in children and adults has been subject to considerable scrutiny. In 2001, a statement from the GH Research Society (GRS) concluded that 'for approved indications, GH is safe'; however, t...

77 FR 35105 - Notice To Rescind the Notice of Intent To Develop the Environmental Impact Statement: Bronx...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-12

...) intended to prepare an EIS on the proposal to improve safety and traffic flow at the Bruckner Expressway (I... improve safety and traffic flow at the Bruckner Expressway (I-278) at its interchange with the Arthur V. Sheridan Expressway (I-895) and to reduce traffic, especially trucks from the local streets and to enhance...

49 CFR Appendix A to Part 209 - Statement of Agency Policy Concerning Enforcement of the Federal Railroad Safety Laws

Code of Federal Regulations, 2013 CFR

2013-10-01

... exercise of jurisdiction. In this context, the presence of intrusion detection devices to alert one or both... about sufficient intrusion detection and related safety measures designed to avoid a collision between...). By “general railroad system of transportation,” FRA refers to the network of standard gage track over...

49 CFR Appendix A to Part 209 - Statement of Agency Policy Concerning Enforcement of the Federal Railroad Safety Laws

Code of Federal Regulations, 2014 CFR

2014-10-01

... exercise of jurisdiction. In this context, the presence of intrusion detection devices to alert one or both... about sufficient intrusion detection and related safety measures designed to avoid a collision between...). By “general railroad system of transportation,” FRA refers to the network of standard gage track over...

49 CFR Appendix A to Part 209 - Statement of Agency Policy Concerning Enforcement of the Federal Railroad Safety Laws

Code of Federal Regulations, 2012 CFR

2012-10-01

... exercise of jurisdiction. In this context, the presence of intrusion detection devices to alert one or both... about sufficient intrusion detection and related safety measures designed to avoid a collision between...). By “general railroad system of transportation,” FRA refers to the network of standard gage track over...

Statement on Public-Private Partnerships as Part of the NIH HEAL Initiative

MedlinePlus

... Record Research & Training Medical Research Initiatives Science Highlights Science Education Research in NIH Labs & Clinics Training Opportunities Library Resources Research Resources Clinical Research Resources Safety, Regulation ...

Impact of the 2011 FDA transvaginal mesh safety update on AUGS members' use of synthetic mesh and biologic grafts in pelvic reconstructive surgery.

PubMed

Clemons, Jeffrey L; Weinstein, Milena; Guess, Marsha K; Alperin, Marianna; Moalli, Pamela; Gregory, William Thomas; Lukacz, Emily S; Sung, Vivian W; Chen, Bertha H; Bradley, Catherine S

2013-01-01

To describe the frequency of use and recent change in use of synthetic mesh and biologic grafts in pelvic organ prolapse (POP) and stress urinary incontinence surgery by American Urogynecology Society (AUGS) members. An electronic survey of AUGS members was conducted between December 2011 and January 2012. Frequency of graft use in POP (overall and by transvaginal and transabdominal approaches) and stress urinary incontinence surgery was queried relative to the timing of the 2011 Food and Drug Administration (FDA) safety update. Rates of materials' use before and after the statement were compared using Wilcoxon signed rank test. Fifty-three percent (507/962) of AUGS members responded and were included in analysis; 79% were urogynecologists. Before the FDA warning, in POP surgery, most (90%) used synthetic mesh and fewer (34%) used biologic grafts; 99% used synthetic mesh slings. After the FDA statement, respondents reported an overall decrease in the percent of POP cases in which they used synthetic mesh (P < 0.001) but no change in biologic graft use for POP (P = 0.37) or synthetic mesh sling use (P = 0.10). Specifically, transvaginal mesh use decreased: 40% reported decreased use and 12% stopped use. However, transvaginal mesh was still used by 61% of respondents in at least some cases. No change (62%) or increased use (12%) of mesh was reported for transabdominal POP procedures. Synthetic mesh use in transvaginal POP surgery decreased after the 2011 FDA safety update, but synthetic mesh use for transabdominal POP repair and sling procedures and overall biologic graft use in POP surgery did not decrease.

Compliance of Parenting Magazines Advertisements with American Academy of Pediatrics Recommendations.

PubMed

Pitt, Michael B; Berger, Jennifer N; Sheehan, Karen M

2016-11-01

This study examined 3218 advertisements from the two parenting magazines with highest circulation in the United States. The authors compared each advertisement for a product for use by children, against all the published recommendations of the American Academy of Pediatrics (AAP) on topics such as toy safety, helmet use, age-defined choking hazards, infant sleep safety, and others. Any advertisement with images or products which went against a published AAP recommendation was deemed as non-adherence and was categorized according to the statement it contradicted. Nearly one in six (15.7%) of the advertisements contained example(s) of non-adherence to AAP recommendations, with twelve categories of offense represented. Categories ranked by overall share from most to least include: non-Food and Drug Administration (FDA) approved medical treatments, age-defined choking hazards, vitamins, cold medicine, formula, oral care, screen time, toy/playground safety, infant sleep, nutrition, water safety, and fall risk. Given that repeated exposure to messages in advertisements has been associated with changes in health decision-making, and parents often turn to parenting magazines for advice and ideas regarding their children, the publishers might consider screening the content in order to prevent confusing and potentially dangerous messages from being disseminated in the media.

46 CFR 185.506 - Passenger safety orientation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the vessel is operating with reduced manning or equipment requirements in § 176.114 of this chapter... (2) Make an abbreviated announcement consisting of: (i) A statement that passengers should follow the...

76 FR 20071 - Environmental Impact Statement: Oakland and Genesee Counties, MI

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-11

... pavement rehabilitation projects, safety improvement projects, intersection operation projects, and... when the narrow boulevard was found to be equal from a traffic standpoint and acceptable from a design...

Missions Statements in Wales: The Impact of Markets and Policy on Congruence between Institutions

ERIC Educational Resources Information Center

James, Helen; Huisman, Jeroen

2009-01-01

This study seeks to compare the mission statements of higher education institutions in Wales as well as to compare these with regional level policy statements and demands from the market. The underlying idea is to reveal the extent to which mission statements actually differ and are (or are not) in line with such regional policies and market…

Complying with current Joint Commission Statement of Conditions (SOC) requirements.

PubMed

Erickson, D; Berek, B; Mills, G

1997-01-01

This Technical Document has been developed to provide the reader with insight into the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) Statement of Conditions (SOC) process and recent changes for completing the SOC for Business Occupancies. The intent of this document is not to replace the instructions in Part 1 of the SOC or to give a complete review of the National Fire Protection Agency's (NFPA) Life Safety Code for health care or business occupancies, but rather to complement them.

Safe Prevention of the Primary Cesarean Delivery: ACOG and SMFM Change the Game

PubMed Central

Lothian, Judith A.

2014-01-01

Safe Prevention of the Primary Cesarean Delivery, a joint statement of the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine, changes the rules of maternity care management. The statement reviews the research and uses the findings to make practice recommendations. This article discusses the major recommendations and their importance in decreasing risk and increasing safety for mothers and babies. The articles in the current issue of the journal are also reviewed.

Safety and Efficacy of Over-the-Counter Drug Use by the Elderly. Hearing before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging. House of Representatives, Ninety-Eighth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Aging.

This document contains the prepared statements and panel testimony from the Congressional hearing on over-the-counter (OTC) drug use by the elderly. Opening statements are given by Representatives Claude Pepper (chairman), Ralph Regula, Mary Rose Oakar, Michael Bilirakis, Tom Lantos, and Hal Daub. Topics which are covered include the incidence and…

Insurance statements from French anaesthesiologists and intensivists: A database analysis.

PubMed

Boutonnet, Mathieu; Trouiller, Pierre; Lopard, Eric; Amalberti, René; Houselstein, Thierry; Pasquier, Pierre; Auroy, Yves; De Saint-Maurice, Guillaume

2016-10-01

From its origins, anaesthesia is a leading medical specialty for improving patient safety. However, perioperative adverse events remain frequent and may be preventable in 50% of cases. We conducted a collaborative retrospective study analysis of the insurance-database of the MACSF-Sou Medical insurance company to assess the perioperative risk. Retrospective study, including all the statements declared by anaesthesiologists to the MACSF-Sou Medical insurance company. A description of risk in perioperative medicine was performed by the assessment of these statements by three experts member of the SFAR. All the statements concerning regional anaesthesia and dental injuries were excluded. Eight hundred and seventy statements were analyzed. The patients involved were predominantly women (sex-ratio: 0.86), with a mean age of 56 years (±18). Three hundred and fifteen cardiac arrests, 157 severe systemic complications, 340 moderate complications and 106 conflicts were analyzed. Most of the events were revealed postoperatively (79.3%) and almost half of them after the discharge of the postanesthetic care unit. The medical consequences were considered as serious. Death followed 35.9% of the events declared. Relative or true hypovolaemia and stroke were responsible for a large part of postoperative mortality and morbidity. Collaborating with insurance companies allows a relevant approach of the perioperative risk. The study highlighted the importance of the delayed complications and is a plea for a more intense implication of anaesthesia in the postoperative care with the aim of improving patient safety. Copyright © 2016 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology - Veterinary (STROBE-Vet) Statement.

PubMed

Sargeant, J M; O'Connor, A M; Dohoo, I R; Erb, H N; Cevallos, M; Egger, M; Ersbøll, A K; Martin, S W; Nielsen, L R; Pearl, D L; Pfeiffer, D U; Sanchez, J; Torrence, M E; Vigre, H; Waldner, C; Ward, M P

2016-11-01

Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines. To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. Consensus meeting of experts. Mississauga, Canada. Seventeen experts from North America, Europe, and Australia. Experts completed a pre-meeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended and whether additions were warranted. Anonymous voting was used to determine consensus. Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife. Copyright © 2016 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

Dealing with Trespassers.

ERIC Educational Resources Information Center

Dorn, Michael

1998-01-01

Presents expert advice on keeping violations of school trespassing from escalating into worse violations of school safety. Discusses the use of trespass-warning statements, identifying areas of danger, and whether police officers in schools are the solution. (GR)

CVISN statement of direction

DOT National Transportation Integrated Search

1997-06-04

The scope of CVO includes the operations associated with moving goods and passengers via commercial vehicles over the North American highway system and the activities necessary to regulate these operations. It includes activities related to safety as...

75 FR 20009 - Development of NRC's Safety Culture Policy Statement: Cancellation of Public Workshops Scheduled...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... to safety culture. The series of workshops were designed to build upon each other, and to be used to... Notice (FRN) (74 FR 66387) (ADAMS Number: ML100150141) its plans for holding a series of workshops to..., April 13-15, 2010, and October 27-28, 2010, at or near NRC headquarters in Rockville, MD. At the time...

The electronic cigarette. Official statement of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR) on the efficacy, safety and regulation of electronic cigarettes.

PubMed

Jimenez Ruiz, Carlos A; Solano Reina, Segismundo; de Granda Orive, Jose Ignacio; Signes-Costa Minaya, Jaime; de Higes Martinez, Eva; Riesco Miranda, Juan Antonio; Altet Gómez, Neus; Lorza Blasco, Jose Javier; Barrueco Ferrero, Miguel; de Lucas Ramos, Pilar

2014-08-01

The electronic cigarette (EC) is a device formed by three basic elements: battery, atomizer and cartridge. When assembled, it looks like a cigarette. The cartridge contains different substances: propylene glycol, glycerine and, sometimes, nicotine. When the user "vapes", the battery is activated, the atomizer is heated and the liquid is drawn in and vaporized. The smoker inhales the mist produced. Various substances have been detected in this mist: formaldehyde, acetaldehyde and acrolein and some heavy metals. Although these are found in lower concentrations than in cigarettes, they may still be harmful for the human body. Several surveys show that 3-10% of smokers regularly use e-cigarettes. A randomized study has shown that the efficacy of e-cigarettes for helping smokers to quit is similar to nicotine patches. Nevertheless, the study has relevant methodological limitations and reliable conclusions cannot be deduced. This report sets down the Position Statement of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) on the efficacy and safety of e-cigarettes. This statement declares that e-cigarettes should be regulated as medicinal products. Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.

From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability in a Large Health Care System.

PubMed

Austin, J Matthew; Demski, Renee; Callender, Tiffany; Lee, K H Ken; Hoffman, Ann; Allen, Lisa; Radke, Deborah A; Kim, Yungjin; Werthman, Ronald J; Peterson, Ronald R; Pronovost, Peter J

2017-04-01

As the health care system in the United States places greater emphasis on the public reporting of quality and safety data and its use to determine payment, provider organizations must implement structures that ensure discipline and rigor regarding these data. An academic health system, as part of a performance management system, applied four key components of a financial reporting structure to support the goal of top-to-bottom accountability for improving quality and safety. The four components implemented by Johns Hopkins Medicine were governance, accountability, reporting of consolidated quality performance statements, and auditing. Governance is provided by the health system's Patient Safety and Quality Board Committee, which reviews goals and strategy for patient safety and quality, reviews quarterly performance for each entity, and holds organizational leaders accountable for performance. An accountability plan includes escalating levels of review corresponding to the number of months an entity misses the defined performance target for a measure. A consolidated quality statement helps inform the Patient Safety and Quality Board Committee and leadership on key quality and safety issues. An audit evaluates the efficiency and effectiveness of processes for data collection, validation, and storage, as to ensure the accuracy and completeness of quality measure reporting. If hospitals and health systems truly want to prioritize improvements in safety and quality, they will need to create a performance management system that ensures data validity and supports performance accountability. Without valid data, it is difficult to know whether a performance gap is due to data quality or clinical quality. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

21 CFR 740.2 - Conspicuousness of warning statements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Conspicuousness of warning statements. 740.2... (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS General § 740.2 Conspicuousness of warning statements. (a) A warning statement shall appear on the label prominently and conspicuously as compared to...

21 CFR 740.2 - Conspicuousness of warning statements.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 7 2013-04-01 2013-04-01 false Conspicuousness of warning statements. 740.2... (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS General § 740.2 Conspicuousness of warning statements. (a) A warning statement shall appear on the label prominently and conspicuously as compared to...

21 CFR 740.2 - Conspicuousness of warning statements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 7 2014-04-01 2014-04-01 false Conspicuousness of warning statements. 740.2... (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS General § 740.2 Conspicuousness of warning statements. (a) A warning statement shall appear on the label prominently and conspicuously as compared to...

21 CFR 740.2 - Conspicuousness of warning statements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Conspicuousness of warning statements. 740.2... (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS General § 740.2 Conspicuousness of warning statements. (a) A warning statement shall appear on the label prominently and conspicuously as compared to...

21 CFR 740.2 - Conspicuousness of warning statements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 7 2012-04-01 2012-04-01 false Conspicuousness of warning statements. 740.2... (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS General § 740.2 Conspicuousness of warning statements. (a) A warning statement shall appear on the label prominently and conspicuously as compared to...

Prediction and Prevention of Chemical Reaction Hazards: Learning by Simulation.

ERIC Educational Resources Information Center

Shacham, Mordechai; Brauner, Neima; Cutlip, Michael B.

2001-01-01

Points out that chemical hazards are the major cause of accidents in chemical industry and describes a safety teaching approach using a simulation. Explains a problem statement on exothermic liquid-phase reactions. (YDS)

Identifying research priorities for patient safety in mental health: an international expert Delphi study.

PubMed

Dewa, Lindsay H; Murray, Kevin; Thibaut, Bethan; Ramtale, Sonny Christian; Adam, Sheila; Darzi, Ara; Archer, Stephanie

2018-03-03

Physical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health. Semistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements. Academic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included. Agreement in research priorities on a five-point scale. Seventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important. This is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

49 CFR 520.4 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 6 2012-10-01 2012-10-01 false Applicability. 520.4 Section 520.4 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION... human environment. (f) Consolidation of statements. Proposed actions (and alternatives thereto) having...

49 CFR 520.4 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 6 2014-10-01 2014-10-01 false Applicability. 520.4 Section 520.4 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION... human environment. (f) Consolidation of statements. Proposed actions (and alternatives thereto) having...

49 CFR 520.4 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 6 2013-10-01 2013-10-01 false Applicability. 520.4 Section 520.4 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION... human environment. (f) Consolidation of statements. Proposed actions (and alternatives thereto) having...

20 CFR 410.229 - When written statement is considered a claim; general.

Code of Federal Regulations, 2011 CFR

2011-04-01

... HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Requirements for Entitlement... (2) If the Administration is notified that the death of such claimant occurred before the mailing of...

20 CFR 410.229 - When written statement is considered a claim; general.

Code of Federal Regulations, 2010 CFR

2010-04-01

... HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Requirements for Entitlement... (2) If the Administration is notified that the death of such claimant occurred before the mailing of...

49 CFR 520.4 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 6 2010-10-01 2010-10-01 false Applicability. 520.4 Section 520.4 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION... human environment. (f) Consolidation of statements. Proposed actions (and alternatives thereto) having...

Overview of the Next Generation Air/Ground Communications System Program

DOT National Transportation Integrated Search

1995-05-15

The Federal Aviation Administration (FAA) needs air/ground (A/G) communications : to provide safety-critical Air Traffic Control (ATC) services. Specific needs : documented in this Mission Needs Statement (MNS) include the following: : (1) Provide Ai...

Aviation security : weaknesses in airport security and options for assigning screening responsibilities

DOT National Transportation Integrated Search

2001-09-21

This is the statement of Gerald L. Dillingham, Director, Physical Infrastructure Issues before the Subcommittee on Aviation, Committee on Transportation and Infrastructure, House of Representatives regarding aviation safety and security. The statemen...

GMO Reignited in Science but Not in Law: A Flawed Framework Fuels France's Stalemate.

PubMed

Robbins, Patricia B

2014-01-01

Following a statement released by a multitude of prominent scientists contesting the idea that there is a consensus on the safety of genetically modified organisms ("GMO"), this article addresses the European Union's ("EU") GMO regulatory framework, which has reluctantly permitted France to maintain an illegal ban on. MON8 10 for over a decade now. It notes that while the statement did nothing more than reignite the debate on GMO, much could and should be done to improve the framework to accommodate for the lack of true scientific understanding about the effects of GMO. This article identifies the specific areas of weakness in the EU GMO regulatory framework and recommends specific alterations. It concludes that although France's MON810 ban is illegal under existing law, the country's fears are neither unfounded nor unsupported and that the EU should work to alter its existing legal structure to parallel today's scientific uncertainty regarding GMO safety.

Direct Speaker Gaze Promotes Trust in Truth-Ambiguous Statements.

PubMed

Kreysa, Helene; Kessler, Luise; Schweinberger, Stefan R

2016-01-01

A speaker's gaze behaviour can provide perceivers with a multitude of cues which are relevant for communication, thus constituting an important non-verbal interaction channel. The present study investigated whether direct eye gaze of a speaker affects the likelihood of listeners believing truth-ambiguous statements. Participants were presented with videos in which a speaker produced such statements with either direct or averted gaze. The statements were selected through a rating study to ensure that participants were unlikely to know a-priori whether they were true or not (e.g., "sniffer dogs cannot smell the difference between identical twins"). Participants indicated in a forced-choice task whether or not they believed each statement. We found that participants were more likely to believe statements by a speaker looking at them directly, compared to a speaker with averted gaze. Moreover, when participants disagreed with a statement, they were slower to do so when the statement was uttered with direct (compared to averted) gaze, suggesting that the process of rejecting a statement as untrue may be inhibited when that statement is accompanied by direct gaze.

Direct Speaker Gaze Promotes Trust in Truth-Ambiguous Statements

PubMed Central

Kessler, Luise; Schweinberger, Stefan R.

2016-01-01

A speaker’s gaze behaviour can provide perceivers with a multitude of cues which are relevant for communication, thus constituting an important non-verbal interaction channel. The present study investigated whether direct eye gaze of a speaker affects the likelihood of listeners believing truth-ambiguous statements. Participants were presented with videos in which a speaker produced such statements with either direct or averted gaze. The statements were selected through a rating study to ensure that participants were unlikely to know a-priori whether they were true or not (e.g., “sniffer dogs cannot smell the difference between identical twins”). Participants indicated in a forced-choice task whether or not they believed each statement. We found that participants were more likely to believe statements by a speaker looking at them directly, compared to a speaker with averted gaze. Moreover, when participants disagreed with a statement, they were slower to do so when the statement was uttered with direct (compared to averted) gaze, suggesting that the process of rejecting a statement as untrue may be inhibited when that statement is accompanied by direct gaze. PMID:27643789

Survey of undeclared soy allergen levels in the most frequently recalled food categories with or without precautionary labelling.

PubMed

Khuda, Sefat E; Sharma, Girdhari M; Gaines, Dennis; Do, Andrew B; Pereira, Marion; Chang, Michael; Ferguson, Martine; Williams, Kristina M

2016-08-01

A comprehensive study was designed to determine the frequency and levels of soy allergen in packaged bakery and snack food products. A representative sample of products with no soy allergen disclosed on the label was analysed using two widely used enzyme-linked immunosorbent assay (ELISA) methods. Samples were chosen that either had no soy identified on the product label or which had a soy precautionary statement. Among 558 bakery and snack products, soy protein was detected in 17% of the products using the Neogen (NE) kit and 11% of the products using the Elisa Systems (ES) kit. The disagreement rates between kits were 8.8% for bakery products and 3.3% for snack products. Overall soy protein was detected at higher frequency in bakery products than in snack foods. Among 284 bakery samples, soy protein was detected in 25% of the samples with no precautionary statement and 19% of the samples which had a precautionary statement. Among 274 snack samples, soy protein was detected in 11% of the samples with no precautionary statement and 9% of the samples which had a precautionary statement. The sample repeatability was at an acceptable level (< 9%) for each method and food commodity. The reproducibility between kits was 23% for bakery foods and 36% for snack foods. None of the bakery (21) and snack (6) products without precautionary labelling (measured level > 5 ppm) had a higher level of soy protein per serving compared with the eliciting dose10 (ED10) of 10.6 mg for soy allergic patients. But the level of soy protein per serving may be clinically relevant to a subpopulation of soy allergic patients if a more stringent eliciting dose is applied. These findings emphasise that suitable detection methodologies and references doses are crucial for labelling accuracy and the safety of soy allergic consumers.

An analysis of US fertility centre educational materials suggests that informed consent for preimplantation genetic diagnosis may be inadequate.

PubMed

LaBonte, Michelle Lynne

2012-08-01

The use of preimplantation genetic diagnosis (PGD) has expanded both in number and scope over the past 2 decades. Initially carried out to avoid the birth of children with severe genetic disease, PGD is now used for a variety of medical and non-medical purposes. While some human studies have concluded that PGD is safe, animal studies and a recent human study suggest that the embryo biopsy procedure may result in neurological problems for the offspring. Given that the long-term safety of PGD has not been clearly established in humans, this study sought to determine how PGD safety is presented to prospective patients by means of a detailed website analysis. The websites of 262 US fertility centres performing PGD were analysed and comments about safety and risk were catalogued. Results of the analysis demonstrated that 78.2% of centre websites did not mention safety or risk of PGD at all. Of the 21.8% of centres that did contain safety or risk information about PGD, 28.1% included statements highlighting the potential risks, 38.6% presented information touting the procedure as safe and 33.3% included statements highlighting potential risks and the overall safety of the procedure. Thus, 86.6% of PGD-performing centres state that PGD is safe and/or fail to disclose any risks on their websites despite the fact that the impact of the procedure on the long-term health of offspring is unproven. This lack of disclosure suggests that informed consent is inadequate; this study examines numerous factors that are likely to inhibit comprehensive discussions of safety.

Formalizing Probabilistic Safety Claims

NASA Technical Reports Server (NTRS)

Herencia-Zapana, Heber; Hagen, George E.; Narkawicz, Anthony J.

2011-01-01

A safety claim for a system is a statement that the system, which is subject to hazardous conditions, satisfies a given set of properties. Following work by John Rushby and Bev Littlewood, this paper presents a mathematical framework that can be used to state and formally prove probabilistic safety claims. It also enables hazardous conditions, their uncertainties, and their interactions to be integrated into the safety claim. This framework provides a formal description of the probabilistic composition of an arbitrary number of hazardous conditions and their effects on system behavior. An example is given of a probabilistic safety claim for a conflict detection algorithm for aircraft in a 2D airspace. The motivation for developing this mathematical framework is that it can be used in an automated theorem prover to formally verify safety claims.

Less is more? Think again! A cognitive fluency-based more-less asymmetry in comparative communication.

PubMed

Hoorens, Vera; Bruckmüller, Susanne

2015-11-01

Differences between groups, individuals, or objects can be framed in multiple ways. One can, for instance, say that men generally earn more than women or that women generally earn less than men. Showing that these logically equivalent expressions are not psychologically equivalent, we demonstrate a robust more-less asymmetry in the use of and responses to comparative statements. More specifically, we show that people use "more than" statements more often than "less than" statements (Study 1); like "more than" statements better (Studies 2 and 3), agree more with opinions expressed through "more than" statements (Studies 4 and 5), and are more likely to consider factual "more than" statements to be true (Study 6). Supporting a cognitive fluency explanation, a manipulation that makes people expect disfluency while processing "less than" statements reduces this otherwise robust more-less asymmetry (Study 7). By combining comparative framing effects with cognitive fluency, the present research brings together 2 research fields in social cognition, shedding new light on both. (c) 2015 APA, all rights reserved).

Risk Management in Cocurricular Activities.

ERIC Educational Resources Information Center

Webb, Edward M.

1988-01-01

Discusses risk management for colleges' cocurricular activities. Discusses tort liability, contributory negligence, and assumption of risk. Provides six concrete steps for managing risks responsibly and professionally: adopting an educational mission statement, assigning risk to others, establishing safety standards, training club advisors,…

75 FR 65463 - Notice of Availability of Record of Decision for the Supplemental Environmental Impact Statement...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-25

... analysis of the effects of its actions in compliance with the Endangered Species Act, the Coastal Zone... Populations and EO 13045, Protection of Children from Environmental Health Risks and Safety Risks...

Truck safety : Motor Carriers office's activities to reduce fatalities are likely to have little short-term effect

DOT National Transportation Integrated Search

1999-02-23

Testimony before the Subcommitte on Transprotation and Related Agecies, Committee on Appropriations, House of Representatives. Statement of Phyllis F. Scheinberg, Associate Director, Transportation Issues, Resouces, Community, and Economic Developmen...

77 FR 60168 - Environmental Impact Statement: San Joaquin and Stanislaus Counties, CA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-02

... (3.5 miles) in length. The project was anticipated to improve traffic safety and operations by reducing congestion and accidents. Since the NOI to prepare an EIS was published in the Federal Register on...

Marine safety : current status of the VTS 2000 program and key stakeholders' views on it

DOT National Transportation Integrated Search

1996-04-25

This is the statement of Gerald L. Dillingham, Associate Director, Transportation and Telecommunications Issues, Resources, Community, and Economic Division before the Subcommittee on Coast Guard and Maritime Transportation, Committee on Transportati...

POSNA Quality Safety Value Initiative: From Vision to Implementation to Early Results.

PubMed

Waters, Peter M; Flynn, John M

2015-01-01

The POSNA Quality, Safety and Value Initiative (QSVI) formally started with POSNA board approval in early 2011. The initial vision statement was: "To lead in defining our members' value based clinical care. To partner with hospital based and orthopedic organizational efforts to guarantee safe, high quality outcomes for our patients. To communicate our initiatives and results cooperatively with payer, credentialing, and compliance organizations to improve pediatric orthopedic care in North America."

Fire Safety: Protecting Our Children and Families. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundred Second Congress, Second Session (August 11, 1992).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

This hearing, chaired by Representative Patricia Schroeder, was held to find ways to reduce the number of deaths and injuries that result from fires. Testimony or prepared statements were given by Representatives Schroeder, Michael Bilirakis, Romano Mazzoli, and Curt Weldon, as well as nine other individuals involved in fire safety issues,…

Automotive Safety: Are We Doing Enough To Protect America's Families? Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundred Second Congress, First Session (December 4, 1991).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

This document presents witness' testimonies and supplemental materials from the congressional hearing called to examine the issue of automotive safety. In her opening statement, Chairwoman Patricia Schroeder briefly reviews statistics on traffic accidents and identifies the two major issues to be addressed in the hearing: failure to act by the…

Composition, labelling, and safety of food supplements based on bee products in the legislative framework of the European Union - Croatian experiences.

PubMed

Vujić, Mario; Pollak, Lea

2015-12-01

The European Union market is overflown by food supplements and an increasing number of consumers prefer those where bee products play an important part in their composition. This paper deals with complex European Union legislation concerning food supplements based on bee products, placing a special emphasis on their composition, labelling, and safety. Correct labelling of food supplements also represents a great challenge since, in spite of legal regulations in force, there are still open issues regarding the statements on the amount of propolis, which is not clearly defined by the legal framework. One of the key issues are the labels containing health claims from the EU positive list approved by the European Food Safety Authority. Emphasis will also be placed on informing consumers about food, as statements which imply the healing properties of food supplements and their capacity to cure diseases are forbidden. One of the key elements of product safety is HACCP based on the EU Regulations EC 178/02 and 852/2004. Health safety analyses of food supplements with bee products used as raw materials, which are standardised by legal regulations will also be discussed. In the future, attention should also be paid to establishing the European Union "nutrivigilance" system. Croatian experiences in addressing challenges faced by producers, supervisory entities, and regulatory and inspection bodies may serve as an example to countries aspiring to become part of the large European family.

Compliance of Parenting Magazines Advertisements with American Academy of Pediatrics Recommendations

PubMed Central

Pitt, Michael B.; Berger, Jennifer N.; Sheehan, Karen M.

2016-01-01

This study examined 3218 advertisements from the two parenting magazines with highest circulation in the United States. The authors compared each advertisement for a product for use by children, against all the published recommendations of the American Academy of Pediatrics (AAP) on topics such as toy safety, helmet use, age-defined choking hazards, infant sleep safety, and others. Any advertisement with images or products which went against a published AAP recommendation was deemed as non-adherence and was categorized according to the statement it contradicted. Nearly one in six (15.7%) of the advertisements contained example(s) of non-adherence to AAP recommendations, with twelve categories of offense represented. Categories ranked by overall share from most to least include: non-Food and Drug Administration (FDA) approved medical treatments, age-defined choking hazards, vitamins, cold medicine, formula, oral care, screen time, toy/playground safety, infant sleep, nutrition, water safety, and fall risk. Given that repeated exposure to messages in advertisements has been associated with changes in health decision-making, and parents often turn to parenting magazines for advice and ideas regarding their children, the publishers might consider screening the content in order to prevent confusing and potentially dangerous messages from being disseminated in the media. PMID:27809284

Clinical Practice Guideline: Safe Medication Use in the ICU.

PubMed

Kane-Gill, Sandra L; Dasta, Joseph F; Buckley, Mitchell S; Devabhakthuni, Sandeep; Liu, Michael; Cohen, Henry; George, Elisabeth L; Pohlman, Anne S; Agarwal, Swati; Henneman, Elizabeth A; Bejian, Sharon M; Berenholtz, Sean M; Pepin, Jodie L; Scanlon, Mathew C; Smith, Brian S

2017-09-01

To provide ICU clinicians with evidence-based guidance on safe medication use practices for the critically ill. PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, Scopus, and ISI Web of Science for relevant material to December 2015. Based on three key components: 1) environment and patients, 2) the medication use process, and 3) the patient safety surveillance system. The committee collectively developed Population, Intervention, Comparator, Outcome questions and quality of evidence statements pertaining to medication errors and adverse drug events addressing the key components. A total of 34 Population, Intervention, Comparator, Outcome questions, five quality of evidence statements, and one commentary on disclosure was developed. Subcommittee members were assigned selected Population, Intervention, Comparator, Outcome questions or quality of evidence statements. Subcommittee members completed their Grading of Recommendations Assessment, Development, and Evaluation of the question with his/her quality of evidence assessment and proposed strength of recommendation, then the draft was reviewed by the relevant subcommittee. The subcommittee collectively reviewed the evidence profiles for each question they developed. After the draft was discussed and approved by the entire committee, then the document was circulated among all members for voting on the quality of evidence and strength of recommendation. The committee followed the principles of the Grading of Recommendations Assessment, Development, and Evaluation system to determine quality of evidence and strength of recommendations. This guideline evaluates the ICU environment as a risk for medication-related events and the environmental changes that are possible to improve safe medication use. Prevention strategies for medication-related events are reviewed by medication use process node (prescribing, distribution, administration, monitoring). Detailed considerations to an active surveillance system that includes reporting, identification, and evaluation are discussed. Also, highlighted is the need for future research for safe medication practices that is specific to critically ill patients.

10 CFR 300.11 - Independent verification.

Code of Federal Regulations, 2014 CFR

2014-01-01

... DEPARTMENT OF ENERGY CLIMATE CHANGE VOLUNTARY GREENHOUSE GAS REPORTING PROGRAM: GENERAL GUIDELINES § 300.11..., Health and Safety Auditor Certification: California Climate Action Registry; Clean Development Mechanism... statements (or lack thereof) of any significant changes in entity boundaries, products, or processes; (iii...

10 CFR 300.11 - Independent verification.

Code of Federal Regulations, 2013 CFR

2013-01-01

... DEPARTMENT OF ENERGY CLIMATE CHANGE VOLUNTARY GREENHOUSE GAS REPORTING PROGRAM: GENERAL GUIDELINES § 300.11..., Health and Safety Auditor Certification: California Climate Action Registry; Clean Development Mechanism... statements (or lack thereof) of any significant changes in entity boundaries, products, or processes; (iii...

10 CFR 300.11 - Independent verification.

Code of Federal Regulations, 2012 CFR

2012-01-01

... DEPARTMENT OF ENERGY CLIMATE CHANGE VOLUNTARY GREENHOUSE GAS REPORTING PROGRAM: GENERAL GUIDELINES § 300.11..., Health and Safety Auditor Certification: California Climate Action Registry; Clean Development Mechanism... statements (or lack thereof) of any significant changes in entity boundaries, products, or processes; (iii...

77 FR 15452 - Visual-Manual NHTSA Driver Distraction Guidelines for In-Vehicle Electronic Devices

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-15

... proposed NHTSA Guidelines are meant to promote safety by discouraging the introduction of excessively... your statement or other material (e.g., film clips and slides) so that it can be placed into the docket...

77 FR 32132 - Notice of Intent To Prepare an Environmental Impact Statement for the Proposed Fee-to-Trust...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-31

... parcels include preserving these educational, recreational, and cultural sites as well as vacant land... justice, soils and geology, land use, community character, and safety. The range of issues addressed in...

49 CFR 107.305 - Investigations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... reasonable means including, but not limited to, interviews, statements, photocopying, photography, and video... Materials Safety Administration, an investigator may issue a subpoena for the production of documentary or... furnish information or documentary evidence is notified as to the general purpose for which the...

75 FR 80083 - Advisory Committee on the Medical Uses of Isotopes: Meeting Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-21

... the draft safety culture policy statement for medical licensees. Contingent upon the outcome of the..., 2011, 1 p.m. to 3 p.m. Eastern Standard Time (EST). The second teleconference meeting will be held on...

75 FR 70955 - Advisory Committee on the Medical Uses of Isotopes: Meeting Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-19

... the draft safety culture policy statement for medical licensees. A copy of the agenda for the meeting... on Monday, December 13, 2010, from 1 p.m. to 4 p.m. Eastern Standard Time. Public Participation: Any...

Safety in Study Abroad Programs. Hearing before the Subcommittee on Oversight and Investigations of the Committee on Education and the Workforce. House of Representatives, One Hundred Sixth Congress, Second Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Education and the Workforce.

This document contains the transcript and related written statements of a hearing held to discuss the safety standards and practices of study abroad programs. The tragedies that have occurred in recent years are not the norm in study abroad, but they focus attention on this rapidly growing and unstructured field. The report contains the opening…

National Athletic Trainers' Association Position Statement: Evaluation of Dietary Supplements for Performance Nutrition

PubMed Central

Buell, Jackie L; Franks, Rob; Ransone, Jack; Powers, Michael E; Laquale, Kathleen M; Carlson-Phillips, Amanda

2013-01-01

Objectives To help athletic trainers promote a “food-first” philosophy to support health and performance, understand federal and sport governing body rules and regulations regarding dietary supplements and banned substances, and become familiar with reliable resources for evaluating the safety, purity, and efficacy of dietary supplements. Background The dietary supplement industry is poorly regulated and takes in billions of dollars per year. Uneducated athletes need to gain a better understanding of the safety, eligibility, and efficacy concerns associated with choosing to take dietary supplements. The athletic trainer is a valuable athletic team member who can help in the educational process. In many cases, athletic trainers are asked to help evaluate the legality, safety, and efficacy of dietary supplements. For this position statement, our mission is to provide the athletic trainer with the necessary resources for these tasks. Recommendations Proper nutrition and changes in the athlete's habitual diet should be considered first when improved performance is the goal. Athletes need to understand the level of regulation (or lack thereof) governing the dietary supplement industry at the international, federal, state, and individual sport-participation levels. Athletes should not assume a product is safe simply because it is marketed over the counter. All products athletes are considering using should be evaluated for purity (ie, truth in labeling), safety, and efficacy. PMID:23672334

Why system safety programs can fail

NASA Technical Reports Server (NTRS)

Hammer, W.

1971-01-01

Factors that cause system safety programs to fail are discussed from the viewpoint that in general these programs have not achieved their intended aims. The one item which is considered to contribute most to failure of a system safety program is a poor statement of work which consists of ambiguity, lack of clear definition, use of obsolete requirements, and pure typographical errors. It is pointed out that unless safety requirements are stated clearly, and where they are readily apparent as firm requirements, some of them will be overlooked by designers and contractors. The lack of clarity is stated as being a major contributing factor in system safety program failure and usually evidenced in: (1) lack of clear requirements by the procuring activity, (2) lack of clear understanding of system safety by other managers, and (3) lack of clear methodology to be employed by system safety engineers.

Psychology in nuclear power plants: an integrative approach to safety - general statement

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

Shikiar, R.

Since the accident at the Three Mile Island nuclear power plant on March 28, 1979, the commercial nuclear industry in the United States has paid increasing attention to the role of humans in overall plant safety. As the regulatory body with primary responsibility for ensuring public health and safety involving nuclear operations, the United States Nuclear Regulatory Commission (NRC) has also become increasingly involved with the ''human'' side of nuclear operations. The purpose of this symposium is to describe a major program of research and technical assistance that the Pacific Northwest Laboratory is performing for the NRC that deals withmore » the issues of safety at nuclear power plants (NPPs). This program addresses safety from several different levels of analysis, which are all important within the context of an integrative approach to system safety.« less

16 CFR 1021.8 - Legislative proposals.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL ENVIRONMENTAL REVIEW Procedures § 1021.8... hearings and deliberations. The draft EIS shall be forwarded to the Environmental Protection Agency in accordance with § 1506.9 of the NEPA regulations. Comments on the legislative statement and CPSC's responses...

An Analysis of the Plumbing Occupation.

ERIC Educational Resources Information Center

Carlton, Earnest L.; Hollar, Charles E.

The occupational analysis contains a brief job description, presenting for the occupation of plumbing 12 detailed task statements which specify job duties (tools, equipment, materials, objects acted upon, performance knowledge, safety considerations/hazards, decisions, cues, and errors) and learning skills (science, mathematics/number systems, and…

29 CFR 2200.207 - Pre-hearing conference.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION RULES OF PROCEDURE... parties will discuss the following: settlement of the case; the narrowing of issues; an agreed statement of issues and facts; defenses; witnesses and exhibits; motions; and any other pertinent matter...

An Expert System for Developing a Full Scale Development Statement of Work

DTIC Science & Technology

1989-09-01

Transportability: 3.5.1.3* Specialty Engineering System Safety: Aerospace Meteorlogical Environment: Preservation, Packaging, and Packing... METEORLOGICAL ENVIRONMENT:’,tn). area is ’AEROSPACE METEORLOGICAL ENVIRONMENT’ ASK ( ’The system will require operation, non-operation, transport, and/or

Analysis of the Medical Assisting Occupation.

ERIC Educational Resources Information Center

Keir, Lucille; And Others

The occupational analysis contains a brief job description, presenting for the occupation of medical assistant 113 detailed task statements which specify job duties (tools, equipment, materials, objects acted upon, performance knowledge, safety consideration/hazards, decisions, cues, and errors) and learning skills (science, mathematics/number…

29 CFR 1978.103 - Investigation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED... Procedure Complaints, Investigations, Findings and Preliminary Orders § 1978.103 Investigation. (a) OSHA... his or her receipt of the complaint the named person may submit to OSHA a written statement and any...

Going-to-the-Sun Road rehabilitation plan/final environmental impact statement : Glacier National Park

DOT National Transportation Integrated Search

2003-04-01

Glacier National Park is considering the rehabilitation of the 50-mile (80-kilometer) Going-to-the-Sun Road, a National Historic Landmark. Road rehabilitation is needed to correct structural deficiencies in the deteriorating roadway, improve safety, ...

Equal employment opportunity and affirmative employment for minorities, women, and people with disabilities : accomplishment report and updates, fiscal year '98

DOT National Transportation Integrated Search

1999-01-01

Contents: Introduction to the National Highway Traffic Safety Administration; Office of Civil Rights Organizational Strcture (NHTSA); Accountability Statement; Certification of Qualifications of EEO Officials; Organizational Chart for NHTSA (TAB); Ac...

49 CFR Appendix C to Part 218 - Statement of Agency Enforcement Policy on Tampering

Code of Federal Regulations, 2011 CFR

2011-10-01

... Act, 49 App. U.S.C. 1801 et seq.) Under that statutory language, the responsible members of the crew... train with a disabled device be operated after having learned that the safety device is not functioning...

10 CFR 63.21 - Content of application.

Code of Federal Regulations, 2013 CFR

2013-01-01

... of general information and a Safety Analysis Report. An environmental impact statement must be... Analysis Report must include: (1) A description of the Yucca Mountain site, with appropriate attention to... the location of the reasonably maximally exposed individual, and regarding local human behaviors and...

10 CFR 63.21 - Content of application.

Code of Federal Regulations, 2012 CFR

2012-01-01

... of general information and a Safety Analysis Report. An environmental impact statement must be... Analysis Report must include: (1) A description of the Yucca Mountain site, with appropriate attention to... the location of the reasonably maximally exposed individual, and regarding local human behaviors and...

10 CFR 63.21 - Content of application.

Code of Federal Regulations, 2014 CFR

2014-01-01

... of general information and a Safety Analysis Report. An environmental impact statement must be... Analysis Report must include: (1) A description of the Yucca Mountain site, with appropriate attention to... the location of the reasonably maximally exposed individual, and regarding local human behaviors and...

[Monitoring microbiological safety of small systems of water distribution. Comparison of two sampling programs in a town in central Italy].

PubMed

Papini, Paolo; Faustini, Annunziata; Manganello, Rosa; Borzacchi, Giancarlo; Spera, Domenico; Perucci, Carlo A

2005-01-01

To determine the frequency of sampling in small water distribution systems (<5,000 inhabitants) and compare the results according to different hypotheses in bacteria distribution. We carried out two sampling programs to monitor the water distribution system in a town in Central Italy between July and September 1992; the Poisson distribution assumption implied 4 water samples, the assumption of negative binomial distribution implied 21 samples. Coliform organisms were used as indicators of water safety. The network consisted of two pipe rings and two wells fed by the same water source. The number of summer customers varied considerably from 3,000 to 20,000. The mean density was 2.33 coliforms/100 ml (sd= 5.29) for 21 samples and 3 coliforms/100 ml (sd= 6) for four samples. However the hypothesis of homogeneity was rejected (p-value <0.001) and the probability of II type error with the assumption of heterogeneity was higher with 4 samples (beta= 0.24) than with 21 (beta= 0.05). For this small network, determining the samples' size according to heterogeneity hypothesis strengthens the statement that water is drinkable compared with homogeneity assumption.

Accelerated Partial Breast Irradiation Consensus Statement From the American Society for Radiation Oncology (ASTRO)

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

Smith, Benjamin D.; Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, TX; Arthur, Douglas W.

2009-07-15

Purpose: To present guidance for patients and physicians regarding the use of accelerated partial-breast irradiation (APBI), based on current published evidence complemented by expert opinion. Methods and Materials: A systematic search of the National Library of Medicine's PubMed database yielded 645 candidate original research articles potentially applicable to APBI. Of these, 4 randomized trials and 38 prospective single-arm studies were identified. A Task Force composed of all authors synthesized the published evidence and, through a series of meetings, reached consensus regarding the recommendations contained herein. Results: The Task Force proposed three patient groups: (1) a 'suitable' group, for whom APBImore » outside of a clinical trial is acceptable, (2) a 'cautionary' group, for whom caution and concern should be applied when considering APBI outside of a clinical trial, and (3) an 'unsuitable' group, for whom APBI outside of a clinical trial is not generally considered warranted. Patients who choose treatment with APBI should be informed that whole-breast irradiation (WBI) is an established treatment with a much longer track record that has documented long-term effectiveness and safety. Conclusion: Accelerated partial-breast irradiation is a new technology that may ultimately demonstrate long-term effectiveness and safety comparable to that of WBI for selected patients with early breast cancer. This consensus statement is intended to provide guidance regarding the use of APBI outside of a clinical trial and to serve as a framework to promote additional clinical investigations into the optimal role of APBI in the treatment of breast cancer.« less

COMAR technical information statement: expert reviews on potential health effects of radiofrequency electromagnetic fields and comments on the bioinitiative report.

PubMed

2009-10-01

The Committee on Man and Radiation (COMAR) is a technical committee of the Engineering in Medicine and Biology Society (EMBS) of the Institute of Electrical and Electronics Engineers (IEEE). Its primary area of interest is biological effects of non-ionizing electromagnetic radiation, including radiofrequency (RF) energy. The public interest in possible health effects attributed to RF energy, such as emitted by mobile phones, wireless telephone base stations, TV and radio broadcasting facilities, Wi-Fi systems and many other sources, has been accompanied by commentary in the media that varies considerably in reliability and usefulness for their audience. The focus of this COMAR Technical Information Statement is to identify quality sources of scientific information on potential health risks from exposure to RF energy. This Statement provides readers with references to expert reports and other reliable sources of information about this topic, most of which are available on the Internet. This report summarizes the conclusions from several major reports and comments on the markedly different conclusions in the BioInitiative Report (abbreviated BIR below). Since appearing on the Internet in August 2007, the BIR has received much media attention but, more recently, has been criticized by several health organizations (see Section titled "Views of health agencies about BIR"). COMAR concludes that the weight of scientific evidence in the RF bioeffects literature does not support the safety limits recommended by the BioInitiative group. For this reason, COMAR recommends that public health officials continue to base their policies on RF safety limits recommended by established and sanctioned international organizations such as the Institute of Electrical and Electronics Engineers International Committee on Electromagnetic Safety and the International Commission on Non-Ionizing Radiation Protection, which is formally related to the World Health Organization.

78 FR 29436 - Proposed Information Collection (Application for Reinstatement (Insurance Lapsed More Than 6...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-20

... Medical--Comparative Health Statement)) Activity: Comment Request AGENCY: Veterans Benefits Administration... Form 29-352, and Application for Reinstatement (Non Medical--Comparative Health Statement), Government...

NASA Electronic Parts and Packaging (NEPP) - A NASA Office of Safety and Mission Assurance (OSMA) Program

NASA Technical Reports Server (NTRS)

Label, Kenneth A.

2017-01-01

NEPP Mission Statement: Provide NASA's leadership for developing and maintaining guidance for the screening, qualification, test, and reliable usage of electrical, electronic, and electromechanical (EEE) parts by NASA, in collaboration with other government Agencies and industry.

7 CFR 1940.302 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

...) Emergency circumstance. One involving an immediate or imminent danger to public health or safety. (b...-354 1940-21, “Environmental Assessment of Class I Action,” (3) Environmental Assessment for Class II Actions (exhibit H of this subpart), and (4) Environmental Impact Statements (EIS). (c) Flood or flooding...

76 FR 42762 - Final Written Re-Evaluation for Environmental Impact Statement: Sikorsky Memorial Airport...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-19

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Final Written Re-Evaluation for... for Sikorsky Memorial Airport in Stratford, Connecticut. ADDRESSES: The Written Re-Evaluation document... Sikorsky Memorial Airport involving Runway Safety Areas and other airfield improvements. This Written Re...

16 CFR 1500.123 - Condensation of label information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Condensation of label information. 1500.123 Section 1500.123 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT... Condensation of label information. Whenever the statement of the principal hazard or hazards itself provides...

16 CFR 1500.123 - Condensation of label information.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 2 2014-01-01 2014-01-01 false Condensation of label information. 1500.123 Section 1500.123 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT... Condensation of label information. Whenever the statement of the principal hazard or hazards itself provides...

16 CFR 1500.123 - Condensation of label information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Condensation of label information. 1500.123 Section 1500.123 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT... Condensation of label information. Whenever the statement of the principal hazard or hazards itself provides...

16 CFR 1500.123 - Condensation of label information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 2 2012-01-01 2012-01-01 false Condensation of label information. 1500.123 Section 1500.123 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT... Condensation of label information. Whenever the statement of the principal hazard or hazards itself provides...

76 FR 19376 - Statement of Organizations, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-07

... safety mission. These outside groups include academic organizations, private organizations, and other Federal Agencies. 3. Coordinates the access to large databases for pharmacoepidemiologic and..., procedures, training, and security or databases available to OSE. 3. Acts as focal point for all hardware...

Flat-plate solar collector - installation package

NASA Technical Reports Server (NTRS)

1978-01-01

Package includes installation, operation and maintenance manual for collector, analysis of safety hazards, special handling instructions, materials list, installation drawings, and warranty and certification statement. Manual includes instructions for roof preparation and for preparing collector for installation. Several pages are devoted to major and minor repairs.

Counterexamples to Moffatt's statements on vortex knots.

PubMed

Bogoyavlenskij, Oleg

2017-04-01

One of the well-known problems of hydrodynamics is studied: the problem of classification of vortex knots for ideal fluid flows. In the literature there are known Moffatt statements that all torus knots K_{m,n} for all rational numbers m/n (0

Toward Earlier Inclusion of Pregnant and Postpartum Women in Tuberculosis Drug Trials: Consensus Statements From an International Expert Panel

PubMed Central

Gupta, Amita; Mathad, Jyoti S.; Abdel-Rahman, Susan M.; Albano, Jessica D.; Botgros, Radu; Brown, Vikki; Browning, Renee S.; Dawson, Liza; Dooley, Kelly E.; Gnanashanmugam, Devasena; Grinsztejn, Beatriz; Hernandez-Diaz, Sonia; Jean-Philippe, Patrick; Kim, Peter; Lyerly, Anne D.; Mirochnick, Mark; Mofenson, Lynne M.; Montepiedra, Grace; Piper, Jeanna; Sahin, Leyla; Savic, Radojka; Smith, Betsy; Spiegel, Hans; Swaminathan, Soumya; Watts, D. Heather; White, Amina

2016-01-01

Tuberculosis is a major cause of morbidity and mortality in women of childbearing age (15–44 years). Despite increased tuberculosis risk during pregnancy, optimal clinical treatment remains unclear: safety, tolerability, and pharmacokinetic data for many tuberculosis drugs are lacking, and trials of promising new tuberculosis drugs exclude pregnant women. To advance inclusion of pregnant and postpartum women in tuberculosis drug trials, the US National Institutes of Health convened an international expert panel. Discussions generated consensus statements (>75% agreement among panelists) identifying high-priority research areas during pregnancy, including: (1) preventing progression of latent tuberculosis infection, especially in women coinfected with human immunodeficiency virus; (2) evaluating new agents/regimens for treatment of multidrug-resistant tuberculosis; and (3) evaluating safety, tolerability and pharmacokinetics of tuberculosis drugs already in use during pregnancy and postpartum. Incorporating pregnant women into clinical trials would extend evidence-based tuberculosis prevention and treatment standards to this special population. PMID:26658057

Approaches to culture and diversity: A critical synthesis of occupational therapy literature.

PubMed

Beagan, Brenda L

2015-12-01

The 2007 position statement on diversity for the Canadian occupational therapy profession argued discussion was needed to determine the implications of approaches to working with cultural differences and other forms of diversity. In 2014, a new position statement on diversity was published, emphasizing the importance of social power relations and power relations between client and therapist, and supporting two particular approaches: cultural safety and cultural humility with critical reflexivity This paper reviews and critically synthesizes the literature concerning culture and diversity published in occupational therapy between 2007 and 2014, tracing the major discourses and mapping the implications of four differing approaches: cultural competence, cultural relevance, cultural safety, and cultural humility. Approaches differ in where they situate the "problem," how they envision change, the end goal, and the application to a range of types of diversity. The latter two are preferred approaches for their attention to power relations and potential to encompass a range of types of social and cultural diversity. © CAOT 2015.

Safety Implications of the Kentucky Schoolbus Crash. Hearing before the Subcommittee on Transportation, Tourism, and Hazardous Materials of the Committee on Energy and Commerce. House of Representatives, One Hundredth Congress, Second Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Energy and Commerce.

This publication is a collection of the statements made in a hearing before the Subcommittee on Transportation, Tourism, and Hazardous Materials of the Committee on Energy and Commerce of the House of Representatives. In particular, the topic was the safety implications of a Kentucky school bus crash on May 14, 1984. Discussed are the issues of…

Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study

PubMed Central

Gabrani, Adriatik; Hoxha, Adrian; Simaku, Artan; Gabrani, Jonila (Cyco)

2015-01-01

Objective To establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes. Design A cross-sectional study utilising the Albanian version of the SAQ and a demographic questionnaire. Setting Four regional hospitals in Albania. Participants 341 healthcare providers, including 132 nurses and 209 doctors. Main outcome measure(s) The translation, construct validity and internal validity of the SAQ. The SAQ includes six scales and 30 items. Results A total of 341 valid questionnaires were returned, for a response rate of 70%. The confirmatory factor analysis and its goodness-of-fit indices (standardised root mean square residual 0.075, root mean square error of approximation 0.044 and comparative fit index 0.97) showed good model fit. The Cronbach's α values for each of the scales of the SAQ ranged from 0.64 to 0.82. The percentage of hospital healthcare workers who had a positive attitude was 60.3% for the teamwork climate, 57.2% for the safety climate, 58.4% for job satisfaction, 37.4% for stress recognition, 59.3% for the perception of management and 49.5% for working conditions. Intercorrelations showed that the subscales had moderate-to-high correlations with one another. Nurses were more hesitant to admit and report errors; only 55% of physicians and 44% of nurses endorsed this statement (χ2=4.9, p=0.02). Moreover, nurses received lower scores on team work compared with doctors (N 45.7 vs D 52.3, p=0.01). Doctors denied the effects of stress and fatigue on their performance (N 46.7 vs D 39.5, p<0.01), neglecting the workload. Conclusions The SAQ is a useful tool for evaluating safety attitudes in Albanian hospitals. In light of the health workforce's poor recognition of stress, establishing patient safety programmes should be a priority among policymakers in Albania. PMID:25877270

78 FR 53011 - Agency Information Collection (Application for Reinstatement (Insurance Lapsed More Than 6 Months...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-27

... Medical--Comparative Health Statement)) Activities Under OMB Review AGENCY: Veterans Benefits... Reinstatement (Non Medical--Comparative Health Statement), Government Life Insurance, VA Form 29-353. OMB...

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis.

PubMed

Wyse, Jonathan M; Battat, Robert; Sun, Siyu; Saftoiu, Adrian; Siddiqui, Ali A; Leong, Ang Tiing; Arturo Arias, Brenda Lucia; Fabbri, Carlo; Adler, Douglas G; Santo, Erwin; Kalaitzakis, Evangelos; Artifon, Everson; Mishra, Girish; Okasha, Hussein Hassan; Poley, Jan Werner; Guo, Jintao; Vila, Juan J; Lee, Linda S; Sharma, Malay; Bhutani, Manoop S; Giovannini, Marc; Kitano, Masayuki; Eloubeidi, Mohamad Ali; Khashab, Mouen A; Nguyen, Nam Q; Saxena, Payal; Vilmann, Peter; Fusaroli, Pietro; Garg, Pramod Kumar; Ho, Sammy; Mukai, Shuntaro; Carrara, Silvia; Sridhar, Subbaramiah; Lakhtakia, Sundeep; Rana, Surinder S; Dhir, Vinay; Sahai, Anand V

2017-01-01

The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

75 FR 39586 - Agency Information Collection Activities: Submission for the Office of Management and Budget (OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-09

... States who have signed Agreements with NRC under Section 274b. of the Atomic Energy Act (Act)) plus one... protect public health and safety. A copy of the final supporting statement may be viewed free of charge at...

38 CFR 200.4 - Implementation of NEPA and related authorities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... exclusions, environmental assessments, and environmental impact statements. (2) The Master Planner, is..., minimizing potential impacts in an effort to avoid a higher level of NEPA documentation. The scope of an... significant effects on public health, safety, or the environment. (B) Reasonable likelihood of significant...

38 CFR 200.4 - Implementation of NEPA and related authorities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... exclusions, environmental assessments, and environmental impact statements. (2) The Master Planner, is..., minimizing potential impacts in an effort to avoid a higher level of NEPA documentation. The scope of an... significant effects on public health, safety, or the environment. (B) Reasonable likelihood of significant...

38 CFR 200.4 - Implementation of NEPA and related authorities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... exclusions, environmental assessments, and environmental impact statements. (2) The Master Planner, is..., minimizing potential impacts in an effort to avoid a higher level of NEPA documentation. The scope of an... significant effects on public health, safety, or the environment. (B) Reasonable likelihood of significant...

An Analysis of the Waste Water Treatment Operator Occupation.

ERIC Educational Resources Information Center

Clark, Anthony B.; And Others

The occupational analysis contains a brief job description for the waste water treatment occupations of operator and maintenance mechanic and 13 detailed task statements which specify job duties (tools, equipment, materials, objects acted upon, performance knowledge, safety considerations/hazards, decisions, cues, and errors) and learning skills…

21 CFR 99.1 - Scope.

Code of Federal Regulations, 2010 CFR

2010-04-01

... the information to be disseminated: (1) Concerns the safety, effectiveness, or benefit of a use that... Administration for marketing or in the statement of intended use for a device cleared by the Food and Drug Administration for marketing; and (2) Will be disseminated to a health care practitioner, pharmacy benefit...

Congressional Testimony: Unimplemented OIG Recommendations at the U.S. Environmental Protection Agency and the U.S. Chemical Safety and Hazard Investigation Board

EPA Pesticide Factsheets

June 14, 2016. Statement of Alan S. Larsen Counsel to the EPA Inspector General Before the Subcommittee on Superfund, Waste Management, and Regulatory Oversight Committee on Environment and Public Works United States Senate.

10 CFR 1.32 - Office of the Executive Director for Operations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... of Nuclear Reactor Regulation, the Office of New Reactors, the Office of Nuclear Material Safety and... Section 1.32 Energy NUCLEAR REGULATORY COMMISSION STATEMENT OF ORGANIZATION AND GENERAL INFORMATION... Nuclear Regulatory Research, the Office of Nuclear Security and Incident Response, and the NRC Regional...

10 CFR 1.32 - Office of the Executive Director for Operations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... of Nuclear Reactor Regulation, the Office of New Reactors, the Office of Nuclear Material Safety and... Section 1.32 Energy NUCLEAR REGULATORY COMMISSION STATEMENT OF ORGANIZATION AND GENERAL INFORMATION... Nuclear Regulatory Research, the Office of Nuclear Security and Incident Response, and the NRC Regional...

10 CFR 1.32 - Office of the Executive Director for Operations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... of Nuclear Reactor Regulation, the Office of New Reactors, the Office of Nuclear Material Safety and... Section 1.32 Energy NUCLEAR REGULATORY COMMISSION STATEMENT OF ORGANIZATION AND GENERAL INFORMATION... Nuclear Regulatory Research, the Office of Nuclear Security and Incident Response, and the NRC Regional...

10 CFR 1.32 - Office of the Executive Director for Operations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... of Nuclear Reactor Regulation, the Office of New Reactors, the Office of Nuclear Material Safety and... Section 1.32 Energy NUCLEAR REGULATORY COMMISSION STATEMENT OF ORGANIZATION AND GENERAL INFORMATION... Nuclear Regulatory Research, the Office of Nuclear Security and Incident Response, and the NRC Regional...

Developmental Trampoline Activities for Individuals with Multiple Handicapping Conditions.

ERIC Educational Resources Information Center

Thomas, Bill

1979-01-01

The use of trampoline activities with multiple handicapped students is discussed. Management considerations in safety are noted, and developmental trampoline skills are listed beginning with bouncing for stimulation. Progression to limited independence and finally independent jumping is described. The position statement of the American Alliance…

Consensus statements for screening and assessment tools.

PubMed

Bédard, Michel; Dickerson, Anne E

2014-04-01

Occupational therapists, both generalists and specialists, have a critical role in providing services to senior drivers. These services include evaluating fitness-to-drive, developing interventions to support community mobility, and facilitating the transition from driving to non-driving when necessary for personal and community safety. The evaluation component and decision-making process about fitness-to-drive are highly dependent on the use of screening and assessment tools. The purpose of this paper is to briefly present the rationale and context for 12 consensus statements about the usefulness and appropriateness of screening and assessment tools to determine fitness-to-drive, within the occupational therapy clinical setting, and their implications on community mobility.

Statistical Analysis of the Worker Engagement Survey Administered at the Worker Safety and Security Team Festival

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

Davis, Adam Christopher

The Worker Safety and Security Team (WSST) at Los Alamos National Laboratory holds an annual festival, WSST-fest, to engage workers and inform them about safety- and securityrelated matters. As part of the 2015 WSST-fest, workers were given the opportunity to participate in a survey assessing their engagement in their organizations and work environments. A total of 789 workers participated in the 23-question survey where they were also invited, optionally, to identify themselves, their organization, and to give open-ended feedback. The survey consisted of 23 positive statements (i.e. “My organization is a good place to work.”) with which the respondent couldmore » express a level of agreement. The text of these statements are provided in Table 1. The level of agreement corresponds to a 5-level Likert scale ranging from “Strongly Disagree” to “Strongly Agree.” In addition to assessing the overall positivity or negativity of the scores, the results were partitioned into several cohorts based on the response meta-data (self-identification, comments, etc.) to explore trends. Survey respondents were presented with the options to identify themselves, their organizations and to provide comments. These options suggested the following questions about the data set.« less

Standardized reporting of bleeding complications for clinical investigations in acute coronary syndromes: a proposal from the academic bleeding consensus (ABC) multidisciplinary working group.

PubMed

Rao, Sunil V; Eikelboom, John; Steg, Ph Gabriel; Lincoff, A Michael; Weintraub, William S; Bassand, Jean-Pierre; Rao, A Koneti; Gibson, C Michael; Petersen, John L; Mehran, Roxana; Manoukian, Steven V; Charnigo, Richard; Lee, Kerry L; Moscucci, Mauro; Harrington, Robert A

2009-12-01

Clinical trials of antithrombotic agents for the treatment of ACS routinely assess bleeding as a safety endpoint, but variation in bleeding definitions makes comparison of the relative safety of these agents difficult. The ABC Multidisciplinary Working Group, an informal working group comprising clinical researchers and representatives from the US Food and Drug Administration, the National Institutes of Health, and the pharmaceutical industry, sought to develop a consensus approach to measuring the incidence and severity of bleeding complications during clinical trials of acute coronary syndromes (ACS). A meeting of the ABC was convened in April 2008 in Washington, DC, with the goal of developing a consensus approach to measuring the incidence and severity of hemorrhagic complications during clinical trials of ACS. Relevant literature on bleeding was reviewed through a series of short lectures and intensive group discussion. Using existing evidence on bleeding and outcomes as well as clinical judgment, criteria for the assessment of bleeding were developed through expert consensus. This consensus statement divides bleeding-related data elements into three categories: essential, recommended, and optional. The ABC Group recommendations for collection and reporting of bleeding complications provide a framework for consistency in the collection of information on hemorrhagic complications in trials of ACS. Widespread adoption of the statement recommendations will facilitate understanding of the mechanisms of adverse outcomes after bleeding and comparisons of the relative safety of antithrombotic agents, as well as the interpretation of safety results from future studies.

48 CFR 22.406-8 - Investigations.

Code of Federal Regulations, 2014 CFR

2014-10-01

... statements taken during an investigation or the employee's identity to anyone other than an authorized... Investigation Summary Sheet, is the first page of the report; and (2) The agency head must process the report as... and Safety Standards statute; (E) Corrective measures taken; and (F) Any information that may be...

49 CFR 563.11 - Information in owner's manual.

Code of Federal Regulations, 2011 CFR

2011-10-01

... law enforcement, could combine the EDR data with the type of personally identifying data routinely... SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EVENT DATA RECORDERS § 563.11 Information in owner's... statement in English: This vehicle is equipped with an event data recorder (EDR). The main purpose of an EDR...

49 CFR 563.11 - Information in owner's manual.

Code of Federal Regulations, 2012 CFR

2012-10-01

... law enforcement, could combine the EDR data with the type of personally identifying data routinely... SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EVENT DATA RECORDERS § 563.11 Information in owner's... statement in English: This vehicle is equipped with an event data recorder (EDR). The main purpose of an EDR...

76 FR 388 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-04

... Commission. DATES: Weeks of January 3, 10, 17, 24, 31, February 7, 2011. PLACE: Commissioners' Conference..., 2011--Tentative There are no meetings scheduled for the week of January 17, 2011. Week of January 24, 2011--Tentative Monday, January 24, 2011 1 p.m. Briefing on Safety Culture Policy Statement (Public...

75 FR 47618 - Final Environmental Impact Statement for the Proposed Enterprise Rancheria Gaming Facility and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-06

... (consisting of a buffet, gourmet restaurant, and bar), meeting space, guest support services, offices, and a... resources, water resources, air quality, biological resources, cultural and paleontological resources..., Cultural Resources Management and Safety, at the BIA address above or at the telephone number provided in...

Privacy Policy of NOAA's National Weather Service - NOAA's National Weather

Science.gov Websites

Safety Weather Radio Hazard Assmt... StormReady / TsunamiReady Skywarn(tm) Education/Outreach Information , and National Weather Service information collection practices. This Privacy Policy Statement applies only to National Weather Service web sites. Some organizations within NOAA may have other information

16 CFR § 1500.123 - Condensation of label information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Condensation of label information. § 1500.123 Section § 1500.123 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS... § 1500.123 Condensation of label information. Whenever the statement of the principal hazard or hazards...

Coast Guard : budget and management challenges for 2003 and beyond : statement of JayEtta Z. Hecker, Director, Physical Infrastructure Issues

DOT National Transportation Integrated Search

2002-03-19

The Coast Guard, a Department of Transportation agency, is involved in seven main mission or program areas: (1) enforcing maritime laws and treaties, (2) search and rescue (3) aids to navigation, (4) marine environmental protection, (5) marine safety...

16 CFR 1500.15 - Labeling of fire extinguishers.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Labeling of fire extinguishers. 1500.15 Section 1500.15 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT...)(1), the signal word “Danger” and the statement of hazard “Poisonous gases formed when used to...

Liability of Science Educators for Laboratory Safety. NSTA Position Statement

ERIC Educational Resources Information Center

National Science Teachers Association (NJ1), 2007

2007-01-01

Laboratory investigations are essential for the effective teaching and learning of science. A school laboratory investigation ("lab") is an experience in the laboratory, classroom, or the field that provides students with opportunities to interact directly with natural phenomena or with data collected by others using tools, materials, data…

The Effect of Personality on Cyberbullying among University Students in Turkey

ERIC Educational Resources Information Center

Çelik, Serkan; Atak, Hasan; Erguzen, Atilla

2012-01-01

Problem Statement: Cyberbullying is associated with significant psychological issues among young people such as depression, emotional distress, low self-esteem, and poor academic achievement. It is also regarded as an increasingly emergent problem in educational settings, putting learners' psychological health, safety, and well-being at risk.…

76 FR 78967 - Second Tier Environmental Impact Statement: Jackson County, MO

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-20

... determine an improvement strategy for the corridor to address the following needs: Improve safety, reduce.... Various concepts were combined to develop 15 initial strategies that were screened down to four first tier strategies. These four strategies included the No-Build Strategy, Improve Key Bottlenecks Strategy, Add...

40 CFR 233.61 - Determination of Tribal eligibility.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., such as, but not limited to, the exercise of police powers affecting (or relating to) the health, safety, and welfare of the affected population; taxation; and the exercise of the power of eminent domain... narrative statement describing the capability of the Indian Tribe to administer an effective 404 permit...

78 FR 27392 - Statement of Organization, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-10

... Office (AMSO) provides a safe, secure, healthy, and functional workplace environment for CDC staff by... provides the tools needed for workers to be safe, work in a healthy environment, and ensures environmental... Office of Security and Emergency Preparedness (CAJJ); Office of Safety, Health and Environment (CAJP...

77 FR 12818 - Intent To Prepare a Draft Supplemental Environmental Impact Statement for the Proposed Rio Grande...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

..., floodplain development, water quality, ecological resources, endangered species, wildlife refuge objectives, social welfare, human safety, cultural resources, and aesthetic qualities. Development and implementation... risk management study along the Rio Grande from San Acacia downstream to San Marcial in Socorro County...

Highway safety : factors contributing to traffic crashes and NHTSA's efforts to address them : statement of Peter Guerrero, Director, Physical Infrastructure Issues

DOT National Transportation Integrated Search

2003-05-22

Most motor vehicle crashes have multiple causes. Experts and studies have identified three categories of factors that contribute to crashes-human, roadway environment, and vehicle factors. From 1975 through 2002, the rate of fatalities per 100 millio...

77 FR 15761 - Office of the Assistant Secretary for Health, Statement of Organization, Functions, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-16

... hepatitis, other infectious diseases of public health significance, and blood safety and availability. The..., including viral hepatitis and HIV/AIDS, across HHS and monitors progress toward achieving established goals... to promote effective prevention and advancement of research for HIV/AIDS, viral hepatitis, and other...

Automatic Vehicle Location successful transit applications : a cross-cutting study : improving service and safety

DOT National Transportation Integrated Search

2000-08-01

Belief in the value of AVL is substantiated by statements of benefits contained earlier in this study. Even so, none of the study agencies are making full use of the voluminous amount of AVL data automatically recorded by the system. Efforts to make ...

Immune responses and safety after dart or booster vaccination of bison with Brucella abortus strain RB51

USDA-ARS?s Scientific Manuscript database

One alternative in the Bison remote vaccination environmental impact statement (EIS) for Yellowstone National Park includes inoculation of both calves and yearlings. Although RB51 vaccination of bison does protect against experimental challenge, it was unknown whether booster vaccination might enhan...

Pre-surgery briefings and safety climate in the operating theatre.

PubMed

Allard, Jon; Bleakley, Alan; Hobbs, Adrian; Coombes, Lee

2011-08-01

In 2008, the WHO produced a surgical safety checklist against a background of a poor patient safety record in operating theatres. Formal team briefings are now standard practice in high-risk settings such as the aviation industry and improve safety, but are resisted in surgery. Research evidence is needed to persuade the surgical workforce to adopt safety procedures such as briefings. To investigate whether exposure to pre-surgery briefings is related to perception of safety climate. Three Safety Attitude Questionnaires, completed by operating theatre staff in 2003, 2004 and 2006, were used to evaluate the effects of an educational intervention introducing pre-surgery briefings. Individual practitioners who agree with the statement 'briefings are common in the operating theatre' also report a better 'safety climate' in operating theatres. The study reports a powerful link between briefing practices and attitudes towards safety. Findings build on previous work by reporting on the relationship between briefings and safety climate within a 4-year period. Briefings, however, remain difficult to establish in local contexts without appropriate team-based patient safety education. Success in establishing a safety culture, with associated practices, may depend on first establishing unidirectional, positive change in attitudes to create a safety climate.

Using Contemporary Leadership Skills in Medication Safety Programs.

PubMed

Hertig, John B; Hultgren, Kyle E; Weber, Robert J

2016-04-01

The discipline of studying medication errors and implementing medication safety programs in hospitals dates to the 1970s. These initial programs to prevent errors focused only on pharmacy operation changes - and not the broad medication use system. In the late 1990s, research showed that faulty systems, and not faulty people, are responsible for errors and require a multidisciplinary approach. The 2013 ASHP Statement on the Role of the Medication Safety Leader recommended that medication safety leaders be integrated team members rather than a single point of contact. Successful medication safety programs must employ a new approach - one that embraces the skills of all health care team members and positions many leaders to improve safety. This approach requires a new set of leadership skills based on contemporary management principles, including followership, team-building, tracking and assessing progress, storytelling and communication, and cultivating innovation, all of which promote transformational change. The application of these skills in developing or changing a medication safety program is reviewed in this article.

Using Contemporary Leadership Skills in Medication Safety Programs

PubMed Central

Hertig, John B.; Hultgren, Kyle E.; Weber, Robert J.

2016-01-01

The discipline of studying medication errors and implementing medication safety programs in hospitals dates to the 1970s. These initial programs to prevent errors focused only on pharmacy operation changes – and not the broad medication use system. In the late 1990s, research showed that faulty systems, and not faulty people, are responsible for errors and require a multidisciplinary approach. The 2013 ASHP Statement on the Role of the Medication Safety Leader recommended that medication safety leaders be integrated team members rather than a single point of contact. Successful medication safety programs must employ a new approach – one that embraces the skills of all health care team members and positions many leaders to improve safety. This approach requires a new set of leadership skills based on contemporary management principles, including followership, team-building, tracking and assessing progress, storytelling and communication, and cultivating innovation, all of which promote transformational change. The application of these skills in developing or changing a medication safety program is reviewed in this article. PMID:27303083

Beliefs about Vaccinations: Comparing a Sample from a Medical School to That from the General Population

PubMed Central

Latella, Lauren E.; McAuley, Robert J.; Rabinowitz, Mitchell

2018-01-01

The current study compares health care professionals’ beliefs about vaccination statements with the beliefs of a sample of individuals from the general population. Students and faculty within a medical school (n = 58) and a sample from the general population in the United States (n = 177) were surveyed regarding their beliefs about vaccinations. Participants evaluated statements about vaccinations (both supporting and opposing), and indicated whether they thought the general population would agree with them. Overall, it was found that subjects in both populations agreed with statements supporting vaccination over opposing statements, but the general population was more likely to categorize the supporting statements as beliefs rather than facts. Additionally, there was little consensus within each population as to which statements were considered facts versus beliefs. Both groups underestimated the number of people that would agree with them; however, the medical affiliates showed the effect significantly more. Implications for medical education and health communication are discussed. PMID:29597319

The application of the psychological contract to workplace safety.

PubMed

Walker, Arlene; Hutton, Dorothy M

2006-01-01

Psychological contracts of safety are conceptualized as the beliefs of individuals about reciprocal safety obligations inferred from implicit or explicit promises. Although the literature on psychological contracts is growing, the existence of psychological contracts in relation to safety has not been established. The research sought to identify psychological contracts in the conversations of employees about safety, by demonstrating reciprocity in relation to employer and employee safety obligations. The identified safety obligations were used to develop a measure of psychological contracts of safety. The participants were 131 employees attending safety training sessions in retail and manufacturing organizations. Non-participant observation was used to collect the data during safety training sessions. Content analysis was used to analyze the data. Categories for coding were established through identification of language markers that demonstrated contingencies or other implied obligations. Direct evidence of reciprocity between employer safety obligations and employee safety obligations was found in statements from the participants demonstrating psychological contracts. A comprehensive list of perceived employer and employee safety obligations was compiled and developed into a measure of psychological contracts of safety. A small sample of 33 safety personnel was used to validate the safety obligations. CONCLUSIONS AND IMPACT ON INDUSTRY: Implications of these findings for safety and psychological contract research are discussed.

Incorporating organisational safety culture within ergonomics practice.

PubMed

Bentley, Tim; Tappin, David

2010-10-01

This paper conceptualises organisational safety culture and considers its relevance to ergonomics practice. Issues discussed in the paper include the modest contribution that ergonomists and ergonomics as a discipline have made to this burgeoning field of study and the significance of safety culture to a systems approach. The relevance of safety culture to ergonomics work with regard to the analysis, design, implementation and evaluation process, and implications for participatory ergonomics approaches, are also discussed. A potential user-friendly, qualitative approach to assessing safety culture as part of ergonomics work is presented, based on a recently published conceptual framework that recognises the dynamic and multi-dimensional nature of safety culture. The paper concludes by considering the use of such an approach, where an understanding of different aspects of safety culture within an organisation is seen as important to the success of ergonomics projects. STATEMENT OF RELEVANCE: The relevance of safety culture to ergonomics practice is a key focus of this paper, including its relationship with the systems approach, participatory ergonomics and the ergonomics analysis, design, implementation and evaluation process. An approach to assessing safety culture as part of ergonomics work is presented.

39 CFR 775.11 - Environmental impact statements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... approaches or generally accepted research methods. For purposes of this subsection, “reasonably foreseeable...)), the environmental impacts and the alternatives are presented in comparative form, thus sharply... comparative merits. (iii) Identify the preferred alternative or alternatives in the draft and final statements...

39 CFR 775.11 - Environmental impact statements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... approaches or generally accepted research methods. For purposes of this subsection, “reasonably foreseeable...)), the environmental impacts and the alternatives are presented in comparative form, thus sharply... comparative merits. (iii) Identify the preferred alternative or alternatives in the draft and final statements...

39 CFR 775.11 - Environmental impact statements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... approaches or generally accepted research methods. For purposes of this subsection, “reasonably foreseeable...)), the environmental impacts and the alternatives are presented in comparative form, thus sharply... comparative merits. (iii) Identify the preferred alternative or alternatives in the draft and final statements...

39 CFR 775.11 - Environmental impact statements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... approaches or generally accepted research methods. For purposes of this subsection, “reasonably foreseeable...)), the environmental impacts and the alternatives are presented in comparative form, thus sharply... comparative merits. (iii) Identify the preferred alternative or alternatives in the draft and final statements...

39 CFR 775.11 - Environmental impact statements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... approaches or generally accepted research methods. For purposes of this subsection, “reasonably foreseeable...)), the environmental impacts and the alternatives are presented in comparative form, thus sharply... comparative merits. (iii) Identify the preferred alternative or alternatives in the draft and final statements...

National Dam Safety Program. Ehrlich Lake Dam (MO 10993), Mississippi - Salt - Quincy River Basin, Montgomery County, Missouri. Phase I Inspection Report.

DTIC Science & Technology

1980-12-01

IED MSa. DECL ASSI FICATION/DOWNGRAOING SCHEDULE 16 . ODISTRIBUTION STATEMENT (of this Report) Approved for release; distribution unlimited. 17...the dam with respect to safety, based on available data and on visual inspection, to determine if the dam poses hazards to human life or property . UWDO...General. Make Blocks 1. 4, 5, 6. 7, It. 13, 15, and 16 agree with the corresponding information on the report cover. Leave Blocks 2 and 3 blank. Block 1

Building an Accurate Financial Data Base.

ERIC Educational Resources Information Center

Conger, Cathleen A.

1979-01-01

Using the audited financial statements recommended by the NACUBO/AICPA guidelines of 1974, it is possible to provide an institution with a consolidated statement of changes in financial position while maintaining its present financial statement format, distinctions among its major fund groups, and its comparability with other institutions. (MLW)

Report: Agreed-Upon Procedures on EPA’s Fiscal Year 2009 First Quarter Financial Statements

EPA Pesticide Factsheets

Report #09-2-0161, June 8, 2009. We compared the statements with EPA’s crosswalk, recomputed them for mathematical accuracy, and compared them with balances separately generated by us. Except for immaterial rounding differences, the amounts agreed.

Endocrine Society of Australia position statement on male hypogonadism (part 2): treatment and therapeutic considerations.

PubMed

Yeap, Bu B; Grossmann, Mathis; McLachlan, Robert I; Handelsman, David J; Wittert, Gary A; Conway, Ann J; Stuckey, Bronwyn Ga; Lording, Douglas W; Allan, Carolyn A; Zajac, Jeffrey D; Burger, Henry G

2016-09-05

Part 1 of this position statement dealt with the assessment of male hypogonadism, including the indications for testosterone therapy. This article, Part 2, focuses on treatment and therapeutic considerations for male hypogonadism and identifies key questions for future research. Key points and recommendations are:Excess cardiovascular events have been reported in some but not all studies of older men without pathological hypogonadism who were given testosterone treatment. Additional studies are needed to clarify whether testosterone therapy influences cardiovascular risk.Testosterone is the native hormone that should be replaced in men being treated for pathological hypogonadism. Convenient and cost-effective treatment modalities include depot intramuscular injection and transdermal administration (gel, cream or liquid formulations).Monitoring of testosterone therapy is recommended for efficacy and safety, focusing on ameliorating symptoms, restoring virilisation, avoiding polycythaemia and maintaining or improving bone mineral density.Treatment aims to relieve an individual's symptoms and signs of androgen deficiency by administering standard doses and maintaining circulating testosterone levels within the reference interval for eugonadal men.Evaluation for cardiovascular disease and prostate cancer risks should be undertaken as appropriate for eugonadal men of similar age. Nevertheless, when there is a reasonable possibility of substantive pre-existing prostate disease, digital rectal examination and prostate-specific antigen testing should be performed before commencing testosterone treatment.Changes in management as result of the position statement: Treatment aims to relieve symptoms and signs of androgen deficiency, using convenient and effective formulations of testosterone. Therapy should be monitored for efficacy and safety.

Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease.

PubMed

Appoo, Jehangir J; Bozinovski, John; Chu, Michael W A; El-Hamamsy, Ismail; Forbes, Thomas L; Moon, Michael; Ouzounian, Maral; Peterson, Mark D; Tittley, Jacques; Boodhwani, Munir

2016-06-01

In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Position Statement on behalf of the CCS, Canadian Society of Cardiac Surgeons, and the Canadian Society for Vascular Surgery provides recommendations about thoracic aortic disease interventions, including: aortic valve repair, perfusion strategies for arch repair, extended arch hybrid reconstruction for acute type A dissection, endovascular management of arch and descending aortic aneurysms, and type B dissection. The position statement is constructed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, and has been approved by the primary panel, an international secondary panel, and the CCS Guidelines Committee. Advent of endovascular technology has improved aortic surgery safety and extended the indications of minimally invasive thoracic aortic surgery. The combination of safer open surgery with endovascular treatment has improved patient outcomes in this rapidly evolving subspecialty field of cardiovascular surgery. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

21 CFR 101.93 - Certain types of statements for dietary supplements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... dietary supplements. (a)(1) No later than 30 days after the first marketing of a dietary supplement that... manufacturer, packer, or distributor of the dietary supplement shall notify the Office of Nutritional Products, Labeling and Dietary Supplements (HFS-810), Center for Food Safety and Applied Nutrition, Food and Drug...

21 CFR 101.93 - Certain types of statements for dietary supplements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... dietary supplements. (a)(1) No later than 30 days after the first marketing of a dietary supplement that... manufacturer, packer, or distributor of the dietary supplement shall notify the Office of Nutritional Products, Labeling and Dietary Supplements (HFS-810), Center for Food Safety and Applied Nutrition, Food and Drug...

21 CFR 101.93 - Certain types of statements for dietary supplements.

Code of Federal Regulations, 2013 CFR

2013-04-01

... dietary supplements. (a)(1) No later than 30 days after the first marketing of a dietary supplement that... manufacturer, packer, or distributor of the dietary supplement shall notify the Office of Nutritional Products, Labeling and Dietary Supplements (HFS-810), Center for Food Safety and Applied Nutrition, Food and Drug...

21 CFR 101.93 - Certain types of statements for dietary supplements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... dietary supplements. (a)(1) No later than 30 days after the first marketing of a dietary supplement that... manufacturer, packer, or distributor of the dietary supplement shall notify the Office of Nutritional Products, Labeling and Dietary Supplements (HFS-810), Center for Food Safety and Applied Nutrition, Food and Drug...

77 FR 12333 - Special Nuclear Material License Amendment From Louisiana Energy Services, LLC, for the National...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-29

... moderate annual impact on local employment for four more years. Environmental justice impacts are described... significant impact. FOR FURTHER INFORMATION CONTACT: Mary T. Adams, Office of Nuclear Material Safety and... NRC issued a final environmental impact statement (EIS) for the NEF (NUREG-1790) (ML051730238 and...

10 CFR Appendix A to Part 820 - General Statement of Enforcement Policy

Code of Federal Regulations, 2012 CFR

2012-01-01

... evaluated in the aggregate and a single severity level assigned for a group of violations. (c) Isolated... pre-decisional discussions regarding potential or alleged violations and will not normally be open to... forth the conclusion of the DOE Office of Nuclear Safety and Environment that one or more violations of...

10 CFR Appendix A to Part 820 - General Statement of Enforcement Policy

Code of Federal Regulations, 2014 CFR

2014-01-01

... evaluated in the aggregate and a single severity level assigned for a group of violations. (c) Isolated... pre-decisional discussions regarding potential or alleged violations and will not normally be open to... forth the conclusion of the DOE Office of Nuclear Safety and Environment that one or more violations of...

10 CFR Appendix A to Part 820 - General Statement of Enforcement Policy

Code of Federal Regulations, 2010 CFR

2010-01-01

... evaluated in the aggregate and a single severity level assigned for a group of violations. (c) Isolated... pre-decisional discussions regarding potential or alleged violations and will not normally be open to... forth the conclusion of the DOE Office of Nuclear Safety and Environment that one or more violations of...

10 CFR Appendix A to Part 820 - General Statement of Enforcement Policy

Code of Federal Regulations, 2013 CFR

2013-01-01

... evaluated in the aggregate and a single severity level assigned for a group of violations. (c) Isolated... pre-decisional discussions regarding potential or alleged violations and will not normally be open to... forth the conclusion of the DOE Office of Nuclear Safety and Environment that one or more violations of...

10 CFR Appendix A to Part 820 - General Statement of Enforcement Policy

Code of Federal Regulations, 2011 CFR

2011-01-01

... evaluated in the aggregate and a single severity level assigned for a group of violations. (c) Isolated... pre-decisional discussions regarding potential or alleged violations and will not normally be open to... forth the conclusion of the DOE Office of Nuclear Safety and Environment that one or more violations of...

9 CFR 381.119 - Declaration of artificial flavoring or coloring.

Code of Federal Regulations, 2011 CFR

2011-01-01

... coloring. 381.119 Section 381.119 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Containers § 381.119 Declaration of artificial flavoring or coloring. (a) When an artificial smoke flavoring... coloring shall bear a statement stating that fact on the immediate container or, if there is none, on the...

9 CFR 381.119 - Declaration of artificial flavoring or coloring.

Code of Federal Regulations, 2010 CFR

2010-01-01

... coloring. 381.119 Section 381.119 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Containers § 381.119 Declaration of artificial flavoring or coloring. (a) When an artificial smoke flavoring... coloring shall bear a statement stating that fact on the immediate container or, if there is none, on the...

75 FR 5888 - Federal Manufactured Home Construction and Safety Standards and Other Orders: HUD Statements That...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-05

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 24 CFR Parts 3280 and 3282 [Docket No. FR-5343-IN-01... Housing Programs, Department of Housing and Urban Development, 451 Seventh Street, SW., Room 9164... provided that the consensus committee was to develop the original proposed model installation standards for...

78 FR 71639 - Final Environmental Impact Statement for the Soboba Band of Luiseno Indians' Proposed 534-Acre...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... Action also includes the development of a 300-room hotel, casino, restaurants, retail establishments, a... addressed within the FEIS included land resources, water resources, air quality, biological resources..., Chief of the Division of Environmental, Cultural Resources Management and Safety, at the address listed...

NSTA Positions on Critical Issues Confronting the Science Teaching Profession

ERIC Educational Resources Information Center

Sci Teacher, 1970

1970-01-01

Presents National Science Teachers Association (NSTA) policy statements of 1968 and 1969 with respect to the (1) use of natural resources for teaching purposes, (2) use of live animals, (3) teaching of human reproduction and sexuality, (4) functions of science fairs, (5) teacher liability for laboratory safety and field trips, (6) national…

Safety System for a Towed Array

DTIC Science & Technology

2017-09-25

to a loss of life. [0006] The present way to prevent this failure involves the use of a handling system with a rated load that is higher than the...IN REPLY REFER TO Attorney Docket No . 300196 20...Technology Transfer at (401) 832-1511. DISTRIBUTION STATEMENT Approved for Public Release Distribution is unlimited Attorney Docket No

78 FR 70295 - Intent to Prepare an Environmental Impact Statement for the Dam Safety Modification Report...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-25

... of the dam not designed to be overtopped. After a full consideration of alternatives, this... for the DSA project permitting the Huntington District to begin detailed design and [[Page 70296... concrete blocks placed against the downstream face of the dam, and a pavement for scour protection...

76 FR 18801 - Biweekly Notice; Applications and Amendments to Facility Operating Licenses Involving No...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-05

.../petitioner shall provide a brief explanation of the bases for the contention and a concise statement of the.... The fuel rod design bases are established to satisfy the general and specific safety criteria..., ``Primary Containment Isolation Instrumentation,'' by deleting channel check Surveillance Requirement 3.3.6...

16 CFR 1701.3 - Applicability of special packaging requirements to hazardous substances in large size containers.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 2 2014-01-01 2014-01-01 false Applicability of special packaging requirements to hazardous substances in large size containers. 1701.3 Section 1701.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS STATEMENTS OF POLICY...

16 CFR 1701.3 - Applicability of special packaging requirements to hazardous substances in large size containers.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Applicability of special packaging requirements to hazardous substances in large size containers. 1701.3 Section 1701.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS STATEMENTS OF POLICY...

16 CFR 1701.3 - Applicability of special packaging requirements to hazardous substances in large size containers.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Applicability of special packaging requirements to hazardous substances in large size containers. 1701.3 Section 1701.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS STATEMENTS OF POLICY...

16 CFR 1701.3 - Applicability of special packaging requirements to hazardous substances in large size containers.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 2 2012-01-01 2012-01-01 false Applicability of special packaging requirements to hazardous substances in large size containers. 1701.3 Section 1701.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS STATEMENTS OF POLICY...

Marine Electrician--Fundamentals.

ERIC Educational Resources Information Center

Sutliff, Ronald D.; And Others

This self-study course is designed to familiarize Marine Corps enlisted personnel with the principles of electricity, safety, and tools. The course contains three study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the unit. The study units are divided into numbered work units,…

75 FR 33565 - Notice of Intent To Prepare an Environmental Impact Statement for New Medium- and Heavy-Duty Fuel...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-14

...- and Heavy-Duty Fuel Efficiency Improvement Program AGENCY: National Highway Traffic Safety... efficiency improvement program for commercial medium- and heavy-duty on-highway vehicles and work trucks... efficiency standards starting with model year (MY) 2016 commercial medium- and heavy-duty on-highway vehicles...

78 FR 8118 - Cancellation of the Notice of Intent To Prepare a Draft and Final Supplemental Environmental...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-05

... Herbert Hoover Dike Major Rehabilitation Project, Martin and Palm Beach Counties AGENCY: Department of the... Supplemental Environmental Impact Statement (SEIS) for Reach 1A on the Herbert Hoover Dike (HHD) Major... required for safety modifications to dams. FOR FURTHER INFORMATION CONTACT: Questions may be forwarded to...

75 FR 22758 - Notice of Intent To Prepare a Draft Environmental Impact Statement and Dam Safety Assurance...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

... instrumentation to ensure adequate monitoring and to provide suitable baseline information. 2. Remediation Alternatives. The draft EIS will address an array of remediation alternatives that are necessary to prevent... benefits. The exact nature and extent of the remediation alternatives will be determined based on the...

75 FR 6004 - Notice of Intent To Prepare a Draft Environmental Impact Statement and Dam Safety Assurance...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-05

... evaluation of the main dam's overall earthquake performance. 2. Remediation Alternatives. The draft EIS will address an array of remediation alternatives that are necessary to prevent loss of life, extensive... extent of the remediation alternatives will be determined based on the results of on- going geotechnical...

75 FR 62417 - Draft Environmental Impact Statement for the Proposed Manzanita Band of Kumeyaay Indians Fee-to...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

...,000 square feet of food/beverage and retail components; a 38,660-square-foot entertainment venue; and..., Federal review (by the National Indian Gaming Commission) of the development and management contract, and... Division of Environmental, Cultural Resources Management and Safety, at the telephone number provided in...

Next level of board accountability in health care quality.

PubMed

Pronovost, Peter J; Armstrong, C Michael; Demski, Renee; Peterson, Ronald R; Rothman, Paul B

2018-03-19

Purpose The purpose of this paper is to offer six principles that health system leaders can apply to establish a governance and management system for the quality of care and patient safety. Design/methodology/approach Leaders of a large academic health system set a goal of high reliability and formed a quality board committee in 2011 to oversee quality and patient safety everywhere care was delivered. Leaders of the health system and every entity, including inpatient hospitals, home care companies, and ambulatory services staff the committee. The committee works with the management for each entity to set and achieve quality goals. Through this work, the six principles emerged to address management structures and processes. Findings The principles are: ensure there is oversight for quality everywhere care is delivered under the health system; create a framework to organize and report the work; identify care areas where quality is ambiguous or underdeveloped (i.e. islands of quality) and work to ensure there is reporting and accountability for quality measures; create a consolidated quality statement similar to a financial statement; ensure the integrity of the data used to measure and report quality and safety performance; and transparently report performance and create an explicit accountability model. Originality/value This governance and management system for quality and safety functions similar to a finance system, with quality performance documented and reported, data integrity monitored, and accountability for performance from board to bedside. To the authors' knowledge, this is the first description of how a board has taken this type of systematic approach to oversee the quality of care.

Framing Hostilities: Analysis of Mission Statements from Segregated Chicana/o Schools

ERIC Educational Resources Information Center

Orozco, Richard

2012-01-01

This study examined discourses used in mission statements from segregated Chicana/o and White schools. The words and phrases used in segregated Chicana/o school mission statements produce negatively oriented frames that make transparent low expectations and negative attitudes compared to those used in segregated White schools. These frames become…

Mission Statements of Christian Elementary Schools in the United States and the Netherlands

ERIC Educational Resources Information Center

Zandstra, Anne M.

2012-01-01

This study compares the mission statements of a small sample of Christian elementary schools in the United States and the Netherlands. In the United States, Christian schools are private schools, while in the Netherlands Christian schools receive state funding, just like public schools. Content analysis of mission statements revealed similarities…

Credentialing Structures, Pedagogies, Practices, and Curriculum Goals: Trajectories of Change in Community College Mission Statements

ERIC Educational Resources Information Center

Ayers, David F.

2015-01-01

Objective: To examine the discursive strategies deployed by community colleges to sustain legitimacy in an evolving and contradictory institutional environment. Method: Using corpus linguistics software, I compared 1,009 mission statements from 2012-2013 with a reference corpus of 427 mission statements from 2004. Results: Keywords analysis,…

Human papillomavirus (HPV) infection and vaccination: knowledge and attitudes among healthcare professionals and the general public in Slovenia.

PubMed

Troha, Majda; Šterbenc, Anja; Mlaker, Martina; Poljak, Mario

2018-06-01

This study evaluates knowledge of and attitudes toward human papillomavirus (HPV) infection and vaccination among healthcare professionals and the general public in Slovenia. Five statements were designed to evaluate participants' opinions regarding age at HPV vaccine administration and potential delay in vaccination, associations of HPV vaccination with riskier sexual behavior, HPV vaccine safety, the importance of the internet as a source of information, and the significance of HPV vaccination in boys. Participants were asked to express agreement or disagreement with each statement. A total of 605 surveys were completed by medical students (n = 259), parents of sixth-graders in 2016 (n = 103) and 2017 (n = 103), pediatricians and school medicine specialists (n = 21), gynecologists (n = 34), and women visiting gynecology outpatient clinics (n = 85). The highest level of knowledge and belief in the HPV vaccine and its safety was observed among pediatricians and school medicine specialists. Medical students tend to have a very positive attitude toward HPV vaccination, although they need additional education about HPV vaccine safety. Some healthcare professionals showed signs of HPV vaccine hesitancy, and their beliefs were somewhat similar to those of the general public. Although the overall attitude towards HPV vaccination is generally positive, additional education must be provided to both healthcare professionals and the general public in order to achieve higher HPV vaccination coverage rates in Slovenia.

Comparison of the diabetes guidelines from the ADA/EASD and the AACE/ACE.

PubMed

Cornell, Susan

To compare recent diabetes guideline updates from the American Diabetes Association-European Association for the Study of Diabetes (ADA/EASD) and the American Association of Clinical Endocrinologists-American College of Endocrinology (AACE/ACE). The ADA/EASD guideline continues to advocate a stepwise approach to glycemic control that initiates with metformin and intensifies treatment incrementally to dual and triple therapy at 3-month intervals until the patient is at their individualized goal. The AACE/ACE guideline provides a broader choice of first-line medications, with a suggested hierarchy of use, and it encourages initial dual and triple therapy if the glycated hemoglobin (A1C) level is high enough at diagnosis (7.5%-9.0% and >9.0%, respectively). Target A1C levels are higher in the ADA/EASD guideline (≤7.0%) compared with the AACE/ACE guideline (≤6.5%), although both statements indicate that targets should be adjusted to specific clinical scenarios based on safety. Both guidelines now include the new sodium-glucose cotransporter-2 inhibitors among their choices of acceptable glucose-lowering medications and endorse the overall cardiovascular and pancreatic safety of incretin therapies, and the safety of pioglitazone vis-a-vis bladder cancer. In practice, the ADA/EASD guidelines tend to be more user-friendly for general practitioners because of the simple stepwise intensification regimen, whereas the AACE/ACE guidelines are more commonly followed by specialists (endocrinologists) because of the more aggressive A1C targets. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study.

PubMed

Gabrani, Adriatik; Hoxha, Adrian; Simaku, Artan; Gabrani, Jonila Cyco

2015-04-15

To establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes. A cross-sectional study utilising the Albanian version of the SAQ and a demographic questionnaire. Four regional hospitals in Albania. 341 healthcare providers, including 132 nurses and 209 doctors. The translation, construct validity and internal validity of the SAQ. The SAQ includes six scales and 30 items. A total of 341 valid questionnaires were returned, for a response rate of 70%. The confirmatory factor analysis and its goodness-of-fit indices (standardised root mean square residual 0.075, root mean square error of approximation 0.044 and comparative fit index 0.97) showed good model fit. The Cronbach's α values for each of the scales of the SAQ ranged from 0.64 to 0.82. The percentage of hospital healthcare workers who had a positive attitude was 60.3% for the teamwork climate, 57.2% for the safety climate, 58.4% for job satisfaction, 37.4% for stress recognition, 59.3% for the perception of management and 49.5% for working conditions. Intercorrelations showed that the subscales had moderate-to-high correlations with one another. Nurses were more hesitant to admit and report errors; only 55% of physicians and 44% of nurses endorsed this statement (χ(2)=4.9, p=0.02). Moreover, nurses received lower scores on team work compared with doctors (N 45.7 vs D 52.3, p=0.01). Doctors denied the effects of stress and fatigue on their performance (N 46.7 vs D 39.5, p<0.01), neglecting the workload. The SAQ is a useful tool for evaluating safety attitudes in Albanian hospitals. In light of the health workforce's poor recognition of stress, establishing patient safety programmes should be a priority among policymakers in Albania. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Annual Training: Leader’s Safety Guide

DTIC Science & Technology

1991-10-01

QiSTsreUTFOH STATEMENT X; DISTIUaimON AUTHORIZED TOL’S GOVSRNMES’T ÄGSNCES »ND ’(WATE INDIVIDUALS OR ENTERPRISES E.UÖ3SLE TO OBTAIN ESPORT ...Statistics show that— • In World War II, one out of every five American soldiers killed died as a result of an accident. • In Korea , more than half

9 CFR 318.4 - Preparation of products to be officially supervised; responsibilities of official establishments...

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 318.4 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... the applicant of the basis for the denial. The applicant will be afforded an opportunity to modify the... a written statement in response to this notification of denial and a right to request a hearing with...

9 CFR 318.4 - Preparation of products to be officially supervised; responsibilities of official establishments...

Code of Federal Regulations, 2011 CFR

2011-01-01

... Section 318.4 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... the applicant of the basis for the denial. The applicant will be afforded an opportunity to modify the... a written statement in response to this notification of denial and a right to request a hearing with...

Students with Chronic Health Conditions: The Role of The School Nurse. Position Statement

ERIC Educational Resources Information Center

Combe, Laurie G.; Mattern, Cheryl; Fleming, Laurie; Killingsworth, Suzie

2017-01-01

It is the position of the National Association of School Nurses (NASN) that to optimize student health, safety, and learning, a professional registered school nurse (hereinafter referred to as school nurse) be present all day, every day. The American Academy of Pediatrics' Council on School Health (2016) highlights the important role school nurses…

School-Sponsored Before, After and Extended School Year Programs: The Role of the School Nurse. Position Statement

ERIC Educational Resources Information Center

Clark, Elizabeth; Buswell, Sue Ann; Morgitan, Judith; Compton, Linda; Westendorf, Georgene; Chau, Elizabeth

2014-01-01

It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) has the educational and clinical background to coordinate the necessary school health services to provide students with the same health, nutrition, and safety needs while attending…

10 CFR Appendix N to Part 52 - Standardization of Nuclear Power Plant Designs: Combined Licenses To Construct and Operate...

Code of Federal Regulations, 2012 CFR

2012-01-01

... structures, systems, and components important to radiological health and safety and the common defense and... report on the environmental impacts of the common design. 5. Upon a determination that each application.... 6. The NRC staff shall prepare draft and final environmental impact statements for each of the...

49 CFR Appendix A to Part 237 - Supplemental Statement of Agency Policy on the Safety of Railroad Bridges

Code of Federal Regulations, 2012 CFR

2012-10-01

... conduct regular evaluations of railroad bridge inspection and management practices. The objective of these... condition, and the stresses imposed in those members by the service loads. (c) The factors which were used... provided: (i) The condition of the bridge has not changed significantly; and (ii) The stresses resulting...

Nutrients: Learner's Guide for a Critical Path in Water Quality Monitoring.

ERIC Educational Resources Information Center

Glazer, Richard B.; And Others

This learner's guide on nutrients is derived from a water monitoring curriculum developed at Ulster County Community College. There are 30 modules in this guide; each introduced with a statement of purpose and then broken down into an objective, learning conditions, and performance level. The modules cover: (1) safety; (2) chemical compounds; (3)…

77 FR 1551 - Intent To Prepare an Environmental Impact Statement on the Bottineau Transitway Project From...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-10

... transit service which will satisfy the long-term regional mobility and local accessibility needs for... connections; energy use; and safety and security. Effects will be evaluated in the context of both short-term construction and long-term operation of the proposed project. Direct project effects as well as indirect and...

The Development and Initial Evaluation of the Human Readiness Level Framework

DTIC Science & Technology

2010-06-01

View ICD Initial Capabilities Document ICW Interactive Course Ware ILE Interactive Learning Environment ILT Instructor Led Training IOC...Programmatic Environmental Safety and Health Evaluation PHA Preliminary Hazard Analysis PHL Preliminary Hazard List xiv PM Program Manager PQS...Occupational Health SOW Statement of Work SRD System Requirements Document SPS System Performance Specification SRR System Requirements Review SVR

Final Environmental Impact Statement for the Closure (Withdrawal of Units) of Norton Air Force Base, California

DTIC Science & Technology

1990-07-01

and Wildlife Resources .............................. 3-25 3.3.2 Threatened and Endangered Species ............................. 3-27 3.4 Human ... Human Environment ................................................ 4-10 4.3.1 Archaeological, Cultural, and Historic Resources ................. 4-10...functional safety manager , AFISC, provides Air Force agencies an assessment of their fighting and medical readiness and their resource management

23 CFR Appendix A to Part 450 - Linking the Transportation Planning and NEPA Processes

Code of Federal Regulations, 2013 CFR

2013-04-01

... and refined, and how the design concept and scope were determined) should play a critical role in...., congestion, pavement, bridge, and/or safety) may shape the purpose and need statement. The use of these..., selection of the design concept and scope for a project or series of projects. Subsequently, second-tier...

23 CFR Appendix A to Part 450 - Linking the Transportation Planning and NEPA Processes

Code of Federal Regulations, 2011 CFR

2011-04-01

... and refined, and how the design concept and scope were determined) should play a critical role in...., congestion, pavement, bridge, and/or safety) may shape the purpose and need statement. The use of these..., selection of the design concept and scope for a project or series of projects. Subsequently, second-tier...

23 CFR Appendix A to Part 450 - Linking the Transportation Planning and NEPA Processes

Code of Federal Regulations, 2014 CFR

2014-04-01

... and refined, and how the design concept and scope were determined) should play a critical role in...., congestion, pavement, bridge, and/or safety) may shape the purpose and need statement. The use of these..., selection of the design concept and scope for a project or series of projects. Subsequently, second-tier...

23 CFR Appendix A to Part 450 - Linking the Transportation Planning and NEPA Processes

Code of Federal Regulations, 2010 CFR

2010-04-01

... and refined, and how the design concept and scope were determined) should play a critical role in...., congestion, pavement, bridge, and/or safety) may shape the purpose and need statement. The use of these..., selection of the design concept and scope for a project or series of projects. Subsequently, second-tier...

23 CFR Appendix A to Part 450 - Linking the Transportation Planning and NEPA Processes

Code of Federal Regulations, 2012 CFR

2012-04-01

... and refined, and how the design concept and scope were determined) should play a critical role in...., congestion, pavement, bridge, and/or safety) may shape the purpose and need statement. The use of these..., selection of the design concept and scope for a project or series of projects. Subsequently, second-tier...

Preventing Abuse of Deaf and Hard of Hearing Children: What Teachers Can Do

ERIC Educational Resources Information Center

Johnson, Jennifer A. L.

2018-01-01

Jennifer Johnson discusses her work with the American College Educators-Deaf and Hard of Hearing (ACE-DHH) group to address maltreatment of children with communicative disabilities and deafness. The ACE-DHH Child Maltreatment Work Group has targeted two documents in which the inclusion of safety statements could protect deaf and hard of hearing…

49 CFR Appendix A to Part 209 - Statement of Agency Policy Concerning Enforcement of the Federal Railroad Safety Laws

Code of Federal Regulations, 2011 CFR

2011-10-01

... railroading (e.g., the prohibition against disabling an automatic train control device) that any violation of... movement of railroad cars or locomotives that are actually known to contain certain defective conditions. A... areas, without regard to whether they use new technologies not associated with traditional railroads...

49 CFR Appendix A to Part 209 - Statement of Agency Policy Concerning Enforcement of the Federal Railroad Safety Laws

Code of Federal Regulations, 2010 CFR

2010-10-01

... railroading (e.g., the prohibition against disabling an automatic train control device) that any violation of... movement of railroad cars or locomotives that are actually known to contain certain defective conditions. A... areas, without regard to whether they use new technologies not associated with traditional railroads...

16 CFR § 1701.3 - Applicability of special packaging requirements to hazardous substances in large size containers.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Applicability of special packaging requirements to hazardous substances in large size containers. § 1701.3 Section § 1701.3 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS STATEMENTS OF POLICY...

77 FR 25129 - Environmental Impact Statement for Issuance of a Special Use Permit for the Continued Operation...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-27

... covers Parking areas Three trap ranges, one skeet range, and a sporting clay course Skeet, trap, and sporting clay shot-fall zones Safety fences, barriers, and berms Permit area perimeter fences and signs... and pistol ranges, three trap ranges, one skeet range, and a sporting clay course, as listed above...

75 FR 10307 - Notice of Availability of a Draft Environmental Impact Statement for Cape Hatteras National Seashore

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-05

... for the Cape Hatteras National Seashore (Seashore) Off-Road Vehicle Management Plan (Plan/EIS). The... off-road vehicle (ORV) use/access in the Seashore to protect and preserve natural and cultural... among various users, and to promote the safety of all visitors. Executive Order 11644 of 1972, amended...

75 FR 81591 - Notice of Intent to Prepare an Environmental Impact Statement (EIS) for Entry Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

.... SUMMARY: Pursuant to the National Environmental Policy Act (NEPA) of 1969, as amended (42 United States... proposed action is to improve security, safety, and traffic flow into and on the military base. An EIS must... concerns related to the ECPs and existing roadway network where State Route 444 separates the Kittyhawk...

77 FR 20872 - Notice of Intent to Prepare an Environmental Impact Statement: Milwaukee and Ozaukee Counties

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-06

... project study area will be made. A series of public information meetings will be held during the project study. Public notice will be given as to the time and place of all workshops and public information... pavement and structural needs, safety issues and design deficiencies while identifying methods to...

78 FR 76288 - Notice of Intent To Prepare a Draft Environmental Impact Statement and Dam Safety Modification...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

... Aurora, Colorado (southeast Denver metropolitan area). The remediation actions will be identified through... options may include federal actions which will be the subject of the EIS. 2. Remediation Alternatives. The draft EIS will address an array of remediation alternatives that could reduce the risk of life loss...

76 FR 62440 - Final Environmental Impact Statement for the Manzanita Band of Kumeyaay Indians Fee-to-Trust...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-07

...,000 square feet of food/beverage and retail components; 38,660-square foot entertainment venue; and... of the project site, Federal review (by NIGC) of the development and management contract, and... Resources Management and safety, at the address listed in the FOR FURTHER INFORMATION CONTACT section of...

The safety attitudes of people who use multi-purpose recreation facilities as a physical activity setting.

PubMed

Finch, Caroline F; Otago, Leonie; White, Peta; Donaldson, Alex; Mahoney, Mary

2011-06-01

Multi-purpose recreation facilities (MPRFs) are a popular setting for physical activity and it is therefore important that they are safe for all patrons. However, the attitudes of MPRF users towards safety are a potential barrier to the success of injury prevention programmes implemented within MPRFs. This article reports a survey of the safety attitudes of over 700 users of four indoor MPRFs. Factor analysis of 12 five-point Likert scale statements showed that the attitudes clustered around three major dimensions - the importance of safety, the benefits of safety and the perceptions of injury risk. Together, these three dimensions accounted for 49% of the variability in the attitudes. More than 85% of respondents agreed/strongly agreed that: safety was an important aspect of physical activity participation; being injured affected enjoyment of physical activity; people should adopt appropriate safety measures for all physical activity; and individuals were responsible for their own safety. The MPRF users, particularly women and older people, were generally safety conscious, believed in adopting safety measures, and were willing to take responsibility for their own safety. Facility managers can be confident that if they provide evidence-based injury prevention interventions in these settings, then users will respond appropriately and adopt the promoted behaviours.

The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions.

PubMed

Reis, Cláudia Tartaglia; Paiva, Sofia Guerra; Sousa, Paulo

2018-05-08

To learn the weaknesses and strengths of safety culture as expressed by the dimensions measured by the Hospital Survey on Patient Safety Culture (HSOPSC) at hospitals in the various cultural contexts. The aim of this study was to identify studies that have used the HSOPSC to collect data on safety culture at hospitals; to survey their findings in the safety culture dimensions and possible contributions to improving the quality and safety of hospital care. Medline (via PubMed), Web of Science and Scopus were searched from 2005 to July 2016 in English, Portuguese and Spanish. Studies were identified using specific search terms and inclusion criteria. A total of 33 articles, reporting on 21 countries, was included. Scores were extracted by patient safety culture dimensions assessed by the HSOPSC. The quality of the studies was evaluated by the STROBE Statement. The dimensions that proved strongest were 'Teamwork within units' and 'Organisational learning-continuous improvement'. Particularly weak dimensions were 'Non-punitive response to error', 'Staffing', 'Handoffs and transitions' and 'Teamwork across units'. The studies revealed a predominance of hospital organisational cultures that were underdeveloped or weak as regards patient safety. For them to be effective, safety culture evaluation should be tied to strategies designed to develop safety culture hospital-wide.

Baseball and softball.

PubMed

Rice, Stephen G; Congeni, Joseph A

2012-03-01

Baseball and softball are among the most popular and safest sports in which children and adolescents participate. Nevertheless, traumatic and overuse injuries occur regularly, including occasional catastrophic injury and even death. Safety of the athlete is a constant focus of attention among those responsible for modifying rules. Understanding the stresses placed on the arm, especially while pitching, led to the institution of rules controlling the quantity of pitches thrown in youth baseball and established rest periods between pitching assignments. Similarly, field maintenance and awareness of environmental conditions as well as equipment maintenance and creative prevention strategies are critically important in minimizing the risk of injury. This statement serves as a basis for encouraging safe participation in baseball and softball. This statement has been endorsed by the Canadian Paediatric Society.

Defining the Ideal Lumbar Total Disc Replacement Patient and Standard of Care.

PubMed

Gornet, Matthew; Buttermann, Glenn; Guyer, Richard; Yue, James; Ferko, Nicole; Hollmann, Sarah

2017-12-15

: Lumbar total disc replacement, now in use since 2004, was determined by the panel to be a standard of care for the treatment of symptomatic single-level lumbar degenerative disc disease in the active patient subpopulation as outlined by the investigational device exemption study criteria. The large body of evidence supporting this statement, including surgeons' experiences, was presented and discussed. Consensus statements focusing on decision-making criteria reflected that efficacy, long-term safety, clinical outcomes with validated measures, and cost-effectiveness should form the basis of decision-making by payers. Diagnostic challenges with lumbar degenerative disc disease patients were discussed among the panel, and it was concluded that although variably used among surgeons, reliable tools exist to appropriately diagnose discogenic back pain.

What constitutes an effective community pharmacy?--development of a preliminary model of organizational effectiveness through concept mapping with multiple stakeholders.

PubMed

Scahill, S L; Harrison, J; Carswell, P

2010-08-01

To develop a multi-constituent model of organizational effectiveness for community pharmacy. Using Concept Systems software, a project with 14 stakeholders included a three stage process: (i) face to face brainstorming to generate statements describing what constitutes an effective community pharmacy, followed by (ii) statement reduction and approval by participants, followed by (iii) sorting of the statements into themes with rating of each statement for importance. Primary care in a government-funded, national health care system. A multi-constituent group representing policy-makers and health care providers including; community pharmacy, professional pharmacy organizations, primary health care funders and policy-makers, general practitioners and general practice support organizations. Statement clusters included: 'has safe and effective workflows', 'contributes to the safe use of medicines', 'manages human resources and has leadership', 'has a community focus', 'is integrated within primary care', 'is a respected innovator', 'provides health promotion and preventative care', 'communicates and advocates'. These clusters fit into a quadrant model setting stakeholder focus against role development. The poles of stakeholder focus are 'internal capacity' and 'social utility'. The poles of role development are labelled 'traditional safety roles' and 'integration and innovation'. Organizational effectiveness in community pharmacy includes the internal and external focus of the organization and role development. Our preliminary model describes an effective community pharmacy and provides a platform for investigation of the factors that may influence the organizational effectiveness of individual community pharmacies now and into the future.

Implementing AORN recommended practices for sharps safety.

PubMed

Ford, Donna A

2014-01-01

Prevention of percutaneous sharps injuries in perioperative settings remains a challenge. Occupational transmission of bloodborne pathogens, not only from patients to health care providers but also from health care providers to patients, is a significant concern. Legislation and position statements geared toward ensuring the safety of patients and health care workers have not resulted in significantly reduced sharps injuries in perioperative settings. Awareness and understanding of the types of percutaneous injuries that occur in perioperative settings is fundamental to developing an effective sharps injury prevention program. The AORN "Recommended practices for sharps safety" clearly delineates evidence-based recommendations for sharps injury prevention. Perioperative RNs can lead efforts to change practice for the safety of patients and perioperative team members by promoting the elimination of sharps hazards; the use of engineering, work practice, and administrative controls; and the proper use of personal protective equipment, including double gloving. Copyright © 2014 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Summary of the NACI Statement on Seasonal Influenza Vaccine for 2017-2018.

PubMed

Vaudry, W; Stirling, R

2017-05-04

Influenza is a respiratory infection caused primarily by influenza A and B viruses. Vaccination is the most effective way to prevent influenza and its complications. The National Advisory Committee on Immunization (NACI) provides recommendations regarding seasonal influenza vaccines annually to the Public Health Agency of Canada (PHAC). To summarize the NACI recommendations regarding the use of seasonal influenza vaccines for the 2017-2018 influenza season. Annual influenza vaccine recommendations are developed by NACI's Influenza Working Group for consideration and approval by NACI, based on NACI's evidence-based process for developing recommendations. The recommendations include a consideration of the burden of influenza illness and the target populations for vaccination; efficacy and effectiveness, immunogenicity and safety of influenza vaccines; vaccine schedules; and other aspects of influenza immunization. These recommendations are published annually on the Agency's website in the NACI Advisory Committee Statement: Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine (the Statement). The annual statement has been updated for the 2017-2018 influenza season to incorporate recommendations for the use of live attenuated influenza vaccine (LAIV) that were contained in two addenda published after the 2016-2017 statement. These recommendations were 1) that egg-allergic individuals may be vaccinated against influenza using the low ovalbumin-containing LAIV licensed for use in Canada and 2) to continue to recommend the use of LAIV in children and adolescents 2-17 years of age, but to remove the preferential recommendation for its use. NACI continues to recommend annual influenza vaccination for all individuals aged six months and older, with particular focus on people at high risk of influenza-related complications or hospitalization, people capable of transmitting influenza to those at high risk, and others as indicated.

Effects of health information technology on patient outcomes: a systematic review.

PubMed

Brenner, Samantha K; Kaushal, Rainu; Grinspan, Zachary; Joyce, Christine; Kim, Inho; Allard, Rhonda J; Delgado, Diana; Abramson, Erika L

2016-09-01

To systematically review studies assessing the effects of health information technology (health IT) on patient safety outcomes. The authors employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement methods. MEDLINE, Cumulative Index to Nursing Allied Health (CINAHL), EMBASE, and Cochrane Library databases, from 2001 to June 2012, were searched. Descriptive and comparative studies were included that involved use of health IT in a clinical setting and measured effects on patient safety outcomes. Data on setting, subjects, information technology implemented, and type of patient safety outcomes were all abstracted. The quality of the studies was evaluated by 2 independent reviewers (scored from 0 to 10). A total of 69 studies met inclusion criteria. Quality scores ranged from 1 to 9. There were 25 (36%) studies that found benefit of health IT on direct patient safety outcomes for the primary outcome measured, 43 (62%) studies that either had non-significant or mixed findings, and 1 (1%) study for which health IT had a detrimental effect. Neither the quality of the studies nor the rate of randomized control trials performed changed over time. Most studies that demonstrated a positive benefit of health IT on direct patient safety outcomes were inpatient, single-center, and either cohort or observational trials studying clinical decision support or computerized provider order entry. Many areas of health IT application remain understudied and the majority of studies have non-significant or mixed findings. Our study suggests that larger, higher quality studies need to be conducted, particularly in the long-term care and ambulatory care settings. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

18 CFR 260.200 - Original cost statement of utility property.

Code of Federal Regulations, 2010 CFR

2010-04-01

... accordance with the Uniform System of Accounts, including, under appropriate descriptive headings, any... Statement G showing a comparative balance sheet reflecting the accounts and amounts appearing in the books...

18 CFR 260.200 - Original cost statement of utility property.

Code of Federal Regulations, 2014 CFR

2014-04-01

... accordance with the Uniform System of Accounts, including, under appropriate descriptive headings, any... Statement G showing a comparative balance sheet reflecting the accounts and amounts appearing in the books...

18 CFR 260.200 - Original cost statement of utility property.

Code of Federal Regulations, 2011 CFR

2011-04-01

... accordance with the Uniform System of Accounts, including, under appropriate descriptive headings, any... Statement G showing a comparative balance sheet reflecting the accounts and amounts appearing in the books...

18 CFR 260.200 - Original cost statement of utility property.

Code of Federal Regulations, 2013 CFR

2013-04-01

... accordance with the Uniform System of Accounts, including, under appropriate descriptive headings, any... Statement G showing a comparative balance sheet reflecting the accounts and amounts appearing in the books...

18 CFR 260.200 - Original cost statement of utility property.

Code of Federal Regulations, 2012 CFR

2012-04-01

... accordance with the Uniform System of Accounts, including, under appropriate descriptive headings, any... Statement G showing a comparative balance sheet reflecting the accounts and amounts appearing in the books...

Expert Consensus Statement on achieving self-sufficiency in safe blood and blood products, based on voluntary non-remunerated blood donation (VNRBD).

PubMed

2012-11-01

All countries face challenges in making sufficient supplies of blood and blood products available and sustainable, while also ensuring the quality and safety of these products in the face of known and emerging threats to public health. Since 1975, the World Health Assembly (WHA) has highlighted the global need for blood safety and availability. WHA resolutions 63·12, 58·13 and 28·72, The Melbourne Declaration on 100% Voluntary Non-Remunerated Donation of Blood and Blood Components and WHO Global Blood Safety Network recommendations have reaffirmed the achievement of 'Self-sufficiency in blood and blood products based on voluntary non-remunerated blood donation (VNRBD)' as the important national policy direction for ensuring a safe, secure and sufficient supply of blood and blood products, including labile blood components and plasma-derived medicinal products. Despite some successes, self-sufficiency is not yet a reality in many countries. A consultation of experts, convened by the World Health Organization (WHO) in September 2011 in Geneva, Switzerland, addressed the urgent need to establish strategies and mechanisms for achieving self-sufficiency. Information on the current situation, and country perspectives and experiences were shared. Factors influencing the global implementation of self-sufficiency, including safety, ethics, security and sustainability of supply, trade and its potential impact on public health, availability and access for patients, were analysed to define strategies and mechanisms and provide practical guidance on achieving self-sufficiency. Experts developed a consensus statement outlining the rationale and definition of self-sufficiency in safe blood and blood products based on VNRBD and made recommendations to national health authorities and WHO. © 2012 World Health Organization. Vox Sanguinis © 2012 International Society of Blood Transfusion.

Fundamentals of financial statement analysis for academic physician managers.

PubMed

Danzi, J T; Boom, M L

1998-04-01

Academic medical centers (i.e., teaching hospitals) and academic medical practices are under pressure to control costs to compete with for-profit health care institutions. The authors explain how academic physician managers who want to control costs wisely must first understand the cost structure of the medical center or practice and compare that structure with those of for-profit institutions. Doing this requires a firm understanding of how to use a valuable tool, financial statement analysis, to assess an institution's health and performance. Such analysis consists of calculating a variety of financial ratios (e.g., operating income divided by revenues; net income divided by total assets) and then comparing them with the corresponding ratios that are considered industry norms. Three types of financial statements (defined in detail) lend themselves to this approach: the balance sheet, income statement, and statement of cash flows. The authors define standard financial ratios, point out their uses and limitations, and emphasize that a ratio's meaning derives from comparing it with the corresponding benchmark ratio in the industry as a whole. Ratios should be used not as the end point of assessing financial status, but as ways to identify possible problems that require further investigation. Analysis of trends of ratios over time within an institution is a complementary approach. The authors then discuss the use of ratios in three standard types of institutional evaluation: of performance, of liquidity and leverage, and of strategic planning. In addition, they present the financial statement of a fictitious academic medical center as an example of how to use ratios for financial statement analysis. The authors emphasize that the key to using the ratios they discuss and hundreds of others is first to decide what question needs answering and then to choose the relevant ratios to provide a basis for finding the answer.

9 CFR 317.17 - Interpretation and statement of labeling policy for cured products; special labeling requirements...

Code of Federal Regulations, 2012 CFR

2012-01-01

... Section 317.17 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... of such product. For example, curing mixtures composed of such ingredients as water, salt, sugar... thermally processed to Fo 3 or more; they have been fermented or pickled to pH of 4.6 or less; or they have...

9 CFR 317.17 - Interpretation and statement of labeling policy for cured products; special labeling requirements...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Section 317.17 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... of such product. For example, curing mixtures composed of such ingredients as water, salt, sugar... thermally processed to Fo 3 or more; they have been fermented or pickled to pH of 4.6 or less; or they have...

9 CFR 317.17 - Interpretation and statement of labeling policy for cured products; special labeling requirements...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Section 317.17 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... of such product. For example, curing mixtures composed of such ingredients as water, salt, sugar... thermally processed to Fo 3 or more; they have been fermented or pickled to pH of 4.6 or less; or they have...

49 CFR Appendix A to Part 237 - Supplemental Statement of Agency Policy on the Safety of Railroad Bridges

Code of Federal Regulations, 2014 CFR

2014-10-01

... for the design of a bridge can generally be used to determine and rate the load capacity of a bridge... from the service loads can be correlated to the stresses for which the bridge was designed or rated. 3... bridge should keep design, construction, maintenance and repair records readily accessible to permit the...

49 CFR Appendix A to Part 237 - Supplemental Statement of Agency Policy on the Safety of Railroad Bridges

Code of Federal Regulations, 2013 CFR

2013-10-01

... for the design of a bridge can generally be used to determine and rate the load capacity of a bridge... from the service loads can be correlated to the stresses for which the bridge was designed or rated. 3... bridge should keep design, construction, maintenance and repair records readily accessible to permit the...

49 CFR Appendix A to Part 237 - Supplemental Statement of Agency Policy on the Safety of Railroad Bridges

Code of Federal Regulations, 2010 CFR

2010-10-01

... for the design of a bridge can generally be used to determine and rate the load capacity of a bridge... from the service loads can be correlated to the stresses for which the bridge was designed or rated. 3... bridge should keep design, construction, maintenance and repair records readily accessible to permit the...

49 CFR Appendix B to Part 553 - Statement of Policy: Rulemakings Involving the Assessment of the Functional Equivalence of Safety...

Code of Federal Regulations, 2010 CFR

2010-10-01

... making that assessment is fatality and injury data directly drawn from actual crashes. Accordingly, NHTSA will make appropriate efforts to ensure the availability of such data regarding crashes in the U.S. B... conditions, size distribution of vehicle fleet (e.g., proportion of big versus small vehicles and disparity...

49 CFR Appendix B to Part 553 - Statement of Policy: Rulemakings Involving the Assessment of the Functional Equivalence of Safety...

Code of Federal Regulations, 2011 CFR

2011-10-01

... making that assessment is fatality and injury data directly drawn from actual crashes. Accordingly, NHTSA will make appropriate efforts to ensure the availability of such data regarding crashes in the U.S. B... conditions, size distribution of vehicle fleet (e.g., proportion of big versus small vehicles and disparity...

76 FR 56226 - Meeting of the Public Safety Officer Medal of Valor Review Board

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-12

... those advisory functions specified in 42 U.S.C. 15202. Pursuant to 42 U.S.C. 15201, the President of the..., members of the public who wish to participate must register at least seven (7) days in advance of the... least seven (7) days in advance of the meeting. Please submit any comments or written statements for...

9 CFR 319.105 - “Ham patties,” “Chopped ham,” “Pressed ham,” “Spiced ham,” and similar products.

Code of Federal Regulations, 2014 CFR

2014-01-01

... ham,â âSpiced ham,â and similar products. 319.105 Section 319.105 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY... of cured pork product Minimum meat PFF percentage 1 Product name andqualifying statements “Ham...

9 CFR 319.105 - “Ham patties,” “Chopped ham,” “Pressed ham,” “Spiced ham,” and similar products.

Code of Federal Regulations, 2012 CFR

2012-01-01

... ham,â âSpiced ham,â and similar products. 319.105 Section 319.105 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY... of cured pork product Minimum meat PFF percentage 1 Product name and qualifying statements “Ham...

9 CFR 319.105 - “Ham patties,” “Chopped ham,” “Pressed ham,” “Spiced ham,” and similar products.

Code of Federal Regulations, 2013 CFR

2013-01-01

... ham,â âSpiced ham,â and similar products. 319.105 Section 319.105 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY... of cured pork product Minimum meat PFF percentage 1 Product name andqualifying statements “Ham...

9 CFR 319.105 - “Ham patties,” “Chopped ham,” “Pressed ham,” “Spiced ham,” and similar products.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ham,â âSpiced ham,â and similar products. 319.105 Section 319.105 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY... of cured pork product Minimum meat PFF percentage 1 Product name and qualifying statements “Ham...

9 CFR 319.105 - “Ham patties,” “Chopped ham,” “Pressed ham,” “Spiced ham,” and similar products.

Code of Federal Regulations, 2010 CFR

2010-01-01

... ham,â âSpiced ham,â and similar products. 319.105 Section 319.105 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY... of cured pork product Minimum meat PFF percentage 1 Product name and qualifying statements “Ham...

49 CFR Appendix B to Part 553 - Statement of Policy: Rulemakings Involving the Assessment of the Functional Equivalence of Safety...

Code of Federal Regulations, 2013 CFR

2013-10-01

... making that assessment is fatality and injury data directly drawn from actual crashes. Accordingly, NHTSA will make appropriate efforts to ensure the availability of such data regarding crashes in the U.S. B... conditions, size distribution of vehicle fleet (e.g., proportion of big versus small vehicles and disparity...

49 CFR Appendix B to Part 553 - Statement of Policy: Rulemakings Involving the Assessment of the Functional Equivalence of Safety...

Code of Federal Regulations, 2012 CFR

2012-10-01

... making that assessment is fatality and injury data directly drawn from actual crashes. Accordingly, NHTSA will make appropriate efforts to ensure the availability of such data regarding crashes in the U.S. B... conditions, size distribution of vehicle fleet (e.g., proportion of big versus small vehicles and disparity...

49 CFR Appendix B to Part 553 - Statement of Policy: Rulemakings Involving the Assessment of the Functional Equivalence of Safety...

Code of Federal Regulations, 2014 CFR

2014-10-01

... making that assessment is fatality and injury data directly drawn from actual crashes. Accordingly, NHTSA will make appropriate efforts to ensure the availability of such data regarding crashes in the U.S. B... conditions, size distribution of vehicle fleet (e.g., proportion of big versus small vehicles and disparity...

Altering the Mission Statement: The Training of Firefighters as Intelligence Gatherers

DTIC Science & Technology

2008-09-01

estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington headquarters Services ...distribution is unlimited 12b. DISTRIBUTION CODE A 13. ABSTRACT (maximum 200 words) The fire service is one of the...safety of our communities. 15. NUMBER OF PAGES 71 14. SUBJECT TERMS Fire Service , first responders, intelligence, firefighter training, awareness

75 FR 31509 - Rescinding the Notice of Intent for an Environmental Impact Statement: Prince George's County, MD

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-03

..., DelMar Division, 10 S. Howard Street, Suite 2450, Baltimore, MD 21201, Telephone: (410) 779-7152, e-mail... Department of the Environment, and University of Maryland, is rescinding the NOI to prepare an EIS for roadway improvements which would address mobility and safety for travelers to and from the University of...

U.S. Secretary of Labor Robert Reich urges Senate lawmakers to undertake OSHA reform.

PubMed

Reich, R

1994-07-01

Congress is considering reform of the 25-year-old Occupational Safety and Health (OSH) Act. Earlier this year, U.S. Secretary of Labor Robert Reich expressed his support of the Senate's OSHA reform bill (S. 575) in a statement before the Senate's Committee on Labor and Human Resources. Here is part of what he said.

Automatic external defibrillators for public access defibrillation: recommendations for specifying and reporting arrhythmia analysis algorithm performance, incorporating new waveforms, and enhancing safety. A statement for health professionals from the American Heart Association Task Force on Automatic External Defibrillation, Subcommittee on AED and Efficacy.

PubMed

1997-01-01

These recommendations are presented to enhance the safety and efficacy of AEDs intended for public access. The task force recommends that manufacturers present developmental and validation data on their own devices, emphasizing high sensitivity for shockable rhythms and high specificity for nonshockable rhythms. Alternative defibrillation waveforms may reduce energy requirements, reducing the size and weight of the device. The highest levels of safety for public access defibrillation are needed. Safe and effective use of AEDs that are widely available and easily handled by non-medical personnel has the potential to dramatically increase survival from cardiac arrest.

Attitudes about carbon monoxide safety in the United States: results from the 2005 and 2006 HealthStyles Survey.

PubMed

King, Michael E; Damon, Scott A

2011-01-01

We sought to identify attitudes and behaviors related to carbon monoxide (CO) safety that can be targeted with public health prevention strategies in the U.S. The Centers for Disease Control and Prevention added questions about (1) proper placement of gas-powered generators, (2) maintenance of fuel-burning appliances, and (3) use of CO detectors to the 2005 and 2006 HealthStyles national health marketing surveys. In 2005, 63.3% of HealthStyles respondents agreed with or were uncertain about the incorrect statement, "It is safe to run a generator in a garage as long as the door is open," while 43.1% agreed with or were uncertain about the incorrect statement, "It is safe to run a generator in the basement." Most of the 2006 respondents (63.5%) agreed that it is important to have their furnace inspected annually. However, fewer than half of the 2006 respondents (42.0%)-most of whom were homeowners-reported owning a CO detector. A large proportion of adults in the U.S. reported attitudes and behaviors that may place them at increased risk for unintentional, non-fire-related CO poisoning, suggesting that current safety messages may not be reaching much of the public. Prevention messages should continue to promote proper generator placement, maintenance of fuel-burning appliances, and use of CO detectors. Development of a comprehensive national strategy for CO surveillance and communication may help identify populations at increased risk and prevent future poisonings.

Tonsillectomy and Adenoidectomy in Children with Sleep-Related Breathing Disorders: Consensus Statement of a UK Multidisciplinary Working Party

PubMed Central

Robb, PJ; Bew, S; Kubba, H; Murphy, N; Primhak, R; Rollin, A-M; Tremlett, M

2009-01-01

During 2008, ENT-UK received a number of professional enquiries from colleagues about the management of children with upper airway obstruction and uncomplicated obstructive sleep apnoea (OSA). These children with sleep-related breathing disorders (SRBDs) are usually referred to paediatricians and ENT surgeons. In some district general hospitals, (DGHs) where paediatric intensive care (PICU) facilities to ventilate children were not available, paediatrician and anaesthetist colleagues were expressing concern about children with a clinical diagnosis of OSA having routine tonsillectomy, with or without adenoidectomy. As BAPO President, I was asked by the ENT-UK President, Professor Richard Ramsden, to investigate the issues and rapidly develop a working consensus statement to support safe but local treatment of these children. The Royal Colleges of Anaesthetists and Paediatrics and Child Health and the Association of Paediatric Anaesthetists nominated expert members from both secondary and tertiary care to contribute and develop a consensus statement based on the limited evidence base available. Our terms of reference were to produce a statement that was brief, with a limited number of references, to inform decision-making at the present time. With patient safety as the first priority, the working party wished to support practice that facilitated referral to a tertiary centre of those children who could be expected, on clinical assessment alone, potentially to require PICU facilities. In contrast, the majority of children who could be safely managed in a secondary care setting should be managed closer to home in a DGH. BAPO, ENT-UK, APA, RCS-CSF and RCoA have endorsed the consensus statement; the RCPCH has no mechanism for endorsing consensus statements, but the RCPCH Clinical Effectiveness Committee reviewed the statement, concluding it was a ‘concise, accurate and helpful document’. The consensus statement is an interim working tool, based on level-five evidence. It is intended as the starting point to catalyze further development towards a fully structured, evidence-based guideline; to this end, feedback and comment are welcomed. This and the constructive feedback from APA and RCPCH will be incorporated into a future guideline proposal. PMID:19622257

Tonsillectomy and adenoidectomy in children with sleep-related breathing disorders: consensus statement of a UK multidisciplinary working party.

PubMed

Robb, P J; Bew, S; Kubba, H; Murphy, N; Primhak, R; Rollin, A-M; Tremlett, M

2009-07-01

During 2008, ENT-UK received a number of professional enquiries from colleagues about the management of children with upper airway obstruction and uncomplicated obstructive sleep apnoea (OSA). These children with sleep-related breathing disorders (SRBDs) are usually referred to paediatricians and ENT surgeons. In some district general hospitals, (DGHs) where paediatric intensive care (PICU) facilities to ventilate children were not available, paediatrician and anaesthetist colleagues were expressing concern about children with a clinical diagnosis of OSA having routine tonsillectomy, with or without adenoidectomy. As BAPO President, I was asked by the ENT-UK President, Professor Richard Ramsden, to investigate the issues and rapidly develop a working consensus statement to support safe but local treatment of these children. The Royal Colleges of Anaesthetists and Paediatrics and Child Health and the Association of Paediatric Anaesthetists nominated expert members from both secondary and tertiary care to contribute and develop a consensus statement based on the limited evidence base available. Our terms of reference were to produce a statement that was brief, with a limited number of references, to inform decision-making at the present time. With patient safety as the first priority, the working party wished to support practice that facilitated referral to a tertiary centre of those children who could be expected, on clinical assessment alone, potentially to require PICU facilities. In contrast, the majority of children who could be safely managed in a secondary care setting should be managed closer to home in a DGH. BAPO, ENT-UK, APA, RCS-CSF and RCoA have endorsed the consensus statement; the RCPCH has no mechanism for endorsing consensus statements, but the RCPCH Clinical Effectiveness Committee reviewed the statement, concluding it was a 'concise, accurate and helpful document'. The consensus statement is an interim working tool, based on level-five evidence. It is intended as the starting point to catalyze further development towards a fully structured, evidence-based guideline; to this end, feedback and comment are welcomed. This and the constructive feedback from APA and RCPCH will be incorporated into a future guideline proposal.

9 CFR 381.413 - Nutrient content claims; general principles.

Code of Federal Regulations, 2012 CFR

2012-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... whether or not they meet the definition of the descriptive term. (7) Implied nutrient content claims may...

9 CFR 381.413 - Nutrient content claims; general principles.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... whether or not they meet the definition of the descriptive term. (7) Implied nutrient content claims may...

9 CFR 381.413 - Nutrient content claims; general principles.

Code of Federal Regulations, 2010 CFR

2010-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... whether or not they meet the definition of the descriptive term. (7) Implied nutrient content claims may...

9 CFR 381.413 - Nutrient content claims; general principles.

Code of Federal Regulations, 2013 CFR

2013-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... whether or not they meet the definition of the descriptive term. (7) Implied nutrient content claims may...

9 CFR 381.413 - Nutrient content claims; general principles.

Code of Federal Regulations, 2014 CFR

2014-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... whether or not they meet the definition of the descriptive term. (7) Implied nutrient content claims may...

Selection criteria for internal medicine residency applicants and professionalism ratings during internship.

PubMed

Cullen, Michael W; Reed, Darcy A; Halvorsen, Andrew J; Wittich, Christopher M; Kreuziger, Lisa M Baumann; Keddis, Mira T; McDonald, Furman S; Beckman, Thomas J

2011-03-01

To determine whether standardized admissions data in residents' Electronic Residency Application Service (ERAS) submissions were associated with multisource assessments of professionalism during internship. ERAS applications for all internal medicine interns (N=191) at Mayo Clinic entering training between July 1, 2005, and July 1, 2008, were reviewed by 6 raters. Extracted data included United States Medical Licensing Examination scores, medicine clerkship grades, class rank, Alpha Omega Alpha membership, advanced degrees, awards, volunteer activities, research experiences, first author publications, career choice, and red flags in performance evaluations. Medical school reputation was quantified using U.S. News & World Report rankings. Strength of comparative statements in recommendation letters (0 = no comparative statement, 1 = equal to peers, 2 = top 20%, 3 = top 10% or "best") were also recorded. Validated multisource professionalism scores (5-point scales) were obtained for each intern. Associations between application variables and professionalism scores were examined using linear regression. The mean ± SD (minimum-maximum) professionalism score was 4.09 ± 0.31 (2.13-4.56). In multivariate analysis, professionalism scores were positively associated with mean strength of comparative statements in recommendation letters (β = 0.13; P = .002). No other associations between ERAS application variables and professionalism scores were found. Comparative statements in recommendation letters for internal medicine residency applicants were associated with professionalism scores during internship. Other variables traditionally examined when selecting residents were not associated with professionalism. These findings suggest that faculty physicians' direct observations, as reflected in letters of recommendation, are useful indicators of what constitutes a best student. Residency selection committees should scrutinize applicants' letters for strongly favorable comparative statements.

Organizational cultural survey of the Los Alamos Site

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

Not Available

An Organizational Survey (OS) was administered at the Los Alamos Site that queried employees on the subjects of organizational culture, various aspects of communications, employee commitment, work group cohesion, coordination of work, environmental, safety, and health concerns, hazardous nature of work, safety and overall job satisfaction. The purpose of the OS is to measure in a quantitative and objective way the notion of ``culture;`` that is, the values, attitudes, and beliefs of the individuals working within the organization. In addition, through the OS, a broad sample of individuals can be reached that would probably not be interviewed or observed duringmore » the course of a typical assessment. The OS also provides a descriptive profile of the organization at one point in time that can then be compared to a profile taken at a different point in time to assess changes in the culture of the organization. While comparisons among groups are made, it is not the purpose of this report to make evaluative statements of which profile may be positive or negative. However, using the data presented in this report in conjunction with other evaluative activities, may provide useful insight into the organization.« less

Organizational cultural survey of the Los Alamos Site

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

Not Available

An Organizational Survey (OS) was administered at the Los Alamos Site that queried employees on the subjects of organizational culture, various aspects of communications, employee commitment, work group cohesion, coordination of work, environmental, safety, and health concerns, hazardous nature of work, safety and overall job satisfaction. The purpose of the OS is to measure in a quantitative and objective way the notion of culture;'' that is, the values, attitudes, and beliefs of the individuals working within the organization. In addition, through the OS, a broad sample of individuals can be reached that would probably not be interviewed or observed duringmore » the course of a typical assessment. The OS also provides a descriptive profile of the organization at one point in time that can then be compared to a profile taken at a different point in time to assess changes in the culture of the organization. While comparisons among groups are made, it is not the purpose of this report to make evaluative statements of which profile may be positive or negative. However, using the data presented in this report in conjunction with other evaluative activities, may provide useful insight into the organization.« less

Systems-based accident analysis in the led outdoor activity domain: application and evaluation of a risk management framework.

PubMed

Salmon, P; Williamson, A; Lenné, M; Mitsopoulos-Rubens, E; Rudin-Brown, C M

2010-08-01

Safety-compromising accidents occur regularly in the led outdoor activity domain. Formal accident analysis is an accepted means of understanding such events and improving safety. Despite this, there remains no universally accepted framework for collecting and analysing accident data in the led outdoor activity domain. This article presents an application of Rasmussen's risk management framework to the analysis of the Lyme Bay sea canoeing incident. This involved the development of an Accimap, the outputs of which were used to evaluate seven predictions made by the framework. The Accimap output was also compared to an analysis using an existing model from the led outdoor activity domain. In conclusion, the Accimap output was found to be more comprehensive and supported all seven of the risk management framework's predictions, suggesting that it shows promise as a theoretically underpinned approach for analysing, and learning from, accidents in the led outdoor activity domain. STATEMENT OF RELEVANCE: Accidents represent a significant problem within the led outdoor activity domain. This article presents an evaluation of a risk management framework that can be used to understand such accidents and to inform the development of accident countermeasures and mitigation strategies for the led outdoor activity domain.

Waterborne Commerce of the United States, Calendar Year 1986. Part 5. Waterways and Harbors, National Summaries

DTIC Science & Technology

1988-05-31

COLUMBIA RIVER ’ WENATCHEE , WASH., TO INTERNATIONAL SOUNDRYJ COEUR DfALENE LAKE............................................................ 39,625...1986 ............ .............................. 28 8 Comparative Statement of Traffic on the Mississippi River System, 1975-1986. 29 9 Comparative...Statement of Traffic on the Mississippi River from Minneapolis, Minn., to the Mouth of Passes, 1975 - 1986 ... .............. . 29 10 Domestic Barge

Environmental Impact Statement for the Cassini Mission. Supplement 1

NASA Technical Reports Server (NTRS)

1997-01-01

This Final Supplemental Environmental Impact Statement (FSEIS) to the 1995 Cassini mission Environmental Impact Statement (EIS) focuses on information recently made available from updated mission safety analyses. This information is pertinent to the consequence and risk analyses of potential accidents during the launch and cruise phases of the mission that were addressed in the EIS. The type of accidents evaluated are those which could potentially result in a release of plutonium dioxide from the three Radioisotope Thermoelectric Generators (RTGS) and the up to 129 Radioisotope Heater Units (RHUS) onboard the Cassini spacecraft. The RTGs use the heat of decay of plutonium dioxide to generate electric power for the spacecraft and instruments. The RHUs, each of which contains a small amount of plutonium dioxide, provide heat for controlling the thermal environment of the spacecraft and several of its instruments. The planned Cassini mission is an international cooperative effort of the National Aeronautics and Space Administration (NASA), the European Space Agency (ESA), and the Italian Space Agency (ASI) to conduct a 4-year scientific exploration of the planet Saturn, its atmosphere, moons, rings, and magnetosphere.

The European Federation of Organisations for Medical Physics Policy Statement No. 10.1: Recommended Guidelines on National Schemes for Continuing Professional Development of Medical Physicists.

PubMed

Christofides, Stelios; Isidoro, Jorge; Pesznyak, Csilla; Cremers, Florian; Figueira, Rita; van Swol, Christiaan; Evans, Stephen; Torresin, Alberto

2016-01-01

Continuing Professional Development (CPD) is vital to the medical physics profession if it is to embrace the pace of change occurring in medical practice. As CPD is the planned acquisition of knowledge, experience and skills required for professional practice throughout one's working life it promotes excellence and protects the profession and public against incompetence. Furthermore, CPD is a recommended prerequisite of registration schemes (Caruana et al. 2014) and is implied in the Council Directive 2013/59/EURATOM (EU BSS) and the International Basic Safety Standards (BSS). It is to be noted that currently not all national registration schemes require CPD to maintain the registration status necessary to practise medical physics. Such schemes should consider adopting CPD as a prerequisite for renewing registration after a set period of time. This EFOMP Policy Statement, which is an amalgamation and an update of the EFOMP Policy Statements No. 8 and No. 10, presents guidelines for the establishment of national schemes for CPD and activities that should be considered for CPD. Copyright © 2016. Published by Elsevier Ltd.

Remaking Surgical Socialization: Work Hour Restrictions, Rites of Passage, and Occupational Identity

PubMed Central

Brooks, Joanna Veazey; Bosk, Charles L.

2012-01-01

We examine how a policy aimed at improving patient safety by limiting residents’ work hours brought with it an unintended and unexamined consequence: altered socialization due to modified rites of passage during residency that endangered the stereotypical “Surgical Personality” and created a potential rift between the occupational identities of surgical residents who train under duty hour regulations and those who trained before they were imposed. Through participant observation occurring between June 2008 and June 2010, in-depth interviews (n=13), and focus groups (n=2), we explore how surgical residents training in four U.S. hospitals think about the threats that the shift from unrestricted to restricted duty hours creates for their claims of competence and professionalism. We identify three types of resident responses: (1) neutralizing statements that deny any significant change to occupational identity has occurred; (2) embracing statements that express the belief that a changed and more balanced occupational identity is needed; and (3) apprehensive statements that expressed fear of an altered occupational identity and an anxiety about readiness for individual practice. PMID:22863331

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting and research needs. A joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group.

PubMed

Heinemann, Lutz; Fleming, G Alexander; Petrie, John R; Holl, Reinhard W; Bergenstal, Richard M; Peters, Anne L

2015-05-01

Insulin pump therapy, also known as continuous subcutaneous insulin infusion (CSII), is an important and evolving form of insulin delivery, which is mainly used for people with type 1 diabetes. However, even with modern insulin pumps, errors of insulin infusion can occur due to pump failure, insulin infusion set (IIS) blockage, infusion site problems, insulin stability issues, user error or a combination of these. Users are therefore exposed to significant and potentially fatal hazards: interruption of insulin infusion can result in hyperglycaemia and ketoacidosis; conversely, delivery of excessive insulin can cause severe hypoglycaemia. Nevertheless, the available evidence on the safety and efficacy of CSII remains limited. The European Association for the Study of Diabetes (EASD) and American Diabetes Association (ADA) have therefore joined forces to review the systems in place for evaluating the safety of pumps from a clinical perspective. We found that useful information held by the manufacturing companies is not currently shared in a sufficiently transparent manner. Public availability of adverse event (AE) reports on the US Food and Drug Administration's Manufacturer and User Facility Device Experience (MAUDE) database is potentially a rich source of safety information but is insufficiently utilised due to the current configuration of the system; the comparable database in Europe (European Databank on Medical Devices, EUDAMED) is not publicly accessible. Many AEs appear to be attributable to human factors and/or user error, but the extent to which manufacturing companies are required by regulators to consider the interactions of users with the technical features of their products is limited. The clinical studies required by regulators prior to marketing are small and over-reliant on bench testing in relation to 'predicate' products. Once a pump is available on the market, insufficient data are made publicly available on its long-term use in a real-world setting; such data could provide vital information to help healthcare teams to educate and support users, and thereby prevent AEs. As well as requiring more from the manufacturing companies, we call for public funding of more research addressing clinically important questions in relation to pump therapy: both observational studies and clinical trials. At present there are significant differences in the regulatory systems between the USA and European Union at both pre- and post-marketing stages; improvements in the European system are more urgently required. This statement concludes with a series of recommended specific actions for 'meknovigilance' (i.e. a standardised safety approach to technology) which could be implemented to address the shortcomings we highlight.

Organic food: buying more safety or just peace of mind? A critical review of the literature.

PubMed

Magkos, Faidon; Arvaniti, Fotini; Zampelas, Antonis

2006-01-01

Consumer concern over the quality and safety of conventional food has intensified in recent years, and primarily drives the increasing demand for organically grown food, which is perceived as healthier and safer. Relevant scientific evidence, however, is scarce, while anecdotal reports abound. Although there is an urgent need for information related to health benefits and/or hazards of food products of both origins, generalized conclusions remain tentative in the absence of adequate comparative data. Organic fruits and vegetables can be expected to contain fewer agrochemical residues than conventionally grown alternatives; yet, the significance of this difference is questionable, inasmuch as actual levels of contamination in both types of food are generally well below acceptable limits. Also, some leafy, root, and tuber organic vegetables appear to have lower nitrate content compared with conventional ones, but whether or not dietary nitrate indeed constitutes a threat to human health is a matter of debate. On the other hand, no differences can be identified for environmental contaminants (e.g. cadmium and other heavy metals), which are likely to be present in food from both origins. With respect to other food hazards, such as endogenous plant toxins, biological pesticides and pathogenic microorganisms, available evidence is extremely limited preventing generalized statements. Also, results for mycotoxin contamination in cereal crops are variable and inconclusive; hence, no clear picture emerges. It is difficult, therefore, to weigh the risks, but what should be made clear is that 'organic' does not automatically equal 'safe.' Additional studies in this area of research are warranted. At our present state of knowledge, other factors rather than safety aspects seem to speak in favor of organic food.

Insurance based lie detection: Enhancing the verifiability approach with a model statement component.

PubMed

Harvey, Adam C; Vrij, Aldert; Leal, Sharon; Lafferty, Marcus; Nahari, Galit

2017-03-01

The Verifiability Approach (VA) is verbal lie detection tool that has shown promise when applied to insurance claims settings. This study examined the effectiveness of incorporating a Model Statement comprised of checkable information to the VA protocol for enhancing the verbal differences between liars and truth tellers. The study experimentally manipulated supplementing (or withholding) the VA with a Model Statement. It was hypothesised that such a manipulation would (i) encourage truth tellers to provide more verifiable details than liars and (ii) encourage liars to report more unverifiable details than truth tellers (compared to the no model statement control). As a result, it was hypothesized that (iii) the model statement would improve classificatory accuracy of the VA. Participants reported 40 genuine and 40 fabricated insurance claim statements, in which half the liars and truth tellers where provided with a model statement as part of the VA procedure, and half where provide no model statement. All three hypotheses were supported. In terms of accuracy, the model statement increased classificatory rates by the VA considerably from 65.0% to 90.0%. Providing interviewee's with a model statement prime consisting of checkable detail appears to be a useful refinement to the VA procedure. Copyright © 2017 Elsevier B.V. All rights reserved.

9 CFR 317.313 - Nutrient content claims; general principles.

Code of Federal Regulations, 2014 CFR

2014-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... definition of the descriptive term. (7) Implied nutrient content claims may be used as part of a brand name...

9 CFR 317.313 - Nutrient content claims; general principles.

Code of Federal Regulations, 2012 CFR

2012-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... definition of the descriptive term. (7) Implied nutrient content claims may be used as part of a brand name...

9 CFR 317.313 - Nutrient content claims; general principles.

Code of Federal Regulations, 2010 CFR

2010-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... definition of the descriptive term. (7) Implied nutrient content claims may be used as part of a brand name...

9 CFR 317.313 - Nutrient content claims; general principles.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... definition of the descriptive term. (7) Implied nutrient content claims may be used as part of a brand name...

9 CFR 317.313 - Nutrient content claims; general principles.

Code of Federal Regulations, 2013 CFR

2013-01-01

... ‘product’ ”). This statement of identity must be immediately followed by the comparative statement such as... definition of the descriptive term. (7) Implied nutrient content claims may be used as part of a brand name...

Investigator Sensitivity to Alibi Witness Inconsistency after a Long Delay.

PubMed

Price, Heather L; Dahl, Leora C

2017-01-01

In two studies, mock investigators conducted a computer-based investigation of a crime involving an alibi witness who varied in the consistency of his statements taken 5 years apart. Investigators showed evidence of skepticism of alibi witness statements in which major contradictions (activity, location) were present, and some skepticism of statements in which minor (activity) details were contradictory. Entirely consistent statements were judged favorably, and reduced perceptions of suspect guilt (Study 2). The age of the alibi witness did not impact judgments of suspect guilt when children (6 years) and adults (25 years) were compared (Study 1, N = 254), or when children of different ages were compared (6, 8, 11 years; Study 2, N = 234). The present data suggest that investigators were relatively more sensitive to considerations of accuracy than honesty. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

The use of fund accounting and the need for single fund reporting by institutional healthcare providers. Principles and Practices Board Statement No. 8. Healthcare Financial Management Association.

PubMed

1986-06-01

For many years, hospitals and other institutional healthcare providers used fund accounting as a basis for presenting their financial statements. Recently, authoritative literature has placed less emphasis on separate fund reporting. This is evidenced by the reduction of fund classifications specified in the literature. This trend seems to follow the recognition that institutional healthcare activities should be reported in a manner comparable to other businesses. The Principles and Practices Board (P&P Board) of the Healthcare Financial management Association believes that general purpose financial statements of institutional healthcare providers should be comparable to reporting by other businesses. That is, all assets, liabilities, and equity are presented in a single aggregated balance sheet without differentiation by fund. This form of presentation, referred to in this statement as single fund reporting, should be used by all institutional healthcare providers including those that are part of HMOs, universities, municipalities, and other larger entities when separate reports of the provider are issued. The P&P Board is studying other significant issues concerning the reporting of revenues and components of equity and changes therein. The conclusion in this statement can be implemented even though conclusions on these related subjects are not yet complete. The P&P Board recognizes that certain circumstances may require detailed records and reports for special purposes. This statement deals only with those general purpose financial statements on which an independent accountant's opinion is expressed.

49 CFR Appendix A to Part 211 - Statement of Agency Policy Concerning Waivers Related to Shared Use of Trackage or Rights-of-Way...

Code of Federal Regulations, 2012 CFR

2012-10-01

... rail crossing at grade, a shared method of train control, or shared highway-rail grade crossings. 4... waiver petitions, a Petition for Approval of Shared Use will be reviewed by the Safety Board. A non.... You should explain the nature of such simultaneous joint use, the system of train control, the...

Herbal products containing Hibiscus sabdariffa L., Crataegus spp., and Panax spp.: Labeling and safety concerns.

PubMed

Nunes, Maria Antónia; Rodrigues, Francisca; Alves, Rita C; Oliveira, Maria Beatriz P P

2017-10-01

Herbs have been used from ancient times for infusion preparation based on their potential health effects. In particular, the consumption of Hibiscus sabdariffa L., Crataegus spp. and Panax spp. has been largely associated to cardiovascular benefits. In this work, the label information of 52 herbal products for infusion preparation containing the referred herbs was analyzed and discussed, taking into consideration the European Union regulation for herbal products, which intends to protect public health and harmonize the legal framework in Member States. Details about the cardiovascular-related statements and warning notifications about consumption were considered. Also, regulatory issues and possible herb-drug interactions were explored and discussed. A total of 14 of the 52 herbal products selected presented health claims/statements on the label. Hibiscus was present in the majority of the products and, in some cases, it was mentioned only in the ingredients list and not on the product front-of-pack. Despite the promising outcomes of these plants to modulate cardiovascular risk markers, consumers with some sort of cardiovascular dysfunction and/or under medication treatments should be aware to carefully analyze the labels and consult additional information related to these herbal products. Manufacturers have also a huge responsibility to inform consumers by presenting awareness statements. Lastly, health professionals must advise and alert their patients about possible interactions that could occur between the concomitant consumption of drugs and herbs. Overall, there is still a real need of additional studies and clinical trials to better understand herbs effects and establish a science-based guidance to assess their safety. Copyright © 2017 Elsevier Ltd. All rights reserved.

Adult smokers' responses to "corrective statements" regarding tobacco industry deception.

PubMed

Kollath-Cattano, Christy L; Abad-Vivero, Erika N; Thrasher, James F; Bansal-Travers, Maansi; O'Connor, Richard J; Krugman, Dean M; Berg, Carla J; Hardin, James W

2014-07-01

To inform consumers, U.S. Federal Courts have ordered the tobacco industry to disseminate "corrective statements" (CSs) about their deception regarding five topics: smoker health effects, nonsmoker health effects, cigarette addictiveness, design of cigarettes to increase addiction, and relative safety of light cigarettes. To determine how smokers from diverse backgrounds respond to the final, court-mandated wording of these CSs. Data were analyzed from an online consumer panel of 1,404 adult smokers who evaluated one of five CS topics (n=280-281) by reporting novelty, relevance, anger at the industry, and motivation to quit because of the CS. Logistic and linear regression models assessed main and interactive effects of race/ethnicity, gender, education, and CS topic on these responses. Data were collected in January 2013 and analyzed in March 2013. Thirty percent to 54% of participants reported that each CS provided novel information, and novelty was associated with greater relevance, anger at the industry, and motivation to quit because of the message. African Americans and Latinos were more likely than non-Hispanic whites to report that CSs were novel, and they had stronger responses to CSs across all indicators. Compared to men, women reported that CSs were more relevant and motivated them to quit. This study suggests that smokers would value and respond to CSs, particularly smokers from groups that suffer from tobacco-related health disparities. Copyright © 2014. Published by Elsevier Inc.

Discharge Criteria for the Late Preterm Infant: A Review of the Literature.

PubMed

Quinn, Jenny M; Sparks, Marteen; Gephart, Sheila M

2017-10-01

Standardized late preterm infant (LPI) discharge criteria ensure best practice and help guide the neonatal provider to determine the appropriate level of care following birth. However, the location can vary from the well newborn setting to the neonatal intensive care unit (NICU). The purpose of this review is to examine differences in LPI discharge criteria between the well newborn setting and the NICU by answering the clinical questions, "What are the recommended discharge criteria for the LPI and do they differ if admitted to the well newborn setting versus the NICU?" Databases searched include CINAHL, TRIP, PubMed, and the Cochrane Library. Focusing first on the highest level of evidence, position statements, policy statements, and clinical practice guidelines were reviewed, followed by original research. There were few differences shown between settings. Discharge criteria included physiological stability and completed screenings for hearing loss, hyperbilirubinemia, car seat safety, hypoglycemia, critical congenital heart disease, and sepsis. Parent education is provided on umbilical cord care, feeding, elimination, and weight gain norms. Recommended maternal assessment included screenings for depression, drug use, safe home environment, and presence of social support. In general, research supported protecting the mother-infant dyad. Developing a standardized approach for discharge criteria for LPIs may improve outcomes and reduce maternal stress. Research is needed to compare health and cost outcomes between settings.Video Abstract available at http://links.lww.com/ANC/A29.

Does information about abortion safety affect Texas voters' opinions about restrictive laws? A randomized study.

PubMed

White, Kari; Grossman, Daniel; Stevenson, Amanda Jean; Hopkins, Kristine; Potter, Joseph E

2017-12-01

The objective was to assess whether information about abortion safety and awareness of abortion laws affect voters' opinions about medically unnecessary abortion regulations. Between May and June 2016, we randomized 1200 Texas voters to receive or not receive information describing the safety of office-based abortion care during an online survey about abortion laws using simple random assignment. We compared the association between receiving safety information and awareness of recent restrictions and beliefs that ambulatory surgical center (ASC) requirements for abortion facilities and hospital admitting privileges requirements for physicians would make abortion safer. We used Poisson regression, adjusting for political affiliation and views on abortion. Of 1200 surveyed participants, 1183 had complete data for analysis: 612 in the information group and 571 in the comparison group. Overall, 259 (46%) in the information group and 298 (56%) in the comparison group believed that the ASC requirement would improve abortion safety (p=.008); 230 (41%) in the information group and 285 (54%) in the comparison group believed that admitting privileges would make abortion safer (p<.001). After multivariable adjustment, the information group was less likely to report that the ASC [prevalence ratio (PR): 0.82; 95% confidence interval (CI): 0.72-0.94] and admitting privileges requirements (PR: 0.76; 95% CI: 0.65-0.88) would improve safety. Participants who identified as conservative Republicans were more likely to report that the ASC (82%) and admitting privileges requirements (83%) would make abortion safer if they had heard of the provisions than if they were unaware of them (ASC: 52%; admitting privileges: 47%; all p<.001). Informational statements reduced perceptions that restrictive laws make abortion safer. Voters' prior awareness of the requirements also was associated with their beliefs. Informational messages can shift scientifically unfounded views about abortion safety and could reduce support for restrictive laws. Because prior awareness of abortion laws does not ensure accurate knowledge about their effects on safety, it is important to reach a broad audience through early dissemination of information about new regulations. Copyright © 2017 Elsevier Inc. All rights reserved.

Topical, geospatial, and temporal diffusion of the 2015 North American Menopause Society position statement on nonhormonal management of vasomotor symptoms.

PubMed

Carpenter, Janet S; Laine, Tei; Harrison, Blake; LePage, Meghan; Pierce, Taran; Hoteling, Nathan; Börner, Katy

2017-10-01

We sought to depict the topical, geospatial, and temporal diffusion of the 2015 North American Menopause Society position statement on the nonhormonal management of menopause-associated vasomotor symptoms released on September 21, 2015, and its associated press release from September 23, 2015. Three data sources were used: online news articles, National Public Radio, and Twitter. For topical diffusion, we compared keywords and their frequencies among the position statement, press release, and online news articles. We also created a network figure depicting relationships across key content categories or nodes. For geospatial diffusion within the United States, we compared locations of the 109 National Public Radio (NPR) stations covering the statement to 775 NPR stations not covering the statement. For temporal diffusion, we normalized and segmented Twitter data into periods before and after the press release (September 12, 2015 to September 22, 2015 vs September 23, 2015 to October 3, 2015) and conducted a burst analysis to identify changes in tweets from before to after. Topical information diffused across sources was similar with the exception of the more scientific terms "vasomotor symptoms" or "vms" versus the more colloquial term "hot flashes." Online news articles indicated media coverage of the statement was mainly concentrated in the United States. NPR station data showed similar proportions of stations airing the story across the four census regions (Northeast, Midwest, south, west; P = 0.649). Release of the statement coincided with bursts in the menopause conversation on Twitter. The findings of this study may be useful for directing the development and dissemination of future North American Menopause Society position statements and/or press releases.

Selection Criteria for Internal Medicine Residency Applicants and Professionalism Ratings During Internship

PubMed Central

Cullen, Michael W.; Reed, Darcy A.; Halvorsen, Andrew J.; Wittich, Christopher M.; Kreuziger, Lisa M. Baumann; Keddis, Mira T.; McDonald, Furman S.; Beckman, Thomas J.

2011-01-01

OBJECTIVE: To determine whether standardized admissions data in residents' Electronic Residency Application Service (ERAS) submissions were associated with multisource assessments of professionalism during internship. PARTICIPANTS AND METHODS: ERAS applications for all internal medicine interns (N=191) at Mayo Clinic entering training between July 1, 2005, and July 1, 2008, were reviewed by 6 raters. Extracted data included United States Medical Licensing Examination scores, medicine clerkship grades, class rank, Alpha Omega Alpha membership, advanced degrees, awards, volunteer activities, research experiences, first author publications, career choice, and red flags in performance evaluations. Medical school reputation was quantified using U.S. News & World Report rankings. Strength of comparative statements in recommendation letters (0 = no comparative statement, 1 = equal to peers, 2 = top 20%, 3 = top 10% or “best”) were also recorded. Validated multisource professionalism scores (5-point scales) were obtained for each intern. Associations between application variables and professionalism scores were examined using linear regression. RESULTS: The mean ± SD (minimum-maximum) professionalism score was 4.09±0.31 (2.13-4.56). In multivariate analysis, professionalism scores were positively associated with mean strength of comparative statements in recommendation letters (β=0.13; P=.002). No other associations between ERAS application variables and professionalism scores were found. CONCLUSION: Comparative statements in recommendation letters for internal medicine residency applicants were associated with professionalism scores during internship. Other variables traditionally examined when selecting residents were not associated with professionalism. These findings suggest that faculty physicians' direct observations, as reflected in letters of recommendation, are useful indicators of what constitutes a best student. Residency selection committees should scrutinize applicants' letters for strongly favorable comparative statements. PMID:21364111

12 CFR Appendix A to Part 363 - Guidelines and Interpretations

Code of Federal Regulations, 2011 CFR

2011-01-01

... comparative annual consolidated financial statements (balance sheets and statements of income, changes in... noncompliance. However, the disclosure should include appropriate qualitative and quantitative information to... qualitative and quantitative measurements of an institution's internal control over financial reporting; • Is...

12 CFR Appendix A to Part 363 - Guidelines and Interpretations

Code of Federal Regulations, 2010 CFR

2010-01-01

... comparative annual consolidated financial statements (balance sheets and statements of income, changes in... noncompliance. However, the disclosure should include appropriate qualitative and quantitative information to... qualitative and quantitative measurements of an institution's internal control over financial reporting; • Is...

12 CFR Appendix A to Part 363 - Guidelines and Interpretations

Code of Federal Regulations, 2012 CFR

2012-01-01

... comparative annual consolidated financial statements (balance sheets and statements of income, changes in... noncompliance. However, the disclosure should include appropriate qualitative and quantitative information to... qualitative and quantitative measurements of an institution's internal control over financial reporting; • Is...

12 CFR Appendix A to Part 363 - Guidelines and Interpretations

Code of Federal Regulations, 2014 CFR

2014-01-01

... comparative annual consolidated financial statements (balance sheets and statements of income, changes in... noncompliance. However, the disclosure should include appropriate qualitative and quantitative information to... qualitative and quantitative measurements of an institution's internal control over financial reporting; • Is...

12 CFR Appendix A to Part 363 - Guidelines and Interpretations

Code of Federal Regulations, 2013 CFR

2013-01-01

... comparative annual consolidated financial statements (balance sheets and statements of income, changes in... noncompliance. However, the disclosure should include appropriate qualitative and quantitative information to... qualitative and quantitative measurements of an institution's internal control over financial reporting; • Is...

Developing a research agenda for patient safety in primary care. Background, aims and output of the LINNEAUS collaboration on patient safety in primary care.

PubMed

Esmail, Aneez; Valderas, Jose M; Verstappen, Wim; Godycki-Cwirko, Maciek; Wensing, Michel

2015-09-01

This paper is an introduction to a supplement to The European Journal of General Practice, bringing together a body of research focusing on the issue of patient safety in relation to primary care. The supplement represents the outputs of the LINNEAUS collaboration on patient safety in primary care, which was a four-year (2009-2013) coordination and support action funded under the Framework 7 programme by the European Union. Being a coordination and support action, its aim was not to undertake new research, but to build capacity through engaging primary care researchers and practitioners in identifying some of the key challenges in this area and developing consensus statements, which will be an essential part in developing a future research agenda. This introductory article describes the aims of the LINNEAUS collaboration, provides a brief summary of the reasons to focus on patient safety in primary care, the epidemiological and policy considerations, and an introduction to the papers included in the supplement.

Developing a research agenda for patient safety in primary care. Background, aims and output of the LINNEAUS collaboration on patient safety in primary care

PubMed Central

Esmail, Aneez; Valderas, Jose M.; Verstappen, Wim; Godycki-Cwirko, Maciek; Wensing, Michel

2015-01-01

ABSTRACT This paper is an introduction to a supplement to The European Journal of General Practice, bringing together a body of research focusing on the issue of patient safety in relation to primary care. The supplement represents the outputs of the LINNEAUS collaboration on patient safety in primary care, which was a four-year (2009–2013) coordination and support action funded under the Framework 7 programme by the European Union. Being a coordination and support action, its aim was not to undertake new research, but to build capacity through engaging primary care researchers and practitioners in identifying some of the key challenges in this area and developing consensus statements, which will be an essential part in developing a future research agenda. This introductory article describes the aims of the LINNEAUS collaboration, provides a brief summary of the reasons to focus on patient safety in primary care, the epidemiological and policy considerations, and an introduction to the papers included in the supplement. PMID:26339828

The value of structured data elements from electronic health records for identifying subjects for primary care clinical trials.

PubMed

Ateya, Mohammad B; Delaney, Brendan C; Speedie, Stuart M

2016-01-11

An increasing number of clinical trials are conducted in primary care settings. Making better use of existing data in the electronic health records to identify eligible subjects can improve efficiency of such studies. Our study aims to quantify the proportion of eligibility criteria that can be addressed with data in electronic health records and to compare the content of eligibility criteria in primary care with previous work. Eligibility criteria were extracted from primary care studies downloaded from the UK Clinical Research Network Study Portfolio. Criteria were broken into elemental statements. Two expert independent raters classified each statement based on whether or not structured data items in the electronic health record can be used to determine if the statement was true for a specific patient. Disagreements in classification were discussed until 100 % agreement was reached. Statements were also classified based on content and the percentages of each category were compared to two similar studies reported in the literature. Eligibility criteria were retrieved from 228 studies and decomposed into 2619 criteria elemental statements. 74 % of the criteria elemental statements were considered likely associated with structured data in an electronic health record. 79 % of the studies had at least 60 % of their criteria statements addressable with structured data likely to be present in an electronic health record. Based on clinical content, most frequent categories were: "disease, symptom, and sign", "therapy or surgery", and "medication" (36 %, 13 %, and 10 % of total criteria statements respectively). We also identified new criteria categories related to provider and caregiver attributes (2.6 % and 1 % of total criteria statements respectively). Electronic health records readily contain much of the data needed to assess patients' eligibility for clinical trials enrollment. Eligibility criteria content categories identified by our study can be incorporated as data elements in electronic health records to facilitate their integration with clinical trial management systems.

A Comparative Study of Financial Data Sources for Critical Access Hospitals: Audited Financial Statements, the Medicare Cost Report, and the Internal Revenue Service Form 990

ERIC Educational Resources Information Center

Ozmeral, Alisha Bhadelia; Reiter, Kristin L.; Holmes, George M.; Pink, George H.

2012-01-01

Purpose: Medicare Cost Reports (MCR), Internal Revenue Service Form 990s (IRS 990), and Audited Financial Statements (AFS) vary in their content, detail, purpose, timeliness, and certification. The purpose of this study was to compare selected financial data elements and characterize the extent of differences in financial data and ratios across…

Forecasts and predictions of eruptive activity at Mount St. Helens, USA: 1975-1984

USGS Publications Warehouse

Swanson, D.A.; Casadevall, T.J.; Dzurisin, D.; Holcomb, R.T.; Newhall, C.G.; Malone, S.D.; Weaver, C.S.

1985-01-01

Public statements about volcanic activity at Mount St. Helens include factual statements, forecasts, and predictions. A factual statement describes current conditions but does not anticipate future events. A forecast is a comparatively imprecise statement of the time, place, and nature of expected activity. A prediction is a comparatively precise statement of the time, place, and ideally, the nature and size of impending activity. A prediction usually covers a shorter time period than a forecast and is generally based dominantly on interpretations and measurements of ongoing processes and secondarily on a projection of past history. The three types of statements grade from one to another, and distinctions are sometimes arbitrary. Forecasts and predictions at Mount St. Helens became increasingly precise from 1975 to 1982. Stratigraphic studies led to a long-range forecast in 1975 of renewed eruptive activity at Mount St. Helens, possibly before the end of the century. On the basis of seismic, geodetic and geologic data, general forecasts for a landslide and eruption were issued in April 1980, before the catastrophic blast and landslide on 18 May 1980. All extrusions except two from June 1980 to the end of 1984 were predicted on the basis of integrated geophysical, geochemical, and geologic monitoring. The two extrusions that were not predicted were preceded by explosions that removed a substantial part of the dome, reducing confining pressure and essentially short-circuiting the normal precursors. ?? 1985.

Does a bishop pray when he prays? And does his brain distinguish between different religions?

PubMed

Silveira, Sarita; Bao, Yan; Wang, Lingyan; Pöppel, Ernst; Avram, Mihai; Simmank, Fabian; Zaytseva, Yuliya; Blautzik, Janusch

2015-12-01

Does a religion shape belief-related decisions and influence neural processing? We investigated an eminent bishop of the Catholic Church in Germany by using functional magnetic resonance imaging (fMRI) to assess neural processing while he was responding to short sentences of the Christian Bible, the Islamic Quran, and the Daodejing ascribed to Laozi in Experiment 1. In Experiment 2, continuous praying was further compared to the resting state activity. In contrast to explicit statements of agreeing or not agreeing to different statements from the Bible and the Quran, we found in Experiment 1 no difference in neural activation when the bishop was reading these statements from the two religions. However, compared to reading statements from the Bible, reading statements from the Daodejing resulted in significantly higher activation in the left inferior and middle frontal cortices and the left middle temporal gyrus, although he equally agreed to both statements explicitly. In Experiment 2, no difference during continuous praying and the resting state activity was observed. Our results confirm the difference between explicit and implicit processing, and they suggest that a highly religious person may pray always-or never. On a more general level this observation suggests that ritualized activities might be subliminally represented in resting state activities. © 2015 The Institute of Psychology, Chinese Academy of Sciences and Wiley Publishing Asia Pty Ltd.

Revised Accounting for Business Combinations

ERIC Educational Resources Information Center

Wilson, Arlette C.; Key, Kimberly

2008-01-01

The Financial Accounting Standards Board (FASB) has recently issued Statement of Financial Accounting Standards No. 141 (Revised 2007) Business Combinations. The object of this Statement is to improve the relevance, representational faithfulness, and comparability of reported information about a business combination and its effects. This Statement…

Computer use, language, and literacy in safety net clinic communication

PubMed Central

Barton, Jennifer L; Lyles, Courtney R; Wu, Michael; Yelin, Edward H; Martinez, Diana; Schillinger, Dean

2017-01-01

Objective: Patients with limited health literacy (LHL) and limited English proficiency (LEP) experience suboptimal communication and health outcomes. Electronic health record implementation in safety net clinics may affect communication with LHL and LEP patients. We investigated the associations between safety net clinician computer use and patient-provider communication for patients with LEP and LHL. Materials and Methods: We video-recorded encounters at 5 academically affiliated US public hospital clinics between English- and Spanish-speaking patients with chronic conditions and their primary and specialty care clinicians. We analyzed changes in communication behaviors (coded with the Roter Interaction Analysis System) with each additional point on a clinician computer use score, controlling for clinician type and visit length and stratified by English proficiency and health literacy status. Results: Greater clinician computer use was associated with more biomedical statements (+12.4, P = .03) and less positive affect (−0.6, P < .01) from LEP/LHL patients. In visits with patients with adequate English proficiency/health literacy, greater clinician computer use was associated with less positive patient affect (−0.9, P < .01), fewer clinician psychosocial statements (−3.5, P < .05), greater clinician verbal dominance (+0.09, P < .01), and lower ratings on quality of care and communication. Conclusion: Higher clinician computer use was associated with more biomedical focus with LEP/LHL patients, and clinician verbal dominance and lower ratings with patients with adequate English proficiency and health literacy. Discussion: Implementation research should explore interventions to enhance relationship-centered communication for diverse patient populations in the computer era. PMID:27274017

Computer use, language, and literacy in safety net clinic communication.

PubMed

Ratanawongsa, Neda; Barton, Jennifer L; Lyles, Courtney R; Wu, Michael; Yelin, Edward H; Martinez, Diana; Schillinger, Dean

2017-01-01

Patients with limited health literacy (LHL) and limited English proficiency (LEP) experience suboptimal communication and health outcomes. Electronic health record implementation in safety net clinics may affect communication with LHL and LEP patients.We investigated the associations between safety net clinician computer use and patient-provider communication for patients with LEP and LHL. We video-recorded encounters at 5 academically affiliated US public hospital clinics between English- and Spanish-speaking patients with chronic conditions and their primary and specialty care clinicians. We analyzed changes in communication behaviors (coded with the Roter Interaction Analysis System) with each additional point on a clinician computer use score, controlling for clinician type and visit length and stratified by English proficiency and health literacy status. Greater clinician computer use was associated with more biomedical statements (+12.4, P = .03) and less positive affect (-0.6, P < .01) from LEP/LHL patients. In visits with patients with adequate English proficiency/health literacy, greater clinician computer use was associated with less positive patient affect (-0.9, P < .01), fewer clinician psychosocial statements (-3.5, P < .05), greater clinician verbal dominance (+0.09, P < .01), and lower ratings on quality of care and communication. Higher clinician computer use was associated with more biomedical focus with LEP/LHL patients, and clinician verbal dominance and lower ratings with patients with adequate English proficiency and health literacy. Implementation research should explore interventions to enhance relationship-centered communication for diverse patient populations in the computer era. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association.

Dose limits to the lens of the eye: International Basic Safety Standards and related guidance.

PubMed

Boal, T J; Pinak, M

2015-06-01

The International Atomic Energy Agency (IAEA) safety requirements: 'General Safety Requirements Part 3--Radiation protection and safety of radiation sources: International Basic Safety Standards' (BSS) was approved by the IAEA Board of Governors at its meeting in September 2011, and was issued as General Safety Requirements Part 3 in July 2014. The equivalent dose limit for the lens of the eye for occupational exposure in planned exposure situations was reduced from 150 mSv year(-1) to 20 mSv year(-1), averaged over defined periods of 5 years, with no annual dose in a single year exceeding 50 mSv. This reduction in the dose limit for the lens of the eye followed the recommendation of the International Commission on Radiological Protection in its statement on tissue reactions of 21 April 2011. IAEA has developed guidance on the implications of the new dose limit for the lens of the eye. This paper summarises the process that led to the inclusion of the new dose limit for the lens of the eye in the BSS, and the implications of the new dose limit. © The International Society for Prosthetics and Orthotics Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

The Traditional Chinese Medicine and Relevant Treatment for the Efficacy and Safety of Atopic Dermatitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

PubMed Central

Shi, Zhao-feng; Song, Tie-bing; Xie, Juan; Yan, Yi-quan

2017-01-01

Background Atopic dermatitis (AD) has become a common skin disease that requires systematic and comprehensive treatment to achieve adequate clinical control. Traditional Chinese medicines and related treatments have shown clinical effects for AD in many studies. But the systematic reviews and meta-analyses for them are lacking. Objective The systematic review and meta-analysis based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement were conducted to evaluate the efficacy and safety of traditional Chinese medicines and related treatments for AD treatment. Methods Randomized controlled trials (RCTs) were searched based on standardized searching rules in eight medical databases from the inception up to December 2016 and a total of 24 articles with 1,618 patients were enrolled in this meta-analysis. Results The results revealed that traditional Chinese medicines and related treatments did not show statistical differences in clinical effectiveness, SCORAD amelioration, and SSRI amelioration for AD treatment compared with control group. However, EASI amelioration of traditional Chinese medicines and related treatments for AD was superior to control group. Conclusion We need to make conclusion cautiously for the efficacy and safety of traditional Chinese medicine and related treatment on AD therapy. More standard, multicenter, double-blind randomized controlled trials (RCTs) of traditional Chinese medicine and related treatment for AD were required to be conducted for more clinical evidences providing in the future. PMID:28713436

49 CFR Appendix A to Part 211 - Statement of Agency Policy Concerning Waivers Related to Shared Use of Trackage or Rights-of-Way...

Code of Federal Regulations, 2013 CFR

2013-10-01

... not designed to be used in situations where there is a reasonable likelihood of a collision with much... rail crossing at grade, a shared method of train control, or shared highway-rail grade crossings. 4... waiver petitions, a Petition for Approval of Shared Use will be reviewed by the Safety Board. A non...

Final Environmental Impact Statement Evolved Expendable Launch Vehicle Program

DTIC Science & Technology

1998-04-01

source, permit application compliance, permit issuance, renewal and revision, and permit review by the U.S. EPA and any affected states. Because...Quality Standards NH3 = ammonia NOx = nitrogen oxides OSHA = Occupational Safety and Health Administration PEL = Permissible Exposure Level ppm = parts...NO or NO2 incremental concentrations during an abort were predicted by REEDM for only the DIV-S vehicle configuration. Ammonia was predicted by REEDM

Environmental Impact Statement for Proposed Closure of Los Angeles Air Force Base, California and Relocation of Space Systems Division

DTIC Science & Technology

1990-05-01

FFRDC); and the Systems Engineering Technical Assistance (SETA) contractor to selected Air Force bases including: Vandenberg AFB California; March AFB...05/21/90 comptroller, acquisition civil engineering , legal, security, communications-computer systems, product assurance, and safety, among others...housing units were constructed in 1983. The Fort MacArthur Housing Area also includes administrative offices, several warehouses, and civil engineering

Chemical Stockpile Disposal Program. Transportation of Chemical Agents and Munitions. A Concept Plan.

DTIC Science & Technology

1987-06-30

one of the disposal alternatives now under study by the U.S. Army for...departure, established Army procedures and Army-sponsored studies on safety and security practices and on the handling and transportation of chemical agents...Statement published by the Army in July 1986. As part of the public commentary on this document, requests were made of the Army to consider also the

20 CFR 410.230 - Written statement filed by or for a miner on behalf of a member of his family.

Code of Federal Regulations, 2011 CFR

2011-04-01

... ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969... filed by or for a miner on behalf of a member of his family until such miner's death. At such time, the... filed on the day of the miner's death. However, for purposes of paying benefits to an otherwise entitled...

Disposal and Reuse of Wurtsmith Air Force Base, Michigan. Environmental Impact Statement

DTIC Science & Technology

1989-09-01

impacts of the Proposed Action and reasonable alternatives over the 20-year study period are summarized in Table S-2. Mitigations and Pollution ...and wastewater services for reuse. The Oscoda sewage treatment plant would eventually have to be upgraded. There is sufficient capacity in local utility...Occupational Safety and Health Administration (OSHA) regulations and National Emissions Standards for Hazardous Air Pollutants (NESHAP). A survey

21st Century Truck Partnership 2013 Fall Meeting Summary Report

DTIC Science & Technology

2014-01-14

unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Medium - and heavy-duty vehicles serve as the backbone of America?s economy playing a vital role in moving...related to medium -duty and heavy-duty truck efficiency safety, and emissions by pursuing collaborative research and development among government and...Statement A. Approved for public release. 2   ACKNOWLEDGEMENTS Medium - and heavy-duty vehicles serve as the backbone of America’s economy

Insulin therapy for adult patients with type 2 diabetes mellitus: a position statement of the Korean Diabetes Association, 2017.

PubMed

Lee, Byung-Wan; Kim, Jin Hwa; Ko, Seung-Hyun; Hur, Kyu Yeon; Kim, Nan-Hee; Rhee, Sang Youl; Kim, Hyun Jin; Moon, Min Kyong; Park, Seok-O; Choi, Kyung Mook

2017-11-01

The Korean Diabetes Association (KDA) has regularly updated its Clinical Practice Guidelines. In 2017, the KDA published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM). Growing evidence from new multinational clinical trials using novel and traditional insulin analogues has also been accumulated. Following global trends, many results of clinical trials, especially concerning the clinical efficacy and safety of insulin therapy, have been published about Korean patients with T2DM. After a systematic search of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the initiation, choice, and intensification of insulin and created an insulin treatment algorithm for the first time to guide physicians caring for adult Korean patients with T2DM.

Delaying Middle School and High School Start Times Promotes Student Health and Performance: An American Academy of Sleep Medicine Position Statement

PubMed Central

Watson, Nathaniel F.; Martin, Jennifer L.; Wise, Merrill S.; Carden, Kelly A.; Kirsch, Douglas B.; Kristo, David A.; Malhotra, Raman K.; Olson, Eric J.; Ramar, Kannan; Rosen, Ilene M.; Rowley, James A.; Weaver, Terri E.; Chervin, Ronald D.

2017-01-01

During adolescence, internal circadian rhythms and biological sleep drive change to result in later sleep and wake times. As a result of these changes, early middle school and high school start times curtail sleep, hamper a student's preparedness to learn, negatively impact physical and mental health, and impair driving safety. Furthermore, a growing body of evidence shows that delaying school start times positively impacts student achievement, health, and safety. Public awareness of the hazards of early school start times and the benefits of later start times are largely unappreciated. As a result, the American Academy of Sleep Medicine is calling on communities, school boards, and educational institutions to implement start times of 8:30 AM or later for middle schools and high schools to ensure that every student arrives at school healthy, awake, alert, and ready to learn. Citation: Watson NF, Martin JL, Wise MS, Carden KA, Kirsch DB, Kristo DA, Malhotra RK, Olson EJ, Ramar K, Rosen IM, Rowley JA, Weaver TE, Chervin RD. Delaying middle school and high school start times promotes student health and performance: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2017;13(4):623–625. PMID:28416043

[The Polish Task Force position statement on safety of biologic treatment with monoclonal antibodies and soluble receptors].

PubMed

Jahnz-Rozyk, Karina; Wiesik-Szewczyk, Ewa

2014-07-01

The introduction of biologic therapies for treatment in many fields of medicine such as rheumatology oncology, dermatology, hematology and allergology, became one of the most important achievements of the modem medicine. The first biological therapeutics have already reached patent expiration date and corresponding biosimilars were approved by EMA (European Medicine Agency) and FDA (Food and Drug Administration). Many more biosimilar products are currently under review for marketing authorization around the world. The approval of products similar, but not identical to already known innovative biologics, due to complexity of structure and manufacturing technology, stirs a lot of discussions regarding safety concerns related to differences in posttranslational processing and in immunogenicity between reference and biosimilar products, and relevance of these differences to the clinical practice. Critical issues involve extrapolation to different clinical indication, automatic substitution and switching. Despite EMA recommendation and advocacy for biosimilars, it is beyond this regulatory authority to establish definitive regulation for each EU member, which it is expected to be country related. The aim of the study was an attempt to define the stance regarding particular aspects of biological treatment conducted in Poland is undertaken. The Task Force of 13 experts involved in various aspects of biologic therapies in Poland was established. A modified Delphi voting was performed to achieve consensus regarding the most important aspects of biologic treatment in Poland, with particular concern of biosimilars. Ten final statements were discussed and voted upon. The statements cover general aspects of biosimilars including expected cost-benefit ratios, extrapolation of clinical indications, interchange switching, patient information and requirement of patient consent. The state of post marketing pharmacovigilance of biologics (innovative ones as well as biosimilars) was also discussed. The Task Force agreed that introduction of biosimilars is an important achievement in the biological therapies, with potential for reduction of treatment cost and increased treatment availability. Experts also agree that the safety of biological treatment should be monitored more carefully in Poland. Other discussed issues sparked more questions. There is no consensus among experts as to the automatic interchangeability of biosimilar and their innovative biopharmaceuticals. However, the switching might be acceptable in clinical practice on the case by case basis. There is an unmet need in Poland to create registry collecting data sufficient for assessment of safety and efficacy of both biosimilars and reference products in accordance with the experience and principles introduced in the European countries.

British Society for Sexual Medicine Guidelines on Adult Testosterone Deficiency, With Statements for UK Practice.

PubMed

Hackett, Geoff; Kirby, Michael; Edwards, David; Jones, Thomas Hugh; Wylie, Kevan; Ossei-Gerning, Nick; David, Janine; Muneer, Asif

2017-12-01

Testosterone deficiency (TD) is an increasingly common problem with significant health implications, but its diagnosis and management can be challenging. To review the available literature on TD and provide evidence-based statements for UK clinical practice. Evidence was derived from Medline, EMBASE, and Cochrane searches on hypogonadism, testosterone (T) therapy, and cardiovascular safety from May 2005 to May 2015. Further searches continued until May 2017. To provide a guideline on diagnosing and managing TD, with levels of evidence and grades of recommendation, based on a critical review of the literature and consensus of the British Society of Sexual Medicine panel. 25 statements are provided, relating to 5 key areas: screening, diagnosis, initiating T therapy, benefits and risks of T therapy, and follow-up. 7 statements are supported by level 1, 8 by level 2, 5 by level 3, and 5 by level 4 evidence. To help guide UK practitioners on effectively diagnosing and managing primary and age-related TD. A large amount of literature was carefully sourced and reviewed, presenting the best evidence available at the time. However, some statements provided are based on poor-quality evidence. This is a rapidly evolving area of research and recommendations are subject to change. Guidelines can never replace clinical expertise when making treatment decisions for individual patients, but rather help to focus decisions and take personal values and preferences and individual circumstances into account. Many issues remain controversial, but in the meantime, clinicians need to manage patient needs and clinical expectations armed with the best clinical evidence and the multidisciplinary expert opinion available. Improving the diagnosis and management of TD in adult men should provide somatic, sexual, and psychological benefits and subsequent improvements in quality of life. Hackett G, Kirby M, Edwards D, et al. British Society for Sexual Medicine Guidelines on Adult Testosterone Deficiency, With Statements for UK Practice. J Sex Med 2017;14:1504-1523. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

Updated consensus statement on the use of rituximab in patients with rheumatoid arthritis

PubMed Central

Buch, Maya H; Smolen, Josef S; Betteridge, Neil; Breedveld, Ferdinand C; Burmester, Gerd; Dörner, Thomas; Ferraccioli, Gianfranco; Gottenberg, Jacques-Eric; Isaacs, John; Kvien, Tore K; Mariette, Xavier; Martin-Mola, Emilio; Pavelka, Karel; Tak, Paul P; van der Heijde, Desiree; van Vollenhoven, Ronald F; Emery, Paul

2011-01-01

Background Since initial approval for the treatment of rheumatoid arthritis (RA), rituximab has been evaluated in clinical trials involving various populations with RA. Information has also been gathered from registries. This report therefore updates the 2007 consensus document on the use of rituximab in the treatment of RA. Methods Preparation of this new document involved many international experts experienced in the treatment of RA. Following a meeting to agree upon the core agenda, a systematic literature review was undertaken to identify all relevant data. Data were then interrogated by a drafting committee, with subsequent review and discussion by a wider expert committee leading to the formulation of an updated consensus statement. These committees also included patients with RA. Results The new statement covers wide-ranging issues including the use of rituximab in earlier RA and impact on structural progression, and aspects particularly pertinent to rituximab such as co-medication, optimal dosage regimens, repeat treatment cycles and how to manage non-response. Biological therapy following rituximab usage is also addressed, and safety concerns including appropriate screening for hepatitis, immunoglobulin levels and infection risk. This consensus statement will support clinicians and inform patients when using B-cell depletion in the management of RA, providing up-to-date information and highlighting areas for further research. Conclusion New therapeutic strategies and treatment options for RA, a chronic destructive and disabling disease, have expanded over recent years. These have been summarised in general strategic suggestions and specific management recommendations, emphasising the importance of expedient disease-modifying antirheumatic drug implementation and tight disease control. This consensus statement is in line with these fundamental principles of management. PMID:21378402