Lead poisoning in children.

PubMed

Dapul, Heda; Laraque, Danielle

2014-08-01

There is no safe lead level in children. Primary prevention is the most effective way to bring about the complete removal of lead from the environment and eliminate lead poisoning as a public health concern. The National Lead Information Center can be reached via the Internet at www.epa.gov/lead and www.hud.gov/lead, or via phone at 1-800-424-LEAD (5323).

Research and Development initiative of Satellite Technology Application for Environmental Issues in Asia Region

NASA Astrophysics Data System (ADS)

Hamamoto, K.; Kaneko, Y.; Sobue, S.; Oyoshi, K.

2016-12-01

Climate change and human activities are directly or indirectly influence the acceleration of environmental problems and natural hazards such as forest fires, drought and floods in the Asia-Pacific countries. Satellite technology has become one of the key information sources in assessment, monitoring and mitigation of these hazards and related phenomenon. However, there are still gaps between science and application of space technology in practical usage. Asia-Pacific Regional Space Agency Forum (APRSAF) recommended to initiate the Space Applications for Environment (SAFE) proposal providing opportunity to potential user agencies in the Asia Pacific region to develop prototype applications of space technology for number of key issues including forest resources management, coastal monitoring and management, agriculture and food security, water resource management and development user-friendly tools for application of space technology. The main activity of SAFE is SAFE prototyping. SAFE prototyping is a demonstration for end users and decision makers to apply space technology applications for solving environmental issues in Asia-Pacific region. By utilizing space technology and getting technical support by experts, prototype executers can develop the application system, which could support decision making activities. SAFE holds a workshop once a year. In the workshop, new prototypes are approved and the progress of on-going prototypes are confirmed. Every prototype is limited for two years period and all activities are operated by volunteer manner. As of 2016, 20 prototypes are completed and 6 prototypes are on-going. Some of the completed prototypes, for example drought monitoring in Indonesia were applied to operational use by a local official organization.

Generalized Boolean Functions as Combiners

DTIC Science & Technology

2017-06-01

unable to find an analytically way of calculating a number for the complexity. Given the data we presented, there is not a obvious way to predict what...including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the...backbone of many computer functions. Cryptography drives online commerce and allows privileged information safe transit between two parties as well as many

Causal inference with missing exposure information: Methods and applications to an obstetric study.

PubMed

Zhang, Zhiwei; Liu, Wei; Zhang, Bo; Tang, Li; Zhang, Jun

2016-10-01

Causal inference in observational studies is frequently challenged by the occurrence of missing data, in addition to confounding. Motivated by the Consortium on Safe Labor, a large observational study of obstetric labor practice and birth outcomes, this article focuses on the problem of missing exposure information in a causal analysis of observational data. This problem can be approached from different angles (i.e. missing covariates and causal inference), and useful methods can be obtained by drawing upon the available techniques and insights in both areas. In this article, we describe and compare a collection of methods based on different modeling assumptions, under standard assumptions for missing data (i.e. missing-at-random and positivity) and for causal inference with complete data (i.e. no unmeasured confounding and another positivity assumption). These methods involve three models: one for treatment assignment, one for the dependence of outcome on treatment and covariates, and one for the missing data mechanism. In general, consistent estimation of causal quantities requires correct specification of at least two of the three models, although there may be some flexibility as to which two models need to be correct. Such flexibility is afforded by doubly robust estimators adapted from the missing covariates literature and the literature on causal inference with complete data, and by a newly developed triply robust estimator that is consistent if any two of the three models are correct. The methods are applied to the Consortium on Safe Labor data and compared in a simulation study mimicking the Consortium on Safe Labor. © The Author(s) 2013.

Community participation in fire management planning: The Trinity county fire safe council's fire plan

Treesearch

Yvonne Everett

2008-01-01

In 1999, Trinity County CA, initiated a participatory fire management planning effort. Since that time, the Trinity County Fire Safe Council has completed critical portions of a fire safe plan and has begun to implement projects defined in the plan. Completion of a GIS based, landscape scale fuels reduction element in the plan defined by volunteer fire fighters, agency...

Impact of community-based interventions on maternal and neonatal health indicators: Results from a community randomized trial in rural Balochistan, Pakistan.

PubMed

Midhet, Farid; Becker, Stan

2010-11-05

Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. We present results from an experimental study in rural Pakistan. Village clusters were randomly assigned to intervention and control arms (16 clusters each). In the intervention clusters, women were provided information on safe motherhood through pictorial booklets and audiocassettes; traditional birth attendants were trained in clean delivery and recognition of obstetric and newborn complications; and emergency transportation systems were set up. In eight of the 16 intervention clusters, husbands also received specially designed education materials on safe motherhood and family planning. Pre- and post-intervention surveys on selected maternal and neonatal health indicators were conducted in all 32 clusters. A district-wide survey was conducted two years after project completion to measure any residual impact of the interventions. Pregnant women in intervention clusters received prenatal care and prophylactic iron therapy more frequently than pregnant women in control clusters. Providing safe motherhood education to husbands resulted in further improvement of some indicators. There was a small but significant increase in percent of hospital deliveries but no impact on the use of skilled birth attendants. Perinatal mortality reduced significantly in clusters where only wives received information and education in safe motherhood. The survey to assess residual impact showed similar results. We conclude that providing safe motherhood education increased the probability of pregnant women having prenatal care and utilization of health services for obstetric complications.

A feasibility study to assess the effectiveness of safe dates for teen mothers.

PubMed

Herrman, Judith W; Waterhouse, Julie K

2014-01-01

To determine the effectiveness of the adapted Safe Dates curriculum as an intervention for pregnant and/or parenting teens to prevent teen dating violence (TDV). This pre-/posttest, single-sample study provided a means to assess the effectiveness of an adapted Safe Dates curriculum for teen mothers. The adapted Safe Dates curriculum was implemented in three schools designed for the unique needs of teens who are pregnant and/or parenting. The final sample of 41 teen participants, with a mean age of 16.27, completed 80% of the curriculum and two of the three assessments. Most of the teens were pregnant during participation in the curriculum, and six had infants between age 1 and 3 months. The teen mothers completed the pretest, participated in the 10-session adapted Safe Dates curriculum, and completed the posttest at the end of the program and 1 month after program completion. The pre/posttest was adapted from the Safe Dates curriculum-specific evaluation instrument. Senior, undergraduate nursing students were trained in and implemented the curriculum. Participation in the adapted Safe Dates program yielded significant differences in the areas of responses to anger, gender stereotyping, awareness of resources for perpetrators and victims, and psychological violence perpetration. This adapted program may be effective in changing selected outcomes. The implementation of a larger scale, experimental/control group study may demonstrate the program's efficacy at reducing the incidence of TDV among teen mothers. © 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

Aware, motivated and striving for a 'safe tan': an exploratory mixed-method study of sun-protection during holidays.

PubMed

Rodrigues, Angela M; Sniehotta, Falko F; Birch-Machin, Mark A; Araujo-Soares, Vera

2017-01-01

Background: This article presents an exploratory study, aiming to explore the correspondence between knowledge, motivation and sun-protection practices during holidays. Methods: Seventeen participants aged 21-62 years old, recruited from community settings took part in individual face-to-face semi-structured interviews, completed sun sensitivity questions and an objective assessment of sunscreen use. Holidaymakers' knowledge about sun-safe messages, intentions and perceptions of barriers and facilitators for sun-protection were assessed. Qualitative data were analysed using thematic analysis and integrated with quantitative data, using a pragmatic theory-informed approach to synthesise the findings. Results: Participants were well informed about sun-safe messages, highly motivated to protect themselves from solar UV radiation (UVR) and they perceived themselves as well protected. However, they did not seem to use effective protective practices. Sunscreen was the preferred method of sun-protection, but most participants used considerably less than the recommended amount and significantly overestimated the amount of time they could be safely exposed. Seeking shade was the least used method of sun-protection and covering-up strategies were mostly implemented as a partial protection (i.e. hats or sunglasses). The desire to reach an optimal balance between getting a tan and using sun-protection to avoid sunburns was preeminent. Several additional barriers and facilitators for sun-protection were identified. Conclusions: Holidaymakers might have a false sense of security when it comes to sun-exposure. They are aware of the need to protect from solar UVR, but the motive for a safe tan, the overreliance on sunscreen, the overestimation of the safe sun-exposure time for their skin type and the insufficient application of sunscreen leaves holidaymakers motivated to protect their skin at significant risk of overexposure, sunburn and skin cancer. Public health messages need to address how to implement effective sun-safe strategies.

Aware, motivated and striving for a ‘safe tan’: an exploratory mixed-method study of sun-protection during holidays

PubMed Central

Rodrigues, Angela M.; Sniehotta, Falko F.; Birch-Machin, Mark A.; Araujo-Soares, Vera

2017-01-01

ABSTRACT Background: This article presents an exploratory study, aiming to explore the correspondence between knowledge, motivation and sun-protection practices during holidays. Methods: Seventeen participants aged 21–62 years old, recruited from community settings took part in individual face-to-face semi-structured interviews, completed sun sensitivity questions and an objective assessment of sunscreen use. Holidaymakers’ knowledge about sun-safe messages, intentions and perceptions of barriers and facilitators for sun-protection were assessed. Qualitative data were analysed using thematic analysis and integrated with quantitative data, using a pragmatic theory-informed approach to synthesise the findings. Results: Participants were well informed about sun-safe messages, highly motivated to protect themselves from solar UV radiation (UVR) and they perceived themselves as well protected. However, they did not seem to use effective protective practices. Sunscreen was the preferred method of sun-protection, but most participants used considerably less than the recommended amount and significantly overestimated the amount of time they could be safely exposed. Seeking shade was the least used method of sun-protection and covering-up strategies were mostly implemented as a partial protection (i.e. hats or sunglasses). The desire to reach an optimal balance between getting a tan and using sun-protection to avoid sunburns was preeminent. Several additional barriers and facilitators for sun-protection were identified. Conclusions: Holidaymakers might have a false sense of security when it comes to sun-exposure. They are aware of the need to protect from solar UVR, but the motive for a safe tan, the overreliance on sunscreen, the overestimation of the safe sun-exposure time for their skin type and the insufficient application of sunscreen leaves holidaymakers motivated to protect their skin at significant risk of overexposure, sunburn and skin cancer. Public health messages need to address how to implement effective sun-safe strategies. PMID:28670503

Healthy by Design: Using a Gender Focus to Influence Complete Streets Policy.

PubMed

Keippel, April Ennis; Henderson, Melissa A; Golbeck, Amanda L; Gallup, TommiLee; Duin, Diane K; Hayes, Stephen; Alexander, Stephanie; Ciemins, Elizabeth L

2017-10-17

Public health leaders in Yellowstone County, Montana, formed an alliance to address community-wide issues. One such issue is Complete Streets, with its vision of safe streets for all. This case study focuses on development and adoption of a Complete Streets policy. It examines how a community coalition, Healthy By Design, infused a gender focus into the policymaking process. An incremental and nonlinear policymaking process was aided by a focus on gender and health equity. The focus on a large constituency helped to frame advocacy in terms of a broad population's needs, not just special interests. The city council unanimously adopted a Complete Streets resolution, informed by a gender lens. Healthy By Design further used gender information to successfully mobilize the community in response to threats of repeal of the policy, and then influenced the adoption of a revised policy. Policies developed with a focus on equity, including gender equity, may have broader impact on the community. Such policies may pave the way for future policies that seek to transform gender norms toward building a healthier community for all residents. Published by Elsevier Inc.

Initiative for safe driving and enhanced utilization of crash data

NASA Astrophysics Data System (ADS)

Wagner, John F.

1994-03-01

This initiative addresses the utilization of current technology to increase the efficiency of police officers to complete required Driving Under the Influence (DUI) forms and to enhance their ability to acquire and record crash and accident information. The project is a cooperative program among the New Mexico Alliance for Transportation Research (ATR), Science Applications International Corporation (SAIC), Los Alamos National Laboratory, and the New Mexico State Highway and Transportation Department. The approach utilizes an in-car computer and associated sensors for information acquisition and recording. Los Alamos artificial intelligence technology is leveraged to ensure ease of data entry and use.

Visual tracking strategies for intelligent vehicle highway systems

NASA Astrophysics Data System (ADS)

Smith, Christopher E.; Papanikolopoulos, Nikolaos P.; Brandt, Scott A.; Richards, Charles

1995-01-01

The complexity and congestion of current transportation systems often produce traffic situations that jeopardize the safety of the people involved. These situations vary from maintaining a safe distance behind a leading vehicle to safely allowing a pedestrian to cross a busy street. Environmental sensing plays a critical role in virtually all of these situations. Of the sensors available, vision sensors provide information that is richer and more complete than other sensors, making them a logical choice for a multisensor transportation system. In this paper we present robust techniques for intelligent vehicle-highway applications where computer vision plays a crucial role. In particular, we demonstrate that the controlled active vision framework can be utilized to provide a visual sensing modality to a traffic advisory system in order to increase the overall safety margin in a variety of common traffic situations. We have selected two application examples, vehicle tracking and pedestrian tracking, to demonstrate that the framework can provide precisely the type of information required to effectively manage the given situation.

Safe and Durable High-Temperature Lithium-Sulfur Batteries via Molecular Layer Deposited Coating.

PubMed

Li, Xia; Lushington, Andrew; Sun, Qian; Xiao, Wei; Liu, Jian; Wang, Biqiong; Ye, Yifan; Nie, Kaiqi; Hu, Yongfeng; Xiao, Qunfeng; Li, Ruying; Guo, Jinghua; Sham, Tsun-Kong; Sun, Xueliang

2016-06-08

Lithium-sulfur (Li-S) battery is a promising high energy storage candidate in electric vehicles. However, the commonly employed ether based electrolyte does not enable to realize safe high-temperature Li-S batteries due to the low boiling and flash temperatures. Traditional carbonate based electrolyte obtains safe physical properties at high temperature but does not complete reversible electrochemical reaction for most Li-S batteries. Here we realize safe high temperature Li-S batteries on universal carbon-sulfur electrodes by molecular layer deposited (MLD) alucone coating. Sulfur cathodes with MLD coating complete the reversible electrochemical process in carbonate electrolyte and exhibit a safe and ultrastable cycle life at high temperature, which promise practicable Li-S batteries for electric vehicles and other large-scale energy storage systems.

40 CFR 2.304 - Special rules governing certain information obtained under the Safe Drinking Water Act.

Code of Federal Regulations, 2010 CFR

2010-07-01

... information obtained under the Safe Drinking Water Act. 2.304 Section 2.304 Protection of Environment... Special rules governing certain information obtained under the Safe Drinking Water Act. (a) Definitions. For the purposes of this section: (1) Act means the Safe Drinking Water Act, 42 U.S.C. 300f et seq. (2...

40 CFR 2.304 - Special rules governing certain information obtained under the Safe Drinking Water Act.

Code of Federal Regulations, 2011 CFR

2011-07-01

... information obtained under the Safe Drinking Water Act. 2.304 Section 2.304 Protection of Environment... Special rules governing certain information obtained under the Safe Drinking Water Act. (a) Definitions. For the purposes of this section: (1) Act means the Safe Drinking Water Act, 42 U.S.C. 300f et seq. (2...

Improving Continuity of Care via the Discharge Summary

PubMed Central

Sakaguchi, Farrant H.; Lenert, Leslie A.

2015-01-01

Discharge summaries (DCS) frequently fail to improve the continuity of care. A chart review of 188 DCS was performed to identify specific components that could be improved through health information technology. Medication reconciliations were analyzed for completeness and for medical reasoning. Documentation of pending results and follow-up details were analyzed. Patient preferences, patient goals, and the handover tone were noted. Patients were discharged on an average of 9.8 medications, only 3% of medication reconciliations were complete and medical reasoning was frequently absent. There were 358 pending results in 188 hospital discharges though only 14% were mentioned in the DCS. Documentation of clear, timely follow-up was present for less than 50% of patients. Patient preferences, patient goals, and lessons learned were rarely included. A handover tone was in only 17% of the DCS. Evaluating the DCS as a clinical handover is novel but information for safe handovers is frequently missing. PMID:26958250

Prescribing prophylaxis to patients who have been exposed to HIV.

PubMed

Bagley, Sue

2012-03-01

Emergency nurse practitioners should be prepared to prescribe post-exposure prophylaxis for sexual exposure (PEPSE) to people who may have been exposed to HIV, even where the number of such presentations is small. As this article makes clear, nurse prescribers require a sound knowledge of the drugs recommended in PEPSE protocols, and of their side effects, to relieve patients' anxiety and inform them about safe sexual practice. The article offers a case study and reflection to show that patients, particularly those who may have been exposed to HIV, who have been given the information they want are more likely to complete their courses of treatment.

Amur tiger conservation education program: A pilot study on program effectiveness.

PubMed

Mukhacheva, Anna S; Derugina, Vasilissa V; Maksimova, Galina D; Soutyrina, Svetlana V

2015-07-01

Anthropogenic impacts are the primary threats to Amur tigers (Panthera tigris altaica) and their habitat. Villagers living in proximity to tigers tend to view them negatively and, often, as a source of revenue on black markets. We aim to reduce human-tiger conflict by working with young students of Ternei County in the heart of tiger habitat in Primorskii Krai (Province). To inform and influence Ternei County's future decision-makers, we developed "Safe Conduct", a year-long education program held in 6 villages, culminating in a multi-school conference. We tested the efficacy of Safe Conduct as a potential model for tiger conservation educational programs. We measured levels of student knowledge about tiger ecology, their attitude towards tigers, and their willingness to engage in tiger conservation activites prior to, immediately after and 6 months following the completion of our program. Results supported the fundamental premise of Safe Conduct that knowledge and attitude towards tigers are correlated. Knowledge of tiger ecology and attitude towards tigers increased by the project's completion; both remained high after 6 months. However, commitment to participation in conservation efforts rose temporarily post-program and then dropped. Results varied by village. We recommend that the reasons for the high performance measures of students in 2 villages be investigated, and that lessons learned be applied to villages that underperformed. Safe Conduct represents a potential model for environmental education programs in Ternei County and elsewhere to educate future generations, to eventually develop a strong commitment to Amur tiger conservation at the community level. © 2015 International Society of Zoological Sciences, Institute of Zoology/Chinese Academy of Sciences and Wiley Publishing Asia Pty Ltd.

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

Buchanan, J.R.; Keilholtz, G.W.

This report discusses the current status of liquid-metal fast breeder (LMFBR) development and one of the principal safety issues, a hypothetical core-disruptive accident (HCDA). Bibliographic information on worldwide LMFBRs relative to the development of the breeder reactor as a safe source of nuclear power is presented for the period 1960 through 1969. The bibliography consists of 1560 abstracts covering early research and development and operating experiences leading up to the present design practices that are necessary for the licensing of breeder reactors. Key-word, author, and permuted-title indexes are included for completeness.

Connected health: cancer symptom and quality-of-life assessment using a tablet computer: a pilot study.

PubMed

Aktas, Aynur; Hullihen, Barbara; Shrotriya, Shiva; Thomas, Shirley; Walsh, Declan; Estfan, Bassam

2015-03-01

Incorporation of tablet computers (TCs) into patient assessment may facilitate safe and secure data collection. We evaluated the usefulness and acceptability of a TC as an electronic self-report symptom assessment instrument. Research Electronic Data Capture Web-based application supported data capture. Information was collected and disseminated in real time and a structured format. Completed questionnaires were printed and given to the physician before the patient visit. Most participants completed the survey without assistance. Completion rate was 100%. The median global quality of life was high for all. More than half reported pain. Based on Edmonton Symptom Assessment System, the top 3 most common symptoms were tiredness, anxiety, and decreased well-being. Patient and physician acceptability for these quick and useful TC-based surveys was excellent. © The Author(s) 2013.

78 FR 23330 - Reports, Forms and Record Keeping Requirements, Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-18

... of this document and cite OMB Clearance No. 2127-0609, ``Criminal Penalty Safe Harbor Provision... Penalty Safe Harbor Provision.'' SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995... change, of a currently approved collection of information: Criminal Penalty Safe Harbor Provision Type of...

The effects of the evidence-based Safe Dates dating abuse prevention program on other youth violence outcomes.

PubMed

Foshee, Vangie A; Reyes, Luz McNaughton; Agnew-Brune, Christine B; Simon, Thomas R; Vagi, Kevin J; Lee, Rosalyn D; Suchindran, Chiravath

2014-12-01

In response to recent calls for programs that can prevent multiple types of youth violence, the current study examined whether Safe Dates, an evidence-based dating violence prevention program, was effective in preventing other forms of youth violence. Using data from the original Safe Dates randomized controlled trial, this study examined (1) the effectiveness of Safe Dates in preventing peer violence victimization and perpetration and school weapon carrying 1 year after the intervention phase was completed and (2) moderation of program effects by the sex or race/ethnicity of the adolescent. Ninety percent (n = 1,690) of the eighth and ninth graders who completed baseline questionnaires completed the 1-year follow-up assessment. The sample was 51 % female and 26 % minority (of whom 69 % was black and 31 % was of another minority race/ethnicity). There were no baseline treatment group differences in violence outcomes. Treatment condition was significantly associated with peer violence victimization and school weapon carrying at follow-up; there was 12 % less victimization and 31 % less weapon carrying among those exposed to Safe Dates than those among controls. Treatment condition was significantly associated with perpetration among the minority but not among white adolescents; there was 23 % less violence perpetration among minority adolescents exposed to Safe Dates than that among controls. The observed effect sizes were comparable with those of other universal school-based youth violence prevention programs. Implementing Safe Dates may be an efficient way of preventing multiple types of youth violence.

The Stillbirth Classification System for the Safe Passage Study: Incorporating Mechanism, Etiology, and Recurrence

PubMed Central

Boyd, Theonia K.; Wright, Colleen A.; Odendaal, Hein J.; Elliott, Amy J.; Sens, Mary Ann; Folkerth, Rebecca D.; Roberts, Drucilla J.; Kinney, Hannah C.

2017-01-01

OBJECTIVE Describe the classification system for the assignment of the cause of death for stillbirth in the Safe Passage Study, an international, multi-institutional, prospective analysis conducted by the NIAAA/NICHD funded PASS Network (The Prenatal Alcohol in SIDS and Stillbirth (PASS) Research Network). The study mission is to determine the role of prenatal alcohol and/or cigarette smoke exposure in adverse pregnancy outcomes, including stillbirth, in a high-risk cohort of 12,000 maternal/fetal dyads. METHODS The PASS Network classification system is based upon 5 ‘sites of origin’ for cause of stillbirth (Fetal, Placental, Maternal, External/Environmental, or Undetermined), further subdivided into mechanism subcategories (e.g., Placental Perfusion Failure). Both site of origin and mechanism stratification are employed to assign an ultimate cause of death. Each PASS stillbirth (n=19) in the feasibility study was assigned a cause of death, and status of sporadic versus recurrent. Adjudication involved review of the maternal and obstetrical records, and fetal autopsy and placental findings, with complete consensus in each case. Two published classification systems, i.e., INCODE and ReCoDe, were used for comparison. RESULTS Causes of stillbirth classified were: fetal (n=5, 26%), placental (n=10, 53%), external (n=1, 5%), and undetermined (n=3, 16%). Nine cases (47%) had placental causes of death due to maternal disorders that carry recurrence risks. There was complete agreement for the cause of death across the three classification systems in 26% of cases, and a combination of partial or complete agreement in 68% of cases. Complete vs. partial agreements were predicated upon the classification schemes used for comparison. CONCLUSIONS The proposed PASS system is a user-friendly classification system that provides comparable information to previously published systems. Advantages include its simplicity, mechanistic formulations, tight clinicopathologic integration, provision for an undetermined category, and its wide applicability for use by perinatal mortality review boards with access to information routinely collected during clinicopathologic evaluations. PMID:27116324

Improving postoperative tonsillectomy pain management in children--a double blinded randomised control trial of a patient analgesia information sheet.

PubMed

Bailey, Lucas; Sun, Jing; Courtney, Mark; Murphy, Paul

2015-05-01

To evaluate paediatric post-tonsillectomy pain management using oxycodone when a specific analgesia information sheet is included with standard postoperative information. Oxycodone information sheets were randomly allocated to half the study children's post-tonsillectomy information pack. The trial was double-blinded to the surgeon, anaesthetist, nursing and administrative staff. Parents and children completed the pain assessment on day 3, 5 and 7. On day 10 the parents completed a questionnaire. A postoperative analgesia information sheet provides for higher satisfaction and knowledge for parents using oxycodone (p<0.001) and children have improved postoperative pain control, most significantly at day 5 (p<0.05). Parent assessment of the child's analgesia was superior with the oxycodone information sheet, most significantly at day 3 and 7 post operatively (p<0.05). There is also a positive correlation between the parents' observed pain score and children's self reported pain score, with a low correlation efficient level observed (p<0.001). Information sheets are useful in education and use of postoperative analgesia. The primary objective to explore the efficacy of the information sheet has proved to be successful in this setting. Given risks of opioid analgesia, it is recommended that postoperative information sheets be given to all parents, to provide for improved analgesia control and safe management of children in the postoperative period. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Safe and sound banking practices; credit... TREASURY INVESTMENT SECURITIES § 1.5 Safe and sound banking practices; credit information required. (a) A national bank shall adhere to safe and sound banking practices and the specific requirements of this part...

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 1 2012-01-01 2012-01-01 false Safe and sound banking practices; credit... TREASURY INVESTMENT SECURITIES § 1.5 Safe and sound banking practices; credit information required. (a) A national bank shall adhere to safe and sound banking practices and the specific requirements of this part...

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 1 2013-01-01 2013-01-01 false Safe and sound banking practices; credit... TREASURY INVESTMENT SECURITIES § 1.5 Safe and sound banking practices; credit information required. (a) A national bank shall adhere to safe and sound banking practices and the specific requirements of this part...

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Safe and sound banking practices; credit... TREASURY INVESTMENT SECURITIES § 1.5 Safe and sound banking practices; credit information required. (a) A national bank shall adhere to safe and sound banking practices and the specific requirements of this part...

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 1 2011-01-01 2011-01-01 false Safe and sound banking practices; credit... TREASURY INVESTMENT SECURITIES § 1.5 Safe and sound banking practices; credit information required. (a) A national bank shall adhere to safe and sound banking practices and the specific requirements of this part...

75 FR 29487 - Reports, Forms and Record Keeping Requirements, Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-26

..., ``Criminal Penalty Safe Harbor Provision.'' You may call the Docket at 202-366-9322. Note that all comments... 2127-0609 ``Criminal Penalty Safe Harbor Provision''. SUPPLEMENTARY INFORMATION: Under the Paperwork... change, of a currently approved collection of information: Criminal Penalty Safe Harbor Provision Type of...

The Electronic Medication Complete Communication (EMC2) Study: Rationale and Methods for a Randomized Controlled Trial of a Strategy to Promote Medication Safety in Ambulatory Care

PubMed Central

Bailey, Stacy Cooper; Paasche-Orlow, Michael K.; Adams, William G.; Brokenshire, Samantha A.; Hickson, Ryan P.; Oramasionwu, Christine U.; Curtis, Laura M.; Kwasny, Mary J.; Wolf, Michael S.

2016-01-01

Background Adverse drug events (ADEs) affect millions of patients annually and place a significant burden on the healthcare system. The Food and Drug Administration (FDA) has developed patient safety information for high-risk medications that pose serious public health concerns. However, there are currently few assurances that patients receive this information or are able to identify or respond correctly to ADEs. Objective To compare the effectiveness of the Electronic Medication Complete Communication (EMC2) Strategy to promote safe medication use and reporting of ADEs in comparison to usual care. Methods The automated EMC2 Strategy consists of: 1) provider alerts to counsel patients on medication risks, 2) the delivery of patient-friendly medication information via the electronic health record, and 3) an automated telephone assessment to identify potential medication concerns or ADEs. The study will take place in two community health centers in Chicago, IL. Adult, English or Spanish-speaking patients (N=1,200) who have been prescribed a high-risk medication will be enrolled and randomized to the intervention arm or usual care based upon practice location. The primary outcomes of the study are medication knowledge, proper medication use, and reporting of ADEs; these will be measured at baseline, 4 weeks, and three months. Intervention fidelity as well as barriers and costs of implementation will be evaluated. Conclusions The EMC2 Strategy automates a patient-friendly risk communication and surveillance process to promote safe medication use while minimizing clinic burden. This trial seeks to evaluate the effectiveness and feasibility of this strategy in comparison to usual care. PMID:27777127

The electronic medication complete communication (EMC2) study: Rationale and methods for a randomized controlled trial of a strategy to promote medication safety in ambulatory care.

PubMed

Bailey, Stacy Cooper; Paasche-Orlow, Michael K; Adams, William G; Brokenshire, Samantha A; Hickson, Ryan P; Oramasionwu, Christine U; Curtis, Laura M; Kwasny, Mary J; Wolf, Michael S

2016-11-01

Adverse drug events (ADEs) affect millions of patients annually and place a significant burden on the healthcare system. The Food and Drug Administration (FDA) has developed patient safety information for high-risk medications that pose serious public health concerns. However, there are currently few assurances that patients receive this information or are able to identify or respond correctly to ADEs. To evaluate the effectiveness of the Electronic Medication Complete Communication (EMC 2 ) Strategy to promote safe medication use and reporting of ADEs in comparison to usual care. The automated EMC 2 Strategy consists of: 1) provider alerts to counsel patients on medication risks, 2) the delivery of patient-friendly medication information via the electronic health record, and 3) an automated telephone assessment to identify potential medication concerns or ADEs. The study will take place in two community health centers in Chicago, IL. Adult, English or Spanish-speaking patients (N=1200) who have been prescribed a high-risk medication will be enrolled and randomized to the intervention arm or usual care based upon practice location. The primary outcomes of the study are medication knowledge, proper medication use, and reporting of ADEs; these will be measured at baseline, 4weeks, and three months. Intervention fidelity as well as barriers and costs of implementation will be evaluated. The EMC 2 Strategy automates a patient-friendly risk communication and surveillance process to promote safe medication use while minimizing clinic burden. This trial seeks to evaluate the effectiveness and feasibility of this strategy in comparison to usual care. Copyright © 2016 Elsevier Inc. All rights reserved.

Assessment of the Reconstructed Aerodynamics of the Mars Science Laboratory Entry Vehicle

NASA Technical Reports Server (NTRS)

Schoenenberger, Mark; Van Norman, John W.; Dyakonov, Artem A.; Karlgaard, Christopher D.; Way, David W.; Kutty, Prasad

2013-01-01

On August 5, 2012, the Mars Science Laboratory entry vehicle successfully entered Mars atmosphere, flying a guided entry until parachute deploy. The Curiosity rover landed safely in Gale crater upon completion of the Entry Descent and Landing sequence. This paper compares the aerodynamics of the entry capsule extracted from onboard flight data, including Inertial Measurement Unit (IMU) accelerometer and rate gyro information, and heatshield surface pressure measurements. From the onboard data, static force and moment data has been extracted. This data is compared to preflight predictions. The information collected by MSL represents the most complete set of information collected during Mars entry to date. It allows the separation of aerodynamic performance from atmospheric conditions. The comparisons show the MSL aerodynamic characteristics have been identified and resolved to an accuracy better than the aerodynamic database uncertainties used in preflight simulations. A number of small anomalies have been identified and are discussed. This data will help revise aerodynamic databases for future missions and will guide computational fluid dynamics (CFD) development to improved prediction codes.

Factors associated with safe delivery service utilization among women in Sheka zone, southwest Ethiopia.

PubMed

Asres, Abyot; Davey, Gail

2015-04-01

Attempts to predict pregnancy and childbirth complications before they occur have not been successful. Provision of safe delivery service for all births is considered to be a critical intervention for ensuring safe motherhood. Hence the aim of the study was to assess factors associated with safe delivery service utilization among women in Sheka Zone South West Ethiopia. A community based comparative cross sectional survey was conducted among 554 women in Sheka Zone from February to March 2008. Data were collected through structured pre-tested questionnaire and entered into Epinfo version 3.3. Analyses were done with SPSS version 13 computer software with which bivariate and multiple logistic regressions were carried out. Mothers who completed at least secondary school were more likely to give birth at health facility than those uneducated (AOR = 3.26, 95 % CI 1.51-7.06). Women with birth order above four were less likely to give birth in a health facility than those with first order births (AOR = 0.21, 95 %CI 0.10-0.43). Women who had encountered problems in their immediate birth and received prenatal care were more likely to give birth at health facilities AOR = 33.78 95 % CI 16.44-69.39) and (AOR = 2.55, 95 % CI 1.05-6.21) respectively. Factors associated with safe delivery service utilization are related to the women's socioeconomic status and obstetric experiences. Consequently promotion of maternal education, prenatal care utilization, information education and communication on obstetric risks and general health service expansion are needed to ensure safe delivery service.

26 CFR 1.168(f)(8)-1T - Safe-harbor lease information returns concerning qualified mass commuting vehicles (temporary).

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 2 2011-04-01 2011-04-01 false Safe-harbor lease information returns concerning qualified mass commuting vehicles (temporary). 1.168(f)(8)-1T Section 1.168(f)(8)-1T Internal Revenue... information returns concerning qualified mass commuting vehicles (temporary). In general. Form 6793, Safe...

Alternative Fuels Data Center

Science.gov Websites

Autonomous Vehicle (AV) Safe Testing Regulations Arizona state agencies must support the testing fails, the vehicle must be brought to a complete stop or safe state. The Arizona Department of Public

Abortion: Still Unfinished Agenda in Nepal.

PubMed

Shrestha, Dirgha Raj; Regmi, Shibesh Chandra; Dangal, Ganesh

2018-03-13

Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. However, more than half of abortion in Nepal are performed clandestinely by untrained or unapproved providers or induced by pregnant woman herself. Knowledge on legalization and availability of safe abortion service among women is still very poor. Stigma on abortion still persists among community people, service providers, managers, and policy makers. Access to safe abortion, especially in remote and rural areas, is still far behind as compared to their peers from urban areas. The existing law is not revised in the spirit of current Constitution of Nepal and rights-based approach. The existence of abortion stigma and the shifting of the government structure from unitary system to federalism in absence of a complete clarity on how the safe abortion service gets integrated into the local government structure might create challenge to sustain existing developments. There is, therefore, a need for all stakeholders to make a lot of efforts and allocate adequate resources to sustain current achievements and ensure improvements in creating a supportive social environment for women and girls so that they will be able to make informed decisions and access to safe abortion service in any circumstances.

Guide of good practices for occupational radiological protection in plutonium facilities

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

NONE

1998-06-01

This Technical Standard (TS) does not contain any new requirements. Its purpose is to provide guides to good practice, update existing reference material, and discuss practical lessons learned relevant to the safe handling of plutonium. the technical rationale is given to allow US Department of Energy (DOE) health physicists to adapt the recommendations to similar situations throughout the DOE complex. Generally, DOE contractor health physicists will be responsible to implement radiation protection activities at DOE facilities and DOE health physicists will be responsible for oversight of those activities. This guidance is meant to be useful for both efforts. This TSmore » replaces PNL-6534, Health Physics Manual of Good Practices for Plutonium Facilities, by providing more complete and current information and by emphasizing the situations that are typical of DOE`s current plutonium operations; safe storage, decontamination, and decommissioning (environmental restoration); and weapons disassembly.« less

Guideline Implementation: Energy-Generating Devices, Part 2-Lasers.

PubMed

Burlingame, Byron L

2017-04-01

Lasers have been used in the OR for many years and are essential tools in many different types of procedures. However, laser beams that come into contact with unintended targets directly or via reflection can cause injury to patients or personnel or pose other hazards, such as fires. The new AORN "Guideline for safe use of energy-generating devices" provides guidance on the use of all energy-generating devices in the OR. This article focuses on key points of the guideline that address the safe use of lasers. These include the components of the laser safety program, the responsibilities of the personnel in roles specific to use of a laser, laser safety measures, and documentation of laser use. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Failure Analysis at the Kennedy Space Center

NASA Technical Reports Server (NTRS)

Salazar, Victoria L.; Wright, M. Clara

2010-01-01

History has shown that failures occur in every engineering endeavor, and what we learn from those failures contributes to the knowledge base to safely complete future missions. The necessity of failure analysis is at its apex at the end of one aged program and at the beginning of a new and untested program. The information that we gain through failure analysis corrects the deficiencies in the current vehicle to make the next generation of vehicles more efficient and safe. The Failure Analysis and Materials Evaluation Branch in the Materials Science Division at the Kennedy Space Center performs metallurgical, mechanical, electrical, and non-metallic materials failure analyses and accident investigations on both flight hardware and ground support equipment for the Space Shuttle, International Space Station, Constellation, and Launch Services Programs. This paper will explore a variety of failure case studies at the Kennedy Space Center and the lessons learned that can be applied in future programs.

78 FR 57319 - Children's Online Privacy Protection Rule Safe Harbor Proposed Self-Regulatory Guidelines...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-18

...-AB20 Children's Online Privacy Protection Rule Safe Harbor Proposed Self-Regulatory Guidelines; kidSAFE... proposed self-regulatory guidelines submitted by the kidSAFE Seal Program (``kidSAFE''), owned and operated... part of the SUPPLEMENTARY INFORMATION section below. Write ``kidSAFE Application for Safe Harbor...

Courses without classrooms.

PubMed

Boyer, S A

1999-01-01

There is an alternative to classroom lecture that provides faster, more complete instruction and introduces the learner to clinical application of skills in a safe environment. This teaching style uses multiple media to present professional, published resources that provide excellent quality, topic-specific information. The benefits of this type of teaching/learning module include improved use of student and instructor time, scheduling advantages, increased learning, revenue generation potential, and student empowerment. With this approach, a strong, sound educational base is built, and each course includes some degree or form of clinical application as a key component.

KSC-2009-2698

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians begin stowing NASA's Lunar Reconnaissance Orbiter's high-gain antenna. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

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

Shepherd, James; Fairweather, Michael; Hanson, Bruce C.

The oxidation of spent uranium carbide fuel, a candidate fuel for Generation IV nuclear reactors, is an important process in its potential reprocessing cycle. However, the oxidation of uranium carbide in air is highly exothermic. A model has therefore been developed to predict the temperature rise, as well as other useful information such as reaction completion times, under different reaction conditions in order to help in deriving safe oxidation conditions. Finite difference-methods are used to model the heat and mass transfer processes occurring during the reaction in two dimensions and are coupled to kinetics found in the literature.

The 4Rs of Aquatic Rescue: educating the public about safety and risks of bystander rescue.

PubMed

Moran, Kevin; Webber, Jonathon; Stanley, Teresa

2017-09-01

From 1980 to 2014, 87 persons drowned in New Zealand while attempting to rescue others; all incidents occurred in open water and most (80%) fatalities were male. While bystander rescue has been promoted as a way of preventing drowning, little is known about the knowledge base that informs potential rescuers. This study utilized a family water safety programme to promote a resource entitled the 4Rs of Aquatic Rescue. Participants (n = 174) completed a pre-intervention survey and were then provided with information and access to electronic resources on safe bystander rescue techniques. Most respondents (71%) had never been taught rescue techniques, and males were more confident of their rescue ability. Upon completion of the programme, significant differences were evident in respondents' understanding of rescue safety, but this did not translate to greater confidence or disposition towards performing a rescue. Ways of promoting bystander safety around water are discussed and recommendations for future studies are made.

The safe home project.

PubMed

Arphorn, Sara; Jiraniratisai, Sopaphan; Rungtakul, Rungsri; Phutta, Nikom

2011-12-01

The Thai Health Promotion Foundation supported the Improvement of Quality of Life of Informal Workers project in Ban Luang District, Amphur Photaram, Ratchaburi Province. There were many informal workers in Ban Luang District. Sweet-crispy fish producers in Ban Luang were the largest group among the sweet-crispy fish producers in Thailand. This project was aimed at improving living and working conditions of informal workers, with a focus on the sweet-crispy fish group. Good practices of improved living and working conditions were used to help informal workers build safe, healthy and productive work environments. These informal workers often worked in substandard conditions and were exposed to various hazards in the working area. These hazards included risk of exposure to hot work environment, ergonomics-related injuries, chemical hazards, electrical hazards etc. Ergonomics problems were commonly in the sweet-crispy fish group. Unnatural postures such as prolonged sitting were performed dominantly. One hundred and fifty informal workers participated in this project. Occupational health volunteers were selected to encourage occupational health and safety in four groups of informal workers in 2009. The occupational health volunteers trained in 2008 were farmers, beauty salon workers and doll makers. The occupational health and safety knowledge is extended to a new informal worker group: sweet-crispy fish producer, in 2009. The occupational health and safety training for sweet-crispy fish group is conducted by occupational health volunteers. The occupational health volunteers increased their skills and knowledge assist in to make safe home and safe community through participatory oriented training. The improvement of living and working condition is conducted by using a modified WISH, Work Improvement for Safe Home, checklist. The plans of improvement were recorded. The informal workers showed improvement mostly on material handling and storage. The safe uses and safe storage of chemicals were introduced among farmers. The awareness of healthcare using personal protective equipments is increased in all groups especially in farmers. Safe home by local occupational health volunteer is proposed to be one effective measure for improvement of quality of life.

Safe Handover : Safe Patients - The Electronic Handover System.

PubMed

Till, Alex; Sall, Hanish; Wilkinson, Jonathan

2014-01-01

Failure of effective handover is a major preventable cause of patient harm. We aimed to promote accurate recording of high-quality clinical information using an Electronic Handover System (EHS) that would contribute to a sustainable improvement in effective patient care and safety. Within our hospital the human factors associated with poor communication were compromising patient care and unnecessarily increasing the workload of staff due to the poor quality of handovers. Only half of handovers were understood by the doctors expected to complete them, and more than half of our medical staff felt it posed a risk to patient safety. We created a standardised proforma for handovers that contained specific sub-headings, re-classified patient risk assessments, and aided escalation of care by adding prompts for verbal handover. Sources of miscommunication were removed, accountability for handovers provided, and tasks were re-organised to reduce the workload of staff. Long-term, three-month data showed that each sub-heading achieved at least 80% compliance (an average improvement of approximately 40% for the overall quality of handovers). This translated into 91% of handovers being subjectively clear to junior doctors. 87% of medical staff felt we had reduced a risk to patient safety and 80% felt it increased continuity of care. Without guidance, doctors omit key information required for effective handover. All organisations should consider implementing an electronic handover system as a viable, sustainable and safe solution to handover of care that allows patient safety to remain at the heart of the NHS.

Safe Handover : Safe Patients – The Electronic Handover System

PubMed Central

Till, Alex; Sall, Hanish; Wilkinson, Jonathan

2014-01-01

Failure of effective handover is a major preventable cause of patient harm. We aimed to promote accurate recording of high-quality clinical information using an Electronic Handover System (EHS) that would contribute to a sustainable improvement in effective patient care and safety. Within our hospital the human factors associated with poor communication were compromising patient care and unnecessarily increasing the workload of staff due to the poor quality of handovers. Only half of handovers were understood by the doctors expected to complete them, and more than half of our medical staff felt it posed a risk to patient safety. We created a standardised proforma for handovers that contained specific sub-headings, re-classified patient risk assessments, and aided escalation of care by adding prompts for verbal handover. Sources of miscommunication were removed, accountability for handovers provided, and tasks were re-organised to reduce the workload of staff. Long-term, three-month data showed that each sub-heading achieved at least 80% compliance (an average improvement of approximately 40% for the overall quality of handovers). This translated into 91% of handovers being subjectively clear to junior doctors. 87% of medical staff felt we had reduced a risk to patient safety and 80% felt it increased continuity of care. Without guidance, doctors omit key information required for effective handover. All organisations should consider implementing an electronic handover system as a viable, sustainable and safe solution to handover of care that allows patient safety to remain at the heart of the NHS. PMID:26734244

How safe is deep sedation or general anesthesia while providing dental care?

PubMed

Bennett, Jeffrey D; Kramer, Kyle J; Bosack, Robert C

2015-09-01

Deep sedation and general anesthesia are administered daily in dental offices, most commonly by oral and maxillofacial surgeons and dentist anesthesiologists. The goal of deep sedation or general anesthesia is to establish a safe environment in which the patient is comfortable and cooperative. This requires meticulous care in which the practitioner balances the patient's depth of sedation and level of responsiveness while maintaining airway integrity, ventilation, and cardiovascular hemodynamics. Using the available data and informational reports, the authors estimate that the incidence of death and brain injury associated with deep sedation or general anesthesia administered by all dentists most likely exceeds 1 per month. Airway compromise is a significant contributing factor to anesthetic complications. The American Society of Anesthesiology closed claim analysis also concluded that human error contributed highly to anesthetic mishaps. The establishment of a patient safety database for anesthetic management in dentistry would allow for a more complete assessment of morbidity and mortality that could direct efforts to further increase safe anesthetic care. Deep sedation and general anesthesia can be safely administered in the dental office. Optimization of patient care requires appropriate patient selection, selection of appropriate anesthetic agents, utilization of appropriate monitoring, and a highly trained anesthetic team. Achieving a highly trained anesthetic team requires emergency management preparation that can foster decision making, leadership, communication, and task management. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

KSC-04PD-1547

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Stephanie Stilson (right), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon- Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04PD-1548

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Stephanie Stilson (left), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04PD-1543

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Stephanie Stilson (left), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04PD-1545

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Stephanie Stilson (second from right), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon- Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04PD-1546

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Stephanie Stilson (center), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon- Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1548

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Stephanie Stilson (left), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1543

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Stephanie Stilson (left), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1545

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Stephanie Stilson (second from right), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1546

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Stephanie Stilson (center), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1547

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Stephanie Stilson (right), NASA Vehicle Manager, briefs the media attending an informative workshop and tour of the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, the media received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. During the tour of the OPF, reporters saw work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

Criticality Safety Basics for INL FMHs and CSOs

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

V. L. Putman

2012-04-01

Nuclear power is a valuable and efficient energy alternative in our energy-intensive society. However, material that can generate nuclear power has properties that require this material be handled with caution. If improperly handled, a criticality accident could result, which could severely harm workers. This document is a modular self-study guide about Criticality Safety Principles. This guide's purpose it to help you work safely in areas where fissionable nuclear materials may be present, avoiding the severe radiological and programmatic impacts of a criticality accident. It is designed to stress the fundamental physical concepts behind criticality controls and the importance of criticalitymore » safety when handling fissionable materials outside nuclear reactors. This study guide was developed for fissionable-material-handler and criticality-safety-officer candidates to use with related web-based course 00INL189, BEA Criticality Safety Principles, and to help prepare for the course exams. These individuals must understand basic information presented here. This guide may also be useful to other Idaho National Laboratory personnel who must know criticality safety basics to perform their assignments safely or to design critically safe equipment or operations. This guide also includes additional information that will not be included in 00INL189 tests. The additional information is in appendices and paragraphs with headings that begin with 'Did you know,' or with, 'Been there Done that'. Fissionable-material-handler and criticality-safety-officer candidates may review additional information at their own discretion. This guide is revised as needed to reflect program changes, user requests, and better information. Issued in 2006, Revision 0 established the basic text and integrated various programs from former contractors. Revision 1 incorporates operation and program changes implemented since 2006. It also incorporates suggestions, clarifications, and additional information from readers and from personnel who took course 00INL189. Revision 1 also completely reorganized the training to better emphasize physical concepts behind the criticality controls that fissionable material handlers and criticality safety officers must understand. The reorganization is based on and consistent with changes made to course 00INL189 due to a review of course exam results and to discussions with personnel who conduct area-specific training.« less

Expedition 52 Crew Lands Safely in Kazakhstan to Complete Record-Setting Mission

NASA Image and Video Library

2017-09-02

Expedition 52 Commander Fyodor Yurchikhin of Roscosmos and Flight Engineers Peggy Whitson and Jack Fischer of NASA landed safely near the town of Dzhezkazgan, Kazakhstan Sept. 3 after bidding farewell to their colleagues on the complex and undocking their Soyuz MS-04 spacecraft from the Poisk Module on the International Space Station. The landing marked the first time since Nov. 26, 2010 that two NASA astronauts returned to Earth in a Russian Soyuz spacecraft. Whitson, who has logged more days in space than any other U.S. astronaut, completed a 10-month mission, her third long duration flight, while Yurchikhin and Fischer completed 136 days in space.

Comparing Efficacy of Online and In-Person Versions of a Training on U.S. Federal Wage and Hour, Child Labor Laws, and Hazardous Occupations Orders for Secondary School Professionals.

PubMed

Shendell, Derek G; Apostolico, Alexsandra A; Milich, Lindsey J; Patti, Alexa A; Kelly, Sarah W

2016-01-01

The New Jersey Safe Schools Program (NJSS) offers courses required for secondary school vocational-career-technical education teachers to become school-sponsored structured learning experience supervisors. The "Federal Wage and Hour and Child Labor Laws, Regulations and Hazardous Order Course" (FWH) was originally conducted in-person by U.S. Department of Labor-Wage and Hour Division from 2005 to Summer 2013, and then NJSS began conducting this course in-person (October 2013-April 2015). Staring in March 2015, this course was conducted online; beta-/pilot tests were conducted in Winter 2014-2015. Starting in May 2015, this course was offered exclusively online. This paper analyzes data from the in-person and online versions of the FWH, including overall course evaluation data comparing two versions with similar questions/constructs. The New Jersey Safe Schools Program modifications to FWH included adding information regarding the Fair Labor Standards Act's Section 14(c) and supplemental case studies. The online version included information/resources provided during the in-person training plus assessments to supplement each module; the online version was split into modules to allow participants scheduling flexibility. Participants were given multiple possible attempts to achieve a minimum passing grade of 70%, excluding two ungraded activities (crossword puzzles simply completed). Descriptive statistics evaluated user satisfaction online compared to the in-person version of FWH and performance on aforementioned online assessments replacing in-person discussions/interactions. Between October 2013 and April 2015, 160 participants completed the training in person; 156 had complete data. Between April and November 2015, 78 participants completed the training online; 74 participants had complete data. Other enrolled participants were in progress (not done as of 12/23/2015). Overall satisfaction was similarly high for in-person and online versions of FWH; over 95% of responding participants recommended this course to colleagues. Course evaluations for in-person participants indicated 83% felt the course objectives were completely met, whereas 95% of the responding online cohort felt course objectives were completely met. Further analyses examined performance of online assessments regarding number of attempts and scores achieved and performance on highlighted questions in certain module lessons. Data suggested the online format as a viable alternative to an in-person version of this training and provided NJSS and agency partners with ideas on how modifications/improvements can be made.

The NeuroAiD Safe Treatment (NeST) Registry: a protocol

PubMed Central

Venketasubramanian, Narayanaswamy; Kumar, Ramesh; Soertidewi, Lyna; Abu Bakar, Azizi; Laik, Carine; Gan, Robert

2015-01-01

Introduction NeuroAiD (MLC601, MLC901), a combination of natural products, has been shown to be safe and to aid neurological recovery after brain injuries. The NeuroAiD Safe Treatment (NeST) Registry aims to assess its use and safety in the real-world setting. Methods and analysis The NeST Registry is designed as a product registry that would provide information on the use and safety of NeuroAiD in clinical practice. An online NeST Registry was set up to allow easy entry and retrieval of essential information including demographics, medical conditions, clinical assessments of neurological, functional and cognitive state, compliance, concomitant medications, and side effects, if any, among patients on NeuroAiD. Patients who are taking or have been prescribed NeuroAiD may be included. Participation is voluntary. Data collected are similar to information obtained during standard care and are prospectively entered by the participating physicians at baseline (before initialisation of NeuroAiD) and during subsequent visits. The primary outcome assessed is safety (ie, non-serious and serious adverse event), while compliance and neurological status over time are secondary outcomes. The in-person follow-up assessments are timed with clinical appointments. Anonymised data will be extracted and collectively analysed. Initial target sample size for the registry is 2000. Analysis will be performed after every 500 participants entered with completed follow-up information. Ethics and dissemination Doctors who prescribe NeuroAiD will be introduced to the registry by local partners. The central coordinator of the registry will discuss the protocol and requirements for implementation with doctors who show interest. Currently, the registry has been approved by the Ethics Committees of Universiti Kebangsaan Malaysia (Malaysia) and National Brain Center (Indonesia). In addition, for other countries, Ethics Committee approval will be obtained in accordance with local requirements. Trial registration number NCT02536079. PMID:26567259

[Safe and family-centered maternity hospitals: organizational culture of maternity hospitals in the province of Buenos Aires].

PubMed

Ramos, Silvina; Romero, Mariana; Ortiz, Zulma; Brizuela, Vanessa

2015-12-01

In 2010, the Safe and Family-Centered Maternity Hospitals initiative was launched in order to transform large public maternity centers into settings where safe practices are implemented and the rights of women, newborn infants and families are warranted. As a result, the paradigm of perinatal care was modified. This article reports on the findings of organizational culture as a component for the implementation of the initiative. The sample was selected in a non-probabilistic way and was made up of 29 public hospitals located in the province of Buenos Aires that participated in the initiative. During 2011 and 2012, an anonymous, self-administered survey was completed by members of the Department of Neonatology and the Department of Obstetrics. The survey collected information on three dimensions of the organizational culture: organizational environment, safe practices, and facilitation of change. A total of 1828 surveys were collected; 51% of survey respondents stated that there is a need to improve communication by having more meetings, while 60% made a positive assessment of various aspects of leadership. Work overload was described as the main cause of conflicts by 60%. Approximately 25% agreed and showed commitment with the initiative of transforming maternity centers. Adherence to practices was dissimilar depending on the practice, but half of survey respondents reported that there were genuine reasons for change. The assessment of the organizational culture showed that commitment to the Safe and Family-Centered Maternity Hospitals initiative is yet to be consolidated, and the evaluation of leadership is not comprehensive. Work overload and communication failures are the main reasons for conflict.

Evaluation of the first open-access hepatitis B and safe injection online training course for health professionals in China.

PubMed

Wang, Jing; Feng, Qiming; Tam, Andrew; Sun, Tong; Zhou, Peijing; So, Samuel

2016-03-08

Despite the high prevalence of chronic hepatitis B virus (HBV) infection in China, HBV infection prevention and long-term care knowledge of health professionals is inadequate. To address this knowledge gap, we developed an open-access evidence-based online training course, "KnowHBV", to train health professionals on prevention of HBV transmission and safe injections. We conducted an evaluation of the course with health professionals in China to examine its effectiveness in improving knowledge and learner's satisfaction of the course. Between July and December 2011, 1015 health professionals from selected hospitals and disease control institutions of Shandong province registered for the course and 932 (92 %) completed the three-module course. Participants' demographic information, pre- and post-course knowledge test results and learner's feedback were collected through the course website. Pre-course knowledge assessment confirmed gaps in HBV transmission routes, prevention and long-term care knowledge. Only 50.4 % of participants correctly identified all of the transmission routes of HBV, and only 40.7 % recognized all of the recommended tests to monitor chronically infected persons. The number of participants that answered all six multi-part multiple-choice knowledge questions correctly increased from 183 (19.7 %) before taking the course to 395 (42.4 %) on their first attempt upon completion of the course. Over 90 % of the 898 participants who completed the learner-feedback questionnaire rated the course as 'good' or 'very good'; over 94 % found the course instructional design helpful; 57.5 %, 65.7 % and 68.5 % reported that half or more than half of the course content in modules 1, 2 and 3 respectively provided new information; and 93.2 % of the participants indicated they preferred the online learning over traditional face-to-face classroom learning. The "KnowHBV" online training course appears to be an effective online training tool to improve HBV prevention and care knowledge of the health professionals in China.

IT Security Support for the Spaceport Command Control System Development

NASA Technical Reports Server (NTRS)

Varise, Brian

2014-01-01

My job title is IT Security support for the Spaceport Command & Control System Development. As a cyber-security analyst it is my job to ensure NASA's information stays safe from cyber threats, such as, viruses, malware and denial-of-service attacks by establishing and enforcing system access controls. Security is very important in the world of technology and it is used everywhere from personal computers to giant networks ran by Government agencies worldwide. Without constant monitoring analysis, businesses, public organizations and government agencies are vulnerable to potential harmful infiltration of their computer information system. It is my responsibility to ensure authorized access by examining improper access, reporting violations, revoke access, monitor information request by new programming and recommend improvements. My department oversees the Launch Control System and networks. An audit will be conducted for the LCS based on compliance with the Federal Information Security Management Act (FISMA) and The National Institute of Standards and Technology (NIST). I recently finished analyzing the SANS top 20 critical controls to give cost effective recommendations on various software and hardware products for compliance. Upon my completion of this internship, I will have successfully completed my duties as well as gain knowledge that will be helpful to my career in the future as a Cyber Security Analyst.

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

PubMed

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

2015-05-01

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

Teach Children Pedestrian Safety.

ERIC Educational Resources Information Center

Faber, Marilyn M.

1997-01-01

Provides advice on teaching children safe pedestrian and bicycling skills to reduce accidents caused by mistakes made in crossing streets. Provides an interactive safe-walker's story, tips for walking safely, step-by-step instructions for safe street crossing, bicycle safety information, a quiz for safe biking, and guidelines to ensure a proper…

KSC-2009-2702

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians secure NASA's Lunar Reconnaissance Orbiter's high-gain antenna into place for stowage. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

KSC-2009-2700

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians maneuver NASA's Lunar Reconnaissance Orbiter's high-gain antenna into place for stowage. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

KSC-2009-2697

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians prepare NASA's Lunar Reconnaissance Orbiter's high-gain antenna for stowage. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

KSC-2009-2701

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians secure NASA's Lunar Reconnaissance Orbiter's high-gain antenna into place for stowage. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

KSC-2009-2699

NASA Image and Video Library

2009-04-16

CAPE CANAVERAL, Fla. – At Astrotech Space Operations in Titusville, Fla., technicians maneuver NASA's Lunar Reconnaissance Orbiter's high-gain antenna into place for stowage. The antenna completed a range of motion test. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. Launch of LRO is targeted no earlier than June 2. Photo credit: NASA/Jack Pfaller

A Collaborative Assessment Among 11 Pharmaceutical Companies of Misinformation in Commonly Used Online Drug Information Compendia.

PubMed

Randhawa, Amarita S; Babalola, Olakiitan; Henney, Zachary; Miller, Michele; Nelson, Tanya; Oza, Meerat; Patel, Chandni; Randhawa, Anupma S; Riley, Joyce; Snyder, Scott; So, Sherri

2016-05-01

Online drug information compendia (ODIC) are valuable tools that health care professionals (HCPs) and consumers use to educate themselves on pharmaceutical products. Research suggests that these resources, although informative and easily accessible, may contain misinformation, posing risk for product misuse and patient harm. Evaluate drug summaries within ODIC for accuracy and completeness and identify product-specific misinformation. Between August 2014 and January 2015, medical information (MI) specialists from 11 pharmaceutical/biotechnology companies systematically evaluated 270 drug summaries within 5 commonly used ODIC for misinformation. Using a standardized approach, errors were identified; classified as inaccurate, incomplete, or omitted; and categorized per sections of the Full Prescribing Information (FPI). On review of each drug summary, content-correction requests were proposed and supported by the respective product's FPI. Across the 270 drug summaries reviewed within the 5 compendia, the median of the total number of errors identified was 782, with the greatest number of errors occurring in the categories of Dosage and Administration, Patient Education, and Warnings and Precautions. The majority of errors were classified as incomplete, followed by inaccurate and omitted. This analysis demonstrates that ODIC may contain misinformation. HCPs and consumers should be aware of the potential for misinformation and consider more than 1 drug information resource, including the FPI and Medication Guide as well as pharmaceutical/biotechnology companies' MI departments, to obtain unbiased, accurate, and complete product-specific drug information to help support the safe and effective use of prescription drug products. © The Author(s) 2016.

Safe teleradiology: information assurance as project planning methodology

NASA Astrophysics Data System (ADS)

Collmann, Jeff R.; Alaoui, Adil; Nguyen, Dan; Lindisch, David

2003-05-01

This project demonstrates use of OCTAVE, an information security risk assessment method, as an approach to the safe design and planning of a teleradiology system. By adopting this approach to project planning, we intended to provide evidence that including information security as an intrinsic component of project planning improves information assurance and that using information assurance as a planning tool produces and improves the general system management plan. Several considerations justify this approach to planning a safe teleradiology system. First, because OCTAVE was designed as a method for retrospectively assessing and proposing enhancements for the security of existing information management systems, it should function well as a guide to prospectively designing and deploying a secure information system such as teleradiology. Second, because OCTAVE provides assessment and planning tools for use primarily by interdisciplinary teams from user organizations, not consultants, it should enhance the ability of such teams at the local level to plan safe information systems. Third, from the perspective of sociological theory, OCTAVE explicitly attempts to enhance organizational conditions identified as necessary to safely manage complex technologies. Approaching information system design from the perspective of information security risk management proactively integrates health information assurance into a project"s core. This contrasts with typical approaches that perceive "security" as a secondary attribute to be "added" after designing the system and with approaches that identify information assurance only with security devices and user training. The perspective of health information assurance embraces so many dimensions of a computerized health information system"s design that one may successfully deploy a method for retrospectively assessing information security risk as a prospective planning tool. From a sociological perspective, this approach enhances the general conditions as well as establishes specific policies and procedures for reliable performance of health information assurance.

Guidelines for design and safe handling of curved I-shaped steel girders.

DOT National Transportation Integrated Search

2010-02-01

The purpose of this set of guidelines is to summarize recommendations from work : completed as part of the Texas Department of Transportation (TxDOT) Research Project 0-5574 : entitled "Curved Plate Girder Design for Safe and Economic Construction." ...

Adoption of the B2SAFE EUDAT replication service by the EPOS community

NASA Astrophysics Data System (ADS)

Cacciari, Claudio; Fares, Massimo; Fiameni, Giuseppe; Michelini, Alberto; Danecek, Peter; Wittenburg, Peter

2014-05-01

B2SAFE is the EUDAT service for moving and replicating data between sites and storage systems for different purposes. The goal of B2SAFE is to keep the data from a repository safe by replicating it across different geographical and administrative zones according to a set of well-defined policies. It is also a way to store large volumes of data permanently at those sites which are providing powerful on-demand data analysis facilities. In particular, B2SAFE operates on the domain of registered data where data objects are referable via persistent identifiers (PIDs). B2SAFE is more than just copying data because the PIDs must be carefully managed when data objects are moved or replicated. The EUDAT B2SAFE Service offers functionality to replicate datasets across different data centres in a safe and efficient way while maintaining all information required to easily find and query information about the replica locations. The information about the replica locations and other important information is stored in PID records, each managed in separate administrative domains. The B2SAFE Service is implemented as an iRODS module providing a set of iRODS rules or policies to interface with the EPIC handle API and uses the iRODS middleware to replicate datasets from a source data (or community) centre to a destination data centre. The definition of the dataset(s) to replicate is flexible and up to the communities using the B2SAFE service. While the B2SAFE is internally using the EPIC handle API, communities have the choice to use any PID system they prefer to assign PIDs to their digital objects. A reference to one or more EUDAT B2SAFE PIDs is returned by the B2SAFE service when a dataset is replicated. The presentation will introduce the problem space of B2SAFE, presents the achievements that have been made during the last year for enabling communities to make use of the B2SAFE service, demonstrates a EPOS use cases, outlines the commonalities and differences between the policies for B2SAFE, presents new developments towards a common service layer interface and a data policy management framework.

An innovative capstone health care informatics clinical residency: Interprofessional team collaboration.

PubMed

Custis, Laura M; Hawkins, Shelley Y; Thomason, Tanna R

2017-03-01

Integrated information systems and wireless technology have been increasingly incorporated into health care organizations with the premise that information technology will promote safe, high-quality, cost-effective patient care. With the advancement of technology, the level of expertise necessary to assume health care information technology roles has escalated. The purpose of this article is to describe a clinical residency project whereby students in a graduate degree health care informatics program successfully fulfilled program competencies through a faculty-lead research project focused on the use of home telehealth with a group of heart failure patients. Through the use of Donabedian's framework of structure, process, and outcomes, the health care informatics students completed essential learning activities deemed essential for transition into the role of an informatics specialist. Health care informatics educational leaders are encouraged to adapt this template of applied learning into their practices.

THE MEDIATING ROLE OF SOCIAL SAFENESS ON THE RELATIONSHIP BETWEEN Facebook(®) USE AND LIFE SATISFACTION.

PubMed

Akin, Ahmet; Akin, Umran

2015-10-01

The present study examined the mediating role of social safeness on the relationship between Facebook(®) use and life satisfaction. The participants were 370 university students (M age = 20.2 yr., SD = 1.0) who completed a questionnaire package that included the Bergen Facebook(®) Addiction Scale, the Social Safeness and Pleasure Scale, and the Life Satisfaction Scale. According to the results, social safeness and life satisfaction were predicted negatively by Facebook(®) use. On the other hand, life satisfaction was predicted positively by social safeness. In addition, social safeness mediated on the relationship between Facebook(®) use and life satisfaction. The results were discussed in the light of the related literature.

Cockpit emergency safety system

NASA Astrophysics Data System (ADS)

Keller, Leo

2000-06-01

A comprehensive safety concept is proposed for aircraft's experiencing an incident to the development of fire and smoke in the cockpit. Fire or excessive heat development caused by malfunctioning electrical appliance may produce toxic smoke, may reduce the clear vision to the instrument panel and may cause health-critical respiration conditions. Immediate reaction of the crew, safe respiration conditions and a clear undisturbed view to critical flight information data can be assumed to be the prerequisites for a safe emergency landing. The personal safety equipment of the aircraft has to be effective in supporting the crew to divert the aircraft to an alternate airport in the shortest possible amount of time. Many other elements in the cause-and-effect context of the emergence of fire, such as fire prevention, fire detection, the fire extinguishing concept, systematic redundancy, the wiring concept, the design of the power supplying system and concise emergency checklist procedures are briefly reviewed, because only a comprehensive and complete approach will avoid fatal accidents of complex aircraft in the future.

KSC-2013-3816

NASA Image and Video Library

2013-10-24

CAPE CANAVERAL, Fla. – At the Launch Abort System Facility at NASA’s Kennedy Space Center in Florida, the launch abort system, or LAS, for the Orion Exploration Flight Test-1, is being moved by flatbed truck from the high bay. The LAS will be moved to a low bay at the facility to complete processing. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The LAS is designed to safely pull the Orion crew module away from the launch vehicle in the event of an emergency on the launch pad or during the initial ascent of NASA’s Space Launch System, or SLS, rocket. Orion’s first unpiloted test flight is scheduled to launch in 2014 atop a Delta IV rocket. A second uncrewed flight test is scheduled for 2017 on the SLS rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Daniel Casper

KSC-2013-3814

NASA Image and Video Library

2013-10-24

CAPE CANAVERAL, Fla. – Inside the Launch Abort System Facility high bay at NASA’s Kennedy Space Center in Florida, the launch abort system, or LAS, for the Orion Exploration Flight Test-1 mission is being loaded onto a flatbed truck. The LAS will be moved to a low bay at the facility to complete processing. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The LAS is designed to safely pull the Orion crew module away from the launch vehicle in the event of an emergency on the launch pad or during the initial ascent of NASA’s Space Launch System, or SLS, rocket. Orion’s first unpiloted test flight is scheduled to launch in 2014 atop a Delta IV rocket. A second uncrewed flight test is scheduled for 2017 on the SLS rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Daniel Casper

KSC-2013-3815

NASA Image and Video Library

2013-10-24

CAPE CANAVERAL, Fla. – At the Launch Abort System Facility at NASA’s Kennedy Space Center in Florida, the launch abort system, or LAS, for the Orion Exploration Flight Test-1, is being moved by flatbed truck from the high bay. The LAS will be moved to a low bay at the facility to complete processing. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The LAS is designed to safely pull the Orion crew module away from the launch vehicle in the event of an emergency on the launch pad or during the initial ascent of NASA’s Space Launch System, or SLS, rocket. Orion’s first unpiloted test flight is scheduled to launch in 2014 atop a Delta IV rocket. A second uncrewed flight test is scheduled for 2017 on the SLS rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Daniel Casper

KSC-2013-3813

NASA Image and Video Library

2013-10-24

CAPE CANAVERAL, Fla. – Inside the Launch Abort System Facility high bay at NASA’s Kennedy Space Center in Florida, the launch abort system, or LAS, for the Orion Exploration Flight Test-1 mission is being loaded onto a flatbed truck. The LAS will be moved to a low bay at the facility to complete processing. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The LAS is designed to safely pull the Orion crew module away from the launch vehicle in the event of an emergency on the launch pad or during the initial ascent of NASA’s Space Launch System, or SLS, rocket. Orion’s first unpiloted test flight is scheduled to launch in 2014 atop a Delta IV rocket. A second uncrewed flight test is scheduled for 2017 on the SLS rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Daniel Casper

Disability in Meniére's disease.

PubMed

Cohen, H; Ewell, L R; Jenkins, H A

1995-01-01

The purpose of this study was to determine the level of disability among patients with Menière's disease, information needed by clinicians when evaluating patients for coverage under the Americans With Disabilities Act. We hypothesized that the unpredictability of vertiginous episodes or "Menière's attacks" would be the most disabling problem, combined with the lack of a safe place to sit down during Menière's attacks. All patients seen in the otolaryngology faculty practice at Baylor College of Medicine, Houston, Tex, and diagnosed as having Menière's disease over a 3-year period were sent a self-administered questionnaire. This practice is located at a tertiary care center. One hundred forty-nine potential subjects constituted the pool, from which data from 50 subjects provided complete data sets. The data from 50 adults suggested that the most problematic symptom was vertigo, followed by hearing loss. The unpredictability of Meniere's attacks and the lack of a safe place to rest during attacks was a significant problem for few subjects.

75 FR 75175 - Agency Information Collection Activities; Announcement of Office of Management and Budget...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-02

... that a collection of information entitled ``Procedures for the Safe and Sanitary Processing and...] Agency Information Collection Activities; Announcement of Office of Management and Budget Approval; Procedures for the Safe and Sanitary Processing and Importing of Fish and Fishery Products AGENCY: Food and...

Choosing a Safe and Successful Weight-Loss Program

MedlinePlus

... For Reporters Meetings & Workshops Follow Us Home Health Information Weight Management Choosing a Safe and Successful Weight-loss Program ... at NIDDK Technology Advancement & Transfer Meetings & Workshops Health Information ... Disease Urologic Diseases Endocrine Diseases Diet & Nutrition ...

Women's attitudes to safe-induced abortion in Iran: Findings from a pilot survey.

PubMed

Aghakhani, Nader; Cleary, Michelle; Zarei, Abbas; Lopez, Violeta

2018-01-01

To explore attitudes to safe-induced abortion among pregnant women in Iran. In Islamic teachings, abortion is generally forbidden. However in specific circumstances, abortion may be permitted and currently, in Iran, the law allows termination of pregnancy only if three specialist physicians confirm that the pregnancy outcome may be harmful for the mother during pregnancy or after birth. Pilot, descriptive survey. A 15-item structured questionnaire focusing on attitudes to safe-induced abortion was developed and pilot tested. Participants were pregnant women who were referred to the Legal Medical Centre (July-December 2015) to obtain permission for abortion. On obtaining their informed consent, the women were asked to respond to each item if they agreed (Yes) or disagreed (No). Only their age, education, employment, marital status and religion were obtained. Of the 80 survey participants referred for a safe-induced abortion, 90% were carrying foetuses with a diagnosed congenital malformation and 10% were experiencing complications of pregnancy that endangered their health. The majority of women (85%) perceived abortion to be dangerous to health; 86% indicated that partners should be involved in decision-making about abortion, while 83% believed that public health officials should have complete control of abortion law. There is a need to improve women's and couples' awareness and practice of effective contraceptive methods. Further research is needed to better understand the complex issues that lead to unintended pregnancies and abortions considering religious beliefs and cultural and legal contexts. © 2017 John Wiley & Sons Ltd.

Medicines in My Home: Information for Adults on Using Over-the-Counter Medicines Safely

MedlinePlus

Medicines In My Home More about using medicines safely Medicines in My Home: www.fda.gov/medsinmyhome FDA Consumer Medicine Education: www.fda.gov/usemedicinesafely National Council on Patient Information and ...

Information on infantile colic on the World Wide Web.

PubMed

Bailey, Shana D; D'Auria, Jennifer P; Haushalter, Jamie P

2013-01-01

The purpose of this study was to explore and describe the type and quality of information on infantile colic that a parent might access on the World Wide Web. Two checklists were used to evaluate the quality indicators of 24 Web sites and the colic-specific content. Fifteen health information Web sites met more of the quality parameters than the nine commercial sites. Eight Web sites included information about colic and infant abuse, with six being health information sites. The colic-specific content on 24 Web sites reflected current issues and controversies; however, the completeness of the information in light of current evidence varied among the Web sites. Strategies to avoid complications of parental stress or infant abuse were not commonly found on the Web sites. Pediatric professionals must guide parents to reliable colic resources that also include emotional support and understanding of infant crying. A best evidence guideline for the United States would eliminate confusion and uncertainty about which colic therapies are safe and effective for parents and professionals. Copyright © 2013 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

Power system monitoring and source control of the Space Station Freedom DC power system testbed

NASA Technical Reports Server (NTRS)

Kimnach, Greg L.; Baez, Anastacio N.

1992-01-01

Unlike a terrestrial electric utility which can purchase power from a neighboring utility, the Space Station Freedom (SSF) has strictly limited energy resources; as a result, source control, system monitoring, system protection, and load management are essential to the safe and efficient operation of the SSF Electric Power System (EPS). These functions are being evaluated in the DC Power Management and Distribution (PMAD) Testbed which NASA LeRC has developed at the Power System Facility (PSF) located in Cleveland, Ohio. The testbed is an ideal platform to develop, integrate, and verify power system monitoring and control algorithms. State Estimation (SE) is a monitoring tool used extensively in terrestrial electric utilities to ensure safe power system operation. It uses redundant system information to calculate the actual state of the EPS, to isolate faulty sensors, to determine source operating points, to verify faults detected by subsidiary controllers, and to identify high impedance faults. Source control and monitoring safeguard the power generation and storage subsystems and ensure that the power system operates within safe limits while satisfying user demands with minimal interruptions. System monitoring functions, in coordination with hardware implemented schemes, provide for a complete fault protection system. The objective of this paper is to overview the development and integration of the state estimator and the source control algorithms.

Power system monitoring and source control of the Space Station Freedom dc-power system testbed

NASA Technical Reports Server (NTRS)

Kimnach, Greg L.; Baez, Anastacio N.

1992-01-01

Unlike a terrestrial electric utility which can purchase power from a neighboring utility, the Space Station Freedom (SSF) has strictly limited energy resources; as a result, source control, system monitoring, system protection, and load management are essential to the safe and efficient operation of the SSF Electric Power System (EPS). These functions are being evaluated in the dc Power Management and Distribution (PMAD) Testbed which NASA LeRC has developed at the Power System Facility (PSF) located in Cleveland, Ohio. The testbed is an ideal platform to develop, integrate, and verify power system monitoring and control algorithms. State Estimation (SE) is a monitoring tool used extensively in terrestrial electric utilities to ensure safe power system operation. It uses redundant system information to calculate the actual state of the EPS, to isolate faulty sensors, to determine source operating points, to verify faults detected by subsidiary controllers, and to identify high impedance faults. Source control and monitoring safeguard the power generation and storage subsystems and ensure that the power system operates within safe limits while satisfying user demands with minimal interruptions. System monitoring functions, in coordination with hardware implemented schemes, provide for a complete fault protection system. The objective of this paper is to overview the development and integration of the state estimator and the source control algorithms.

No safety in numbers

Treesearch

Steven R. Beissinger; Curtis H. Flather; Gregory D. Hayward; Philip A. Stephens

2011-01-01

Clements et al. (Front Ecol Environ 2011; 9[9]: 521-525) proposed a single metric that describes a "species' ability to forestall extinction" (referred to by the acronym "SAFE") as a "scientifically defendable rule of thumb for when complete demographic data are unavailable" to rank the relative threat status of a species. SAFE is...

76 FR 44880 - Security Zone; Escorted Vessels in Captain of the Port Ohio Valley Zone

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-27

.... Minimum safe speed means the speed at which a vessel proceeds when it is fully off plane, completely... minimum safe speed if it is: (1) On a plane; (2) In the process of coming up onto or coming off a plane...

Using Enterprise Architecture for Analysis of a Complex Adaptive Organization's Risk Inducing Characteristics

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

Salguero, Laura Marie; Huff, Johnathon; Matta, Anthony R.

Sandia National Laboratories is an organization with a wide range of research and development activities that include nuclear, explosives, and chemical hazards. In addition, Sandia has over 2000 labs and over 40 major test facilities, such as the Thermal Test Complex, the Lightning Test Facility, and the Rocket Sled Track. In order to support safe operations, Sandia has a diverse Environment, Safety, and Health (ES&H) organization that provides expertise to support engineers and scientists in performing work safely. With such a diverse organization to support, the ES&H program continuously seeks opportunities to improve the services provided for Sandia by usingmore » various methods as part of their risk management strategy. One of the methods being investigated is using enterprise architecture analysis to mitigate risk inducing characteristics such as normalization of deviance, organizational drift, and problems in information flow. This paper is a case study for how a Department of Defense Architecture Framework (DoDAF) model of the ES&H enterprise, including information technology applications, can be analyzed to understand the level of risk associated with the risk inducing characteristics discussed above. While the analysis is not complete, we provide proposed analysis methods that will be used for future research as the project progresses.« less

We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record.

PubMed

Sheu, Leslie; Fung, Kelly; Mourad, Michelle; Ranji, Sumant; Wu, Ethel

2015-05-01

Poor communication between hospitalists and outpatient physicians can contribute to adverse events after discharge. Electronic medical records (EMRs) shared by inpatient and outpatient clinicians offer primary care providers (PCPs) better access to information surrounding a patient's hospitalization. However, the PCP experience and subsequent expectations for discharge communication within a shared EMR are unknown. We surveyed PCPs 1 year after a shared EMR was implemented at our institution to assess PCP satisfaction with current discharge communication practices and identify areas for improvement. Seventy-five of 124 (60%) clinicians completed the survey. Although most PCPs reported receiving automated discharge notifications (71%), only 39% felt that notifications plus discharge summaries were adequate for safe transitions of care. PCPs expressed that complex hospitalizations necessitated additional communication via e-mail or telephone; only 31% reported receiving such communication. The content most important in additional communication included medication changes, follow-up actions, and active medical issues. Despite optimized access to information provided by a shared EMR, only 52% of PCPs were satisfied with current discharge communication. PCPs express a continued need for high-touch communication for safe transitions of care. Further standardization of discharge communication practices is necessary. © 2015 Society of Hospital Medicine.

Buying & Using Medicine Safely

MedlinePlus

... Generic Drugs - Patient Education Resources Patient and Prescriber materials: Videos, PSAs, factsheets and more. Spotlight Drugs@FDA Index to Drug-Specific Information Protecting Yourself Safe Disposal of Medicines Generic Medicines – safe, effective and ...

The SAFE-T assessment tool: derivation and validation of a web-based application for point-of-care evaluation of gastroenterology fellow performance in colonoscopy.

PubMed

Kumar, Navin L; Kugener, Guillaume; Perencevich, Molly L; Saltzman, John R

2018-01-01

Attending assessment is a critical part of endoscopic education for gastroenterology fellows. The aim of this study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy administered via a web-based application. The Skill Assessment in Fellow Endoscopy Training (SAFE-T) tool was derived as a novel 5-question evaluation tool that captures both summative and formative feedback adapted into a web-based application. A prospective study of 15 gastroenterology fellows (5 fellows each from years 1 to 3 of training) was performed using the SAFE-T tool. An independent reviewer evaluated a subset of these procedures and completed the SAFE-T tool and Mayo Colonoscopy Skills Assessment Tool (MCSAT) for reliability testing. Twenty-six faculty completed 350 SAFE-T evaluations of the 15 fellows in the study. The mean SAFE-T overall score (year 1, 2.00; year 2, 3.84; year 3, 4.28) differentiated each sequential fellow year of training (P < .0001). The mean SAFE-T overall score decreased with increasing case complexity score, with straightforward cases compared with average cases (4.07 vs 3.50, P < .0001), and average cases compared with challenging cases (3.50 vs 3.08, P = .0134). In dual-observed procedures, the SAFE-T tool showed excellent inter-rater reliability with a kappa agreement statistic of 0.898 (P < .0001). Correlation of the SAFE-T overall score with the MCSAT overall hands-on and individual motor scores was excellent (each r > 0.90, P < .0001). We developed and validated the SAFE-T assessment tool, a concise and web-based means of assessing real-time gastroenterology fellow performance in colonoscopy. Copyright © 2018 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Knowledge and attitudes about intrauterine devices among women's health care providers in El Salvador.

PubMed

Hohmann, Heather Lyn; Cremer, Miriam L; Gonzalez, Enrique; Maza, Mauricio

2011-03-01

In order to gain an understanding of Salvadoran health care providers' clinical knowledge, attitudes, and practice toward the intrauterine device (IUD), Ministry of Health providers completed a self-administered, anonymous survey. Surveys were completed by 135 participants. The majority (94.7% and 97.0%) agreed the IUD is a safe and effective form of contraception. Only 46.6% of participants had ever received training in IUD placement, and 32.0% of them had ever inserted more than 10 IUDs. The majority of providers (54.2%) believed that the IUD was associated with a higher rate of infection than is described in the literature. Lack of formal training and knowledge about persistent infection rates associated with IUDs may contribute to low IUD placement by Salvadoran providers. Health care providers surveyed are open to learning more about the IUD and sharing the information with their patients.

ATD-1 Team Completes Flight Tests

NASA Image and Video Library

2017-02-24

Members of a NASA-led research team pose in front of a trio of aircraft, which on Feb. 22 concluded racking up enough air miles to circle the planet four times, all in the name of testing a new cockpit-based air traffic management tool. The prototype hardware and software is designed to automatically provide pilots with more precise spacing information on approach into a busy airport so that more planes can safely land in a given time. The technology is intended to help airplanes spend less time in the air, save money on fuel, and reduce engine emissions – all the while improving schedule efficiency to help passengers arrive on time.

KSC-04PD-1544

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Media tour the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, they received the latest information on Discoverys processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon- Carbon and vehicle instrumentation. Later, reporters toured the OPF to see work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-04pd1544

NASA Image and Video Library

2004-07-23

KENNEDY SPACE CENTER, FLA. - Media tour the Orbiter Processing Facility (OPF) housing the Space Shuttle Discovery at KSC. During this event, they received the latest information on Discovery’s processing and viewed workers preparing the vehicle for its safe return to flight scheduled for a launch planning window of March 2005. Kicking off the activities at the Press Site Auditorium, technical experts led two workshops addressing Reinforced Carbon-Carbon and vehicle instrumentation. Later, reporters toured the OPF to see work in progress on Discovery, including reinstallation of the Reinforced Carbon-Carbon panels on the Shuttle's wing leading edge, wiring inspections and instrumentation updates being completed for Return to Flight.

KSC-2013-4177

NASA Image and Video Library

2013-11-19

CAPE CANAVERAL, Fla. -- At Launch Pad 39B at NASA’s Kennedy Space Center in Florida, construction workers continue to remove the bricks from the flame trench walls that are below and between the left and right crawlerway tracks. The space shuttle-era flame trench deflector has been completely removed. Launch Pad 39B is being refurbished to support NASA’s Space Launch System and other launch vehicles. The Ground Systems Development and Operations, or GSDO, Program office at Kennedy is leading the center’s transformation to safely handle a variety of rockets and spacecraft. For more information about GSDO, visit: http://go.nasa.gov/groundsystems. Photo credit: NASA/Kim Shiflett

KSC-2013-4172

NASA Image and Video Library

2013-11-19

CAPE CANAVERAL, Fla. -- At Launch Pad 39B at NASA’s Kennedy Space Center in Florida, construction workers continue to remove the bricks from the flame trench walls that are below and between the left and right crawlerway tracks. The space shuttle-era flame trench deflector has been completely removed. Launch Pad 39B is being refurbished to support NASA’s Space Launch System and other launch vehicles. The Ground Systems Development and Operations, or GSDO, Program office at Kennedy is leading the center’s transformation to safely handle a variety of rockets and spacecraft. For more information about GSDO, visit: http://go.nasa.gov/groundsystems. Photo credit: NASA/Kim Shiflett

KSC-2013-4181

NASA Image and Video Library

2013-11-19

CAPE CANAVERAL, Fla. -- At Launch Pad 39B at NASA’s Kennedy Space Center in Florida, construction workers continue to remove the bricks from the flame trench walls that are below and between the left and right crawlerway tracks. The space shuttle-era flame trench deflector has been completely removed. Launch Pad 39B is being refurbished to support NASA’s Space Launch System and other launch vehicles. The Ground Systems Development and Operations, or GSDO, Program office at Kennedy is leading the center’s transformation to safely handle a variety of rockets and spacecraft. For more information about GSDO, visit: http://go.nasa.gov/groundsystems. Photo credit: NASA/Kim Shiflett

KSC-2013-4178

NASA Image and Video Library

2013-11-19

CAPE CANAVERAL, Fla. -- At Launch Pad 39B at NASA’s Kennedy Space Center in Florida, construction workers continue to remove the bricks from the flame trench walls that are below and between the left and right crawlerway tracks. The space shuttle-era flame trench deflector has been completely removed. Launch Pad 39B is being refurbished to support NASA’s Space Launch System and other launch vehicles. The Ground Systems Development and Operations, or GSDO, Program office at Kennedy is leading the center’s transformation to safely handle a variety of rockets and spacecraft. For more information about GSDO, visit: http://go.nasa.gov/groundsystems. Photo credit: NASA/Kim Shiflett

A two-dimensional, finite-difference model of the oxidation of a uranium carbide fuel pellet

NASA Astrophysics Data System (ADS)

Shepherd, James; Fairweather, Michael; Hanson, Bruce C.; Heggs, Peter J.

2015-12-01

The oxidation of spent uranium carbide fuel, a candidate fuel for Generation IV nuclear reactors, is an important process in its potential reprocessing cycle. However, the oxidation of uranium carbide in air is highly exothermic. A model has therefore been developed to predict the temperature rise, as well as other useful information such as reaction completion times, under different reaction conditions in order to help in deriving safe oxidation conditions. Finite difference-methods are used to model the heat and mass transfer processes occurring during the reaction in two dimensions and are coupled to kinetics found in the literature.

Adoption of Sun Safe Work Place Practices by Local Governments

PubMed Central

Wallis, Allan; Andersen, Peter A.; Buller, David B.; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D.; Jenkins, Rob

2014-01-01

Context Outdoor workers are especially susceptible to skin cancer, the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Objective Local government managers in Colorado—in municipalities, counties and special districts—were surveyed in order to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. Design The survey consisted of 51 question assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was comprised or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. Results Over 40 percent of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. Conclusions The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting localite communities. Government size and budget do not appear to be constraints in the adoption of sun safe practices. PMID:24231670

Adoption of sun safe workplace practices by local governments.

PubMed

Wallis, Allan; Andersen, Peter A; Buller, David B; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D; Jenkins, Rob

2014-01-01

Outdoor workers are especially susceptible to skin cancer--the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Local government managers in Colorado-in municipalities, counties, and special districts-were surveyed to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. The survey consisted of 51 questions assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was composed or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. More than 40% of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting localite communities. Government size and budget do not appear to be constraints in the adoption of sun safe practices.

50 CFR 600.315 - National Standard 2-Scientific Information.

Code of Federal Regulations, 2012 CFR

2012-10-01

...) SAFE Report. (1) The SAFE report is a document or set of documents that provides Councils with a... responsibility to assure that a SAFE report or similar document is prepared, reviewed annually, and changed as..., Federal, university, or other sources to acquire and analyze data and produce the SAFE report. (ii) The...

Child Development Associate. Safety for Young Children.

ERIC Educational Resources Information Center

Oscar Rose Junior Coll., Midwest City, OK.

This Child Development Associate (CDA) training module, one of a series of 18, provides a guide to establishing a safe and healthy preschool environment and promoting health and safety practices among preschool children. Upon completion of the module, CDA trainees are expected to be able to create a safe learning environment for children,…

The Lead-Safe Certified Guide to Renovate Right

MedlinePlus

... for information about courses and resources on lead-safe work practices. 1 RENOVAT ING, REPA IRING, OR PA ... child care facility or school. • Always use lead-safe work practices when renovation or repair will disturb painted ...

Evaluation of complete streets policy implementation by metropolitan planning organizations.

DOT National Transportation Integrated Search

2015-09-01

Over the last ten years, communities around the country have begun to implement comprehensive reforms : designed to ensure that roadway users of all ages and abilities can safely utilize the transportation system. : This complete streets policy frame...

Clients' safe food-handling knowledge and risk behavior in a home-delivered meal program.

PubMed

Almanza, Barbara A; Namkung, Young; Ismail, Joseph A; Nelson, Douglas C

2007-05-01

To determine typical handling practices of home-delivered meals, and provide appropriate handling instructions to reduce the risk of foodborne illness by improving consumer handling of home-delivered meals. Once permission was given by the home-delivered meal site directors, clients were provided a voluntary survey and requested by the delivery drivers to complete the self-administered questionnaire. The completed questionnaire was collected by the driver the following day. Because of the special needs of the home-delivered meal populations, the questionnaire was made as easy and convenient to answer as possible. Two hundred fifty-eight male clients (31%) and 575 female clients (69%) whose mean age was 79 years participated in the study. The respondents' safe food-handling practices, food safety knowledge, and demographic information were assessed. Average time for delivery and consumption of meals were also measured. Descriptive statistics (frequency and chi(2) test) of the participants' handling of home-delivered meals, their general food safety knowledge, and demographic information were reported. Delivery time and consumption time were calculated for each subject. Five hundred thirty-six of 869 clients (63%) reported that they ate their meals as soon as they were delivered. Of those clients who did not eat their meals immediately, 234 (82%) stored the cold food in the refrigerator and 142 (58%) stored the hot food in the freezer. More than one-third of the clients (n=277, 35%) reported that they had leftovers and only 34 (15%) ate the leftovers within 2 hours. Significant differences among groups on the basis of a derived food safety knowledge score were observed in terms of whether or not they ate their meal immediately (P

Information literacy: using LISTEN project strategies to equip nurses worldwide.

PubMed

Patterson, Ramona; Carter-Templeton, Heather; Russell, Cynthia

2009-01-01

The 21st century presents a major challenge in the form of information overload. In a profession where new knowledge is ever expanding, nurse educators must equip nurses to find the information they need to provide safe evidence-based care. Information literacy and information technology competencies have become a priority in nursing education, but inconsistencies in definitions, frameworks, content, and design, combined with ill-equipped faculty have hindered the development of a transferable model geared toward improving nurses' information literacy. Challenges are compounded for nurses in developing nations, where access to information and training for information literacy are both problematic. This paper describes experiences from the LISTEN project, during the 1st year of a 3-year funded Nurse Education Practice and Retention grant. Designed to improve information literacy competencies of student and workforce nurses, using individualized learning via interactive web-based modules, LISTEN provides on its' website a Did You Know video dramatizing the importance of information literacy to nurses, and offers resources for information literacy, information technology, and evidence-based nursing practice. Preliminary findings from beta testing reveal the module content is realistic, complete, and logical. The website and video have generated worldwide interest. Future possibilities include nationwide implementation and adaptation for the international arena.

Profile of patients with completion thyroidectomy and assessment of their suitability for outpatient surgery.

PubMed

Wu, Gaosong; Pai, Sara I; Agrawal, Nishant; Richmon, Jeremy; Dackiw, Alan; Tufano, Ralph P

2011-11-01

Outpatient thyroid surgery for thyroid lobectomy has been shown to be safe and feasible. The safety of outpatient completion thyroidectomy in patients who have previously undergone thyroid lobectomy has not been extensively evaluated in the medical literature to date. The authors sought to evaluate postoperative complications associated with completion thyroidectomy in their institution to determine if it would be safe and feasible to perform as an outpatient procedure. Case series with chart review. Tertiary care teaching hospital. Two hundred four consecutive patients, who underwent completion thyroidectomy after previous thyroid lobectomy from January 2000 to June 2010, comprised the study population. Medical records were reviewed for preoperative and postoperative serum calcium levels, preoperative and postoperative fiber-optic laryngoscopic examination of vocal fold mobility, associated comorbidities, length of hospital stay, drain use, seroma or hematoma formation, final thyroid pathology, and postoperative follow-up. Overall, 9 patients (4.4%) developed postoperative complications, including transient symptomatic hypocalcemia in 4 patients (2.0%), transient laboratory hypocalcemia in 3 patients (1.5%), seroma formation in 1 patient (0.5%), and hematoma development in 1 patient (0.5%). There were no cases with permanent or temporary vocal fold paralysis. No significant difference was found in the overall complication rate before and after 4 hours of observation (P = .50). Selected patients who undergo completion thyroidectomy after previous thyroid lobectomy can be safely discharged after 4 hours of postoperative observation with appropriate instructions.

SCOPE of Pain: An Evaluation of an Opioid Risk Evaluation and Mitigation Strategy Continuing Education Program

PubMed Central

Zisblatt, Lara; Ng, Pamela; Hayes, Sean M.; Peloquin, Sophie; Hardesty, Ilana; White, Julie L.

2016-01-01

Objective. Due to the high prevalence of prescription opioid misuse, the US Food and Drug Administration (FDA) mandated a Risk Evaluation and Mitigation Strategy (REMS) requiring manufacturers of extended-release/long-acting (ER/LA) opioid analgesics to fund continuing education based on a FDA Blueprint. This article describes the Safe and Competent Opioid Prescribing Education (SCOPE of Pain) program, an ER/LA opioid analgesic REMS program, and its impact on clinician knowledge, confidence, attitudes, and self-reported clinical practice. Method. Participants of the 3-h SCOPE of Pain training completed pre-, immediate post- and 2-month post-assessments. Subjects. The primary target group (n = 2,850), and a subset (n = 476) who completed a 2-month post-assessment, consisted of clinicians licensed to prescribe ER/LA opioid analgesics, who care for patients with chronic pain and who completed the 3-h training between February 28, 2013 and June 13, 2014. Results. Immediately post-program, there was a significant increase in correct responses to knowledge questions (60% to 84%, P ≤ 0.02) and 87% of participants planned to make practice changes. At 2-months post-program, there continued to be a significant increase in correct responses to knowledge questions (60% to 69%, P ≤ 0.03) and 67% reported increased confidence in applying safe opioid prescribing care and 86% reported implementing practice changes. There was also an improvement in alignment of desired attitudes toward safe opioid prescribing. Conclusions. The SCOPE of Pain program improved knowledge, attitudes, confidence, and self-reported clinical practice in safe opioid prescribing. This national REMS program holds potential to improve the safe use of opioids for the treatment of chronic pain. PMID:26304703

76 FR 8628 - Safe, Efficient Use and Preservation of the Navigable Airspace; OMB Approval of Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-15

...-25002; Amendment No. 77-13] RIN 2120-AH31 Safe, Efficient Use and Preservation of the Navigable Airspace... on July 21, 2010, entitled Safe, Efficient Use and Preservation of the Navigable Airspace. DATES: The..., 2010, the final rule entitled Safe, Efficient Use and Preservation of the Navigable Airspace, was...

77 FR 40628 - Draft Safe Harbor Agreement and Application for an Enhancement of Survival Permit for the Tres...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-10

...-FF02ENEH00] Draft Safe Harbor Agreement and Application for an Enhancement of Survival Permit for the Tres... permit application and the associated draft Safe Harbor Agreement (SHA). DATES: Comment Period: To ensure... . SUPPLEMENTARY INFORMATION: Under a Safe Harbor Agreement, participating property owners voluntarily undertake...

State Anxiety Carried Over From Prior Threat Increases Late Positive Potential Amplitude During an Instructed Emotion Regulation Task

PubMed Central

Pedersen, Walker S.; Larson, Christine L.

2018-01-01

Emotion regulation has important consequences for emotional and mental health (Saxena, Dubey & Pandey, 2011) and is dependent on executive function (Eisenberg, Smith & Spinrad, 2011). Because state anxiety disrupts executive function (Robinson, Vytal, Cornwell & Grillon, 2013), we tested whether state anxiety disrupts emotion regulation by having participants complete an instructed emotion regulation task, while under threat of unpredictable shock and while safe from shock. We used the late positive potential (LPP) component of the event related potential to measure emotion regulation success. We predicted that LPP responses to negatively valenced images would be modulated by participants’ attempts to increase and decrease their emotions when safe from shock, but not while under threat of shock. Our manipulation check revealed an order effect such that for participants who completed the threat of shock condition first self-reported state anxiety carried over into the subsequent safe condition. Additionally, we found that although instructions to regulate affected participants’ ratings of how unpleasant the images made them feel, instructions to regulate had no effect on LPP amplitude regardless of threat condition. Instead we found that participants who received the threat condition prior to safe had greater LPP responses to all images in the safe condition. We posit that the carryover of anxiety resulted in misattribution of arousal and potentiation of neural responses to the images in the safe condition. Thus, our results imply that physiological arousal and cognition combine to influence the basic neural response to emotional stimuli. PMID:27055095

Safe Schools, Safe Communities.

ERIC Educational Resources Information Center

Lewis, Julie E.; Pickett, Dean; Pulliam, Janet L.; Schwartz, Richard A.; St. Germaine, Anne-Marie; Underwood, Julie; Worona, Jay

Schools must work together with agencies, groups, and individuals to eliminate the forces leading children to violence. Chapter 1, "School Safety: Working Together to Keep Schools Safe," stresses the importance of community collaboration in violence prevention. Effective prevention requires sharing information about students, consistent…

78 FR 72748 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-03

... safe rail environment by ensuring that affected railroads (Class Is and some Class IIs) address... convey emergency and need-to-know information. The new rule establishes safe, uniform procedures covering... (FRA) and the Surface Transportation Board (STB), working in conjunction with each other, have issued...

On the Safe Side: Your Complete Reference to Childproofing for Infants & Toddlers.

ERIC Educational Resources Information Center

Wolf, Cindy

Noting that accidents are the leading cause of death among infants and children today, this book provides comprehensive guideline for preparing a safe home and caregiving environment for children from birth to around 3 years of age. Following an introduction, the chapters are organized by rooms of a house, with topics listed alphabetically within…

The Philosophy which underlies the structural tests of a supersonic transport aircraft with particular attention to the thermal cycle

NASA Technical Reports Server (NTRS)

Ripley, E. L.

1972-01-01

The information presented is based on data obtained from the Concorde. Much of this data also applies to other supersonic transport aircraft. The design and development of the Concorde is a joint effort of the British and French, and the structural test program is shared, as are all the other activities. Vast numbers of small specimens have been tested to determine the behavior of the materials used in the aircraft. Major components of the aircraft structure, totalling almost a complete aircraft, have been made and are being tested to help the constructors in each country in the design and development of the structure. Tests on two complete airframes will give information for the certification of the aircraft. A static test was conducted in France and a fatigue test in the United Kingdom. Fail-safe tests are being made to demonstrate the crack-propagation characteristics of the structure and its residual strength. Aspects of the structural test program are described in some detail, dealing particularly with the problems associated with the thermal cycle. The biggest of these problems is the setting up of the fatigue test on the complete airframe; therefore, this is covered more extensively with a discussion about how the test time can be shortened and with a description of the practical aspects of the test.

The costs and cost effectiveness of providing first-trimester, medical and surgical safe abortion services in KwaZulu-Natal Province, South Africa.

PubMed

Lince-Deroche, Naomi; Fetters, Tamara; Sinanovic, Edina; Devjee, Jaymala; Moodley, Jack; Blanchard, Kelly

2017-01-01

Despite a liberal abortion law, access to safe abortion services in South Africa is challenging for many women. Medication abortion was introduced in 2013, but its reach remains limited. We aimed to estimate the costs and cost effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. We obtained data on service provision and outcomes from an operations research study where medication abortion was introduced alongside existing MVA services in public hospitals in KwaZulu-Natal province. Clinical data were collected through interviews with first-trimester abortion clients and summaries completed by nurses performing the procedures. In parallel, we performed micro-costing at three of the study hospitals. Using a model built in Excel, we estimated the average cost per medical and surgical procedure and determined the cost per complete abortion performed. Results are presented in 2015 US dollars. A total of 1,129 women were eligible for a first trimester abortion at the three study sites. The majority (886, 78.5%) were eligible to choose their abortion procedure; 94.1% (n = 834) chose medication abortion. The total average cost per medication abortion was $63.91 (52.32-75.51). The total average cost per MVA was higher at $69.60 (52.62-86.57); though the cost ranges for the two procedures overlapped. Given average costs, the cost per complete medication abortion was lower than the cost per complete MVA despite three (0.4%) medication abortion women being hospitalized and two (0.3%) having ongoing pregnancies at study exit. Personnel costs were the largest component of the total average cost of both abortion methods. This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication abortion with MVA as a back-up, without increasing costs.

33 CFR 96.320 - What is involved to complete a safety management audit and when is it required to be completed?

Code of Federal Regulations, 2011 CFR

2011-07-01

... certificate or a Safety Management Certificate; (3) Periodic audits including— (i) An annual verification... safety management audit and when is it required to be completed? 96.320 Section 96.320 Navigation and... SAFE OPERATION OF VESSELS AND SAFETY MANAGEMENT SYSTEMS How Will Safety Management Systems Be...

Inspection Report on "Internal Controls over Accountable Classified Removable Electronic Media at Oak Ridge National Laboratory"

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

None

2009-05-01

The Department of Energy's Oak Ridge National Laboratory (ORNL) conducts cutting edge scientific research. ORNL utilizes removable electronic media, such as computer hard drives, compact disks, data tapes, etc., to store vast amounts of classified information. Incidents involving breakdowns in controls over classified removable electronic media have been a continuous challenge for the Department. The loss of even one piece of such media can have serious national security implications. In 2004, the Department had a complex-wide 'stand-down' of all activities using classified removable electronic media, and such media containing Secret/Restricted Data or higher classified data was designated 'Accountable Classified Removablemore » Electronic Media' (ACREM). As part of the stand-down, sites were required to conduct a 100 percent physical inventory of all ACREM; enter it all into accountability; and conduct security procedure reviews and training. Further, the Department implemented a series of controls, including conducting periodic inventories, utilizing tamper proof devices on ACREM safes, and appointing trained custodians to be responsible for the material. After performance testing and validation that the required accountability systems were in place, ACREM operations at ORNL were approved for restart on August 10, 2004. We conducted a review at ORNL and associated facilities to determine whether ACREM is managed, protected, and controlled consistent with applicable requirements. We found that: (1) Eight pieces of Secret/Restricted Data media had not been identified as ACREM and placed into a system of accountability. Consequently, the items were not subject to all required protections and controls, such as periodic accountability inventories, oversight by a trained custodian, or storage in a designated ACREM safe. (However, the items were secured in safes approved for classified material.) (2) Other required ACREM protections and controls were not implemented as follows: a tamper indicating device was not being used on an ACREM safe; records documenting when a certain safe was opened did not support that a purported inventory had been conducted; and a safe inventory had not been completed in a timely manner. (3) A Personal Digital Assistant and a thumb drive, both capable of recording or transmitting data, were stored in a security area without an analysis to identify vulnerabilities and compensatory measures having been conducted, as required. We also found that an ORNL Cooperative Research and Development Agreement partner had not disabled classified computer ports at the partner's site that were capable of writing classified information to external or removable media, as required. We made several recommendations designed to enhance the security of ACREM, security areas, and computers.« less

75 FR 21266 - Office of Safe and Drug-Free Schools; Overview Information; Building State Capacity for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... DEPARTMENT OF EDUCATION Office of Safe and Drug-Free Schools; Overview Information; Building State Capacity for Preventing Youth Substance Use and Violence; Notice Inviting Applications for New Awards for... Program: Building State Capacity for Preventing Youth Substance Use and Violence provides competitive...

Ladder Safety Live #12985

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

Chochoms, Michael

2017-02-23

This course presents information for working safely with portable ladders: specifically, stepladders, extensions ladders, and their derivations. Additionally, this course provides limited information on the safe use of stepstools and fixed ladders. The skills, techniques, and good practices needed for selecting, inspecting, setting up and securing, and using ladders are presented in this course.

Eltrombopag Use in Thrombocytopenia for Endoscopic Submucosal Dissection of a Gastric Carcinoid

PubMed Central

Kaltenbach, Tonya; Martin, Beth; Rouse, Robert V.; Soetikno, Roy

2014-01-01

Severe thrombocytopenia is a contraindication for therapeutic endoscopy due to the risk of bleeding. Platelet transfusions can temporarily increase platelet count, but are difficult to administer in the 2 weeks following endoscopic resection, during which the patient is at high risk for delayed bleeding. We present the use of a novel thrombopoietin receptor agonist, eltrombopag, to sustain platelet levels for the safe and complete endoscopic submucosal dissection of a gastric carcinoid in a patient with severe thrombocytopenia due to cirrhosis and idiopathic thrombocytopenic purpura. We performed complete and safe endoscopic removal of a gastric carcinoid after correcting the thrombocytopenia. PMID:26157896

Expedition 52 Crew Lands Safely in Kazakhstan

NASA Image and Video Library

2017-09-02

Expedition 52 Commander Fyodor Yurchikhin of Roscosmos and Flight Engineers Peggy Whitson and Jack Fischer of NASA landed safely near the town of Dzhezkazgan, Kazakhstan Sept. 3 after bidding farewell to their colleagues on the complex and undocking their Soyuz MS-04 spacecraft from the Poisk Module on the International Space Station. The landing marked the first time since Nov. 26, 2010 that two NASA astronauts returned to Earth in a Russian Soyuz spacecraft. Whitson, who has logged more days in space than any other U.S. astronaut, completed a 10-month mission, her third long duration flight, while Yurchikhin and Fischer completed 136 days in space.

Awareness of female students attending higher educational institutions toward legalization of safe abortion and associated factors, Harari Region, Eastern Ethiopia: a cross sectional study.

PubMed

Geleto, Ayele; Markos, Jote

2015-03-17

Unsafe abortion has been recognized as an important public health problem in the world. It accounts for 14% of all maternal deaths in sub-Saharan African countries. In Ethiopia, 32% of all maternal deaths are accounted to unsafe abortion. Taking the problem of unsafe abortion into consideration, the penal code of Ethiopia was amended in 2005, to permit safe abortion under a set of circumstances. However, lack of awareness on the revised penal code is a major barrier that hinders women to seek safe abortion. The aim of this study is to assess awareness of female students attending higher educational institutions toward legalization of safe abortion and associated factors in Harari region, eastern Ethiopia. Institution-based descriptive cross sectional study was conducted among 762 female students who are attending five higher educational institutions in Harari Region. Systematic sampling method was used to identify study participants from randomly selected colleges. Self administered structured questionnaire was used to collect data. Data were entered in to Epi Info version 6.04 and analyzed by SPSS version 17.0 statistical packages. Frequency, percentage and ratio were used to describe variables. Multivariable logistic regression analysis was done to control confounders and odds ratio with 95% confidence interval was used to identify factors associated with awareness of female students to legalization of abortion. 762 study participants completed the survey questionnaire making the response rate 90.2%. Only 272 (35.7%) of the respondents reported that they have good awareness about legalization of safe abortion. Studying other fields than health and medicine [AOR 0.48; 95%CI (0.23, 0.85)], being the only child for their family [AOR 0.28; 95%CI (0.13, 0.86)], having no boy friend [AOR 0.34; 95%CI (0.12, 0.74)], using family planning [AOR 0.50; 95%CI (0.13 and 0.86)], being 25 years or older [AOR 1.64; 95%CI (1.33, 2.80)] were significantly associated with awareness of female students to legalization of safe abortion. Only slightly more than a third of the study participants, 35.7% have good awareness of legalization of safe abortion. Strengthening information dissemination regarding legalization of safe abortion is required for female reproductive age group in general and higher institution female students in particular.

Evaluating traffic informers: testing the behavioral and social-cognitive effects of an adolescent bicycle safety education program.

PubMed

Feenstra, Hans; Ruiter, Robert A C; Kok, Gerjo

2014-12-01

In The Netherlands, 12-24 years old are over-represented in the total number of traffic fatalities and injuries. In this study, the traffic informer program - designed to promote safe traffic behavior in the pre-driver population - was experimentally evaluated, with a specific focus on bicycle use. Students were subjected to graphic videos of traffic accidents and listened to a first-person narrative provided by a traffic accident victim. The influence of the program on concepts derived from the theory of planned behavior and protection motivation theory (attitudes, norms, self-efficacy, risk-perception, intention and behavior) was assessed. Students from various schools (N=1593;M age=15 years, SD=.84) participated in a quasi-experimental study, either in an experimental or a control group, completing self-report questionnaires one week prior to the program implementation and approximately one month after the program implementation. Mixed regression analyses showed significant positive and negative time × intervention interaction effects on attitude toward traffic violations, relative attitude toward traffic safety, and risk comparison, but not on intention and behavior. More research is needed to find effective behavioral change techniques (other than increasing risk awareness) for promoting safe traffic behavior in adolescents. Research is also needed to address how these can be translated into effective interventions and educational programs. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Development of an orthopedic surgery trauma patient handover checklist.

PubMed

LeBlanc, Justin; Donnon, Tyrone; Hutchison, Carol; Duffy, Paul

2014-02-01

In surgery, preoperative handover of surgical trauma patients is a process that must be made as safe as possible. We sought to determine vital clinical information to be transferred between patient care teams and to develop a standardized handover checklist. We conducted standardized small-group interviews about trauma patient handover. Based on this information, we created a questionnaire to gather perspectives from all Canadian Orthopaedic Association (COA) members about which topics they felt would be most important on a handover checklist. We analyzed the responses to develop a standardized handover checklist. Of the 1106 COA members, 247 responded to the questionnaire. The top 7 topics felt to be most important for achieving patient safety in the handover were comorbidities, diagnosis, readiness for the operating room, stability, associated injuries, history/mechanism of injury and outstanding issues. The expert recommendations were to have handover completed the same way every day, all appropriate radiographs available, adequate time, all appropriate laboratory work and more time to spend with patients with more severe illness. Our main recommendations for safe handover are to use standardized checklists specific to the patient and site needs. We provide an example of a standardized checklist that should be used for preoperative handovers. To our knowledge, this is the first checklist for handover developed by a group of experts in orthopedic surgery, which is both manageable in length and simple to use.

Triage: an investigation of the process and potential vulnerabilities.

PubMed

Hitchcock, Maree; Gillespie, Brigid; Crilly, Julia; Chaboyer, Wendy

2014-07-01

To explore and describe the triage process in the Emergency Department to identify problems and potential vulnerabilities that may affect the triage process. Triage is the first step in the patient journey in the Emergency Department and is often the front line in reducing the potential for errors and mistakes. A fieldwork study to provide an in-depth appreciation and understanding of the triage process. Fieldwork included unstructured observer-only observation, field notes, informal and formal interviews that were conducted over the months of June, July and August 2012. Over 170 hours of observation were performed covering day, evening and night shifts, 7 days of the week. Sixty episodes of triage were observed; 31 informal interviews and 14 formal interviews were completed. Thematic analysis was used. Three themes were identified from the analysis of the data and included: 'negotiating patient flow and care delivery through the Emergency Department'; 'interdisciplinary team communicating and collaborating to provide appropriate and safe care to patients'; and 'varying levels of competence of the triage nurse'. In these themes, vulnerabilities and problems described included over and under triage, extended time to triage assessment, triage errors, multiple patients arriving simultaneously, emergency department and hospital overcrowding. Findings suggest that vulnerabilities in the triage process may cause disruptions to patient flow and compromise care, thus potentially impacting nurses' ability to provide safe and effective care. © 2013 John Wiley & Sons Ltd.

Information system needs in health promotion: a case study of the Safe Community programme using requirements engineering methods.

PubMed

Timpka, Toomas; Olvander, Christina; Hallberg, Niklas

2008-09-01

The international Safe Community programme was used as the setting for a case study to explore the need for information system support in health promotion programmes. The 14 Safe Communities active in Sweden during 2002 were invited to participate and 13 accepted. A questionnaire on computer usage and a critical incident technique instrument were distributed. Sharing of management information, creating social capital for safety promotion, and injury data recording were found to be key areas that need to be further supported by computer-based information systems. Most respondents reported having access to a personal computer workstation with standard office software. Interest in using more advanced computer applications was low, and there was considerable need for technical user support. Areas where information systems can be used to make health promotion practice more efficient were identified, and patterns of computers usage were described.

Ship recycling and marine pollution.

PubMed

Chang, Yen-Chiang; Wang, Nannan; Durak, Onur Sabri

2010-09-01

This paper discusses the historical background, structure and enforcement of the '2009 Hong Kong International Convention on the Safe and Environmentally Sound Recycling of Ships.' the 2009 Hong Kong Convention establishes control and enforcement instruments related to ship recycling, determining the control rights of Port States and the obligations of Flag States, Parties and recycling facilities under its jurisdiction. The Convention also controls the communication and exchange of information procedures, establishes a reporting system to be used upon the completion of recycling, and outlines an auditing system for detecting violations. The Convention, however, also contains some deficiencies. This paper concludes these deficiencies will eventually influence the final acceptance of this Convention by the international community. Copyright 2010 Elsevier Ltd. All rights reserved.

Uranium hexafluoride: Safe handling, processing, and transporting: Conference proceedings

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

Strunk, W.D.; Thornton, S.G.

This conference seeks to provide a forum for the exchange of information and ideas of the safety aspects and technical issue related to the handling of uranium hexafluoride. By allowing operators, engineers, scientists, managers, educators, and others to meet and share experiences of mutual concern, the conference is also intended to provide the participants with a more complete knowledge of technical and operational issues. The topics for the papers in the proceedings are widely varied and include the results of chemical, metallurgical, mechanical, thermal, and analytical investigations, as well as the developed philosophies of operational, managerial, and regulatory guidelines. Papersmore » have been entered individually into EDB and ERA. (LTN)« less

KSC-2013-4173

NASA Image and Video Library

2013-11-19

CAPE CANAVERAL, Fla. -- At Launch Pad 39B at NASA’s Kennedy Space Center in Florida, construction workers continue to remove the bricks from the flame trench walls that are below and between the left and right crawlerway tracks. New crawler track panels will be installed. The space shuttle-era flame trench deflector has been completely removed. Launch Pad 39B is being refurbished to support NASA’s Space Launch System and other launch vehicles. The Ground Systems Development and Operations, or GSDO, Program office at Kennedy is leading the center’s transformation to safely handle a variety of rockets and spacecraft. For more information about GSDO, visit: http://go.nasa.gov/groundsystems. Photo credit: NASA/Kim Shiflett

STS-38 Atlantis, OV-104, during safing operations after KSC SLF landing

NASA Image and Video Library

1990-11-20

Spotlights illuminate Atlantis, Orbiter Vehicle (OV) 104, during safing operations at the Kennedy Space Center's (KSC's) Shuttle Landing Facility (SLF). OV-104 parked on runway 33 is serviced by KSC ground crews. STS-38, a Department of Defense (DOD)-devoted mission, came to an end (with complete wheel stop) at 4:43:37 pm (Eastern Standard Time (EST)).

Development of a safety decision-making scenario to measure worker safety in agriculture.

PubMed

Mosher, G A; Keren, N; Freeman, S A; Hurburgh, C R

2014-04-01

Human factors play an important role in the management of occupational safety, especially in high-hazard workplaces such as commercial grain-handling facilities. Employee decision-making patterns represent an essential component of the safety system within a work environment. This research describes the process used to create a safety decision-making scenario to measure the process that grain-handling employees used to make choices in a safety-related work task. A sample of 160 employees completed safety decision-making simulations based on a hypothetical but realistic scenario in a grain-handling environment. Their choices and the information they used to make their choices were recorded. Although the employees emphasized safety information in their decision-making process, not all of their choices were safe choices. Factors influencing their choices are discussed, and implications for industry, management, and workers are shared.

Backcountry snowmobilers' risk perceptions, avalanche related information seeking behaviours, preparedness and decision-making processes

NASA Astrophysics Data System (ADS)

Baker, Jennifer

Although there has been substantial research on the avoidance of risk, much less has been completed on voluntary risk. This study examined backcountry snowmobilers' risk perceptions, avalanche related information seeking behaviours, and decision-making processes when dealing with avalanches and backcountry risk in Canada. To accomplish this, in-depth, semi-structured interviews were conducted with 17 participants who were involved in backcountry snowmobiling. Interviews were done both in person and by telephone. The results of this study show that, unlike previous research on snowmobilers, the participants of this study were well prepared and knowledgeable about backcountry risks. All 17 participants stated that they carried a shovel, probe, and transceiver with them on each backcountry trip, and 10 participants had taken an avalanche safety course. Group dynamics and positive peer pressure were influential in promoting safe backcountry behaviour. KEYWORDS: Backcountry snowmobiling, Avalanches, Voluntary Risk, Preparedness, Decision-Making.

Toxicity and medical countermeasure studies on the organophosphorus nerve agents VM and VX.

PubMed

Rice, Helen; Dalton, Christopher H; Price, Matthew E; Graham, Stuart J; Green, A Christopher; Jenner, John; Groombridge, Helen J; Timperley, Christopher M

2015-04-08

To support the effort to eliminate the Syrian Arab Republic chemical weapons stockpile safely, there was a requirement to provide scientific advice based on experimentally derived information on both toxicity and medical countermeasures (MedCM) in the event of exposure to VM, VX or VM-VX mixtures. Complementary in vitro and in vivo studies were undertaken to inform that advice. The penetration rate of neat VM was not significantly different from that of neat VX, through either guinea pig or pig skin in vitro . The presence of VX did not affect the penetration rate of VM in mixtures of various proportions. A lethal dose of VM was approximately twice that of VX in guinea pigs poisoned via the percutaneous route. There was no interaction in mixed agent solutions which altered the in vivo toxicity of the agents. Percutaneous poisoning by VM responded to treatment with standard MedCM, although complete protection was not achieved.

KSC-2011-6804

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- NASA's Gravity Recovery and Interior Laboratory mission is readied for liftoff aboard a United Launch Alliance Delta II Heavy rocket from Space Launch Complex 17B on Cape Canaveral Air Force Station. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA

KSC-2011-6871

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – The United Launch Alliance Delta II Heavy rocket lifted off at 9:08 a.m. EDT Sept. 10 from Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida carrying NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6869

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – Surrounded by an early morning sky, the United Launch Alliance Delta II Heavy rocket sits on Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida as it waits to launch NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6807

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- Media representatives prepare to photograph the launch of NASA's Gravity Recovery and Interior Laboratory mission at Press Site 1 near Space Launch Complex 17B on Cape Canaveral Air Force Station. Liftoff aboard a United Launch Alliance Delta II Heavy rocket is scheduled for 8:37:06 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6812

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- The countdown to launch of the United Launch Alliance Delta II Heavy rocket for NASA's Gravity Recovery and Interior Laboratory mission nears T-0 at Space Launch Complex 17B on Cape Canaveral Air Force Station. Liftoff is scheduled for 8:37:06 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6802

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- Launch preparations are under way as dawn breaks at Space Launch Complex 17B on Cape Canaveral Air Force Station for NASA's Gravity Recovery and Interior Laboratory mission aboard a United Launch Alliance Delta II Heavy rocket. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA

KSC-2011-6867

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – Surrounded by an early morning sky, the United Launch Alliance Delta II Heavy rocket sits on Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida as it waits to launch NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6868

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – Bathed in light against an early morning sky, the United Launch Alliance Delta II Heavy rocket sits on Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida as it waits to launch NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6870

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – A U.S. Air Force helicopter flies overhead as the United Launch Alliance Delta II Heavy rocket sits on Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida waiting to launch NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6805

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- The countdown to launch of the United Launch Alliance Delta II Heavy rocket for NASA's Gravity Recovery and Interior Laboratory mission is winding down at Space Launch Complex 17B on Cape Canaveral Air Force Station. Liftoff is scheduled for 8:37:06 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

Using information technology to reduce asthma disparities in underserved populations: a pilot study.

PubMed

Vargas, Perla A; Robles, Elias; Harris, Judith; Radford, Peggy

2010-10-01

Low health literacy has been identified as an independent predictor of poor asthma control. The Institute of Medicine considers the role of information technology (IT) as critical in providing "safe, effective, patient centered, timely, efficient, and equitable" care with the potential to reduce health disparities in underserved populations. The aim of this study was to design and evaluate an interactive computer-based questionnaire to assess asthma symptoms in children of parents with limited health literacy and/or limited English proficiency. Volunteer caregivers attending a mobile asthma clinic were randomly assigned to complete the electronic or the paper-and-pencil version of an asthma screening questionnaire (ASQ) in their language of choice (English or Spanish). In the electronic version, a tablet computer was used to present the ASQ questions as video clips and to collect information through the touchscreen. Participants also completed a demographic questionnaire, a brief health literacy questionnaire, and a system usability and satisfaction questionnaire. Reliability of the paper and electronic self-assessments was evaluated by comparing each participant's answers to information they provided during a nurse-guided structured interview (gold standard). A total of 48 parents participated in the study, 26 completed the electronic ASQ and 21 the paper-and-pencil form. Thirty-five percent of the children had well-controlled asthma (n = 17). Most participants were Spanish speaking (67%) Hispanic (n = 44) mothers (n = 43) with a median age of 32 years. More than half had ≤8 years of education (n = 25) and earned <$20,000 per year (n = 27). The median health literacy score was 32 (range 0-36). The correlation between health literacy scores and years of education was significant (ρ = .47, p < .01). Concordance between the electronic ASQ and the nurse interview was significantly higher than concordance between the paper ASQ and the nurse interview (68% versus 54%; p < .01). All parents who completed the electronic questionnaire reported being satisfied; 96% felt comfortable using it, and found it simple to use. By facilitating the assessment of asthma symptoms at manageable cost, interactive information technology tools may help reduce barriers to access due to inadequate levels of English proficiency and health literacy.

Are Parents Getting it Right? A Survey of Parents' Internet Use for Children's Health Care Information.

PubMed

Pehora, Carolyne; Gajaria, Nisha; Stoute, Melyssa; Fracassa, Sonia; Serebale-O'Sullivan, Refilwe; Matava, Clyde T

2015-06-22

The use of the Internet to search for medical and health-related information is increasing and associated with concerns around quality and safety. We investigated the current use and perceptions on reliable websites for children's health information by parents. Following institutional ethics approval, we conducted a survey of parents/guardians of children presenting for day surgery. A 20-item survey instrument developed and tested by the investigators was administered. Ninety-eight percent of respondents reported that they used the Internet to search for information about their child's health. Many respondents reported beginning their search at public search engines (80%); less than 20% reported starting their search at university/hospital-based websites. Common conditions such as colds/flu, skin conditions and fever were the most frequently searched, and unique conditions directly affecting the child were second. Despite low usage levels of university/hospital-based websites for health information, the majority of respondents (74%) regarded these as providing safe, accurate, and reliable information. In contrast, only 24% of respondents regarded public search engines as providing safe and reliable information. Fifty percent of respondents reported that they cross-checked information found on the internet with a family physician. An unprecedented majority of parents and guardians are using the Internet for their child's health information. Of concern is that parents and guardians are currently not using reliable and safe sources of information. Health care providers should begin to focus on improving access to safe, accurate, and reliable information through various modalities including education, designing for multiplatform, and better search engine optimization.

Prepare to protect: Operating and maintaining a tornado safe room.

PubMed

Herseth, Andrew; Goldsmith-Grinspoon, Jennifer; Scott, Pataya

2017-06-01

Operating and maintaining a tornado safe room can be critical to the effective continuity of business operations because a firm's most valuable asset is its people. This paper describes aspects of operations and maintenance (O&M) for existing tornado safe rooms as well as a few planning and design aspects that affect the ultimate operation of a safe room for situations where a safe room is planned, but not yet constructed. The information is based on several Federal Emergency Management Agency safe room publications that provide guidance on emergency management and operations, as well as the design and construction of tornado safe rooms.

Campaign Safe & Sober. Youth & Generation X Planner.

ERIC Educational Resources Information Center

National Highway Traffic Safety Administration (DOT), Washington, DC.

This packet contains information on safe and sober driving for members of Generation X. The packet includes information on "Buckle Up America! Week 1998," which was designed to encourage everyone on the road to use seat belts and child safety seats and to use them properly. It also offers a safety city brochure and multiple program…

78 FR 21314 - Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... health records software or information technology and training services. The final rule for this safe... health records software or information technology and training services. In the same issue of the Federal..., licenses, and intellectual property related to electronic health records software; connectivity services...

12 CFR 350.11 - Safe harbor provision.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Safe harbor provision. 350.11 Section 350.11 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION REGULATIONS AND STATEMENTS OF GENERAL POLICY DISCLOSURE OF FINANCIAL AND OTHER INFORMATION BY FDIC-INSURED STATE NONMEMBER BANKS § 350.11 Safe harbor...

Safe sleep practices and sudden infant death syndrome risk reduction: NICU and well-baby nursery graduates.

PubMed

Fowler, Aja J; Evans, Patricia W; Etchegaray, Jason M; Ottenbacher, Allison; Arnold, Cody

2013-11-01

Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective was to obtain qualitative data regarding reasons for noncompliance in both populations. Sixty participants (30 from each population) completed our survey measuring safe sleep knowledge and practice. Parents of NICU infants reported using 2 safe sleep practices-(a) always placing baby in crib to sleep and (b) always placing baby on back to sleep-significantly more frequently than parents of well infants. Additional findings and implications for future studies are discussed.

Therapeutic Phlebotomy is Safe in Children with Sickle Cell Anaemia and can be Effective Treatment for Transfusional Iron Overload

PubMed Central

Aygun, Banu; Mortier, Nicole A.; Kesler, Karen; Lockhart, Alexandre; Schultz, William H.; Cohen, Alan R.; Alvarez, Ofelia; Rogers, Zora R.; Kwiatkowski, Janet L.; Miller, Scott T.; Sylvestre, Pamela; Iyer, Rathi; Lane, Peter A.; Ware, Russell E.

2015-01-01

SUMMARY Serial phlebotomy was performed on sixty children with sickle cell anaemia, stroke and transfusional iron overload randomized to hydroxycarbamide in the Stroke With Transfusions Changing to Hydroxyurea trial. There were 927 phlebotomy procedures with only 33 adverse events, all of which were grade 2. Among 23 children completing 30 months of study treatment, the net iron balance was favourable (−8.7 mg Fe/kg) with significant decrease in ferritin, although liver iron concentration remained unchanged. Therapeutic phlebotomy was safe and well-tolerated, with net iron removal in most children who completed 30 months of protocol-directed treatment. PMID:25612463

Therapeutic phlebotomy is safe in children with sickle cell anaemia and can be effective treatment for transfusional iron overload.

PubMed

Aygun, Banu; Mortier, Nicole A; Kesler, Karen; Lockhart, Alexandre; Schultz, William H; Cohen, Alan R; Alvarez, Ofelia; Rogers, Zora R; Kwiatkowski, Janet L; Miller, Scott T; Sylvestre, Pamela; Iyer, Rathi; Lane, Peter A; Ware, Russell E

2015-04-01

Serial phlebotomy was performed on sixty children with sickle cell anaemia, stroke and transfusional iron overload randomized to hydroxycarbamide in the Stroke With Transfusions Changing to Hydroxyurea trial. There were 927 phlebotomy procedures with only 33 adverse events, all of which were grade 2. Among 23 children completing 30 months of study treatment, the net iron balance was favourable (-8·7 mg Fe/kg) with significant decrease in ferritin, although liver iron concentration remained unchanged. Therapeutic phlebotomy was safe and well-tolerated, with net iron removal in most children who completed 30 months of protocol-directed treatment. © 2015 John Wiley & Sons Ltd.

The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE): method and design considerations.

PubMed

Boudreaux, Edwin D; Miller, Ivan; Goldstein, Amy B; Sullivan, Ashley F; Allen, Michael H; Manton, Anne P; Arias, Sarah A; Camargo, Carlos A

2013-09-01

Due to the concentration of individuals at-risk for suicide, an emergency department visit represents an opportune time for suicide risk screening and intervention. The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) uses a quasi-experimental, interrupted time series design to evaluate whether (1) a practical approach to universally screening ED patients for suicide risk leads to improved detection of suicide risk and (2) a multi-component intervention delivered during and after the ED visit improves suicide-related outcomes. This paper summarizes the ED-SAFE's study design and methods within the context of considerations relevant to effectiveness research in suicide prevention and pertinent human participants concerns. 1440 suicidal individuals, from 8 general ED's nationally will be enrolled during three sequential phases of data collection (480 individuals/phase): (1) Treatment as Usual; (2) Universal Screening; and (3) Intervention. Data from the three phases will inform two separate evaluations: Screening Outcome (Phases 1 and 2) and Intervention (Phases 2 and 3). Individuals will be followed for 12 months. The primary study outcome is a composite reflecting completed suicide, attempted suicide, aborted or interrupted attempts, and implementation of rescue procedures during an outcome assessment. While 'classic' randomized control trials (RCT) are typically selected over quasi-experimental designs, ethical and methodological issues may make an RCT a poor fit for complex interventions in an applied setting, such as the ED. ED-SAFE represents an innovative approach to examining the complex public health issue of suicide prevention through a multi-phase, quasi-experimental design embedded in 'real world' clinical settings. Copyright © 2013 Elsevier Inc. All rights reserved.

An evaluation of learning clinical decision-making for early rehabilitation in the ICU via interactive education with audience response system.

PubMed

Toonstra, Amy L; Nelliot, Archana; Aronson Friedman, Lisa; Zanni, Jennifer M; Hodgson, Carol; Needham, Dale M

2017-06-01

Knowledge-related barriers to safely implement early rehabilitation programs in intensive care units (ICUs) may be overcome via targeted education. The purpose of this study was to evaluate the effectiveness of an interactive educational session on short-term knowledge of clinical decision-making for safe rehabilitation of patients in ICUs. A case-based teaching approach, drawing from published safety recommendations for initiation of rehabilitation in ICUs, was used with a multidisciplinary audience. An audience response system was incorporated to promote interaction and evaluate knowledge before vs. after the educational session. Up to 175 audience members, of 271 in attendance (129 (48%) physical therapists, 51 (19%) occupational therapists, 31 (11%) nursing, 14 (5%) physician, 46 (17%) other), completed both the pre- and post-test questions for each of the six unique patient cases. In four of six patient cases, there was a significant (p< 0.001) increase in identifying the correct answer regarding initiation of rehabilitation activities. This learning effect was similar irrespective of participants' years of experience and clinical discipline. An interactive, case-based, educational session may be effective for increasing short-term knowledge, and identifying knowledge gaps, regarding clinical decision-making for safe rehabilitation of patients in ICUs. Implications for Rehabilitation Lack of knowledge regarding the safety considerations for early rehabilitation of ICU patients is a barrier to implementing early rehabilitation. Interactive educational formats, such as the use of audience response systems, offer a new method of teaching and instantly assessing learning of clinically important information. In a small study, we have shown that an interactive, case-based educational format may be used to effectively teach clinical decision-making for the safe rehabilitation of ICU patients to a diverse audience of clinicians.

44 CFR 65.5 - Revision to special hazard area boundaries with no change to base flood elevation determinations.

Code of Federal Regulations, 2013 CFR

2013-10-01

... the SFHA are “reasonably safe from flooding”, and that they have on file, available upon request by... are “reasonably safe from flooding,” we will process a revision to the SFHA using the criteria set... from flooding.” (6) Data to substantiate the base flood elevation. If we complete a Flood Insurance...

44 CFR 65.5 - Revision to special hazard area boundaries with no change to base flood elevation determinations.

Code of Federal Regulations, 2012 CFR

2012-10-01

... the SFHA are “reasonably safe from flooding”, and that they have on file, available upon request by... are “reasonably safe from flooding,” we will process a revision to the SFHA using the criteria set... from flooding.” (6) Data to substantiate the base flood elevation. If we complete a Flood Insurance...

National evaluation of the SafeTrip-21 initiative I-95 corridor coalition test bed : final evaluation report, providing multi-modal travel information to airport users.

DOT National Transportation Integrated Search

2011-12-30

The purpose of this document is to present the findings of the national evaluation of the I-95 Corridor Coalitions Airport Ground Transport Travel Information project, one element of the I-95 Test Bed conducted under the USDOTs SafeTrip-21 Init...

Principles of Safety in Physical Education and Sport. Revised Edition.

ERIC Educational Resources Information Center

Dougherty, Neil J., IV, Ed.

The purpose of this book is to assist physical education teachers in the development and implementation of a safe and well-balanced program of activities and to provide students with information about safe participation in common sports. Using a checklist format, information is presented to facilitate the development of unit and lesson plans. The…

An analysis of attitude toward infant sleep safety and SIDS risk reduction behavior among caregivers of newborns and infants.

PubMed

Varghese, S; Gasalberti, D; Ahern, K; Chang, J C

2015-11-01

To explore beliefs and attitude toward infant sleep safety and sudden infant death syndrome (SIDS) risk reduction behaviors among caregivers of newborns and infants. A convenience sample comprised of 121 caregivers of newborns at Staten Island University Hospital completed a questionnaire. Despite an overall favorable attitude toward safe sleep practices, a majority disagreed with use of pacifiers (53%) and believed that swaddling (62%) as well as the use of home monitors (59%) are acceptable practices. The caregivers who recalled being taught about safe sleep had higher perception of infant vulnerability (P<0.001), more confidence in their ability to implement safe sleep behaviors (P<0.0006) and stronger belief that safe sleep behaviors are effective (P<0.01). Active caregiver education may result in more effective demonstration of safe sleep and SIDS risk reduction behaviors. Further study is needed to assess if favorable attitudes toward safe sleep practices correlate with actual demonstrated behaviors.

Quality of consumer-targeted internet guidance on home firearm and ammunition storage.

PubMed

Freundlich, Katherine L; Skoczylas, Maria Shakour; Schmidt, John P; Keshavarzi, Nahid R; Mohr, Bethany Anne

2016-10-01

Four storage practices protect against unintentional and/or self-inflicted firearm injury among children and adolescents: keeping guns locked (1) and unloaded (2) and keeping ammunition locked up (3) and in a separate location from the guns (4). Our aim was to mimic common Google search strategies on firearm/ammunition storage and assess whether the resulting web pages provided recommendations consistent with those supported by the literature. We identified 87 web pages by Google search of the 10 most commonly used search terms in the USA related to firearm/ammunition storage. Two non-blinded independent reviewers analysed web page technical quality according to a 17-item checklist derived from previous studies. A single reviewer analysed readability by US grade level assigned by Flesch-Kincaid Grade Level Index. Two separate, blinded, independent reviewers analysed deidentified web page content for accuracy and completeness describing the four accepted storage practices. Reviewers resolved disagreements by consensus. The web pages described, on average, less than one of four accepted storage practices (mean 0.2 (95% CL 0.1 to 0.4)). Only two web pages (2%) identified all four practices. Two web pages (2%) made assertions inconsistent with recommendations; both implied that loaded firearms could be stored safely. Flesch-Kincaid Grade Level Index averaged 8.0 (95% CL 7.3 to 8.7). The average technical quality score was 7.1 (95% CL 6.8 to 7.4) out of an available score of 17. There was a high degree of agreement between reviewers regarding completeness (weighted κ 0.78 (95% CL 0.61 to 0.97)). The internet currently provides incomplete information about safe firearm storage. Understanding existing deficiencies may inform future strategies for improvement. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Mechanisms of behavioural maintenance: Long-term effects of theory-based interventions to promote safe water consumption.

PubMed

Inauen, Jennifer; Mosler, Hans-Joachim

2016-01-01

Theory-based interventions can enhance people's safe water consumption, but the sustainability of these interventions and the mechanisms of maintenance remain unclear. We investigated these questions based on an extended theory of planned behaviour. Seven hundred and ten (445 analysed) randomly selected households participated in two cluster-randomised controlled trials in Bangladesh. Study 1 promoted switching to neighbours' arsenic-safe wells, and Study 2 promoted switching to arsenic-safe deep wells. Both studies included two intervention phases. Structured interviews were conducted at baseline (T1), and at 1-month (T2), 2-month (T3) and 9-month (T4) follow-ups. In intervention phase 1 (between T1 and T2), commitment-based behaviour change techniques--reminders, implementation intentions and public commitment--were combined with information and compared to an information-only control group. In phase 2 (between T2 and T3), half of each phase 1 intervention group was randomly assigned to receive either commitment-based techniques once more or coping planning with reminders and information. Initial well-switching rates of up to 60% significantly declined by T4: 38.3% of T2 safe water users stopped consuming arsenic-safe water. The decline depended on the intervention. Perceived behavioural control, intentions, commitment strength and coping planning were associated with maintenance. In line with previous studies, the results indicate that commitment and reminders engender long-term behavioural change.

Preliminary design of a satellite observation system for Space Station Freedom

NASA Technical Reports Server (NTRS)

Cabe, Greg (Editor); Gallagher, Chris; Wilson, Brian; Rehfeld, James; Maurer, Alexa; Stern, Dan; Nualart, Jaime; Le, Xuan-Trang

1992-01-01

Degobah Satellite Systems (DSS), in cooperation with the University Space Research Association (USRA), NASA - Johnson Space Center (JSC), and the University of Texas, has completed the preliminary design of a satellite system to provide inexpensive on-demand video images of all or any portion of Space Station Freedom (SSF). DSS has narrowed the scope of the project to complement the work done by Mr. Dennis Wells at Johnson Space Center. This three month project has resulted in completion of the preliminary design of AERCAM, the Autonomous Extravehicular Robotic Camera, detailed in this design report. This report begins by providing information on the project background, describing the mission objectives, constraints, and assumptions. Preliminary designs for the primary concept and satellite subsystems are then discussed in detail. Included in the technical portion of the report are detailed descriptions of an advanced imaging system and docking and safing systems that ensure compatibility with the SSF. The report concludes by describing management procedures and project costs.

KSC-2009-1596

NASA Image and Video Library

2009-02-13

CAPE CANAVERAL, Fla. – NASA's Lunar Reconnaissance Orbiter, or LRO, spacecraft completes its journey to NASA's Kennedy Space Center in Florida. The spacecraft was built by engineers at Goddard Space Flight Center, where it recently completed two months of tests in a thermal vacuum chamber. The orbiter will carry seven instruments to provide scientists with detailed maps of the lunar surface and enhance our understanding of the moon's topography, lighting conditions, mineralogical composition and natural resources. Information gleaned from LRO will be used to select safe landing sites, determine locations for future lunar outposts and help mitigate radiation dangers to astronauts. The polar regions of the moon are the main focus of the mission because continuous access to sunlight may be possible and water ice may exist in permanently shadowed areas of the poles. Accompanying LRO on its journey to the moon will be the Lunar Crater Observation and Sensing Satellite, or LCROSS, a mission that will impact the lunar surface in its search for water ice. Launch of LRO is targeted for April 24. Photo credit: NASA/Kim Shiflett

Safe Use Practices for Pesticides

Science.gov Websites

; Environment Human Health Animal Health Safe Use Practices Food Safety Environment Air Water Soil Wildlife Ingredients Low-Risk Pesticides Organic Pesticide Ingredients Pesticide Incidents Human Exposure Pet Exposure Home Page Pesticide Health and Safety Information Safe Use Practices for Pesticides Related Topics

The Challenge. Volume 14, Number 2

ERIC Educational Resources Information Center

US Department of Education, 2006

2006-01-01

"The Challenge", a publication of the US Department of Education's office of Safe and Drug-Free Schools, provides critical information and resources to assist schools in creating safe and healthy environments for young people. Topics of interest in this issue area: (1) Safe Schools: Academic Success Depends on It; (2) Educating the Whole Child;…

SCOPE of Pain: An Evaluation of an Opioid Risk Evaluation and Mitigation Strategy Continuing Education Program.

PubMed

Alford, Daniel P; Zisblatt, Lara; Ng, Pamela; Hayes, Sean M; Peloquin, Sophie; Hardesty, Ilana; White, Julie L

2016-01-01

Due to the high prevalence of prescription opioid misuse, the US Food and Drug Administration (FDA) mandated a Risk Evaluation and Mitigation Strategy (REMS) requiring manufacturers of extended-release/long-acting (ER/LA) opioid analgesics to fund continuing education based on a FDA Blueprint. This article describes the Safe and Competent Opioid Prescribing Education (SCOPE of Pain) program, an ER/LA opioid analgesic REMS program, and its impact on clinician knowledge, confidence, attitudes, and self-reported clinical practice. Participants of the 3-h SCOPE of Pain training completed pre-, immediate post- and 2-month post-assessments. The primary target group (n = 2,850), and a subset (n = 476) who completed a 2-month post-assessment, consisted of clinicians licensed to prescribe ER/LA opioid analgesics, who care for patients with chronic pain and who completed the 3-h training between February 28, 2013 and June 13, 2014. Immediately post-program, there was a significant increase in correct responses to knowledge questions (60% to 84%, P ≤ 0.02) and 87% of participants planned to make practice changes. At 2-months post-program, there continued to be a significant increase in correct responses to knowledge questions (60% to 69%, P ≤ 0.03) and 67% reported increased confidence in applying safe opioid prescribing care and 86% reported implementing practice changes. There was also an improvement in alignment of desired attitudes toward safe opioid prescribing. The SCOPE of Pain program improved knowledge, attitudes, confidence, and self-reported clinical practice in safe opioid prescribing. This national REMS program holds potential to improve the safe use of opioids for the treatment of chronic pain. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. 2016. This work is written by US Government employees and is in the public domain in the US.

Feeling safe during an inpatient hospitalization: a concept analysis.

PubMed

Mollon, Deene

2014-08-01

This paper aims to explore the critical attributes of the concept feeling safe. The safe delivery of care is a high priority; however; it is not really known what it means to the patient to 'feel safe' during an inpatient hospitalization. This analysis explores the topic of safety from the patient's perspective. Concept analysis. The data bases of CINAHL, Medline, PsychInfo and Google Scholar for the years 1995-2012 were searched using the terms safe and feeling safe. The eight-step concept analysis method of Walker and Avant was used to analyse the concept of feeling safe. Uses and defining attributes, as well as identified antecedents, consequences and empirical referents, are presented. Case examples are provided to assist in the understanding of defining attributes. Feeling safe is defined as an emotional state where perceptions of care contribute to a sense of security and freedom from harm. Four attributes were identified: trust, cared for, presence and knowledge. Relationship, environment and suffering are the antecedents of feeling safe, while control, hope and relaxed or calm are the consequences. Empirical referents and early development of a theory of feeling safe are explored. This analysis begins the work of synthesizing qualitative research already completed around the concept of feeling safe by defining the key attributes of the concept. Support for the importance of developing patient-centred models of care and creating positive environments where patients receive high-quality care and feel safe is provided. © 2014 John Wiley & Sons Ltd.

Evaluation of a multi-pronged intervention to improve access to safe abortion care in two districts in Jharkhand

PubMed Central

2014-01-01

Background Despite the adoption of the Medical Termination of Pregnancy Act in 1972, access to safe abortion services remains limited in India. Awareness of the legality of abortion also remains low, leading many women to seek services outside the health system. Medical abortion (MA) is an option that has the potential to expand access to safe abortion services. A multi-pronged intervention covering a population of 161,000 in 253 villages in the Silli and Khunti blocks of Jharkhand was conducted between 2007 and 2009, seeking to improve medical abortion services and create awareness at the community level by providing information through community intermediaries and creating an enabling environment through a behavior change communication campaign. The study evaluates the changes in knowledge about abortion-related issues, changes in abortion care-seeking, and service utilization as a result of this intervention. Methods A baseline cross-sectional survey was conducted pre-intervention (n = 1,253) followed by an endline survey (n = 1,290) one year after the completion of the intervention phase. In addition, monitoring data from intervention facilities was collected monthly over the study period. Results Nearly 85% of respondents reported being exposed to safe abortion messaging as a result of the intervention. Awareness of the legality of abortion increased significantly from 19.7% to 57.6% for women, as did awareness of the specific conditions for which abortion is allowed. Results were similar for men. There was also a significant increase in the proportion of men and women who knew of a legal and safe provider and place from where abortion services could be obtained. Multivariate analysis showed positive associations between exposure to any component of the intervention and increased knowledge about legality and gestational age limits, however only interpersonal communication was associated with a significant increase in knowledge of where to obtain safe services (OR 4.8, SE 0.67). Utilization of safe abortion services, and in particular MA, increased at all intervention sites over the duration of the intervention with a shift towards women seeking care earlier in pregnancy. Conclusion The evaluation demonstrates the success of the intervention and its potential for replication in similar contexts within India. PMID:24886273

Evaluation of a multi-pronged intervention to improve access to safe abortion care in two districts in Jharkhand.

PubMed

Banerjee, Sushanta K; Andersen, Kathryn L; Baird, Traci L; Ganatra, Bela; Batra, Sangeeta; Warvadekar, Janardan

2014-05-21

Despite the adoption of the Medical Termination of Pregnancy Act in 1972, access to safe abortion services remains limited in India. Awareness of the legality of abortion also remains low, leading many women to seek services outside the health system. Medical abortion (MA) is an option that has the potential to expand access to safe abortion services. A multi-pronged intervention covering a population of 161,000 in 253 villages in the Silli and Khunti blocks of Jharkhand was conducted between 2007 and 2009, seeking to improve medical abortion services and create awareness at the community level by providing information through community intermediaries and creating an enabling environment through a behavior change communication campaign. The study evaluates the changes in knowledge about abortion-related issues, changes in abortion care-seeking, and service utilization as a result of this intervention. A baseline cross-sectional survey was conducted pre-intervention (n = 1,253) followed by an endline survey (n = 1,290) one year after the completion of the intervention phase. In addition, monitoring data from intervention facilities was collected monthly over the study period. Nearly 85% of respondents reported being exposed to safe abortion messaging as a result of the intervention. Awareness of the legality of abortion increased significantly from 19.7% to 57.6% for women, as did awareness of the specific conditions for which abortion is allowed. Results were similar for men. There was also a significant increase in the proportion of men and women who knew of a legal and safe provider and place from where abortion services could be obtained. Multivariate analysis showed positive associations between exposure to any component of the intervention and increased knowledge about legality and gestational age limits, however only interpersonal communication was associated with a significant increase in knowledge of where to obtain safe services (OR 4.8, SE 0.67). Utilization of safe abortion services, and in particular MA, increased at all intervention sites over the duration of the intervention with a shift towards women seeking care earlier in pregnancy. The evaluation demonstrates the success of the intervention and its potential for replication in similar contexts within India.

Laparoscopic left hepatectomy in swine: a safe and feasible technique.

PubMed

Zhang, Hua; Liu, Tao; Wang, Yue; Liu, Hai-Feng; Zhang, Jian-Tao; Wu, Yan-Shuang; Lei, Lei; Wang, Hong-Bin

2014-01-01

A purely laparoscopic four-port approach was created for left hepatectomy in pigs. A polyethylene loop was placed on the left two hepatic lobes for traction and lift. Next, penetrating ligation of the lobes using of a double row of silk sutures was performed to control bleeding. A direct hepatic transection was completed using a monopolar hook electrode without meticulous dissection of the left hepatic vein. The raw surface of the liver was coagulated and sealed with fibrin glue. Lobes were retrieved through an enlarged portal. Laparoscopic hepatic lobectomy was completed in all pigs without the use of specialized instruments and with a mean operative time of 179 ± 9 min. No significant perioperative complications were observed. The average weight of each resected lobe was 180 ± 51 g. Complete blood count as well as serum organics and enzyme levels normalized after about 2 weeks. During necropsy, adhesion of the hepatic raw surface to the gastric wall and omentum were observed. No other abnormalities were identified. This minimally invasive left hepatectomy technique in swine could serve as a useful model for investigating liver diseases and regeneration, and offer preclinical information to improve hepatobiliary surgical procedures.

Fireworks Information Center

MedlinePlus

... Community Outreach Resource Center Toy Recall Statistics CO Poster Contest Pool Safely Business & Manufacturing Business & Manufacturing Business ... This Fourth of July Season View the Fireworks Poster Broadcast Quality Video from CPSC's #CelebrateSafely Fireworks Safety ...

InaSAFE applications in disaster preparedness

NASA Astrophysics Data System (ADS)

Pranantyo, Ignatius Ryan; Fadmastuti, Mahardika; Chandra, Fredy

2015-04-01

Disaster preparedness activities aim to reduce the impact of disasters by being better prepared to respond when a disaster occurs. In order to better anticipate requirements during a disaster, contingency planning activities can be undertaken prior to a disaster based on a realistic disaster scenario. InaSAFE is a tool that can inform this process. InaSAFE is a free and open source software that estimates the impact to people and infrastructure from potential hazard scenarios. By using InaSAFE, disaster managers can develop scenarios of disaster impacts (people and infrastructures affected) to inform their contingency plan and emergency response operation plan. While InaSAFE provides the software framework exposure data and hazard data are needed as inputs to run this software. Then InaSAFE can be used to forecast the impact of the hazard scenario to the exposure data. InaSAFE outputs include estimates of the number of people, buildings and roads are affected, list of minimum needs (rice and clean water), and response checklist. InaSAFE is developed by Indonesia's National Disaster Management Agency (BNPB) and the Australian Government, through the Australia-Indonesia Facility for Disaster Reduction (AIFDR), in partnership with the World Bank - Global Facility for Disaster Reduction and Recovery (GFDRR). This software has been used in many parts of Indonesia, including Padang, Maumere, Jakarta, and Slamet Mountain for emergency response and contingency planning.

DroidSafe

DTIC Science & Technology

2016-12-01

branches of our work . 3.1 Understanding Sensitive API Call and API Information Usage Android applications are written in a type- safe language (Java...directly invoke resolved targets. Because DroidSafe works with a comprehensive model of the Android environment , it supports precise resolution of...STATEMENT. FOR THE CHIEF ENGINEER: / S / / S / MARK K. WILLIAMS WARREN H. DEBANY, JR. Work Unit Manager

Should immunocompromised patients have pets?

PubMed

Steele, Russell W

2008-01-01

To evaluate the risks and benefits of pet ownership by immunodeficient patients, focusing primarily on organisms that colonize animals and are transmitted to humans. Those diseases that are known to be progressive or more severe in patients with altered immune function are emphasized. A review of the medical and veterinary literature pertaining to zoonoses transmitted by domestic animals was completed. Information pertaining to issues involving immunosuppressed patients including AIDS was carefully evaluated and summarized for inclusion. There are significant clinical and psychosocial benefits to pet ownership. However, numerous diseases can be acquired from these animals which may be more severe in immunocompromised individuals. Simple guidelines for pet ownership by immunosuppressed patients can be implemented to reduce their risk of disease and allow them to safely interchange with their pets.

The Effects of Aviation Weather Information Systems on General Aviation Weather Information Systems on General Pilots' Workload

NASA Technical Reports Server (NTRS)

Scerbo, Mark; Coyne, Joseph; Burt, Jennifer L. (Technical Monitor)

2002-01-01

My work at NASA Langley has focused around Aviation Weather Information CAWING displays. The majority of my time at LYRIC has been spent on the Workload and Relative Position (WaRP) Study. The goal of this project is to determine how an AWIN display at various positions within the cockpit affects pilot performance and workload. The project is being conducted in Languages Cessna 206H research aircraft. During the past year the design of the experiment was finalized and approved. Despite facing several delays the data collection was completed in early February. Alter the completion of the data collection an extensive data entry task began. This required recording air speed, altitude, course heading, bank angle, and vertical speed information from videos of the primary flight displays. This data was then used to determine root mean square error (RMSE) for each experimental condition. In addition to the performance data (RMSE) taken from flight path deviation, the study also collected data on pilot;s accuracy in reporting weather information, and a subjective rating of workload from the pilot. The data for this experiment is currently being analyzed. Overall the current experiment should help to determine potential costs and benefits associated with AWIN displays. The data will be used to determine if a private pilot can safely fly a general aviation aircraft while operating a weather display. Clearly a display that adds to the pilot#s already heavy workload represents a potential problem. The study will compare the use of an AWIN display to conventional means of acquiring weather data. The placement of the display within the cockpit (i.e., either on the yoke, kneeboard, or panel) will be also compared in terms of workload, performance, and pilot preference.

VCSELs in short-pulse operation for time-of-flight applications

NASA Astrophysics Data System (ADS)

Moench, Holger; Gronenborn, Stephan; Gu, Xi; Gudde, Ralph; Herper, Markus; Kolb, Johanna; Miller, Michael; Smeets, Michael; Weigl, Alexander

2018-02-01

VCSEL arrays are the ideal light source for 3D imaging applications. The narrow emission spectrum and the ability for short pulses make them superior to LEDs. Combined with fast photodiodes or special camera chips spatial information can be obtained which is needed in diverse applications like camera autofocus, indoor navigation, 3D-object recognition, augmented reality or autonomously driving vehicles. Pulse operation at the ns scale and at low duty cycle can work with significantly higher current than traditionally used for VCSELs in continuous wave operation. With reduced thermal limitations at low average heat dissipation very high currents become feasible and tens of Watts output power have been realized with small VCSEL chips. The optical emission pattern of VCSELs can be tailored to the desired field of view using beam shaping elements. Such optical elements also enable laser safe class 1 products. A detailed analysis of the complete system and the operation mode is required to calculate the maximum permitted power for a safe system. The good VCSEL properties like robustness, stability over temperature and the potential for integrated solutions open a huge potential for VCSELs in new mass applications in the consumer and automotive markets.

"Championing GIS, Biostatistics, meteo, m-health and e-health approaches for tailored informed evidence-based agricultural, environment and health interventions in Rwanda"

NASA Astrophysics Data System (ADS)

Karame, P., Sr.

2016-12-01

"GIS-Biostatistics-Meteo for Health (GBMH), A consolidated approach"The environmental vulnerability rate due to human-induced threats and climate change has exceeded the capacity of ecosystems and species to adapt naturally. Drastic changes in seasonal and weather patterns have led to a severely intriguing imbalance ecosystem equilibrium, associated to habitat degradation, environmental pollution, shortage of ecosystem services production and shift in species distribution, food insecurity, invasive species and complex species associations. The consequences are particularly disturbing regarding health and wellbeing of human populations. Especially to Sub-Saharan Africa, informed evidence-based statistics are inappropriately if not at all used for developing and implementing coping measures. This makes a regrettable scenario for Rwanda, a research-driven economic transformation country in which mostly expensive long-term interventions remain meaningless and unknowingly approved effective. More important, no single sector can ultimately afford the most informative approaches providing evidence and guiding policy and decisions, due to limited resources. Rwanda dedicates substantial investment to sustain a conducive, robust and flourishing environment promoting research priorities most likely to deliver improved health outcomes. In this framework, the above mentioned approach supports cross-sectoral analyses to evaluate health care quality improvements through impact assessments, policy analysis and forecasting. This approach "Consolidating GIS, Biostatistics, meteo, mobile and e-health approaches (GBMH)" tailors disaster, disease control and prevention, farming options, effective planning, interventions and communication for safe health in sound environment. Under GBMH models, Integrated Time Series analysis completed in R Studio on health interventions from HMIS and DHS and DHSS systems (on environment and disaster management, farming practices and health sector indicators) is likely to provide missing links between science, policy, interventions and practical improvement for safe environment, food security and safer health in Rwanda.

"GIS, Biostatistics, meteo, m-health and e-health approaches for tailored informed evidence-based agricultural, environment and health interventions in Rwanda"

NASA Astrophysics Data System (ADS)

Karame, P., Sr.; Dushimiyimana, V.

2016-12-01

" Championing GIS-Biostatistics-Meteo for Health (GBMH), A consolidated approach"The environmental vulnerability rate due to human-induced threats and climate change has exceeded the capacity of ecosystems and species to adapt naturally. Drastic changes in seasonal and weather patterns have led to a severely intriguing imbalance ecosystem equilibrium, associated to habitat degradation, environmental pollution, shortage of ecosystem services production and shift in species distribution, food insecurity, invasive species and complex species associations. The consequences are particularly disturbing regarding health and wellbeing of human populations. Especially to Sub-Saharan Africa, informed evidence-based statistics are inappropriately if not at all used for developing and implementing coping measures. This makes a regrettable scenario for Rwanda, a research-driven economic transformation country in which mostly expensive long-term interventions remain meaningless and unknowingly approved effective. More important, no single sector can ultimately afford the most informative approaches providing evidence and guiding policy and decisions, due to limited resources. Rwanda dedicates substantial investment to sustain a conducive, robust and flourishing environment promoting research priorities most likely to deliver improved health outcomes. In this framework, the above mentioned approach supports cross-sectoral analyses to evaluate health care quality improvements through impact assessments, policy analysis and forecasting. This approach "Consolidating GIS, Biostatistics, meteo, mobile and e-health approaches (GBMH)" tailors disaster, disease control and prevention, farming options, effective planning, interventions and communication for safe health in sound environment. Under GBMH models, Integrated Time Series analysis completed in R Studio on health interventions from HMIS and DHS and DHSS systems (on environment and disaster management, farming practices and health sector indicators) is likely to provide missing links between science, policy, interventions and practical improvement for safe environment, food security and safer health in Rwanda.

Patient perception of transvaginal mesh and the media.

PubMed

Koski, Michelle Elaine; Chamberlain, Jennifer; Rosoff, James; Vaughan, Taylor; Kaufman, Melissa R; Winters, Jack C; Rovner, Eric S

2014-09-01

To assess the penetration of media-based information on transvaginal mesh (TVM) in our patient population and to determine whether exposure affects patient opinion. Since the 2011 Federal Drug Administration communication on TVM, many advertisements from legal practices have been directed toward patients. An 18-item survey was administered to female patients at 2 sites from August 2012 to April 2013. Patients presenting with new diagnoses of pelvic organ prolapse or stress urinary incontinence or patients who reported prior mesh surgery were excluded. Ninety-nine questionnaires were completed. Sixty-six of the patients (67%) were aware of TVM; and of these, 38 (58%) cited advertisements as the initial source of information. Only 12% were aware of the Food and Drug Administration's communication. Regarding opinion of TVM, 9% chose "it is a safe product," 9% "safety depends on factors related to patient," 4.5% "not a safe product," 1.5% "safety depends on the doctor," 68% "I don't know," and 4.5% marked 2 selections. Only 12% indicated knowing the difference in the use of TVM for pelvic organ prolapse vs stress urinary incontinence. When asked what influenced their opinion of TVM the most; responses were as follows: advertisement (33.3%), medical professional (22.7%), friends or family who underwent TVM procedure (12.1%), media article (6.1%), and "not sure" (25.8%). Advertisements of TVM lawsuits had a high penetration into our patient population but did not produce an overtly negative response in our sample. Clinicians should be aware of the impact of these advertisements on patient opinion and counsel patients accordingly with unbiased and scientifically accurate information. Copyright © 2014 Elsevier Inc. All rights reserved.

Implementation of information systems at pharmacies - a case study from the re-regulated pharmacy market in Sweden.

PubMed

Hammar, Tora; Ohlson, Mats; Hanson, Elizabeth; Petersson, Göran

2015-01-01

When the Swedish pharmacy market was re-regulated in 2009, Sweden moved from one state-owned pharmacy chain to several private pharmacy companies, and four new dispensing systems emerged to replace the one system that had previously been used at all Swedish pharmacies for more than 20 years. The aim of this case study was to explore the implementation of the new information systems for dispensing at pharmacies. The vendors of the four dispensing systems in Sweden were interviewed, and a questionnaire was sent to the managers of the pharmacy companies. In addition, a questionnaire was sent to 350 pharmacists who used the systems for dispensing prescriptions. The implementation of four new dispensing systems followed a strict time frame set by political decisions, involved actors completely new to the market, lacked clear regulation and standards for functionality and quality assurance, was complex and resulted in variations in quality. More than half of the pharmacists (58%) perceived their current dispensing system as supporting safe dispensing of medications, 26% were neutral and 15% did not perceive it to support a safe dispensing. Most pharmacists (80%) had experienced problems with their dispensing system during the previous month. The pharmacists experienced problems included reliability issues, usability issues, and missing functionality. In this case study exploring the implementation of new information systems for dispensing prescriptions at pharmacies in Sweden, weaknesses related to reliability, functionality and usability were identified and could affect patient safety. The weaknesses of the systems seem to result from the limited time for the development and implementation, the lack of comprehensive and evidence-based requirements for dispensing systems, and the unclear distribution of quality assurance responsibilities among involved stakeholders. Copyright © 2015 Elsevier Inc. All rights reserved.

Clampless anastomosis with an intraluminal thermosensitive gel: first application in reconstructive microsurgery and literature review.

PubMed

Giessler, G A; Fischborn, G T; Schmidt, A B

2012-01-01

Microvascular clamps of various designs provide a bloodless field for a safe anastomosis but can cause intimal lesions, occupy space in confined sites and have a risk of backwalling due to vessel flattening. They are often insufficient in their haemostatic effect in plaque-filled atherosclerotic vessels. A new, CE-certified thermosensitive gel (LeGoo™) clinically proven in cardiovascular surgery allows a clampless microanastomosis technique. We operated on a series of five consecutive patients aged 24-71 years with six flaps for lower-extremity reconstruction using a clampless anastomosis technique with LeGoo™. We transplanted one fabricated chimaeric fibula plus gracilis, three gracilis muscle and one anterolateral thigh (ALT) flap. Pre- and postoperative protocols were similar to a 'standard' procedure with micro-clamps. All flaps survived completely except for a small area on fibula skin island, which was unrelated to gel use. The gel-assisted technique has a quick learning curve, according to this case series. The veins should be sutured first to prevent stasis in the flap. The gel provides circular stenting and gentle distension of the vessels for a safe and blood-free anastomotic site. It is completely dissolved after completion of the anastomosis with cold saline irrigation. Repolymerisation in the periphery will not occur, making it safe for microvascular flap surgery. From the experiences from this series and other specialities, the use of the thermosensitive gel LeGoo™ permits a safe clampless microanastomosis technique minimising mechanical vessel manipulation and compression. This makes it an attractive alternative to micro-clamps, especially for atherosclerotic arteries and confined anastomosis sites. Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Tammy and Tommy Toy: Toy Safety Capsule. Parents' Capsule [and] Kindergarten Student Capsule.

ERIC Educational Resources Information Center

McMillin, Sarah M.

This unit instructs kindergarten students and their parents to recognize safe and unsafe toys and games. Objectives for parents are to identify sources of information which help consumers make wise decisions regarding toys and games and analyze factors that make a toy safe or unsafe. Objectives for students include choosing a safe toy/game from a…

Medicare and state health care programs: fraud and abuse; safe harbors for certain electronic prescribing and electronic health records arrangements under the anti-kickback statute. Final rule.

PubMed

2006-08-08

As required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-173, this final rule establishes a new safe harbor under the Federal anti-kickback statute for certain arrangements involving the provision of electronic prescribing technology. Specifically, the safe harbor would protect certain arrangements involving hospitals, group practices, and prescription drug plan (PDP) sponsors and Medicare Advantage (MA) organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, in accordance with section 1128B(b)(3)(E) of the Social Security Act (the Act), this final rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records.

New frontiers for health information systems using Epi Info in developing countries: structured application framework for Epi Info (SAFE).

PubMed

Ma, J; Otten, M; Kamadjeu, R; Mir, R; Rosencrans, L; McLaughlin, S; Yoon, S

2008-04-01

For more than two decades, Epi Info software has been used to meet the data management, analysis, and mapping needs of public health professionals in more than 181 countries and 13 languages. Until now, most Epi Info systems have been relatively simple, mainly because of a lack of detailed and structured guidance for developing complex systems. We created the structured application framework for Epi Info (SAFE), which is a set of guidelines that allows developers to create both simple and complex information systems using accepted good programming practices. This has resulted in application code blocks that are re-useable and easy to maintain, modify, and enhance. The flexibility of SAFE allows various aggregate and case-based application modules to be rapidly created, combined, and updated to create health information systems or sub-systems enabling continuous, incremental enhancement as national and local capacity increases. SAFE and Epi Info are both cost-free and have low system requirements--characteristics that render this framework and software beneficial for developing countries.

The costs and cost effectiveness of providing first-trimester, medical and surgical safe abortion services in KwaZulu-Natal Province, South Africa

PubMed Central

Devjee, Jaymala; Moodley, Jack

2017-01-01

Background Despite a liberal abortion law, access to safe abortion services in South Africa is challenging for many women. Medication abortion was introduced in 2013, but its reach remains limited. We aimed to estimate the costs and cost effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. Methods We obtained data on service provision and outcomes from an operations research study where medication abortion was introduced alongside existing MVA services in public hospitals in KwaZulu-Natal province. Clinical data were collected through interviews with first-trimester abortion clients and summaries completed by nurses performing the procedures. In parallel, we performed micro-costing at three of the study hospitals. Using a model built in Excel, we estimated the average cost per medical and surgical procedure and determined the cost per complete abortion performed. Results are presented in 2015 US dollars. Results A total of 1,129 women were eligible for a first trimester abortion at the three study sites. The majority (886, 78.5%) were eligible to choose their abortion procedure; 94.1% (n = 834) chose medication abortion. The total average cost per medication abortion was $63.91 (52.32–75.51). The total average cost per MVA was higher at $69.60 (52.62–86.57); though the cost ranges for the two procedures overlapped. Given average costs, the cost per complete medication abortion was lower than the cost per complete MVA despite three (0.4%) medication abortion women being hospitalized and two (0.3%) having ongoing pregnancies at study exit. Personnel costs were the largest component of the total average cost of both abortion methods. Conclusion This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication abortion with MVA as a back-up, without increasing costs. PMID:28369061

Analysis of information security management systems at 5 domestic hospitals with more than 500 beds.

PubMed

Park, Woo-Sung; Seo, Sun-Won; Son, Seung-Sik; Lee, Mee-Jeong; Kim, Shin-Hyo; Choi, Eun-Mi; Bang, Ji-Eon; Kim, Yea-Eun; Kim, Ok-Nam

2010-06-01

The information security management systems (ISMS) of 5 hospitals with more than 500 beds were evaluated with regards to the level of information security, management, and physical and technical aspects so that we might make recommendations on information security and security countermeasures which meet both international standards and the needs of individual hospitals. The ISMS check-list derived from international/domestic standards was distributed to each hospital to complete and the staff of each hospital was interviewed. Information Security Indicator and Information Security Values were used to estimate the present security levels and evaluate the application of each hospital's current system. With regard to the moderate clause of the ISMS, the hospitals were determined to be in compliance. The most vulnerable clause was asset management, in particular, information asset classification guidelines. The clauses of information security incident management and business continuity management were deemed necessary for the establishment of successful ISMS. The level of current ISMS in the hospitals evaluated was determined to be insufficient. Establishment of adequate ISMS is necessary to ensure patient privacy and the safe use of medical records for various purposes. Implementation of ISMS which meet international standards with a long-term and comprehensive perspective is of prime importance. To reflect the requirements of the varied interests of medical staff, consumers, and institutions, the establishment of political support is essential to create suitable hospital ISMS.

Safe sex self-efficacy and safe sex practice in a Southern United States College

PubMed Central

Addoh, Ovuokerie; Sng, Eveleen; Loprinzi, Paul D.

2017-01-01

Background: The purpose of this study was to assess the association between safe sex self-efficacy and safe-sex practice in a Southern college setting. Methods: Multivariable logistic regression models were used to examine the association between safe sex self-efficacy in four domains (mechanics, partner disapproval, assertiveness, intoxicants) and safe sex practice (outcome variable). Results: For every 1-unit increase in the composite condom use self-efficacy score, there was an 8% increase in the odds of being beyond the median safe-sex practice score (odds ration [OR]: 1.08, 95% CI: 1.02-1.15). Additionally, for every 1-unit increase in intoxicants self-efficacy score, there was a 31% increase in the odds of being beyond the median safe-sex practice score (OR: 1.31, 95% CI: 1.08-1.58). Conclusion: A greater degree of safe-sex self-efficacy is associated with increased odds of safe-sex practice. These findings are informative for the development of targeted approaches to foster safe-sex behavior in Southern US colleges. PMID:28326287

The Blue Dog: evaluation of an interactive software program to teach young children how to interact safely with dogs.

PubMed

Schwebel, David C; Morrongiello, Barbara A; Davis, Aaron L; Stewart, Julia; Bell, Melissa

2012-04-01

Pre-post-randomized design evaluated The Blue Dog, a dog safety software program. 76 children aged 3.5-6 years completed 3 tasks to evaluate dog safety pre- and postintervention: (a) pictures (recognition of safe/risky behavior), (b) dollhouse (recall of safe behavior via simulated dollhouse scenarios), and (c) live dog (actual behavior with unfamiliar live dog). Following preintervention evaluation, children were randomly assigned to dog or fire safety conditions, each involving 3 weeks of home computer software use. Children using Blue Dog had greater change in recognition of risky dog situations than children learning fire safety. No between-group differences emerged in recall (dollhouse) or engagement (live-dog) in risky behavior. Families enjoyed using the software. Blue Dog taught children knowledge about safe engagement with dogs, but did not influence recall or implementation of safe behaviors. Dog bites represent a significant pediatric injury concern and continued development of effective interventions is needed.

A System Design for Studying Geriatric Patients with Dementia and Hypertension Based on Daily Living Information

NASA Astrophysics Data System (ADS)

Xu, Weifeng; Betz, Willian R.; Frezza, Stephen T.; Liu, Yunkai

2011-08-01

Geriatric patients with dementia and hypertension (DAH) suffer both physically and financially. The needs of these patients mainly include improving the quality of daily living and reducing the cost of long-term care. Traditional treatment approaches are strained to meet these needs. The goal of the paper is to design an innovative system to provide cost-effective quality treatments for geriatric patients with DAH by collecting and analyzing the multi-dimensional personal information, such as observations in daily living (ODL) from a non-clinical environment. The proposed ODLs in paper include activities, cleanliness, blood pressure, medication compliance and mood changes. To complete the system design, an incremental user-centered strategy is exploited to assemble needs of patients, caregivers, and clinicians. A service-oriented architecture (SOA) is employed to make full use of existing devices, software systems, and platforms. This health-related knowledge can be interpreted and utilized to help patients with DAH remain in their homes safely and improve their life quality while reducing medical expenditures.

Toxicity and medical countermeasure studies on the organophosphorus nerve agents VM and VX

PubMed Central

Rice, Helen; Dalton, Christopher H.; Price, Matthew E.; Graham, Stuart J.; Green, A. Christopher; Jenner, John; Groombridge, Helen J.; Timperley, Christopher M.

2015-01-01

To support the effort to eliminate the Syrian Arab Republic chemical weapons stockpile safely, there was a requirement to provide scientific advice based on experimentally derived information on both toxicity and medical countermeasures (MedCM) in the event of exposure to VM, VX or VM–VX mixtures. Complementary in vitro and in vivo studies were undertaken to inform that advice. The penetration rate of neat VM was not significantly different from that of neat VX, through either guinea pig or pig skin in vitro. The presence of VX did not affect the penetration rate of VM in mixtures of various proportions. A lethal dose of VM was approximately twice that of VX in guinea pigs poisoned via the percutaneous route. There was no interaction in mixed agent solutions which altered the in vivo toxicity of the agents. Percutaneous poisoning by VM responded to treatment with standard MedCM, although complete protection was not achieved. PMID:27547080

Review of the potential of optical technologies for cancer diagnosis in neurosurgery: a step toward intraoperative neurophotonics

PubMed Central

Vasefi, Fartash; MacKinnon, Nicholas; Farkas, Daniel L.; Kateb, Babak

2016-01-01

Abstract. Advances in image-guided therapy enable physicians to obtain real-time information on neurological disorders such as brain tumors to improve resection accuracy. Image guidance data include the location, size, shape, type, and extent of tumors. Recent technological advances in neurophotonic engineering have enabled the development of techniques for minimally invasive neurosurgery. Incorporation of these methods in intraoperative imaging decreases surgical procedure time and allows neurosurgeons to find remaining or hidden tumor or epileptic lesions. This facilitates more complete resection and improved topology information for postsurgical therapy (i.e., radiation). We review the clinical application of recent advances in neurophotonic technologies including Raman spectroscopy, thermal imaging, optical coherence tomography, and fluorescence spectroscopy, highlighting the importance of these technologies in live intraoperative tissue mapping during neurosurgery. While these technologies need further validation in larger clinical trials, they show remarkable promise in their ability to help surgeons to better visualize the areas of abnormality and enable safe and successful removal of malignancies. PMID:28042588

Effectiveness of a Weekly Faculty Conversation Forum About Teaching

PubMed Central

Popovich, Nicholas G.; Peverly, Susan L.; Jackson, Terrence R.

2006-01-01

Objective To evaluate the effectiveness of holding weekly 60-90 minute conversation forums for faculty members to discuss, explore, and reflect on various teaching topics in a relaxed, informal, interactive format. Methods Weekly, 60-90 minute sessions were held for faculty members of the University of Illinois College of Pharmacy. A 15-item retrospective pretest-posttest questionnaire was developed and administered at the end of the first year of implementation to evaluate the participants’ perceived knowledge, abilities, and confidence gains relative to becoming effective educators. Results Eleven faculty members completed the questionnaire. All respondents tended to agree (6/11) or agreed (5/11) that their confidence as educators improved after attending the conversation forums. In addition,7 respondents tended to agree and 4 agreed that their ability to self-assess their teaching had improved. Conclusions An ongoing weekly conversations forum provides faculty members opportunities to explore and learn about facets of teaching in a safe, informal environment. PMID:17149436

KSC-2011-6765

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. – – Maria Zuber, GRAIL principal investigator with the Massachusetts Institute of Technology, participates in the Gravity Recovery and Interior Laboratory (GRAIL) mission science briefing in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6746

NASA Image and Video Library

2011-09-06

CAPE CANAVERAL, Fla. – Tim Dunn, NASA launch director for the agency’s Launch Services Program, participates in the Gravity Recovery and Interior Laboratory (GRAIL) prelaunch news conference in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6771

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission is ready for launch. Preparations are under way to roll the mobile service tower away from the rocket. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6779

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, view of the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission is unobstructed as the mobile service tower rolls away. The "rollback" began at about 11:20 p.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6810

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- Media representatives check the lighting at Press Site 1 near Space Launch Complex 17B on Cape Canaveral Air Force Station during preparations to photograph the launch of NASA's Gravity Recovery and Interior Laboratory mission. Liftoff aboard a United Launch Alliance Delta II Heavy rocket is scheduled for 8:37:06 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6750

NASA Image and Video Library

2011-09-06

CAPE CANAVERAL, Fla. – Joel Tumbiolo, launch weather officer, 45th Weather Squadron, Cape Canaveral Air Force Station, Fla., participates in the Gravity Recovery and Interior Laboratory (GRAIL) prelaunch news conference in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6748

NASA Image and Video Library

2011-09-06

CAPE CANAVERAL, Fla. – David Lehman, GRAIL project manager, NASA’s Jet Propulsion Laboratory, participates in the Gravity Recovery and Interior Laboratory (GRAIL) prelaunch news conference in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6786

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission undergoes final preparations for launch. The "rollback" of the mobile service tower began at about 11:20 p.m. EDT Sept. 7. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6764

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. – Robert Fogel, NASA’s GRAIL program scientist, participates in the Gravity Recovery and Interior Laboratory (GRAIL) mission science briefing in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6751

NASA Image and Video Library

2011-09-06

CAPE CANAVERAL, Fla. – John Henk, GRAIL program manager, Lockheed Martin Space Systems, Denver, Colo., participates in the Gravity Recovery and Interior Laboratory (GRAIL) prelaunch news conference in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6770

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, preparations are under way to roll the mobile service tower away from the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6878

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – An early morning sky illuminates the United Launch Alliance Delta II Heavy rocket that will launch NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission from Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida. Liftoff is scheduled for 9:08:52 a.m. EDT Sept.10. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/ Kim Shiflett

KSC-2011-6749

NASA Image and Video Library

2011-09-06

CAPE CANAVERAL, Fla. – Ed Weiler, NASA associate administrator, Science Mission Directorate, participates in the Gravity Recovery and Interior Laboratory (GRAIL) prelaunch news conference in the NASA Press Site auditorium at NASA's Kennedy Space Center in Florida. GRAIL is scheduled to launch Sept. 8 aboard a United Launch Alliance Delta II Heavy rocket from Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6875

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – With a clear blue sky for a background, the United Launch Alliance Delta II Heavy rocket is propelled skyward after lifting off at 9:08 a.m. EDT Sept. 10 from Space Launch Complex 17B on Cape Canaveral Air Force Station in Florida. The Delta II is carrying NASA’s twin Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6809

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- Television satellite trucks raise their antennas at Press Site 1 near Space Launch Complex 17B on Cape Canaveral Air Force Station during preparations to broadcast the launch of NASA's Gravity Recovery and Interior Laboratory mission. Liftoff aboard a United Launch Alliance Delta II Heavy rocket is scheduled for 8:37:06 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

Prediction of safe driving Behaviours based on health belief model: the case of taxi drivers in Bandar Abbas, Iran.

PubMed

Razmara, Asghar; Aghamolaei, Teamur; Madani, Abdoulhossain; Hosseini, Zahra; Zare, Shahram

2018-03-20

Road accidents are among the main causes of mortality. As safe and secure driving is a key strategy to reduce car injuries and offenses, the present research aimed to explore safe driving behaviours among taxi drivers based on the Health Belief Model (HBM). This study was conducted on 184 taxi drivers in Bandar Abbas who were selected based on a multiple stratified sampling method. Data were collected by a questionnaire comprised of a demographic information section along with the constructs of the HBM. Data were analysed by SPSS ver19 via a Pearson's correlation coefficient and multiple regressions. The mean age of the participants was 45.1 years (SD = 11.1). They all had, on average, 10.3 (SD = 7/5) years of taxi driving experience. Among the HBM components, cues to action and perceived benefits were shown to be positively correlated with safe driving behaviours, while perceived barriers were negatively correlated. Cues to action, perceived barriers and perceived benefits were shown to be the strongest predictors of a safe drivers' behaviour. Based on the results of this study in designing health promotion programmes to improve safe driving behaviours among taxi drivers, cues to action, perceived benefits and perceived barriers are important. Therefore, advertising, the design of information campaigns, emphasis on the benefits of safe driving behaviours and modification barriers are recommended.

Completion of five years of safe CO2 injection and transition into the post-closure phase at the Ketzin pilot site

NASA Astrophysics Data System (ADS)

Martens, Sonja; Moeller, Fabian; Streibel, Martin; Liebscher, Axel; Ketzin Group

2014-05-01

The injection of CO2 at the Ketzin pilot site in Germany ended after five years in August 2013. We present the key results from site operation and outline future activities within the post-closure phase. From June 2008 onwards, a total amount of 67 kt of CO2 was safely injected into a saline aquifer (Upper Triassic sandstone) at a depth of 630 m - 650 m. The CO2 used was mainly of food grade quality (purity > 99.9%). In addition, 1.5 kt of CO2 from the pilot capture facility "Schwarze Pumpe" (power plant CO2 with purity > 99.7%) was injected in 2011. During regular operation, the CO2 was pre-heated on-site to 45°C before injection in order to avoid pressure build-up within the reservoir. During the final months of injection a "cold-injection" experiment with a stepwise decrease of the injection temperature down to 10°C was conducted between March and July 2013. In summer 2013, the injection of a mixture of 95% CO2 and 5% N2 was also tested. After ceasing the injection in August the injection facility and pipeline were removed in December 2013. Geological storage of CO2 at the Ketzin pilot site has so far proceeded in a safe and reliable manner. As a result of one of the most comprehensive R&D programs worldwide, a combination of different geochemical and geophysical monitoring methods is able to detect even small quantities of CO2 and map their spatial extent. After the cessation of CO2 injection a series of activities and further investigations are involved in the post-closure phase. The aim is that Ketzin will for the first time ever close the complete life-time cycle of a CO2 storage site at pilot scale. The five wells (1 injection/observation well, 4 pure observation wells) will be successively abandoned within the next few years while monitoring is continuing. The partial plugging of one observation well in the reservoir section was already completed in fall 2013. The new four-years project COMPLETE (CO2 post-injection monitoring and post-closure phase at the Ketzin pilot site) started in January 2014. Activities within COMPLETE include R&D work on well integrity, post-closure monitoring as well as two field experiments. One is a back-production test of the CO2 aiming at information on the physicochemical properties of the back-produced CO2 as well as the pressure response of the reservoir. The other experiment will focus on brine injection into the CO2 storage reservoir in order to study e.g. the residual gas saturation. Public outreach has been a key element for the project from the very beginning and accompanies the research on CO2 storage at Ketzin since 2004. Thus dissemination (e.g. www.co2ketzin.de) and activities at the visitor centre at the pilot site will continue within COMPLETE and along the entire life cycle of the Ketzin project.

NHQ_2017_0086_Expedition 50 Crew Lands Safely in Kazakhstan to Complete Six-Month Mission

NASA Image and Video Library

2017-04-10

Expedition 50 Commander Shane Kimbrough of NASA and Soyuz Commander Sergey Ryzhikov and Flight Engineer Andrey Borisenko of Roscosmos landed safely near the town of Dzhezkazgan, Kazakhstan April 10 after bidding farewell to their colleagues on the complex and undocking their Soyuz MS-02 spacecraft from the Poisk Module on the International Space Station. The trio spent 173 days in space conducting research and operational work in support of the station.

A randomized controlled trial to evaluate the Make Safe Happen® app-a mobile technology-based safety behavior change intervention for increasing parents' safety knowledge and actions.

PubMed

McKenzie, Lara B; Roberts, Kristin J; Clark, Roxanne; McAdams, Rebecca; Abdel-Rasoul, Mahmoud; Klein, Elizabeth G; Keim, Sarah A; Kristel, Orie; Szymanski, Alison; Cotton, Christopher G; Shields, Wendy C

2018-03-12

Many unintentional injuries that occur in and around the home can be prevented through the use of safety equipment and by consistently following existing safety recommendations. Unfortunately, uptake of these safety behaviors is unacceptably low. This paper describes the design of the Make Safe Happen® smartphone application evaluation study, which aims to evaluate a mobile technology-based safety behavior change intervention on parents' safety knowledge and actions. Make Safe Happen® app evaluation study is a randomized controlled trial. Participants will be parents of children aged 0-12 years who are recruited from national consumer online survey panels. Parents will complete a pretest survey, and will be randomized to receive the Make Safe Happen® app or a non-injury-related app, and then complete a posttest follow-up survey after 1 week. Primary outcomes are: (1) safety knowledge; (2) safety behaviors; (3) safety device acquisition and use, and (4) behavioral intention to take safety actions. Anticipated study results are presented. Wide-reaching interventions, to reach substantial parent and caregiver audiences, to effectively reduce childhood injuries are needed. This study will contribute to the evidence-base about how to increase safety knowledge and actions to prevent home-related injuries in children. NCT02751203 ; Pre-results.

Safe injection practice among health care workers, Gharbiya, Egypt.

PubMed

Ismail, Nanees A; Aboul Ftouh, Aisha M; El Shoubary, Waleed H

2005-01-01

A cross-sectional study was conducted in 25 health care facilities in Gharbiya governorate to assess safe injection practices among health care workers (HCWs). Two questionnaires, one to collect information about administrative issues related to safe injection and the other to collect data about giving injections, exposure to needle stick injuries, hepatitis B vaccination status and safe injection training. Practices of injections were observed using a standardized checklist. The study revealed that there was lack of both national and local infection control policies and lack of most of the supplies needed for safe injection practices. Many safe practices were infrequent as proper needle manipulation before disposal (41%), safe needle disposal (47.5%), reuse of used syringe & needle (13.2%) and safe syringe disposal (0%). Exposure to needle stick injuries were common among the interviewed HCWs (66.2%) and hand washing was the common post exposure prophylaxis measure (63.4%). Only 11.3% of HCWs had full course hepatitis B vaccination. Infection control -including safe injections- training programs should be afforded to all HCWs.

The role of commitment strength in enhancing safe water consumption: mediation analysis of a cluster-randomized trial.

PubMed

Inauen, Jennifer; Tobias, Robert; Mosler, Hans-Joachim

2014-11-01

The objectives of this study were to investigate the importance of commitment strength in the theory of planned behaviour (TPB) and to test whether behaviour change techniques (BCTs) aimed at increasing commitment strength indeed promote switching to arsenic-safe wells by changing commitment strength. A cluster-randomized controlled trial with four arms was conducted to compare an information-only intervention to information plus one, two, or three commitment-enhancing BCTs. Randomly selected households (N = 340) of Monoharganj, Bangladesh, in seven geographically separate areas, whose members were drinking arsenic-contaminated water at baseline and had access to arsenic-safe wells, participated in this trial. The areas were randomly allocated to the four intervention arms. Water consumption behaviour, variables of the TPB, commitment strength, and socio-demographic characteristics were assessed at baseline and at 3-month follow-up by structured face-to-face interviews. Mediation analysis was used to investigate the mechanisms of behaviour change. Changes in commitment strength significantly increased the explanatory power of the TPB to predict well-switching. Commitment-enhancing BCTs - public self-commitment, implementation intentions, and reminders - increased the behaviour change effects of information by up to 50%. Mediation analyses confirmed that the BCTs indeed increased well-switching by increasing commitment strength. Unexpectedly, however, mediation via changes in behavioural intentions was the strongest mechanism of the intervention effects. Commitment is an important construct to consider in water- and health-related behaviour change and may be for other health behaviours as well. BCTs that alter behavioural intentions and commitment strength proved highly effective at enhancing the behaviour change effects of information alone. Statement of contribution What is already known on this subject? Millions of people drink contaminated water even if they have access to safe water alternatives and despite increased awareness of the consequences to health. The theory of planned behaviour (TPB) and commitment strength are predictive of safe water consumption. The potentially commitment-enhancing behaviour change techniques (BCTs) - reminders, implementation intentions, and public self-commitment - can promote health behaviours, including safe water consumption. What does this study add? Changes in commitment strength significantly added to the prediction of switching to arsenic-safe wells by the TPB. Information-plus-BCTs aimed at increasing commitment strength led to >50% more well-switching than information alone. Behaviour change effects of the BCTs were mediated by changes in commitment strength and behavioural intentions. © 2013 The British Psychological Society.

Can Vaginitis Be Prevented?

MedlinePlus

... NICHD Research Information Find a Study More Information Cerebral Palsy Condition Information NICHD Research Information Find a Study ... kill "good" bacteria or cause irritation. Practicing safe sex can help protect against sexually transmitted forms of ...

Exploration of Factors Predictive of At-risk Fathers' Participation in a Pilot Study of an Augmented Evidence-Based Parent Training Program: A Mixed Methods Approach.

PubMed

Rostad, Whitney L; Self-Brown, Shannon; Boyd, Clinton; Osborne, Melissa; Patterson, Alexandria

2017-08-01

There has been burgeoning parenting intervention research specifically addressing fathers in recent decades. Corresponding research examining their participation and engagement in evidence-based parent training programs, which have almost exclusively targeted mothers, is just emerging. The current study used mixed methods to examine factors that influenced completion of an augmented version of an evidence-based child maltreatment prevention program developed for male caregivers called SafeCare Dad to Kids (Dad2K) in a pilot study. The current sample comprised 50 male caregivers ( M age = 29.42 years, SD = 8.18) of a child between the ages of 2 and 5 years. Fathers participated in a baseline assessment and were considered program completers (n = 27) if they participated in the program's six home visiting sessions. A subsample of completers (n = 11) was recruited to participate in qualitative interviews that provided in-depth information about fathers' experiences in Dad2K. Logistic regression indicated that, in the context of other demographic predictors, fathers with an education beyond high school were over 5 times more likely to complete Dad2K program compared to fathers with a high school education or less. Qualitative analyses revealed that interviewed father completers were motivated to enroll and participate in a fathering program because of an interest to learn and obtain skills to make them a better parent. Fathers with a high school education or less may require additional engagement strategies to help proactively encourage their enrollment and completion of parent training programs.

Homes away from Home.

ERIC Educational Resources Information Center

Hansen, Laurel D.; And Others

1993-01-01

Describes the construction of a variety of inexpensive, escape-proof, and safe insect homes--each complete with window, ventilation screen, and cover--so students can observe firsthand the intriguing world of insects. (PR)

Safe abortion information hotlines: An effective strategy for increasing women's access to safe abortions in Latin America.

PubMed

Drovetta, Raquel Irene

2015-05-01

This paper describes the implementation of five Safe Abortion Information Hotlines (SAIH), a strategy developed by feminist collectives in a growing number of countries where abortion is legally restricted and unsafe. These hotlines have a range of goals and take different forms, but they all offer information by telephone to women about how to terminate a pregnancy using misoprostol. The paper is based on a qualitative study carried out in 2012-2014 of the structure, goals and experiences of hotlines in five Latin American countries: Argentina, Chile, Ecuador, Peru and Venezuela. The methodology included participatory observation of activities of the SAIH, and in-depth interviews with feminist activists who offer these services and with 14 women who used information provided by these hotlines to induce their own abortions. The findings are also based on a review of materials obtained from the five hotline collectives involved: documents and reports, social media posts, and details of public demonstrations and statements. These hotlines have had a positive impact on access to safe abortions for women whom they help. Providing these services requires knowledge and information skills, but little infrastructure. They have the potential to reduce the risk to women's health and lives of unsafe abortion, and should be promoted as part of public health policy, not only in Latin America but also other countries. Additionally, they promote women's autonomy and right to decide whether to continue or terminate a pregnancy. Copyright © 2015. Published by Elsevier Ltd.

Melatonin for Sleep in Children with Autism: A Controlled Trial Examining Dose, Tolerability, and Outcomes

PubMed Central

Malow, Beth A.; Adkins, Karen W.; McGrew, Susan G.; Wang, Lily; Goldman, Suzanne E.; Fawkes, Diane; Burnette, Courtney

2011-01-01

Supplemental melatonin has shown promise in treating sleep onset insomnia in children with autism spectrum disorders (ASD). Twenty-four children, free of psychotropic medications, completed an open-label dose-escalation study to assess dose-response, tolerability, safety, feasibility of collecting actigraphy data, and ability of outcome measures to detect change during a 14-week intervention. Supplemental melatonin improved sleep latency, as measured by actigraphy, in most children at 1 or 3 mg dosages. It was effective in week 1 of treatment, maintained effects over several months, was well tolerated and safe, and showed improvement in sleep, behavior, and parenting stress. Our findings contribute to the growing literature on supplemental melatonin for insomnia in ASD and inform planning for a large randomized trial in this population. PMID:22160300

Melatonin for sleep in children with autism: a controlled trial examining dose, tolerability, and outcomes.

PubMed

Malow, Beth; Adkins, Karen W; McGrew, Susan G; Wang, Lily; Goldman, Suzanne E; Fawkes, Diane; Burnette, Courtney

2012-08-01

Supplemental melatonin has shown promise in treating sleep onset insomnia in children with autism spectrum disorders (ASD). Twenty-four children, free of psychotropic medications, completed an open-label dose-escalation study to assess dose-response, tolerability, safety, feasibility of collecting actigraphy data, and ability of outcome measures to detect change during a 14-week intervention. Supplemental melatonin improved sleep latency, as measured by actigraphy, in most children at 1 or 3 mg dosages. It was effective in week 1 of treatment, maintained effects over several months, was well tolerated and safe, and showed improvement in sleep, behavior, and parenting stress. Our findings contribute to the growing literature on supplemental melatonin for insomnia in ASD and inform planning for a large randomized trial in this population.

Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study.

PubMed

Momberg, Mariette; Harries, Jane; Constant, Deborah

2016-04-16

Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women's acceptability and ability to self-assess eligibility for early medical abortion using an online gestational age calculator. Women's acceptability, views and preferences of using mobile technology for gestational age (GA) determination were explored. No previous studies to ascertain the accuracy of online self-administered calculators in a non-clinical setting have been conducted. A convenience sample of abortion seekers were recruited from two health care clinics in Cape Town, South Africa in 2014. Seventy-eight women were enrolled and tasked with completing an online self-assessment by entering the first day of their last menstrual period (LMP) onto a website which calculated their GA. A short survey explored the feasibility and acceptability of employing m-Health technology in abortion services. Self-calculated GA was compared with ultrasound gestational age obtained from clinical records. Participant mean age was 28 (SD 6.8), 41% (32/78) had completed high school and 73% (57/78) reported owning a smart/feature phone. Internet searches for abortion information prior to clinic visit were undertaken by 19/78 (24%) women. Most participants found the online GA calculator easy to use (91%; 71/78); thought the calculation was accurate (86%; 67/78) and that it would be helpful when considering an abortion (94%; 73/78). Eighty-three percent (65/78) reported regular periods and recalled their LMP (71%; 55/78). On average women overestimated GA by 0.5 days (SD 14.5) and first sought an abortion 10 days (SD 14.3) after pregnancy confirmation. Timely access to information is an essential component of effective abortion services. Advances in the availability of mobile technology represent an opportunity to provide accurate and safe abortion information and services. Our findings indicate that an online GA calculator would be accurate and helpful. GA could be calculated based on LMP recall within an error of 0.5 days, which is not considered clinically significant. An online GA calculator could potentially act as an enabler for women to access safe abortion services sooner.

Zonal management of arsenic contaminated ground water in Northwestern Bangladesh.

PubMed

Hill, Jason; Hossain, Faisal; Bagtzoglou, Amvrossios C

2009-09-01

This paper used ordinary kriging to spatially map arsenic contamination in shallow aquifers of Northwestern Bangladesh (total area approximately 35,000 km(2)). The Northwestern region was selected because it represents a relatively safer source of large-scale and affordable water supply for the rest of Bangladesh currently faced with extensive arsenic contamination in drinking water (such as the Southern regions). Hence, the work appropriately explored sustainability issues by building upon a previously published study (Hossain et al., 2007; Water Resources Management, vol. 21: 1245-1261) where a more general nation-wide assessment afforded by kriging was identified. The arsenic database for reference comprised the nation-wide survey (of 3534 drinking wells) completed in 1999 by the British Geological Survey (BGS) in collaboration with the Department of Public Health Engineering (DPHE) of Bangladesh. Randomly sampled networks of zones from this reference database were used to develop an empirical variogram and develop maps of zonal arsenic concentration for the Northwestern region. The remaining non-sampled zones from the reference database were used to assess the accuracy of the kriged maps. Two additional criteria were explored: (1) the ability of geostatistical interpolators such as kriging to extrapolate information on spatial structure of arsenic contamination beyond small-scale exploratory domains; (2) the impact of a priori knowledge of anisotropic variability on the effectiveness of geostatistically based management. On the average, the kriging method was found to have a 90% probability of successful prediction of safe zones according to the WHO safe limit of 10ppb while for the Bangladesh safe limit of 50ppb, the safe zone prediction probability was 97%. Compared to the previous study by Hossain et al. (2007) over the rest of the contaminated country side, the probability of successful detection of safe zones in the Northwest is observed to be about 25% higher. An a priori knowledge of anisotropy was found to have inconclusive impact on the effectiveness of kriging. It was, however, hypothesized that a preferential sampling strategy that honored anisotropy could be necessary to reach a more definitive conclusion in regards to this issue.

Planning Safe Routes to School.

ERIC Educational Resources Information Center

Appleyard, Bruce S.

2003-01-01

Describes "Safe Routes to School" efforts in the United States and other countries to make walking and biking to school the transportation of choice. Offers a plan of action for formulating and carrying out such a program and information on funding sources. (EV)

Simulation-based assessment to identify critical gaps in safe anesthesia resident performance.

PubMed

Blum, Richard H; Boulet, John R; Cooper, Jeffrey B; Muret-Wagstaff, Sharon L

2014-01-01

Valid methods are needed to identify anesthesia resident performance gaps early in training. However, many assessment tools in medicine have not been properly validated. The authors designed and tested use of a behaviorally anchored scale, as part of a multiscenario simulation-based assessment system, to identify high- and low-performing residents with regard to domains of greatest concern to expert anesthesiology faculty. An expert faculty panel derived five key behavioral domains of interest by using a Delphi process (1) Synthesizes information to formulate a clear anesthetic plan; (2) Implements a plan based on changing conditions; (3) Demonstrates effective interpersonal and communication skills with patients and staff; (4) Identifies ways to improve performance; and (5) Recognizes own limits. Seven simulation scenarios spanning pre-to-postoperative encounters were used to assess performances of 22 first-year residents and 8 fellows from two institutions. Two of 10 trained faculty raters blinded to trainee program and training level scored each performance independently by using a behaviorally anchored rating scale. Residents, fellows, facilitators, and raters completed surveys. Evidence supporting the reliability and validity of the assessment scores was procured, including a high generalizability coefficient (ρ = 0.81) and expected performance differences between first-year resident and fellow participants. A majority of trainees, facilitators, and raters judged the assessment to be useful, realistic, and representative of critical skills required for safe practice. The study provides initial evidence to support the validity of a simulation-based performance assessment system for identifying critical gaps in safe anesthesia resident performance early in training.

Relationships between Safe Pesticide Practice and Perceived Benefits and Subjective Norm, and the Moderation Role of Information Acquisition: Evidence from 971 Farmers in China.

PubMed

Wang, Jianhua; Deng, Yuanyuan; Ma, Yuting

2017-08-25

Improper use of pesticides among farmers has caused food safety issues which are serious threats to public health in China. A central question concerns how to motivate farmers to self-regulate their pesticide usage. The paper aims to identify the influence of an internal driving factor, i.e., perceived benefits, and an external driving factor, i.e., subjective norm, on farmers' safe pesticide behaviors, and whether the two factors are moderated by the exposure to information on government policies and the market, based on a sample of 971 farmers selected from 5 Chinese provinces. The results revealed that farmers' safe pesticide usage was predominately driven by perceived benefits whereas external pressure or subjective norm did not play much of a role. Interaction effects were found between the exposure to market information and perceived benefits, and also between subjective norm and exposure to government policy. Extensions agencies are recommended to effectively convey to farmers the benefits to follow safe pesticide practices. Meanwhile, surveillance and monitoring systems should be established so that the prices of their agricultural products are reflected by the quality of the products.

Safe injection practice among health-care workers in Gharbiya Governorate, Egypt.

PubMed

Ismail, N A; Aboul Ftouh, A M; El-Shoubary, W H; Mahaba, H

2007-01-01

We assessed safe injection practices among 1100 health-care workers in 25 health-care facilities in Gharbiya Governorate. Questionnaires were used to collect information and 278 injections were observed using a standardized checklist. There was a lack of infection control policies in all the facilities and a lack of many supplies needed for safe injection. Proper needle manipulation before disposal was observed in only 41% of injections, safe needle disposal in 47.5% and safe syringe disposal in 0%. Reuse of used syringes and needles was reported by 13.2% of the health-care workers and 66.2% had experienced a needle-stick injury. Only 11.3% had received a full course of hepatitis B vaccination.

14 CFR 23.147 - Directional and lateral control.

Code of Federal Regulations, 2010 CFR

2010-01-01

... attitude or encountering dangerous characteristics, in the event of a sudden and complete failure of the... continued safe flight and the ability to maintain attitudes suitable for a controlled landing without...

75 FR 23264 - Public Water System Supervision Program Revision for the State of Alabama

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-03

... INFORMATION CONTACT: Tom Plouff, P.E., EPA Region 4, Safe Drinking Water Branch, at the address given above, by telephone at (404) 562-9476, or at plouff.tom@epa.gov . Authority: Section 1413 of the Safe...

Physical and chemical test results of electrostatic safe flooring materials

NASA Technical Reports Server (NTRS)

Gompf, R. H.

1988-01-01

This test program was initiated because a need existed at the Kennedy Space Center (KSC) to have this information readily available to the engineer who must make the choice of which electrostatic safe floor to use in a specific application. The information, however, should be of value throughout both the government and private industry in the selection of a floor covering material. Included are the test results of 18 floor covering materials which by test evaluation at KSC are considered electrostatically safe. Tests were done and/or the data compiled in the following areas: electrostatics, flammability, hypergolic compatibility, outgassing, floor type, material thickness, and available colors. Each section contains the test method used to gather the data and the test results.

The effects of moms and teens for safe dates: a dating abuse prevention program for adolescents exposed to domestic violence.

PubMed

Foshee, Vangie A; Benefield, Thad; Dixon, Kimberly S; Chang, Ling-Yin; Senkomago, Virginia; Ennett, Susan T; Moracco, Kathryn E; Michael Bowling, J

2015-05-01

Adolescents exposed to domestic violence are at high risk for dating abuse. This randomized controlled trial evaluated a dating abuse prevention program designed specifically for this risk group. Moms and Teens for Safe Dates consisted of six mailed booklets of dating abuse prevention information and interactive activities. Mothers who had been victims of domestic violence but no longer lived with the abuser delivered the program to their adolescents who had been exposed to the abuse. Mother and adolescent pairs (N = 409) were recruited through community advertising; the adolescents ranged from 12 to 16 years old and 64 % were female. Mothers and adolescents completed baseline and 6-month follow-up telephone interviews. Booklet completion in the treatment group ranged from 80 % for the first to 62 % for the last booklet. The analyses first tested whether program effects on dating abuse varied by four a priori identified moderators (mother's psychological health, the amount of adolescent exposure to domestic violence, and adolescent sex and race/ethnicity). Main effects of the program were examined when there were no differential program effects. Program effects on psychological and physical victimization and psychological and cyber perpetration were moderated by the amount of adolescent exposure to domestic violence; there were significant favorable program effects for adolescents with higher, but not lower levels of exposure to domestic violence. There were no moderated or main effects on sexual violence victimization and perpetration or cyber victimization. The findings suggest that a dating abuse prevention program designed for adolescents exposed to domestic violence can have important positive effects.

Prevalence of Inguinal Hernia in Adult Men in the Ashanti Region of Ghana.

PubMed

Ohene-Yeboah, Michael; Beard, Jessica H; Frimpong-Twumasi, Benjamin; Koranteng, Adofo; Mensah, Samuel

2016-04-01

Inguinal hernia is thought to be common in rural Ghana, though no recent data exist on hernia prevalence in the country. This information is needed to guide policy and increase access to safe hernia repair in Ghana and other low-resource settings. Adult men randomly selected from the Barekese sub-district of Ashanti Region, Ghana were examined by surgeons for the presence of inguinal hernia. Men with hernia completed a survey on demographics, knowledge of the disease, and barriers to surgical treatment. A total of 803 participants were examined, while 105 participants completed the survey. The prevalence of inguinal hernia was 10.8 % (95 % CI 8.0, 13.6 %), and 2.2 % (95 % CI 0, 5.4 %) of participants had scars indicative of previous repair, making the overall prevalence of treated and untreated inguinal hernia 13.0 % (95 % CI 10.2, 15.7 %). Prevalence of inguinal hernia increased with age; 35.4 % (95 % CI 23.6, 47.2 %) of men aged 65 and older had inguinal hernia. Untreated inguinal hernia was associated with lower socio-economic status. Of those with inguinal hernia, 52.4 % did not know the cause of hernia. The most common reason cited for failing to seek medical care was cost (48.2 %). Although inguinal hernia is common among adult men living in rural Ghana, surgical repair rates are low. We propose a multi-faceted public health campaign aimed at increasing access to safe hernia repair in Ghana. This approach includes a training program of non-surgeons in inguinal hernia repair headed by the Ghana Hernia Society and could be adapted for use in other low-resource settings.

Applying a health behavior theory to explore the influence of information and experience on arsenic risk representations, policy beliefs, and protective behavior.

PubMed

Severtson, Dolores J; Baumann, Linda C; Brown, Roger L

2006-04-01

The common sense model (CSM) shows how people process information to construct representations, or mental models, that guide responses to health threats. We applied the CSM to understand how people responded to information about arsenic-contaminated well water. Constructs included external information (arsenic level and information use), experience (perceived water quality and arsenic-related health effects), representations, safety judgments, opinions about policies to mitigate environmental arsenic, and protective behavior. Of 649 surveys mailed to private well users with arsenic levels exceeding the maximum contaminant level, 545 (84%) were analyzed. Structural equation modeling quantified CSM relationships. Both external information and experience had substantial effects on behavior. Participants who identified a water problem were more likely to reduce exposure to arsenic. However, about 60% perceived good water quality and 60% safe water. Participants with higher arsenic levels selected higher personal safety thresholds and 20% reported a lower arsenic level than indicated by their well test. These beliefs would support judgments of safe water. A variety of psychological and contextual factors may explain judgments of safe water when information suggested otherwise. Information use had an indirect effect on policy beliefs through understanding environmental causes of arsenic. People need concrete information about environmental risk at both personal and environmental-systems levels to promote a comprehensive understanding and response. The CSM explained responses to arsenic information and may have application to other environmental risks.

Implementation of Safe-by-Design for Nanomaterial Development and Safe Innovation: Why We Need a Comprehensive Approach

PubMed Central

Kraegeloh, Annette; Suarez-Merino, Blanca; Sluijters, Teun; Micheletti, Christian

2018-01-01

Manufactured nanomaterials (MNMs) are regarded as key components of innovations in various fields with high potential impact (e.g., energy generation and storage, electronics, photonics, diagnostics, theranostics, or drug delivery agents). Widespread use of MNMs raises concerns about their safety for humans and the environment, possibly limiting the impact of the nanotechnology-based innovation. The development of safe MNMs and nanoproducts has to result in a safe as well as functional material or product. Its safe use, and disposal at the end of its life cycle must be taken into account too. However, not all MNMs are similarly useful for all applications, some might bear a higher hazard potential than others, and use scenarios could lead to different exposure probabilities. To improve both safety and efficacy of nanotechnology, we think that a new proactive approach is necessary, based on pre-regulatory safety assessment and dialogue between stakeholders. On the basis of the work carried out in different European Union (EU) initiatives, developing and integrating MNMs Safe-by-Design and Trusted Environments (NANoREG, ProSafe, and NanoReg2), we present our point of view here. This concept, when fully developed, will allow for cost effective industrial innovation, and an exchange of key information between regulators and innovators. Regulators are thus informed about incoming innovations in good time, supporting a proactive regulatory action. The final goal is to contribute to the nanotechnology governance, having faster, cheaper, effective, and safer nano-products on the market. PMID:29661997

Implementation of Safe-by-Design for Nanomaterial Development and Safe Innovation: Why We Need a Comprehensive Approach.

PubMed

Kraegeloh, Annette; Suarez-Merino, Blanca; Sluijters, Teun; Micheletti, Christian

2018-04-14

Manufactured nanomaterials (MNMs) are regarded as key components of innovations in various fields with high potential impact (e.g., energy generation and storage, electronics, photonics, diagnostics, theranostics, or drug delivery agents). Widespread use of MNMs raises concerns about their safety for humans and the environment, possibly limiting the impact of the nanotechnology-based innovation. The development of safe MNMs and nanoproducts has to result in a safe as well as functional material or product. Its safe use, and disposal at the end of its life cycle must be taken into account too. However, not all MNMs are similarly useful for all applications, some might bear a higher hazard potential than others, and use scenarios could lead to different exposure probabilities. To improve both safety and efficacy of nanotechnology, we think that a new proactive approach is necessary, based on pre-regulatory safety assessment and dialogue between stakeholders. On the basis of the work carried out in different European Union (EU) initiatives, developing and integrating MNMs Safe-by-Design and Trusted Environments (NANoREG, ProSafe, and NanoReg2), we present our point of view here. This concept, when fully developed, will allow for cost effective industrial innovation, and an exchange of key information between regulators and innovators. Regulators are thus informed about incoming innovations in good time, supporting a proactive regulatory action. The final goal is to contribute to the nanotechnology governance, having faster, cheaper, effective, and safer nano-products on the market.

Are Current Insulin Pumps Accessible to Blind and Visually Impaired People?

PubMed Central

Burton, Darren M.; Uslan, Mark M.; Blubaugh, Morgan V.; Clements, Charles W.

2009-01-01

Background In 2004, Uslan and colleagues determined that insulin pumps (IPs) on the market were largely inaccessible to blind and visually impaired persons. The objective of this study is to determine if accessibility status changed in the ensuing 4 years. Methods Five IPs on the market in 2008 were acquired and analyzed for key accessibility traits such as speech and other audio output, tactual nature of control buttons, and the quality of visual displays. It was also determined whether or not a blind or visually impaired person could independently complete tasks such as programming the IP for insulin delivery, replacing batteries, and reading manuals and other documentation. Results It was found that IPs have not improved in accessibility since 2004. None have speech output, and with the exception of the Animas IR 2020, no significantly improved visual display characteristics were found. Documentation is still not completely accessible. Conclusion Insulin pumps are relatively complex devices, with serious health consequences resulting from improper use. For IPs to be used safely and independently by blind and visually impaired patients, they must include voice output to communicate all the information presented on their display screens. Enhancing display contrast and the size of the displayed information would also improve accessibility for visually impaired users. The IPs must also come with accessible user documentation in alternate formats. PMID:20144301

Are current insulin pumps accessible to blind and visually impaired people?

PubMed

Burton, Darren M; Uslan, Mark M; Blubaugh, Morgan V; Clements, Charles W

2009-05-01

In 2004, Uslan and colleagues determined that insulin pumps (IPs) on the market were largely inaccessible to blind and visually impaired persons. The objective of this study is to determine if accessibility status changed in the ensuing 4 years. Five IPs on the market in 2008 were acquired and analyzed for key accessibility traits such as speech and other audio output, tactual nature of control buttons, and the quality of visual displays. It was also determined whether or not a blind or visually impaired person could independently complete tasks such as programming the IP for insulin delivery, replacing batteries, and reading manuals and other documentation. It was found that IPs have not improved in accessibility since 2004. None have speech output, and with the exception of the Animas IR 2020, no significantly improved visual display characteristics were found. Documentation is still not completely accessible. Insulin pumps are relatively complex devices, with serious health consequences resulting from improper use. For IPs to be used safely and independently by blind and visually impaired patients, they must include voice output to communicate all the information presented on their display screens. Enhancing display contrast and the size of the displayed information would also improve accessibility for visually impaired users. The IPs must also come with accessible user documentation in alternate formats. 2009 Diabetes Technology Society.

Managing diabetes at high altitude: personal experience with support from a Multidisciplinary Physical Activity and Diabetes Clinic.

PubMed

Malcolm, Gary; Rilstone, Sian; Sivasubramaniyam, Sivasujan; Jairam, Carol; Chew, Stephen; Oliver, Nick; Hill, Neil E

2017-01-01

Physical activity is important for well-being but can be challenging for people with diabetes. Data informing support of specialist activities such as climbing and high-altitude trekking are limited. A 42-year-old man with type 1 diabetes (duration 30 years) attended a Multidisciplinary Physical Activity and Diabetes Clinic planning to climb Mont Blanc during the summer and trek to Everest Base Camp in the autumn. His aims were to complete these adventures without his diabetes impacting on their success. We report the information provided that enabled him to safely facilitate his objectives, in particular, the requirement for frequent checking of blood glucose levels, the effects of altitude on insulin dose requirements, and recognition that acute mountain sickness may mimic the symptoms of hypoglycaemia and vice versa. Real-time continuous glucose monitoring was made available for his treks. The effects of high altitude on blood glucose results and glycaemic variability while treated on multiple daily injections of insulin are reported. In addition, we present a first-person account of his experience and lessons learnt from managing diabetes at high altitude. A dedicated Multidisciplinary Physical Activity and Diabetes Clinic delivering individualised, evidence-based, patient-focused advice on the effects of altitude on blood glucose levels, and provision of real-time continuous glucose monitoring enabled uneventful completion of a trek to Everest Base Camp in a person with type 1 diabetes.

A Comprehensive List of Items to be Included on a Pediatric Drug Monograph

PubMed Central

Ito, Shinya; Woods, David; Nunn, Anthony J.; Taketomo, Carol; de Hoog, Matthijs; Offringa, Martin

2017-01-01

OBJECTIVES Children require special considerations for drug prescribing. Drug information summarized in a formulary containing drug monographs is essential for safe and effective prescribing. Currently, little is known about the information needs of those who prescribe and administer medicines to children. Our primary objective was to identify a list of important and relevant items to be included in a pediatric drug monograph. METHODS Following the establishment of an expert steering committee and an environmental scan of adult and pediatric formulary monograph items, 46 participants from 25 countries were invited to complete a 2-round Delphi survey. Questions regarding source of prescribing information and importance of items were recorded. An international consensus meeting to vote on and finalize the items list with the steering committee followed. RESULTS Pediatric formularies are most commonly the first resource consulted for information on medication used in children by 31 Delphi participants. After the Delphi rounds, 116 items were identified to be included in a comprehensive pediatric drug monograph, including general information, adverse drug reactions, dosages, precautions, drug-drug interactions, formulation, and drug properties. CONCLUSIONS Health care providers identified 116 monograph items as important for prescribing medicines for children by an international consensus-based process. This information will assist in setting standards for the creation of new pediatric drug monographs for international application and for those involved in pediatric formulary development. PMID:28337081

A Comprehensive List of Items to be Included on a Pediatric Drug Monograph.

PubMed

Kelly, Lauren E; Ito, Shinya; Woods, David; Nunn, Anthony J; Taketomo, Carol; de Hoog, Matthijs; Offringa, Martin

2017-01-01

Children require special considerations for drug prescribing. Drug information summarized in a formulary containing drug monographs is essential for safe and effective prescribing. Currently, little is known about the information needs of those who prescribe and administer medicines to children. Our primary objective was to identify a list of important and relevant items to be included in a pediatric drug monograph. Following the establishment of an expert steering committee and an environmental scan of adult and pediatric formulary monograph items, 46 participants from 25 countries were invited to complete a 2-round Delphi survey. Questions regarding source of prescribing information and importance of items were recorded. An international consensus meeting to vote on and finalize the items list with the steering committee followed. Pediatric formularies are most commonly the first resource consulted for information on medication used in children by 31 Delphi participants. After the Delphi rounds, 116 items were identified to be included in a comprehensive pediatric drug monograph, including general information, adverse drug reactions, dosages, precautions, drug-drug interactions, formulation, and drug properties. Health care providers identified 116 monograph items as important for prescribing medicines for children by an international consensus-based process. This information will assist in setting standards for the creation of new pediatric drug monographs for international application and for those involved in pediatric formulary development.

Supporting the future nuclear workforce with computer-based procedures

DOE PAGES

Oxstrand, Johanna; Le Blanc, Katya

2016-05-01

Here we see that computer-based tools have dramatically increased ease and efficiency of everyday tasks. Gone are the days of paging through a paper catalog, transcribing product numbers, and calculating totals. Today, a consumer can find a product online with a simple search engine, and then purchase it in a matter of a few clicks. Paper catalogs have their place, but it is hard to imagine life without on-line shopping sites. All tasks conducted in a nuclear power plant are guided by procedures, which helps ensure safe and reliable operation of the plants. One prominent goal of the nuclear industrymore » is to minimize the risk of human errors. To achieve this goal one has to ensure tasks are correctly and consistently executed. This is partly achieved by training and by a structured approach to task execution, which is provided by procedures and work instructions. Procedures are used in the nuclear industry to direct workers' actions in a proper sequence. The governing idea is to minimize the reliance on memory and choices made in the field. However, the procedure document may not contain sufficient information to successfully complete the task. Therefore, the worker might have to carry additional documents such as turnover sheets, operation experience, drawings, and other procedures to the work site. The nuclear industry is operated with paper procedures like paper catalogs of the past. A field worker may carry a large stack of documents needed to complete a task to the field. Even though the paper process has helped keep the industry safe for decades, there are limitations to using paper. Paper procedures are static (i.e., the content does not change after the document is printed), difficult to search, and rely heavily on the field worker’s situational awareness and ability to consistently meet the high expectation of human performance excellence. With computer-based procedures (CBPs) that stack of papers may be reduced to the size of a small tablet or even a smart phone. Instead of manually matching equipment identification numbers listed in the procedure with the number on the physical equipment the field worker can simply scan a barcode to ensure the correct valve is opened while simultaneously creating a record. Instead of navigating through a maze of cross-references, CBPs enable intelligent work path navigation which accounts for past decisions and observation, thereby enabling more efficient and safe task completion.« less

Supporting the future nuclear workforce with computer-based procedures

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

Oxstrand, Johanna; Le Blanc, Katya

Here we see that computer-based tools have dramatically increased ease and efficiency of everyday tasks. Gone are the days of paging through a paper catalog, transcribing product numbers, and calculating totals. Today, a consumer can find a product online with a simple search engine, and then purchase it in a matter of a few clicks. Paper catalogs have their place, but it is hard to imagine life without on-line shopping sites. All tasks conducted in a nuclear power plant are guided by procedures, which helps ensure safe and reliable operation of the plants. One prominent goal of the nuclear industrymore » is to minimize the risk of human errors. To achieve this goal one has to ensure tasks are correctly and consistently executed. This is partly achieved by training and by a structured approach to task execution, which is provided by procedures and work instructions. Procedures are used in the nuclear industry to direct workers' actions in a proper sequence. The governing idea is to minimize the reliance on memory and choices made in the field. However, the procedure document may not contain sufficient information to successfully complete the task. Therefore, the worker might have to carry additional documents such as turnover sheets, operation experience, drawings, and other procedures to the work site. The nuclear industry is operated with paper procedures like paper catalogs of the past. A field worker may carry a large stack of documents needed to complete a task to the field. Even though the paper process has helped keep the industry safe for decades, there are limitations to using paper. Paper procedures are static (i.e., the content does not change after the document is printed), difficult to search, and rely heavily on the field worker’s situational awareness and ability to consistently meet the high expectation of human performance excellence. With computer-based procedures (CBPs) that stack of papers may be reduced to the size of a small tablet or even a smart phone. Instead of manually matching equipment identification numbers listed in the procedure with the number on the physical equipment the field worker can simply scan a barcode to ensure the correct valve is opened while simultaneously creating a record. Instead of navigating through a maze of cross-references, CBPs enable intelligent work path navigation which accounts for past decisions and observation, thereby enabling more efficient and safe task completion.« less

[Current cases of falsified medicinal products within the competence of the Federal Institute for Drugs and Medical Devices (BfArM) : Case studies and extent].

PubMed

Wittstock, Marcus; Paeschke, Norbert

2017-11-01

The nature of a falsification of a medicinal product can vary a lot. Therefore the means to detect them and the potential risk to patient safety can also be very different. The whole range of falsification will be described using observed cases from the Federal Institute for Drugs and Medical Devices (BfArM).Based on the relatively low number of detected cases of falsified medicines, the legal supply chain can still be regarded as safe. It has to be assumed that in the illegal supply chain, e. g. illegal internet trade, the majority of the offered medicinal products are not only falsifications due to illegal trade but because they are completely falsified. Therefore there is an especially high risk for the consumer to be harmed by medicinal products that do not fulfil the required specifications.The trend indicates that increased efforts will be necessary to keep the legal supply chain safe and to contain illegal trade with falsifications. The higher federal authorities BfArM, PEI and BVL are involved in this task by coordinating and ensuring the flow of information to the concerned authorities and stakeholders as well as informing the public. Increased efforts are also necessary due to the rising involvement of organised crime in the falsification of medicinal products. A package of measures was enacted with the Falsified Medicines Directive 2011/62/EU to protect the legal supply chain from falsified medicinal products.

Reproductive Toxic Chemicals at Work and Efforts to Protect Workers' Health: A Literature Review.

PubMed

Rim, Kyung-Taek

2017-06-01

A huge number of chemicals are produced and used in the world, and some of them can have negative effects on the reproductive health of workers. To date, most chemicals and work environments have not been studied for their potential to have damaging effects on the workers' reproductive system. Because of the lack of information, many workers may not be aware that such problems can be related to occupational exposures. Newly industrialized countries such as Republic of Korea have rapidly amassed chemicals and other toxicants that pose health hazards, especially to the reproductive systems of workers. This literature review provides an overview of peer-reviewed literature regarding the teratogenic impact and need for safe handling of chemicals. Literature searches were performed using PubMed, Google Scholar, and ScienceDirect. Search strategies were narrowed based on author expertise and 100 articles were chosen for detailed analysis. A total of 47 articles met prespecified inclusion criteria. The majority of papers contained studies that were descriptive in nature with respect to the Medical Subject Headings (MeSH) terms and keywords: "reproductive and heath or hazard and/or workplace or workers or occupations." In the absence of complete information about the safe occupational handling of chemicals in Republic of Korea (other than a material safety data sheet), this review serves as a valuable reference for identifying and remedying potential gaps in relevant regulations. The review also proposes other public health actions including hazard surveillance and primary prevention activities such as reduction, substitution, ventilation, as well as protective equipment.

Psychophsyiological reactivity during uncertainty and ambiguity processing in high and low worriers.

PubMed

Kirschner, Hans; Hilbert, Kevin; Hoyer, Jana; Lueken, Ulrike; Beesdo-Baum, Katja

2016-03-01

Intolerance of uncertainty (IU) has been linked to Generalized Anxiety Disorder (GAD), but studies experimentally manipulating uncertainty have mostly failed to find differences between GAD patients and controls, possible due to a lack of distinction between uncertainty and ambiguity. This study therefore investigated reactivity to ambiguity in addition to uncertainty in high worriers (HW) and low worriers (LW). We hypothesized an interpretation bias between the groups during ambiguity tasks, while uncertainty would facilitate threat processing of subsequent aversive stimuli. HW (N = 23) and LW (N = 23) completed a paradigm comprising the anticipation and perception of pictures with dangerous, safe, or ambiguous content. Anticipatory cues were certain (always correct information about the following picture) or uncertain (no information). Subjective ratings, reaction times and skin conductance responses (SCRs) were recorded. HW rated particularly ambiguous pictures as more aversive and showed longer reaction times to all picture conditions compared to LW. SCRs were also larger in HW compared to LW, particularly during uncertain but also safe anticipation. No group differences were observed during perception of stimuli. All participants were female. HW was used as subclinical phenotype of GAD. Intolerance of ambiguity seems to be related to individual differences in worry and possibly to the development of GAD. Threat-related interpretations differentiating HW and LW occurred particularly for ambiguous pictures but were not accompanied by increased autonomic arousal during the picture viewing. This disparity between subjective rating and arousal may be the result of worrying in response to intolerance of uncertainty, restraining physiological responses. Copyright © 2015 Elsevier Ltd. All rights reserved.

SPECT (Single-Photon Emission Computerized Tomography) Scan

MedlinePlus

... can become damaged or even die. Reduced pumping efficiency. SPECT can show how completely your heart chambers ... radioactive tracer SPECT scans aren't safe for women who are pregnant or breast-feeding because the ...

SUMP SAFE BIO-RECLAIM

EPA Pesticide Factsheets

Technical product bulletin: this bioremediation agent (biological additive/microbiological culture) for oil spill cleanups can be used on soil or open water. Soil should be broken up, and biodegradation is complete in approximately 12 to 18 weeks.

Laparoscopic retroperitoneal lymph-node dissection with the waterjet is technically feasible and safe in testis-cancer patient.

PubMed

Corvin, Stefan; Sturm, Wolfgang; Schlatter, Evelin; Anastasiadis, Aristotelis; Kuczyk, Markus; Stenzl, Arnulf

2005-09-01

The acceptance of open retroperitoneal lymph node dissection (RPLND) for stage I and II nonseminomatous testicular cancer has decreased because of the intraoperative and postoperative morbidity of the procedure. Laparoscopic RPLND is a minimally invasive and safe alternative for low-stage germ-cell tumors. It is, however, technically demanding and should therefore be performed only in experienced centers. The purpose of the present study was to evaluate the waterjet technique for laparoscopic RPLND. A series of 18 patients with clinical stage I testis cancer (group A) and 7 patients who had received chemotherapy for stage II disease (group B) underwent laparoscopic RPLND at our institution. The procedure was performed identically to the open approach using the modified template according to Weissbach and associates. The waterjet was used for removal of lymphatic tissue from the aorta and the vena cava, as well as from the sympathetic trunk. The operation was completed in all patients without conversion to open surgery. The mean operating time was 232 +/- 48 minutes. The waterjet was able to remove lymphatic tissue easily and atraumatically. At pressures of 20 bar, the lymph-node capsule remained completely intact, thus avoiding tumor-cell spread. Antegrade ejaculation could be preserved in all patients, who, to date, show no evidence of disease. The waterjet allows the safe and complete removal of lymphatic tissue, leaving vulnerable anatomic structures intact. It can decrease the learning curve of laparoscopic RPLND and contribute to better acceptance of this procedure.

SU-E-I-97: Smart Auto-Planning Framework in An EMR Environment (SAFEE)

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

Zhang, B; Chen, S; Mutaf, Y

2014-06-01

Purpose: Our Radiation Oncology Department uses clinical practice guidelines for patient treatment, including normal tissue sparing and other dosimetric constraints. These practice guidelines were adapted from national guidelines, clinical trials, literature reviews, and practitioner's own experience. Modern treatment planning systems (TPS) have the capability of incorporating these practice guidelines to automatically create radiation therapy treatment plans with little human intervention. We are developing a software infrastructure to integrate clinical practice guidelines and radiation oncology electronic medical record (EMR) system into radiation therapy treatment planning system (TPS) for auto planning. Methods: Our Smart Auto-Planning Framework in an EMR environment (SAFEE) usesmore » a software pipeline framework to integrate practice guidelines,EMR, and TPS together. The SAFEE system starts with retrieving diagnosis information and physician's prescription from the EMR system. After approval of contouring, SAFEE will automatically create plans according to our guidelines. Based on clinical objectives, SAFEE will automatically select treatment delivery techniques (such as, 3DRT/IMRT/VMAT) and optimize plans. When necessary, SAFEE will create multiple treatment plans with different combinations of parameters. SAFEE's pipeline structure makes it very flexible to integrate various techniques, such as, Model-Base Segmentation (MBS) and plan optimization algorithms, e.g., Multi-Criteria Optimization (MCO). In addition, SAFEE uses machine learning, data mining techniques, and an integrated database to create clinical knowledgebase and then answer clinical questions, such as, how to score plan quality or how volume overlap affects physicians' decision in beam and treatment technique selection. Results: In our institution, we use Varian Aria EMR system and RayStation TPS from RaySearch, whose ScriptService API allows control by external programs. These applications are the building blocks of our SAFEE system. Conclusion: SAFEE is a feasible method of integrating clinical information to develop an auto-planning paradigm to improve clinical workflow in cancer patient care.« less

Safe to Fly: Certifying COTS Hardware for Spaceflight

NASA Technical Reports Server (NTRS)

Fichuk, Jessica L.

2011-01-01

Providing hardware for the astronauts to use on board the Space Shuttle or International Space Station (ISS) involves a certification process that entails evaluating hardware safety, weighing risks, providing mitigation, and verifying requirements. Upon completion of this certification process, the hardware is deemed safe to fly. This process from start to finish can be completed as quickly as 1 week or can take several years in length depending on the complexity of the hardware and whether the item is a unique custom design. One area of cost and schedule savings that NASA implements is buying Commercial Off the Shelf (COTS) hardware and certifying it for human spaceflight as safe to fly. By utilizing commercial hardware, NASA saves time not having to develop, design and build the hardware from scratch, as well as a timesaving in the certification process. By utilizing COTS hardware, the current detailed certification process can be simplified which results in schedule savings. Cost savings is another important benefit of flying COTS hardware. Procuring COTS hardware for space use can be more economical than custom building the hardware. This paper will investigate the cost savings associated with certifying COTS hardware to NASA s standards rather than performing a custom build.

Reliability of a Test Battery Designed for Quickly and Safely Assessing Diverse Indices of Neuromuscular Function

NASA Technical Reports Server (NTRS)

Spiering, Barry A.; Lee, Stuart M. C.; Mulavara, Ajitkumar P.; Bentley, Jason, R.; Buxton, Roxanne E.; Lawrence, Emily L.; Sinka, Joseph; Guilliams, Mark E.; Ploutz-Snyder, Lori L.; Bloomberg, Jacob J.

2010-01-01

Spaceflight affects nearly every physiological system. Spaceflight-induced alterations in physiological function translate to decrements in functional performance. Purpose: To develop a test battery for quickly and safely assessing diverse indices of neuromuscular performance. I. Quickly: Battery of tests can be completed in approx.30-40 min. II. Safely: a) No eccentric muscle actions or impact forces. b) Tests present little challenge to postural stability. III. Diverse indices: a) Strength: Excellent reliability (ICC = 0.99) b) Central activation: Very good reliability (ICC = 0.87) c) Power: Excellent reliability (ICC = 0.99) d) Endurance: Total work has excellent reliability (ICC = 0.99) e) Force steadiness: Poor reliability (ICC = 0.20 - 0.60) National

Measuring the FMCSA's safety objectives from March 2000 to September 2004.

DOT National Transportation Integrated Search

2006-01-01

The Volpe Center was requested by FMCSA to establish metrics and benchmarks against which to assess progress in attaining the FMCSA safety objectives. This was to be done objectively, emphasizing the use of SafeStat information. SafeStat (short for M...

OS Aviation Information

Science.gov Websites

Aviation Weather Program is to couple the art and science of meteorology to enhance the safe and efficient significant weather forecasts crossing international boundaries. Keeping Our National Airspace System Safe The System Newsletter Aviation Weather Center (AWC) Alaska Aviation Weather Unit (AAWU) Space Environment

Analysis of Information Security Management Systems at 5 Domestic Hospitals with More than 500 Beds

PubMed Central

Park, Woo-Sung; Son, Seung-Sik; Lee, Mee-Jeong; Kim, Shin-Hyo; Choi, Eun-Mi; Bang, Ji-Eon; Kim, Yea-Eun; Kim, Ok-Nam

2010-01-01

Objectives The information security management systems (ISMS) of 5 hospitals with more than 500 beds were evaluated with regards to the level of information security, management, and physical and technical aspects so that we might make recommendations on information security and security countermeasures which meet both international standards and the needs of individual hospitals. Methods The ISMS check-list derived from international/domestic standards was distributed to each hospital to complete and the staff of each hospital was interviewed. Information Security Indicator and Information Security Values were used to estimate the present security levels and evaluate the application of each hospital's current system. Results With regard to the moderate clause of the ISMS, the hospitals were determined to be in compliance. The most vulnerable clause was asset management, in particular, information asset classification guidelines. The clauses of information security incident management and business continuity management were deemed necessary for the establishment of successful ISMS. Conclusions The level of current ISMS in the hospitals evaluated was determined to be insufficient. Establishment of adequate ISMS is necessary to ensure patient privacy and the safe use of medical records for various purposes. Implementation of ISMS which meet international standards with a long-term and comprehensive perspective is of prime importance. To reflect the requirements of the varied interests of medical staff, consumers, and institutions, the establishment of political support is essential to create suitable hospital ISMS. PMID:21818429

Using climate information for fuels management

USGS Publications Warehouse

Kolden, Crystal A.; Brown, Timothy J.

2008-01-01

Climate has come to the forefront of wildfire discussions in recent years as research contributes to the general understanding of how climate influences fuels availability to burn, the occurrence of severe fire weather conditions and other wildfire parameters. This understanding has crossed over into wildfire management applications through the creation of tools like climate forecasts for wildfire and drought indices, which are now widely used in wildfire suppression and mitigation planning. The overall question is how can climate information help fire managers meet management objectives? Climate underlies weather. For example, a number of days could be generally wet, but that may occur in the context of a two-year overall drought. Knowing the baseline climate is not only critical to preventing escaped prescribed fires, but also how it may affect fire behavior, fire effects and whether or not fire managers will meet their fuels management objectives. Thus, for fire managers to use prescribed and WFU fire safely and effectively, and to minimize the number of escaped fires and conversions to suppression, they need to understand how current climate conditions will impact the use of fire. One example is the need to use prescribed fire under set “burn windows”. Since meteorological conditions vary considerably from year to year for a given day, fire managers will be more successful in utilizing burn windows effectively if they understand those climate thresholds conducive to an increased number of safe burn windows, and are able to predict and take advantage of those burn windows. While climate and wildfire has been studied extensively, climate and fire use has not. The initial goal of this project was to assess how climate impacts prescribed fire use in a more general sense. After a preliminary informal survey in the spring of 2003, we determined that 1) there is insufficient data (less than 10 years) to conduct empirical correlative studies similar to those of the relationships between climate and wildfire (e.g., Swetnam and Betancourt 1990), and 2) prescribed fire policy has many regulations that potentially inhibited the use of climate information for decision-making. It was also determined that because fire use is a human decision, it would be more informative to ask fire managers themselves how climate impacts fire use through their decision-making processes, and whether or not they use climate information for prescribed fire. The first task for this project was to complete a regional survey of prescribed fire managers in California and Nevada. During the second phase of the project, additional prescribed fire managers were surveyed across the country. During the third year a second survey of WFU managers was completed. The goals of these inquiries were to determine: 1) If fire managers use climate information for fuels management; 2) The perspective fire managers have towards climate affecting fuels management; 3) Determine any obstacles that make it difficult to use climate information for fuels management; and 4) Determine climate information managers need to help them make better decisions for fire use.

Reduction in fluoride-induced genotoxicity in mouse bone marrow cells after substituting high fluoride-containing water with safe drinking water.

PubMed

Podder, Santosh; Chattopadhyay, Ansuman; Bhattacharya, Shelley

2011-10-01

Treatment of mice with 15 mg l(-1) sodium fluoride (NaF) for 30 days increased the number of cell death, chromosomal aberrations (CAs) and 'cells with chromatid breaks' (aberrant cells) compared with control. The present study was intended to determine whether the fluoride (F)-induced genotoxicity could be reduced by substituting high F-containing water after 30 days with safe drinking water, containing 0.1 mg F ions l(-1). A significant fall in percentage of CAs and aberrant cells after withdrawal of F-treatment following 30 days of safe water treatment in mice was observed which was highest after 90 days, although their levels still remained significantly high compared with the control group. This observation suggests that F-induced genotoxicity could be reduced by substituting high F-containing water with safe drinking water. Further study is warranted with different doses and extended treatment of safe water to determine whether the induced damages could be completely reduced or not. Copyright © 2011 John Wiley & Sons, Ltd.

Children and firearms in the home: a Southwestern Ohio Ambulatory Research Network (SOAR-Net) study.

PubMed

Forbis, Shalini G; McAllister, Terence R; Monk, Susan M; Schlorman, Christopher A; Stolfi, Adrienne; Pascoe, John M

2007-01-01

To ascertain the prevalence of gun ownership, gun safety education, and parental attitudes on gun counseling in a Midwestern sample. Parents seeking care at participating practices in the Southwestern Ohio Ambulatory Research Network were recruited to complete a survey about gun ownership, gun safety education, and gun counseling attitudes. Attitudes and beliefs were compared between gun owners and non-gun owners. Twenty-four percent of respondents had at least 1 gun in the home. Military families were more likely to own a gun than civilian families (28% vs 18%, P = .001). Fifty-two percent of sample children have received gun safety education. Eight percent indicated that a physician had asked about guns or discussed gun safety issues during an office visit. A majority of parents indicated that physicians should ask about guns in the home (69%) and advise parents on safe storage (75%), but they should not advise parents to remove guns from the home (12% of gun owners, 42% of non-gun owners). Despite the morbidity and mortality associated with guns, physicians in this study do not seem to be addressing this risk with families. A majority of gun owners do not agree that physicians should counsel the removal of guns from the home but agree that they should discuss safe gun storage information.

Building nursing intellectual capital for safe use of information technology: a systematic review.

PubMed

Poe, Stephanie S

2011-01-01

Information technology is integral to health care delivery. Nurse leaders recognize the need to build intellectual capital (knowledge, skills, and experience) in use and oversight of electronic health records despite financial constraints on indirect care time. A systematic literature review was conducted to answer the question, "What are the best practices to build nursing intellectual capital for use of IT for safe clinical care?" Evidence was translated to support a planned electronic health record rollout.

3D in vivo femoro-tibial kinematics of tri-condylar total knee arthroplasty during kneeling activities.

PubMed

Nakamura, Shinichiro; Sharma, Adrija; Kobayashi, Masahiko; Ito, Hiromu; Nakamura, Kenji; Zingde, Sumesh M; Nakamura, Takashi; Komistek, Richard D

2014-01-01

Kneeling position can serve as an important posture, providing stability and balance from a standing position to sitting on the floor or vice-versa. The purpose of the current study was to determine the kinematics during kneeling activities after subjects were implanted with a tri-condylar total knee arthroplasty. Kinematics was evaluated in 54 knees using fluoroscopy and a three-dimensional model fitting approach. The average knee flexion at before contact status, at complete contact and at maximum flexion was 98.1±9.0°, 107.2±6.7°, and 139.6±12.3°, respectively. On average, there was no gross anterior displacement from before contact status to complete contact. Only slight posterior rollback motion of both condyles from complete contact to maximum flexion was observed. Three of 39 (7.7%) knees experienced anterior movement of both condyles more than 2mm from before contact status to complete contact. Reverse rotation pattern from before contact status to complete contact and then normal rotation pattern from complete contact to maximum flexion were observed. Condylar lift-off greater than 1.0 mm was observed in 45 knees (83.3%). The presence of the ball-and-socket joint articulation provides sufficient antero-posterior stability in these designs to enable the patients to kneel safely without the incidence of any dislocation. This study suggests a safe implant design for kneeling. © 2013.

76 FR 64074 - Schedules for Atlantic Shark Identification Workshops and Protected Species Safe Handling...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-17

.... See SUPPLEMENTARY INFORMATION for further details. FOR FURTHER INFORMATION CONTACT: Richard A. Pearson of the Highly Migratory Species Management Division at (727) 824-5399. SUPPLEMENTARY INFORMATION...

Safe Drinking Water Information System Federal Version (SDWIS/FED)

EPA Pesticide Factsheets

SDWIS/FED is EPA’s national database that manages and collects public water system information from states, including reports of drinking water standard violations, reporting and monitoring violations, and other basic information.

Discrete Abstractions of Hybrid Systems: Verification of Safety and Application to User-Interface Design

NASA Technical Reports Server (NTRS)

Oishi, Meeko; Tomlin, Claire; Degani, Asaf

2003-01-01

Human interaction with complex hybrid systems involves the user, the automation's discrete mode logic, and the underlying continuous dynamics of the physical system. Often the user-interface of such systems displays a reduced set of information about the entire system. In safety-critical systems, how can we identify user-interface designs which do not have adequate information, or which may confuse the user? Here we describe a methodology, based on hybrid system analysis, to verify that a user-interface contains information necessary to safely complete a desired procedure or task. Verification within a hybrid framework allows us to account for the continuous dynamics underlying the simple, discrete representations displayed to the user. We provide two examples: a car traveling through a yellow light at an intersection and an aircraft autopilot in a landing/go-around maneuver. The examples demonstrate the general nature of this methodology, which is applicable to hybrid systems (not fully automated) which have operational constraints we can pose in terms of safety. This methodology differs from existing work in hybrid system verification in that we directly account for the user's interactions with the system.

The anterior interhemispheric approach: a safe and effective approach to anterior skull base lesions.

PubMed

Mielke, Dorothee; Mayfrank, Lothar; Psychogios, Marios Nikos; Rohde, Veit

2014-04-01

Many approaches to the anterior skull base have been reported. Frequently used are the pterional, the unilateral or bilateral frontobasal, the supraorbital and the frontolateral approach. Recently, endoscopic transnasal approaches have become more popular. The benefits of each approach has to be weighted against its complications and limitations. The aim of this study was to investigate if the anterior interhemispheric approach (AIA) could be a safe and effective alternative approach to tumorous and non-tumorous lesions of the anterior skull base. We screened the operative records of all patients with an anterior skull base lesion undergoing transcranial surgery. We have used the AIA in 61 patients. These were exclusively patients with either olfactory groove meningioma (OGM) (n = 43), ethmoidal dural arteriovenous fistula (dAVF) ( n = 6) or frontobasal fractures of the anterior midline with cerebrospinal fluid (CSF) leakage ( n = 12). Patient records were evaluated concerning accessibility of the lesion, realization of surgical aims (complete tumor removal, dAVF obliteration, closure of the dural tear), and approach related complications. The use of the AIA exclusively in OGMs, ethmoidal dAVFs and midline frontobasal fractures indicated that we considered lateralized frontobasal lesions not suitable to be treated successfully. If restricted to these three pathologies, the AIA is highly effective and safe. The surgical aim (complete tumor removal, complete dAVF occlusion, no rhinorrhea) was achieved in all patients. The complication rate was 11.5 % (wound infection (n = 2; 3.2 %), contusion of the genu of the corpus callosum, subdural hygroma, epileptic seizure, anosmia and asymptomatic bleed into the tumor cavity (n = 1 each). Only the contusion of the corpus callosum was directly related to the approach (1.6 %). Olfaction, if present before surgery, was preserved in all patients, except one (1.6 %). The AIA is an effective and a safe approach to tumorous, vascular and traumatic pathologies of the midline anterior skull base. This approach should be part of the armamentarium of skull base surgeons.

What are the essential competencies required of a midwife at the point of registration?

PubMed

Butler, Michelle M; Fraser, Diane M; Murphy, Roger J L

2008-09-01

to identify the essential competencies required of a midwife at the point of registration. qualitative, descriptive, extended case study and depth interviews. pre-registration midwifery education in England. 39 qualifying midwives, their assessors, midwives and midwife teachers across six higher education institutions, and 20 experienced midwives at two sites. essential competencies were identified relating to (1) being a safe practitioner; (2) having the right attitude; and (3) being an effective communicator. In order to be a safe practitioner, it was proposed that a midwife must have a reasonable degree of self-sufficiency, use up-to-date knowledge in practice, and have self and professional awareness. It was suggested that having the right attitude involves being motivated, being committed to midwifery and being caring and kind. Participants highlighted the importance of effective communication so that midwives can relate to and work in partnership with women and provide truly informed choice. Essential communication skills include active listening, providing appropriate information and flexibility. the most important requirement at registration is that a midwife is safe and will practise safely. However, this capability to be safe is further mediated by attitudes and communication skills. models of midwifery competence should always include personal attributes and effective communication in addition to the competencies required to be able to practise safely, and there should be an explicit focus in curriculum content, skills training and assessment on attitudes and communication.

77 FR 17458 - Proposed Information Collection; Comment Request; Observer Programs' Information that Can Be...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-26

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Observer Programs' Information that Can Be Gathered Only Through Questions... options; and (5) ensure that the observer programs can safely and efficiently collect the information...

The Role of Parents and Caregivers in Providing Safe Transportation for Occupants Seated in Wheelchairs

ERIC Educational Resources Information Center

Schneider, Lawrence W.; Manary, Miriam; Bertocci, Gina

2007-01-01

The responsibility for providing safe transportation for travelers seated in wheelchairs is shared by many stakeholders, including wheelchair and tiedown/restraint manufacturers, vehicle modifiers and equipment installers, transit providers, rehabilitation technology suppliers, wheelchair/seating clinicians, and even informed and responsible…

Clean air program : design guidelines for bus transit systems using compressed natural gas as an alternative fuel

DOT National Transportation Integrated Search

1996-06-01

This report documents design guidelines for the safe use of Compressed Natural Gas (CNG). The report is designed to provide guidance, information on safe industry practices, applicable national codes and standards, and reference data that transit age...

Operational and Medical Procedures for a Declared Contingency Shuttle (CSCS) Shuttle Mission Due to a Failure that Precludes a Safe Return

NASA Technical Reports Server (NTRS)

Adams, Adrien; Patlach, Bob; Duchense, Ted; Chandler, Mike; Stepaniak, Philip C.

2011-01-01

This poster paper outlines the operational and medical procedures for a shuttle mission that has a failure that precludes a safe return to Earth. Information about the assumptions, procedures and limiting consumables is included.

Assessment of readability, understandability, and completeness of pediatric hospital medicine discharge instructions.

PubMed

Unaka, Ndidi I; Statile, Angela; Haney, Julianne; Beck, Andrew F; Brady, Patrick W; Jerardi, Karen E

2017-02-01

The average American adult reads at an 8th-grade level. Discharge instructions written above this level might increase the risk of adverse outcomes for children as they transition from hospital to home. We conducted a cross-sectional study at a large urban academic children's hospital to describe readability levels, understandability scores, and completeness of written instructions given to families at hospital discharge. Two hundred charts for patients discharged from the hospital medicine service were randomly selected for review. Written discharge instructions were extracted and scored for readability (Fry Readability Scale [FRS]), understandability (Patient Education Materials Assessment Tool [PEMAT]), and completeness (5 criteria determined by consensus). Descriptive statistics enumerated the distribution of readability, understandability, and completeness of written discharge instructions. Of the patients included in the study, 51% were publicly insured. Median age was 3.1 years, and median length of stay was 2.0 days. The median readability score corresponded to a 10th-grade reading level (interquartile range, 8-12; range, 1-13). Median PEMAT score was 73% (interquartile range, 64%-82%; range, 45%-100%); 36% of instructions scored below 70%, correlating with suboptimal understandability. The diagnosis was described in only 33% of the instructions. Although explicit warning signs were listed in most instructions, 38% of the instructions did not include information on the person to contact if warning signs developed. Overall, the readability, understandability, and completeness of discharge instructions were subpar. Efforts to improve the content of discharge instructions may promote safe and effective transitions home. Journal of Hospital Medicine 2017;12:98-101. © 2017 Society of Hospital Medicine.

Survey of medical doctors' attitudes and knowledge of the association between oral health and pregnancy outcomes.

PubMed

Al-Habashneh, R; Aljundi, S H; Alwaeli, H A

2008-08-01

The study was designed to assess the views and knowledge of healthcare providers in general medicine and other specialties on the association between oral health and pregnancy outcomes. Two hundred and fifty physicians practicing in northern Jordan hospitals and healthcare centers were asked to complete a questionnaire. Completed questionnaires with the answers were returned completed by 197 participants (response rate was 79%). The majority of the physicians (81%) agreed that pregnancy increases the tendency to have gingival inflammation. However, 88% of doctors advised delay dental treatment until after pregnancy. Only half (54%) thought that tooth and gums problem can affect the outcomes of pregnancy. Moreover, approximately 50% agreed with the possible association between oral health and pregnancy outcomes. Altogether, 52% agreed with the statement 'a tooth for a baby' and 57% believed that calcium will be drawn by the developing baby. If asked to advise patient to visit dentist during pregnancy, 50% said they would do so. Moreover, the majority (68%) did not advise women planning to become pregnant to include a periodontal evaluation as part of their prenatal care. About 32% felt that periodontal disease can be treated safely during pregnancy with a procedure called scaling and root planning. Reading the information in a book, magazine or pamphlet was useful and reliable information about preterm births and periodontal disease. Physicians do not routinely advise their patient to seek dental care during pregnancy. General practitioners were less informed about oral health practices on pregnant women. Issues on training need to be addressed. A public health campaign is required to educate healthcare providers to encourage pregnant women on the need for a regular dental check-up during and prior to attempting pregnancy. There is a need to educate healthcare personnel further about oral health and pregnancy outcomes.

Emergency Response Virtual Environment for Safe Schools

NASA Technical Reports Server (NTRS)

Wasfy, Ayman; Walker, Teresa

2008-01-01

An intelligent emergency response virtual environment (ERVE) that provides emergency first responders, response planners, and managers with situational awareness as well as training and support for safe schools is presented. ERVE incorporates an intelligent agent facility for guiding and assisting the user in the context of the emergency response operations. Response information folders capture key information about the school. The system enables interactive 3D visualization of schools and academic campuses, including the terrain and the buildings' exteriors and interiors in an easy to use Web..based interface. ERVE incorporates live camera and sensors feeds and can be integrated with other simulations such as chemical plume simulation. The system is integrated with a Geographical Information System (GIS) to enable situational awareness of emergency events and assessment of their effect on schools in a geographic area. ERVE can also be integrated with emergency text messaging notification systems. Using ERVE, it is now possible to address safe schools' emergency management needs with a scaleable, seamlessly integrated and fully interactive intelligent and visually compelling solution.

An application of a theory of planned behaviour to determine the association between behavioural intentions and safe road-crossing in college students: perspective from Isfahan, Iran.

PubMed

Jalilian, Mohsen; Mostafavi, Firoozeh; Mahaki, Behzad; Delpisheh, Ali; Rad, Gholamreza Sharifi

2015-07-01

To identify the determinants of behavioural intention towards safe road-crossing among college students. The cross-sectional study was conducted in 2013-14 and comprised students of Isfahan University of Medical Sciences, Isfahan, Iran. A self-administrated questionnaire was distributed among the subjects related to road-crossing based on the theory of planned behaviour. Data was analysed using SPSS 21. Of the 300 questionnaires distributed, 278(92.66%) were returned completed. The mean age of the subjects was 23.16±3.66 years. There were 149(53.6%) females and 129(46.4%) males, with females crossing the street more safely than the males. There was a significant difference between the genders for subjective norms (p=0.001), perceived behavioural control (p=0.002) and behavioural intention (p=0.001), but no differences were traced with respect to attitude towards safe crossing (p=0.597). Results showed a direct and positive correlation between attitude towards safe crossing (r=0.276; p=0.001), subjective norms (r=0.368; p=0.001) and perceived behavioural control (r=0.419; p=0.000) with behavioural intention to safe crossing. The attitude towards safe crossing and perceived behavioural control had significant effect on behavioural intention among college students.

Patients in need of medicine information.

PubMed

Kazaryan, I; Sevikyan, A

2015-01-01

Reliable medicine information is important not only for physicians and pharmacists, but also for patients [6]. However, the results of studies implemented in some countries show that patients may have slightly different needs and preferences in using sources of information [1, 4, 5, 7]. The main objective of patient medicines information is assisting consumers to achieve safe and effective use of pharmaceuticals [2, 3]. To identify patients' needs in medicine information and sources they use to receive it. We interviewed 1059 people who had visited community pharmacies in 10 regions of Armenia and Yerevan. Previously developed questionnaire was used for interviewing patients. Statistical analysis was conducted using SPSS program. We found that consumers need medicine information. 68.9% of respondents often use pharmaceuticals only if necessary medicines information is available. The majority of them believe that it is important to have information about therapeutic indications of pharmaceuticals to be used (91.8%), their dosage and method of administration (91.1%), contraindications (82.4%), adverse reactions (81.9%) and the simultaneous use of multiple medicines (76.5%). 58.9% of consumers value information about medicine's price. More than 70% of patients often seek information from health professionals and use medicines package information leaflets (PIL), and more than 75% of respondents mainly trust the same sources. 71.5% of respondents read package leaflets, while 42.0% of consumers do this several times. Only 36.7% of respondents completely understand information in a leaflet. Patients in Armenia need medicine information. They prefer to receive information from sources they trust.Many patients do not understand the content of package information leaflets (PILs) due to barriers, which can be removed by introducing appropriate regulatory provisions for their content and readability.

From unwanted pregnancy to safe abortion: Sharing information about abortion in Asia through animation.

PubMed

Krishnan, Shweta; Dalvie, Suchitra

2015-05-01

Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted Pregnancy to Safe Abortion to show in conferences, schools and meetings in order to share knowledge about the barriers to safe abortion in Asia and to facilitate conversations on the right to safe abortion. This paper describes the making of this film, its objectives, content, dissemination and how it has been used. Our experience highlights the advantages of using animated films in addressing highly politicized and sensitive issues like abortion. Animation helped to create powerful advocacy material that does not homogenize the experiences of women across a diverse region, and at the same time emphasize the need for joint activities that express solidarity. Copyright © 2015. Published by Elsevier Ltd.

New Developments in FPGA: SEUs and Fail-Safe Strategies from the NASA Goddard Perspective

NASA Technical Reports Server (NTRS)

Berg, Melanie D.; Label, Kenneth A.; Pellish, Jonathan

2016-01-01

It has been shown that, when exposed to radiation environments, each Field Programmable Gate Array (FPGA) device has unique error signatures. Subsequently, fail-safe and mitigation strategies will differ per FPGA type. In this session several design approaches for safe systems will be presented. It will also explore the benefits and limitations of several mitigation techniques. The intention of the presentation is to provide information regarding FPGA types, their susceptibilities, and proven fail-safe strategies; so that users can select appropriate mitigation and perform the required trade for system insertion. The presentation will describe three types of FPGA devices and their susceptibilities in radiation environments.

New Developments in FPGA: SEUs and Fail-Safe Strategies from the NASA Goddard Perspective

NASA Technical Reports Server (NTRS)

Berg, Melanie D.; LaBel, Kenneth; Pellish, Jonathan

2015-01-01

It has been shown that, when exposed to radiation environments, each Field Programmable Gate Array (FPGA) device has unique error signatures. Subsequently, fail-safe and mitigation strategies will differ per FPGA type. In this session several design approaches for safe systems will be presented. It will also explore the benefits and limitations of several mitigation techniques. The intention of the presentation is to provide information regarding FPGA types, their susceptibilities, and proven fail-safe strategies; so that users can select appropriate mitigation and perform the required trade for system insertion. The presentation will describe three types of FPGA devices and their susceptibilities in radiation environments.

How Safe Are Our Schools?

ERIC Educational Resources Information Center

Mayer, Matthew J.; Furlong, Michael J.

2010-01-01

Schools are basically safe places for children. School violence and disruption, although in decline through the mid- to late 1990s, remains a concern. National surveys that inform research, policy, and practice have been designed for different purposes and can present conflicting findings. Common standards of risk and harm that could advance…

School Bus Safety.

ERIC Educational Resources Information Center

Stroup, Karen Bruner; And Others

1991-01-01

Equipment to allow safe transportation of disabled children is reviewed. Such equipment includes infant car seats, child safety seats, safety vests, and accommodations for children in casts and/or braces. Five principles for evaluation and selection of safe seating options are given as are safety rules and information on standards and resources.…

76 FR 2394 - Proposed Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... implementation of the Head Start Safe Families Safe Homes domestic violence training curriculum. The Office of... domestic violence service providers in local communities. Teams of trainers in each of five states will... service delivery related to domestic violence. All participants in the local trainings will be asked to...

76 FR 75782 - Revising Standards Referenced in the Acetylene Standard

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-05

... will place comments and other material, including any personal information, in the public docket... man and woman in the nation safe and healthful working conditions and to preserve our human resources... provided these requirements are at least as effective in providing safe and healthful employment and places...

77 FR 29857 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-21

... of cabin pressurization and the inability of the fuselage to withstand fail-safe loads. DATES: This... cabin pressurization and the inability of the fuselage to withstand fail-safe loads. (f) Compliance You... reference of certain publications listed in the AD as of June 25, 2012. ADDRESSES: For service information...

76 FR 82210 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-30

... fuse pins that can fail earlier than the previously determined safe life limit of the pins. A fractured... retract actuator fuse pins that can fail earlier than previously determined safe life limit of the pins. A... Friday, except Federal holidays. For service information identified in this proposed AD, contact Boeing...

77 FR 37781 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-25

... actuator fuse pins that can fail earlier than the previously determined safe life limit of the pins. A... that can fail earlier than the previously determined safe life limit of the pins. A fractured retract... July 30, 2012. ADDRESSES: For service information identified in this AD, contact Boeing Commercial...

Food Safety Posters for Safe Handling of Leafy Greens

ERIC Educational Resources Information Center

Rajagopal, Lakshman; Arendt, Susan W.; Shaw, Angela M.; Strohbehn, Catherine H.; Sauer, Kevin L.

2016-01-01

This article describes food safety educational tools depicting safe handling of leafy greens that are available as downloadable posters to Extension educators and practitioners (www.extension.iastate.edu). Nine visual-based minimal-text colored posters in English, Chinese, and Spanish were developed for use when formally or informally educating…

Aviation Pilot Training I. Task Analyses: Semester II. Field Review Copy.

ERIC Educational Resources Information Center

Upchurch, Richard

This guide for aviation pilot training begins with a course description, resource information, and a course outline. Tasks/competencies are categorized into 12 concept/duty areas: understanding safe procedures in the flight environment; understanding safe procedures in the airport environment; understanding Federal Aviation Regulations concerning…

Exploring Safely: A Guide for Elementary Teachers.

ERIC Educational Resources Information Center

Kwan, Terry; Texley, Juliana

It is very important to provide a safe learning environment for students while engaging them in investigative and observational hands-on science activities. This teacher's guide provides information on safety rules and regulations in a narrative style while discussing both self-contained classroom teachers and science specialists in the elementary…

Manual for physical fitness

NASA Technical Reports Server (NTRS)

Coleman, A. E.

1981-01-01

Training manual used for preflight conditioning of NASA astronauts is written for audience with diverse backgrounds and interests. It suggests programs for various levels of fitness, including sample starter programs, safe progression schedules, and stretching exercises. Related information on equipment needs, environmental coonsiderations, and precautions can help readers design safe and effective running programs.

Literature on the Safe and Disruptive Learning Potential of Mobile Technologies

ERIC Educational Resources Information Center

Koszalka, Tiffany A.; Ntloedibe-Kuswani, G. S.

2010-01-01

Worldwide growth in use of mobile phones has fostered the emergence of mobile learning. Mobile technologies are used both in classrooms to support instruction (safe) and as tools that significantly change instructional activities, learner roles, and learning location (disruptive). Learners become less consumers of information and more…

The Challenge. Volume 13, Number 3, Spring 2005

ERIC Educational Resources Information Center

US Department of Education, 2005

2005-01-01

"The Challenge", a publication of the US Department of Education's office of Safe and Drug-Free Schools, provides critical information and resources to assist schools in creating safe and healthy environments for young people. This issue addresses the following topics: (1) Prevention Programs with Staying Power: What Makes Good Prevention Programs…

76 FR 57044 - Announcement of Requirements and Registration for “Ensuring Safe Transitions From Hospital to Home”

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-15

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Announcement of Requirements and Registration for... Coordinator for Health Information Technology, HHS. ACTION: Notice. SUMMARY: The ``Ensuring Safe Transitions... discharged patients to take charge of their health care during transitions of places of care. Innovative...

21 CFR 573.480 - Formic acid.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.480 Formic acid. The food additive, formic acid, may be safely used in accordance with the... assure safe use of the additive, in addition to the other information required by the Federal Food, Drug...

21 CFR 573.480 - Formic acid.

Code of Federal Regulations, 2014 CFR

2014-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.480 Formic acid. The food additive, formic acid, may be safely used in accordance with the... assure safe use of the additive, in addition to the other information required by the Federal Food, Drug...

21 CFR 573.170 - Ammonium formate.

Code of Federal Regulations, 2013 CFR

2013-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.170 Ammonium formate. The food additive, partially ammonium formate, may be safely used in...) To assure safe use of the additive, in addition to the other information required by the Federal Food...

21 CFR 573.170 - Ammonium formate.

Code of Federal Regulations, 2012 CFR

2012-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.170 Ammonium formate. The food additive, partially ammonium formate, may be safely used in...) To assure safe use of the additive, in addition to the other information required by the Federal Food...

21 CFR 573.170 - Ammonium formate.

Code of Federal Regulations, 2014 CFR

2014-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.170 Ammonium formate. The food additive, ammonium formate, may be safely used in the... safe use of the additive, in addition to the other information required by the Federal Food, Drug, and...

21 CFR 573.480 - Formic acid.

Code of Federal Regulations, 2013 CFR

2013-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.480 Formic acid. The food additive, formic acid, may be safely used in accordance with the... assure safe use of the additive, in addition to the other information required by the Federal Food, Drug...

21 CFR 573.480 - Formic acid.

Code of Federal Regulations, 2012 CFR

2012-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.480 Formic acid. The food additive, formic acid, may be safely used in accordance with the... assure safe use of the additive, in addition to the other information required by the Federal Food, Drug...

21 CFR 573.170 - Ammonium formate.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., FEEDS, AND RELATED PRODUCTS FOOD ADDITIVES PERMITTED IN FEED AND DRINKING WATER OF ANIMALS Food Additive Listing § 573.170 Ammonium formate. The food additive, partially ammonium formate, may be safely used in...) To assure safe use of the additive, in addition to the other information required by the Federal Food...

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

Bretzke, John C.

The Global Security Directorate mission is to protect against proliferant and unconventional nuclear threats –regardless of origin - and emerging new threats. This mission is accomplished as the Los Alamos National Laboratory staff completes projects for our numerous sponsors. The purpose of this Program Management Plan is to establish and clearly describe the GS program management requirements including instructions that are essential for the successful management of projects in accordance with our sponsor requirements. The detailed information provided in this document applies to all LANL staff and their subcontractors that are performing GS portfolio work. GS management is committed tomore » a culture that ensures effective planning, execution, and achievement of measurable results in accordance with the GS mission. Outcomes of such a culture result in better communication, delegated authority, accountability, and increased emphasis on safely and securely achieving GS objectives.« less

Soyuz-MS-07_Farewell-Hatch-Closure_June-3-2018_660949

NASA Image and Video Library

2018-06-04

Expedition 55 Crew Lands Safely in Kazakhstan to Complete Almost Six Months In Space------ Expedition 55 Commander Anton Shkaplerov of Roscosmos and Flight Engineers Scott Tingle of NASA and Norishige Kanai of the Japan Aerospace Exploration Agency (JAXA) landed safely near the town of Dzhezkazgan, Kazakhstan June 3 after bidding farewell to their colleagues on the complex and undocking their Soyuz MS-07 spacecraft from the Rassvet Module on the International Space Station. The trio spent almost six months in space conducting research and operational work in support of the station.

Dissolution of cholesterol gall stones using methyltertbutyl ether: a safe effective treatment.

PubMed Central

McNulty, J; Chua, A; Keating, J; Ah-Kion, S; Weir, D G; Keeling, P W

1991-01-01

Methyltertbutyl ether (MTBE) administered by percutaneous transhepatic catheter rapidly dissolves radiolucent cholesterol gall bladder stones. However, complete dissolution and clearance of non-cholesterol debris is essential to prevent recurrence. In this study we analysed 25 consecutive patients with reference to efficacy and recurrence based on the presence or absence of non-cholesterol stone fragments after dissolution. Placement of the catheter was successful in 24 patients, one patient requiring cholecystectomy for bile peritonitis. MTBE was infused and aspirated continuously, four to six cycles per minute, resulting in rapid stone dissolution (median six hours; range 4-23 hours for solitary stones and median seven hours, range 4-30 hours for multiple stones). In 18 patients who had complete dissolution, four (22%) had recurrent stones within six to 18 months. Five patients had residual debris which failed to clear completely despite bile acid treatment. One patient with an incomplete rim of calcium in a large stone did not respond to MTBE treatment. A further patient required cholecystectomy for symptomatic recurrence. There were no serious side effects observed. MTBE treatment is a rapid, safe, and effective treatment for patients who refuse surgery or who for medical reasons cannot undergo cholecystectomy. The results of this study confirm that complete dissolution of all fragments is essential and may prevent recurrence. Images Figure 2 PMID:1773965

Single Channel Testing for Characterization of the Direct Gas Cooled Reactor and the SAFE-100 Heat Exchanger

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

Bragg-Sitton, S.M.; Propulsion Research Center, NASA Marshall Space Flight Center, Huntsville, AL 35812; Kapernick, R.

2004-02-04

Experiments have been designed to characterize the coolant gas flow in two space reactor concepts that are currently under investigation by NASA Marshall Space Flight Center and Los Alamos National Laboratory: the direct-drive gas-cooled reactor (DDG) and the SAFE-100 heatpipe-cooled reactor (HPR). For the DDG concept, initial tests have been completed to measure pressure drop versus flow rate for a prototypic core flow channel, with gas exiting to atmospheric pressure conditions. The experimental results of the completed DDG tests presented in this paper validate the predicted results to within a reasonable margin of error. These tests have resulted in amore » re-design of the flow annulus to reduce the pressure drop. Subsequent tests will be conducted with the re-designed flow channel and with the outlet pressure held at 150 psi (1 MPa). Design of a similar test for a nominal flow channel in the HPR heat exchanger (HPR-HX) has been completed and hardware is currently being assembled for testing this channel at 150 psi. When completed, these test programs will provide the data necessary to validate calculated flow performance for these reactor concepts (pressure drop and film temperature rise)« less

Improving stroke knowledge through a 'volunteer-led' community education program in Australia.

PubMed

Kilkenny, Monique F; Purvis, Tara; Werner, Megan; Reyneke, Megan; Czerenkowski, Jude; Cadilhac, Dominique A

2016-05-01

Public awareness of stroke risks and warning signs remains poor. The National Stroke Foundation (NSF) in Australia has been undertaking a StrokeSafe Ambassador Education program to raise awareness of stroke. The format includes presentations by volunteers trained to be 'ambassadors' to spread standard information about stroke to the public. Our aim was to determine the change in knowledge of participants who attended presentations. Participants completed questionnaires before immediately after presentations, and at 3months following the presentation. Information was collected on knowledge of risk factors and signs of stroke. McNemar's test was used to compare paired-responses over time. A p value of <0.05 was considered significant. Between March and April 2014, 591 participants attended 185 presentations and 591 (100%) completed them before and immediately after presentation questionnaires: 68% were female and 75% were aged 65years or more. 258 consented for further follow-up with 192 completing follow-up. Comparing immediately after with before presentation showed significantly improved knowledge for all 10 stroke risk factors and all signs of stroke. Significantly improved knowledge for 7/10 risk factors and 1/3 signs of stroke was found when comparing follow-up and immediately after presentation results. Knowledge of 5/10 risk factors and 2/3 signs of stroke improved when comparing follow-up and before presentation. This study describes a novel approach to support the use of trained volunteers to provide a community-based, standardised education program for stroke. This program shows that community presentations can improve immediate and short-term knowledge of signs and risk factors for stroke. Copyright © 2016. Published by Elsevier Inc.

Waterborne Disease Case Investigation: Public Health Nursing Simulation.

PubMed

Alexander, Gina K; Canclini, Sharon B; Fripp, Jon; Fripp, William

2017-01-01

The lack of safe drinking water is a significant public health threat worldwide. Registered nurses assess the physical environment, including the quality of the water supply, and apply environmental health knowledge to reduce environmental exposures. The purpose of this research brief is to describe a waterborne disease simulation for students enrolled in a public health nursing (PHN) course. A total of 157 undergraduate students completed the simulation in teams, using the SBAR (Situation-Background-Assessment-Recommendation) reporting tool. Simulation evaluation consisted of content analysis of the SBAR tools and debriefing notes. Student teams completed the simulation and articulated the implications for PHN practice. Student teams discussed assessment findings and primarily recommended four nursing interventions: health teaching focused on water, sanitation, and hygiene; community organizing; collaboration; and advocacy to ensure a safe water supply. With advanced planning and collaboration with partners, waterborne disease simulation may enhance PHN education. [J Nurs Educ. 2017;56(1):39-42.]. Copyright 2017, SLACK Incorporated.

Attitudes to coping with radiologically suspect or contaminated milk in the UK: a dairy industry viewpoint.

PubMed

Komorowski, E S

2005-01-01

The attitudes of the UK milk processing industry to a nuclear incident which resulted in milk supplies being suspected of being contaminated, or actually being contaminated, with radioactivity is examined. The factors influencing these attitudes are discussed, together with their implications. In the event of a nuclear incident in which part of the United Kingdom's milk supply is possibly contaminated, the milk processing industry will want to ensure that consumers and retailers maintain complete confidence in dairy products. As a consequence the industry will require that solutions are not adopted merely to avoid wastage of milk, or awkward milk disposal problems. In the early history of the BSE crisis the government wrongly assured consumers that beef was completely safe to eat. It will be necessary to ensure that any assurances that milk is safe, following a nuclear incident, are well founded.

An Innovative Multimedia Approach to Laboratory Safety

NASA Technical Reports Server (NTRS)

Anderson, M. B.; Constant, K. P.

1996-01-01

A new approach for teaching safe laboratory practices has been developed for materials science laboratories at Iowa State university. Students are required to complete a computerized safety tutorial and pass an exam before working in the laboratory. The safety tutorial includes sections on chemical, electrical, radiation, and high temperature safety. The tutorial makes use of a variety of interactions, including 'assembly' interactions where a student is asked to drag and drop items with the mouse (either labels or pictures) to an appropriate place on the screen (sometimes in a specific order). This is extremely useful for demonstrating safe lab practices and disaster scenarios. Built into the software is a record tracking scheme so that a professor can access a file that records which students have completed the tutorial and their scores on the exam. This paper will describe the development and assessment of the safety tutorials.

Paternal perception of infant sleep risks and safety.

PubMed

Hirsch, Heather M; Mullins, Samantha H; Miller, Beverly K; Aitken, Mary E

2018-04-10

Sudden Unexpected Infant Death (SUID) results in 3400 sleep-related deaths yearly in the United States, yet caregivers' compliance with safe sleep recommendations remains less than optimal. Paternal caregiver's attitudes toward infant safe sleep messages are largely unaddressed, despite established differences between female and male caregiver perceptions. This study aimed to explore the determinants of safe sleep practices among male caregivers. Focus groups were conducted in Arkansas with male caregivers of infants ages 2-12 months to discuss infant sleep routines, parental roles, sources for safe sleep information, and messaging suggestions for safe sleep promotion. The Health Belief Model of behavior change framed a moderator guide. Transcript-based analysis was used, and data were managed using HyperRESEARCH (version 2.8.3). The transcribed data were coded to identify significant themes. Ten focus groups were conducted with 46 participants. Inconsistent adherence to safe sleep practices was reported. Participants were more likely to describe safe location (57% of participants) and supine position behaviors (42%) than an uncluttered bed environment (26%). Caregivers acknowledged the importance of recommended safe sleep behavior, but admitted to unsafe practices, such as co-sleeping and unsafe daytime sleep. Lack of perceived risk, comfort, and/or resources, and disagreement among family members about safety practices were identified as barriers. Participants voiced concerns that current advertising portrays males as incompetent caregivers. Suggestions included portraying positive images of fathers and male caregivers acting to promote safety and the incorporation of statistics about the hazards of unsafe sleep to better engage fathers. Potential distribution venues included sporting events, home improvement and/or automotive stores, and social media from trusted sites (e.g. hospitals or medical professionals). Male caregivers demonstrate some knowledge base about infant sleep safety, but are not fully practicing all aspects of safe sleep. Targeted messaging towards male caregivers that includes factual information and statistics along with representing males in a positive light is desired.

Ergonomics: safe patient handling and mobility.

PubMed

Hallmark, Beth; Mechan, Patricia; Shores, Lynne

2015-03-01

This article reviews and investigates the issues surrounding ergonomics, with a specific focus on safe patient handling and mobility. The health care worker of today faces many challenges, one of which is related to the safety of patients. Safe patient handling and mobility is on the forefront of the movement to improve patient safety. This article reviews the risks associated with patient handling and mobility, and informs the reader of current evidence-based practice relevant to this area of care. Copyright © 2015 Elsevier Inc. All rights reserved.

An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: The role of written and spoken communication.

PubMed

Curtis, Laura M; Mullen, Rebecca J; Russell, Allison; Fata, Aimee; Bailey, Stacy C; Makoul, Gregory; Wolf, Michael S

2016-09-01

We tested the feasibility and efficacy of an electronic health record (EHR) strategy that automated the delivery of print medication information at the time of prescribing. Patients (N=141) receiving a new prescription at one internal medicine clinic were recruited into a 2-arm physician-randomized study. We leveraged an EHR platform to automatically deliver 1-page educational 'MedSheets' to patients after medical encounters. We also assessed if physicians counseled patients via patient self-report immediately following visits. Patients' understanding was objectively measured via phone interview. 122 patients completed the trial. Most intervention patients (70%) reported receiving MedSheets. Patients reported physicians frequently counseled on indication and directions for use, but less often for risks. In multivariable analysis, written information (OR 2.78, 95% CI 1.10-7.04) and physician counseling (OR 2.95, 95% CI 1.26-6.91) were independently associated with patient understanding of risk information. Receiving both was most beneficial; 87% of those receiving counseling and MedSheets correctly recalled medication risks compared to 40% receiving neither. An EHR can be a reliable means to deliver tangible, print medication education to patients, but cannot replace the salience of physician-patient communication. Offering both written and spoken modalities produced a synergistic effect for informing patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Crewed Space Vehicle Battery Safety Requirements Revision D

NASA Technical Reports Server (NTRS)

Russell, Samuel

2017-01-01

The Crewed Space Vehicle Battery Safety Requirements document has been prepared for use by designers of battery-powered vehicles, portable equipment, and experiments intended for crewed spaceflight. The purpose of the requirements document is to provide battery designers with information on design provisions to be incorporated in and around the battery and on the verification to be undertaken to demonstrate a safe battery is provided. The term "safe battery" means that the battery is safe for ground personnel and crew members to handle and use; safe to be used in the enclosed environment of a crewed space vehicle; and safe to be mounted or used in unpressurized spaces adjacent to habitable areas. Battery design review, approval, and certification is required before the batteries can be used for ground operations and be certified for flight.

Microelectromechanical safe arm device

DOEpatents

Roesler, Alexander W [Tijeras, NM

2012-06-05

Microelectromechanical (MEM) apparatus and methods for operating, for preventing unintentional detonation of energetic components comprising pyrotechnic and explosive materials, such as air bag deployment systems, munitions and pyrotechnics. The MEM apparatus comprises an interrupting member that can be moved to block (interrupt) or complete (uninterrupt) an explosive train that is part of an energetic component. One or more latching members are provided that engage and prevent the movement of the interrupting member, until the one or more latching members are disengaged from the interrupting member. The MEM apparatus can be utilized as a safe and arm device (SAD) and electronic safe and arm device (ESAD) in preventing unintentional detonations. Methods for operating the MEM apparatus include independently applying drive signals to the actuators coupled to the latching members, and an actuator coupled to the interrupting member.

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

PubMed

Hemingway, Steve; McCann, Terence; Baxter, Hazel; Smith, George; Burgess-Dawson, Rebecca; Dewhirst, Kate

2015-12-01

The purpose of this study was to investigate perceptions of barriers to safe administration of medicines in mental health settings. A cross-sectional survey was used, and 70 mental health nurses and 41 students were recruited from a mental health trust and a university in Yorkshire, UK. Respondents completed a questionnaire comprising closed- and open-response questions. One item, which contained seven sub-items, addressed barriers to safe administration of medication. Seven themes--five nurse- and prescriber-focused and two service user-focused--were abstracted from the data, depicting a range of barriers to safe administration of medicines. Nurse- and prescriber-focused themes included environmental distractions, insufficient pharmacological knowledge, poorly written and incomplete medication documentation, inability to calculate medication dosage correctly, and work-related pressure. Service user-focused themes comprised poor adherence to medication regimens, and cultural and linguistic communication barriers with service users. Tackling medication administration error is predominantly an organizational rather than individual practitioner responsibility. © 2014 Wiley Publishing Asia Pty Ltd.

The use of collaboration to implement evidence-based safe practices.

PubMed

Clarke, John R

2013-12-01

The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with institutions to identify local barriers to and incentives for adopting best practices and redesigning the delivery system to make desired behaviour easy and undesirable behaviour more difficult. Collaborations, where institutions can learn from the experiences of others, have show decreases in harmful events. The Pennsylvania Program to Prevent Wrong-Site Surgery is used as an example. Two collaborations to prevent wrong-site surgery have been completed, one with 30 institutions in eastern Pennsylvania and one with 19 in western Pennsylvania. The first collaboration achieved a 73% decrease in the rolling average of wrong-site events over 18 months. The second collaboration experienced no wrong-site operating room procedures over more than one year. Significance for public healthSince the Institute of Medicine's To Err is Human identified medical errors as a major cause of death, the public has been interested in the recommendations for reporting of medical errors and implementing safe systems for the delivery of healthcare. The Commonwealth of Pennsylvania has followed those recommendations and found that an essential intermediate step between analysing reports and implementing safe systems is collaborative learning among healthcare institutions. The experience in Pennsylvania should be useful to other public organizations wishing to improve safety.

Psychographic Segments of College Females and Males in Relation to Substance Use Behaviors

PubMed Central

Suragh, Tiffany Ashley; Berg, Carla J.; Nehl, Eric J.

2014-01-01

Objectives A common commercial marketing segmentation technique is to divide a population into groups based on psychographic characteristics (i.e., attitudes and interests). We used this approach to define segments of female and male college students and examine substance use differences. Method We administered an online survey to 24,055 students at six colleges in the Southeastern United States (response rate 20.1%, n = 4,840), obtaining complete data from 3,469 participants. We assessed sociodemographics, psychographic factors such as those used by the tobacco industry to define market segments, and substance use (cigarettes, other tobacco products, alcohol, and marijuana). Cluster analysis was conducted among females and males using 15 psychographic measures (sensation seeking, Big Five personality traits, and nine measures adapted from tobacco industry documents), identifying three segments per sex. Results Safe responsibles were characterized by high levels of agreeableness, conscientiousness, emotional stability, academic achievement, and religious service attendance. Stoic individualists were characterized by low extraversion, sensation seeking, and openness. Thrill-seeking socializers were characterized by high levels of sensation seeking and extraversion. Among females, thrill-seeking socializers were significantly more likely than safe responsibles to have used any substance in the prior 30 days (odds ratio [OR] = 2.04, 95% confidence interval [CI] [1.65, 2.52]; Nagelkerke R2 = .084). Among males, stoic individualists (OR = 1.50, CI [1.08, 2.08]) and thrill-seeking socializers (OR = 1.53, CI [1.09, 2.13]) were more likely than safe responsibles to have used substances in the past 30 days (Nagelkerke R2: .109). Conclusion Psychographic segmentation can identify young adult subgroups with differing psychographic and substance use profiles and inform health campaigns and messaging targeting youth. PMID:24729744

Psychographic Segments of College Females and Males in Relation to Substance Use Behaviors.

PubMed

Suragh, Tiffany Ashley; Berg, Carla J; Nehl, Eric J

2013-09-01

A common commercial marketing segmentation technique is to divide a population into groups based on psychographic characteristics (i.e., attitudes and interests). We used this approach to define segments of female and male college students and examine substance use differences. We administered an online survey to 24,055 students at six colleges in the Southeastern United States (response rate 20.1%, n = 4,840), obtaining complete data from 3,469 participants. We assessed sociodemographics, psychographic factors such as those used by the tobacco industry to define market segments, and substance use (cigarettes, other tobacco products, alcohol, and marijuana). Cluster analysis was conducted among females and males using 15 psychographic measures (sensation seeking, Big Five personality traits, and nine measures adapted from tobacco industry documents), identifying three segments per sex. Safe responsibles were characterized by high levels of agreeableness, conscientiousness, emotional stability, academic achievement, and religious service attendance. Stoic individualists were characterized by low extraversion, sensation seeking, and openness. Thrill-seeking socializers were characterized by high levels of sensation seeking and extraversion. Among females, thrill-seeking socializers were significantly more likely than safe responsibles to have used any substance in the prior 30 days (odds ratio [OR] = 2.04, 95% confidence interval [CI] [1.65, 2.52]; Nagelkerke R 2 = .084). Among males, stoic individualists (OR = 1.50, CI [1.08, 2.08]) and thrill-seeking socializers (OR = 1.53, CI [1.09, 2.13]) were more likely than safe responsibles to have used substances in the past 30 days (Nagelkerke R 2 : .109). Psychographic segmentation can identify young adult subgroups with differing psychographic and substance use profiles and inform health campaigns and messaging targeting youth.

Quality of drug information on the World Wide Web and strategies to improve pages with poor information quality. An intervention study on pages about sildenafil.

PubMed

Martin-Facklam, Meret; Kostrzewa, Michael; Martin, Peter; Haefeli, Walter E

2004-01-01

The generally poor quality of health information on the world wide web (WWW) has caused preventable adverse outcomes. Quality management of information on the internet is therefore critical given its widespread use. In order to develop strategies for the safe use of drugs, we scored general and content quality of pages about sildenafil and performed an intervention to improve their quality. The internet was searched with Yahoo and AltaVista for pages about sildenafil and 303 pages were included. For assessment of content quality a score based on accuracy and completeness of essential drug information was assigned. For assessment of general quality, four criteria were evaluated and their association with high content quality was determined by multivariate logistic regression analysis. The pages were randomly allocated to either control or intervention group. Evaluation took place before, as well as 7 and 22 weeks after an intervention which consisted of two letters with individualized feedback information on the respective page which were sent electronically to the address mentioned on the page. Providing references to scientific publications or prescribing information was significantly associated with high content quality (odds ratio: 8.2, 95% CI 3.2, 20.5). The intervention had no influence on general or content quality. To prevent adverse outcomes caused by misinformation on the WWW individualized feedback to the address mentioned on the page was ineffective. It is currently probably the most straight-forward approach to inform lay persons about indicators of high information quality, i.e. the provision of references.

Unsupervised exercise in survivors of human papillomavirus related head and neck cancer: how many can go it alone?

PubMed

Bauml, Joshua; Kim, Jiyoung; Zhang, Xiaochen; Aggarwal, Charu; Cohen, Roger B; Schmitz, Kathryn

2017-08-01

Patients with human papillomavirus (HPV)-related head and neck cancer (HNC) have a better prognosis relative to other types of HNC, making survivorship an emerging and critical issue. Exercise is a core component of survivorship care, but little is known about how many survivors of HPV-related HNC can safely be advised to start exercising on their own, as opposed to needing further evaluation or supervised exercise. We utilized guidelines to identify health issues that would indicate value of further evaluation prior to being safely prescribed unsupervised exercise. We performed a retrospective chart review of 150 patients with HPV-related HNC to assess health issues 6 months after completing definitive therapy. Patients with at least one health issue were deemed appropriate to receive further evaluation prior to prescription for unsupervised exercise. We utilized logistic regression to identify clinical and demographic factors associated with the need for further evaluation, likely performed by outpatient rehabilitation clinicians. In this cohort of patients, 39.3% could safely be prescribed unsupervised exercise 6 months after completing definitive therapy. On multivariable regression, older age, BMI >30, and receipt of radiation were associated with an increased likelihood for requiring further evaluation or supervised exercise. Over half of patients with HPV-related HNC would benefit from referral to physical therapy or an exercise professional for further evaluation to determine the most appropriate level of exercise supervision, based upon current guidelines. Development of such referral systems will be essential to enhance survivorship outcomes for patients who have completed treatment.

76 FR 43686 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-21

... FEDERAL RESERVE SYSTEM Proposed Agency Information Collection Activities; Comment Request AGENCY... collection. The Federal Reserve System needs the information collected to fulfill their obligations under the..., consistent with safe and sound banking practices. The Federal Reserve System uses the information in the...

The enhancement of security in healthcare information systems.

PubMed

Liu, Chia-Hui; Chung, Yu-Fang; Chen, Tzer-Shyong; Wang, Sheng-De

2012-06-01

With the progress and the development of information technology, the internal data in medical organizations have become computerized and are further established the medical information system. Moreover, the use of the Internet enhances the information communication as well as affects the development of the medical information system that a lot of medical information is transmitted with the Internet. Since there is a network within another network, when all networks are connected together, they will form the "Internet". For this reason, the Internet is considered as a high-risk and public environment which is easily destroyed and invaded so that a relevant protection is acquired. Besides, the data in the medical network system are confidential that it is necessary to protect the personal privacy, such as electronic patient records, medical confidential information, and authorization-controlled data in the hospital. As a consequence, a medical network system is considered as a network requiring high security that excellent protections and managerial strategies are inevitable to prevent illegal events and external attacks from happening. This study proposes secure medical managerial strategies being applied to the network environment of the medical organization information system so as to avoid the external or internal information security events, allow the medical system to work smoothly and safely that not only benefits the patients, but also allows the doctors to use it more conveniently, and further promote the overall medical quality. The objectives could be achieved by preventing from illegal invasion or medical information being stolen, protecting the completeness and security of medical information, avoiding the managerial mistakes of the internal information system in medical organizations, and providing the highly-reliable medical information system.

Women’s experiences with unplanned pregnancy and abortion in Kenya: A qualitative study

PubMed Central

Ngui, Felistah Mbithe; Hall, Kelli Stidham; Gerdts, Caitlin

2018-01-01

Background Safe and legal abortions are rarely practiced in the public health sector in Kenya, and rates of maternal mortality and morbidity from unsafe abortion is high. Little is known about women’s experiences seeking and accessing abortion in informal settlements in Nairobi, Kenya. Methods Seven focus group discussions were conducted with a total of 71 women and girls recruited from an informal settlement in Nairobi. The interview guide explored participants’ perceptions of unplanned pregnancy, abortion, and access to sexual and reproductive health information in their community. Thematic analysis of the focus group transcripts was conducted using MAX QDA Release 12. Results Participants described a variety of factors that influence women’s experiences with abortion in their communities. According to participants, limited knowledge of sexual and reproductive health information and lack of access to contraception led to unplanned pregnancy among women in their community. Participants cited stigma and loss of opportunities that women with unplanned pregnancies face as the primary reasons why women seek abortions. Participants articulated stigma as the predominant barrier women in their communities face to safe abortion. Other barriers, which were often interrelated to stigma, included lack of education about safe methods of abortion, perceived illegality of abortion, as well as limited access to services, fear of mistreatment, and mistrust of health providers and facilities. Conclusions Women in informal settlements in Nairobi, Kenya face substantial barriers to regulating their fertility and lack access to safe abortion. Policy makers and reproductive health advocates should support programs that employ harm reduction strategies and increase women’s knowledge of and access to medication abortion outside the formal healthcare system. PMID:29370220

The Importance of State and Context in Safe Interoperable Medical Systems

PubMed Central

Jaffe, Michael B.; Robkin, Michael; Rausch, Tracy; Arney, David; Goldman, Julian M.

2016-01-01

This paper describes why “device state” and “patient context” information are necessary components of device models for safe interoperability. This paper includes a discussion of the importance of describing the roles of devices with respect to interactions (including human user workflows involving devices, and device to device communication) within a system, particularly those intended for use at the point-of-care, and how this role information is communicated. In addition, it describes the importance of clinical scenarios in creating device models for interoperable devices. PMID:27730013

Complete, accurate, mammalian phylogenies aid conservation planning, but not much

PubMed Central

Rodrigues, Ana S. L.; Grenyer, Richard; Baillie, Jonathan E. M.; Bininda-Emonds, Olaf R. P.; Gittlemann, John L.; Hoffmann, Michael; Safi, Kamran; Schipper, Jan; Stuart, Simon N.; Brooks, Thomas

2011-01-01

In the face of unprecedented global biodiversity loss, conservation planning must balance between refining and deepening knowledge versus acting on current information to preserve species and communities. Phylogenetic diversity (PD), a biodiversity measure that takes into account the evolutionary relationships between species, is arguably a more meaningful measure of biodiversity than species diversity, but cannot yet be applied to conservation planning for the majority of taxa for which phylogenetic trees have not yet been developed. Here, we investigate how the quality of data on the taxonomy and/or phylogeny of species affects the results of spatial conservation planning in terms of the representation of overall mammalian PD. The results show that the better the quality of the biodiversity data the better they can serve as a basis for conservation planning. However, decisions based on incomplete data are remarkably robust across different levels of degrading quality concerning the description of new species and the availability of phylogenetic information. Thus, given the level of urgency and the need for action, conservation planning can safely make use of the best available systematic data, limited as these data may be. PMID:21844044

Retinal Thermal Injury

NASA Astrophysics Data System (ADS)

Allen, Ralph G.

1980-10-01

Ucular damage resulting from exposure to intense light, has been a long standing concern--with solar eclipse burns, snow blindness, and glass blowers cataracts being examples. The development of intense light sources by man, culminating to date with lasers, has increased the possibility of accidental exposures. Systematic laboratory study of ocular damage was initiated in the early 1950's and has continued more or less continuously ever since. Probably the most thoroughly understood mechanism of injury is that described as thermal. This mechanism has been rather thoroughly modeled and the model validated reasonably well within the limits of its applicability. However, other mechanisms of injury such as acoustical shock waves and photochemical interactions have been identified and have received considerable attention in the past decade. The results of the research efforts of many investigators over a considerable span of time have been incorporated into numerous Laser Safety Standards, typified by the American National Standards Institute Z136.1 Standard for the Safe Use of Lasers. These standards, although carefully conceived and based upon a large body of empirical information are neither complete nor final and should be updated as additional information is uncovered.

KSC-2011-6853

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – Actress Nichelle Nichols (Lt. Uhura on Star Trek) signs autographs for a guest at the Kennedy Space Center Visitor Complex in Florida during activities for the agency’s Gravity Recovery and Interior Laboratory mission (GRAIL). Nichols was on hand to celebrate the 45th anniversary of the first airing of the Star Trek television series. The Kennedy Space Center Visitor Complex is hosting “Star Trek: The Exhibition” to show visitors where “science fiction meets science fact.” GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Frankie Martin

Determining clinical practice of expert physiotherapy for patients undergoing lumbar spinal fusion: a cross-sectional survey study.

PubMed

Janssen, Esther R C; Scheijen, Elle E M; van Meeteren, Nico L U; de Bie, Rob A; Lenssen, Anton F; Willems, Paul C; Hoogeboom, Thomas J

2016-05-01

To determine the content of current Dutch expert hospital physiotherapy practice for patients undergoing lumbar spinal fusion (LSF), to gain insight into expert-based clinical practice. At each hospital where LSF is performed, one expert physiotherapist received an e-mailed questionnaire, about pre- and postoperative physiotherapy and discharge after LSF. The level of uniformity in goals and interventions was graded on a scale from no uniformity (50-60 %) to very strong uniformity (91-100 %). LSF was performed at 34 of the 67 contacted hospitals. From those 34 hospitals, 28 (82 %) expert physiotherapists completed the survey. Twenty-one percent of the respondents saw patients preoperatively, generally to provide information. Stated postoperative goals and administered interventions focused mainly on performing transfers safely and keeping the patient informed. Outcome measures were scarcely used. There was no uniformity regarding advice on the activities of daily living. Dutch perioperative expert physiotherapy for patients undergoing LSF is variable and lacks structural outcome assessment. Studies evaluating the effectiveness of best-practice physiotherapy are warranted.

KSC-2011-6782

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission towers over the U.S. flag painted on the pad's structure. The mobile service tower has been rolled away from the vehicle for launch. The "rollback" began at about 11:20 p.m. EDT Sept. 7. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6846

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II heavy rocket that will launch NASA's Gravity Recovery and Interior Laboratory spacecraft is rolled back around to the mobile service tower after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6851

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II heavy rocket that will launch NASA's Gravity Recovery and Interior Laboratory spacecraft is rolled back around to the mobile service tower after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6799

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. – Tweetup participants ask questions during prelaunch activities for NASA’s Gravity Recovery and Interior Laboratory (GRAIL) mission at the Kennedy Space Center Visitor Complex in Florida. Participants toured NASA’s Kennedy Space Center and got a close-up view of Space Launch Complex 17B at Cape Canaveral Air Force Station. The tweeters will share their experiences with followers through the social networking site Twitter. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon’s gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon’s crust and mantle and will help answer fundamental questions about the moon’s internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon’s gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Gianni Woods

KSC-2011-6884

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – At KARS Park 1 on Merritt Island in Florida, a group of Tweetup participants take pictures and watch excitedly as a United Launch Alliance Delta II Heavy rocket lifts off at 9:08 a.m. EDT Sept. 10 from Space Launch Complex 17B at Cape Canaveral Air Force Station carrying NASA’s Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. The tweeters will share their experiences with followers through the social networking site Twitter. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Frankie Martin

KSC-2011-6844

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – News media photograph the United Launch Alliance Delta II heavy rocket carrying NASA’s twin Gravity Recovery and Interior Laboratory spacecraft at Launch Complex 17B as the mobile service tower is rolled back around to the vehicle after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT. at Cape Canaveral Air Force Station in Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6775

NASA Image and Video Library

2011-09-07

CAPE CANAVERAL, Fla. -- At Space Launch Complex 17B on Cape Canaveral Air Force Station, evening showers create the right conditions for the United Launch Alliance Delta II rocket that will launch NASA's Gravity Recovery and Interior Laboratory mission to be reflected on the surface of the pad. Preparations are under way to roll the mobile service tower away from the rocket. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future lunar vehicles can safely navigate anywhere on the moon’s surface. Launch is scheduled for 8:37:06 a.m. EDT Sept. 8. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2011-6850

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II heavy rocket that will launch NASA's Gravity Recovery and Interior Laboratory spacecraft is rolled back around to the mobile service tower after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6845

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – At Space Launch Complex 17B on Cape Canaveral Air Force Station, the United Launch Alliance Delta II heavy rocket that will launch NASA's Gravity Recovery and Interior Laboratory spacecraft is rolled back around to the mobile service tower after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

KSC-2011-6882

NASA Image and Video Library

2011-09-10

CAPE CANAVERAL, Fla. – At KARS Park 1 on Merritt Island in Florida, a group of Tweetup participants watch as a United Launch Alliance Delta II Heavy rocket lifts off at 9:08 a.m. EDT Sept. 10 from Space Launch Complex 17B at Cape Canaveral Air Force Station carrying NASA’s Gravity Recovery and Interior Laboratory (GRAIL) mission to the moon. The tweeters will share their experiences with followers through the social networking site Twitter. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Frankie Martin

KSC-2011-6847

NASA Image and Video Library

2011-09-08

CAPE CANAVERAL, Fla. – A worker stands nearby as the United Launch Alliance Delta II heavy rocket at Space Launch Complex 17B, carrying NASA's Gravity Recovery and Interior Laboratory spacecraft, is rolled back around to the mobile service tower after the first launch attempt was scrubbed due to upper-level winds. GRAIL is scheduled for another launch attempt Sept.10 at 8:29:45 a.m. EDT at Cape Canaveral Air Force Station, Florida. GRAIL will fly twin spacecraft in tandem around the moon to precisely measure and map variations in the moon's gravitational field. The mission will provide the most accurate global gravity field to date for any planet, including Earth. This detailed information will reveal differences in the density of the moon's crust and mantle and will help answer fundamental questions about the moon's internal structure, thermal evolution, and history of collisions with asteroids. The aim is to map the moon's gravity field so completely that future moon vehicles can safely navigate anywhere on the moon’s surface. For more information, visit http://www.nasa.gov/grail. Photo credit: NASA/Ken Thornsley

Transportation workforce development and outreach seminars : CTME grant completion report.

DOT National Transportation Integrated Search

2011-01-03

The Safe, Accountable Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) prescribes that the U.S. Secretary of Transportation shall issue guidelines and requirements for the reporting and evaluation of operational tests an...

Sustainable nanomaterials using waste agricultural residues

EPA Science Inventory

Sustainable synthetic processes developed during the past two decades involving the use of alternate energy inputs and greener reaction media are summarized. Learning from nature, one can produce a wide variety of nanoparticles using completely safe and benign materials such as ...

30 CFR 75.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... of an electrical protective device, based upon its required and intended application, to safely... Health Administration which describe and illustrate the complete assembly of electrical machinery or... phase. An unintentional connection between an electric circuit and the grounding system. Low voltage. Up...

Safe patient care - safety culture and risk management in otorhinolaryngology.

PubMed

St Pierre, Michael

2013-12-13

Safety culture is positioned at the heart of an organization's vulnerability to error because of its role in framing organizational awareness to risk and in providing and sustaining effective strategies of risk management. Safety related attitudes of leadership and management play a crucial role in the development of a mature safety culture ("top-down process"). A type marker for organizational culture and thus a predictor for an organization's maturity in respect to safety is information flow and in particular an organization's general way of coping with information that suggests anomaly. As all values and beliefs, relationships, learning, and other aspects of organizational safety culture are about sharing and processing information, safety culture has been termed "informed culture". An informed culture is free of blame and open for information provided by incidents. "Incident reporting systems" are the backbone of a reporting culture, where good information flow is likely to support and encourage other kinds of cooperative behavior, such as problem solving, innovation, and inter-departmental bridging. Another facet of an informed culture is the free flow of information during perioperative patient care. The World Health Organization's safe surgery checklist" is the most prevalent example of a standardized information exchange aimed at preventing patient harm due to information deficit. In routine tasks mandatory standard operating procedures have gained widespread acceptance in guaranteeing the highest possible process quality. Technical and non-technical skills of healthcare professionals are the decisive human resource for an efficient and safe delivery of patient care and the avoidance of errors. The systematic enhancement of staff qualification by providing training opportunities can be a major investment in patient safety. In recent years several otorhinolaryngology departments have started to incorporate stimulation based team trainings into their curriculum.

[Safe patient care: safety culture and risk management in otorhinolaryngology].

PubMed

St Pierre, M

2013-04-01

Safety culture is positioned at the heart of an organisation's vulnerability to error because of its role in framing organizational awareness to risk and in providing and sustaining effective strategies of risk management. Safety related attitudes of leadership and management play a crucial role in the development of a mature safety culture ("top-down process"). A type marker for organizational culture and thus a predictor for an organizations maturity in respect to safety is information flow and in particular an organization's general way of coping with information that suggests anomaly. As all values and beliefs, relationships, learning, and other aspects of organizational safety culture are about sharing and processing information, safety culture has been termed "informed culture". An informed culture is free of blame and open for information provided by incidents. "Incident reporting systems" are the backbone of a reporting culture, where good information flow is likely to support and encourage other kinds of cooperative behavior, such as problem solving, innovation, and inter-departmental bridging. Another facet of an informed culture is the free flow of information during perioperative patient care. The World Health Organisation's "safe surgery checklist" is the most prevalent example of a standardized information exchange aimed at preventing patient harm due to information deficit. In routine tasks mandatory standard operating procedures have gained widespread acceptance in guaranteeing the highest possible process quality.Technical and non-technical skills of healthcare professionals are the decisive human resource for an efficient and safe delivery of patient care and the avoidance of errors. The systematic enhancement of staff qualification by providing training opportunities can be a major investment in patient safety. In recent years several otorhinolaryngology departments have started to incorporate simulation based team trainings into their curriculum. © Georg Thieme Verlag KG Stuttgart · New York.

Report: Information Security Series: Security Practices Safe Drinking Water Information System

EPA Pesticide Factsheets

Report #2006-P-00021, March 30, 2006. We found that the Office of Water (OW) substantially complied with many of the information security controls reviewed and had implemented practices to ensure production servers are monitored.

Supporting safe driving with arthritis: developing a driving toolkit for clinical practice and consumer use.

PubMed

Vrkljan, Brenda H; Cranney, Ann; Worswick, Julia; O'Donnell, Siobhan; Li, Linda C; Gélinas, Isabelle; Byszewski, Anna; Man-Son-Hing, Malcolm; Marshall, Shawn

2010-01-01

We conducted a series of focus groups to explore the information needs of clinicians and consumers related to arthritis and driving. An open coding analysis identified common themes across both consumer and clinician-based focus groups that underscored the importance of addressing driving-related concerns and the challenges associated with assessing safety. The results revealed that although driving is critical for maintaining independence and community mobility, drivers with arthritis experience several problems that can affect safe operation of a motor vehicle. Findings from this study are part of a broader research initiative that will inform the development of the Arthritis and Driving toolkit. This toolkit outlines strategies to support safe mobility for people with arthritis and will be an important resource in the coming years given the aging population.

Focus on Teen Men: Evaluating the Effectiveness of the Wise Guys Program.

PubMed

Herrman, Judith W; Moore, Christopher; Rahmer, Brian

2016-04-01

Many interventions designed to promote safe sexual behaviors in teens focus on young women. Wise Guys is one curricular intervention designed to foster safe sexual practices in young men. This study assessed knowledge, attitude, and behavioral changes as the result of Wise Guys. This pre/posttest descriptive study measured changes in knowledge, attitudes, and sexual behaviors in 159 young men. This study detected limited knowledge and attitude changes but yielded statistically significant differences in safe sexual behaviors and likelihood to talk with parents or guardians about sexuality and dating. This study revealed important benefits of Wise Guys and proposed future mixed methods research to ensure that authentic teen voices inform programming. Nurses working with adolescents may find this information valuable as they address sexual health issues in their work. © 2016 Wiley Periodicals, Inc.

Codified Knowledge and Embodied Learning: The Problem of Safety Training

ERIC Educational Resources Information Center

Somerville, Margaret; Lloyd, Anne

2006-01-01

The research that informs this article was focused around the relationship between how workers are trained to work safely and how workers learn to work safely in the workplace. The findings of empirical studies into learning and practising safety in aged care, fire fighting, building construction, and mining industries are summarized. A common…

Feeding Students in School: Providing Guidelines and Information on Safe Feeding Practices for Special Students.

ERIC Educational Resources Information Center

Hall, Sandra; And Others

This manual provides guidelines for safe feeding practices for students with disabilities in Oregon schools. Stressed is the importance of distinguishing between feeding for the maintenance of health and feeding for the acquisition of skills. Individual sections cover: definitions of feeding programs; the school district responsibility; risks;…

75 FR 39504 - Office of Safe and Drug-Free Schools; Overview Information; Safe and Supportive Schools; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-09

... Education Statistics, Institute for Education Sciences, U.S. Department of Education, and Bureau of Justice Statistics, Office of Justice Programs, U.S. Department of Justice. Washington, DC: U.S. Government Printing Office. \\2\\ U.S. Department of Education. National Center for Education Statistics. Indicators of School...

78 FR 67361 - Public Water System Supervision Program Revision for the Commonwealth of Kentucky

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-12

... Drinking Water Branch, 61 Forsyth Street SW., Atlanta, Georgia 30303. FOR FURTHER INFORMATION CONTACT: Mr. Brian Thames, the EPA Region 4, Safe Drinking Water Branch, at the address given above, by telephone at... Kentucky submitted requests that the Region approve revisions to the Commonwealth's Safe Drinking Water Act...

Agricultural Safety. FMO: Fundamentals of Machine Operation. Second Edition.

ERIC Educational Resources Information Center

John Deere Co., Moline, IL.

This manual is intended to provide students with basic information on the safe operation of farm machinery. The following topics are covered in the individual chapters: safe farm machinery operation (the importance of safety, the role of communication in safety, and types of farm accidents); human factors (human limitations and capabilities;…

A Safe School's Top 10 Needs

ERIC Educational Resources Information Center

Brunner, Judy; Lewis, Dennis

2005-01-01

An environment of safety in the school seldom comes down to any one particular component or plan; it is a combination of strategies and ideas that makes a school safe and secure for everyone. In this article, the authors provide practical information to educators who are already working to capacity in terms of time allocation and monetary…

The Challenge. Volume 13, Number 4

ERIC Educational Resources Information Center

US Department of Education, 2005

2005-01-01

"The Challenge," a publication of the US Department of Education's Office of Safe and Drug-Free Schools, provides critical information and resources to assist schools in creating safe and healthy environments for young people. Some topics of interest in this issue are: (1) Keeping Prevention Activities on Track; (2) Hiring and Working with an…

Memory for the Pragmatic Implications of Sentences. Technical Report No. 65.

ERIC Educational Resources Information Center

Brewer, William F.

A sentence "pragmatically implies" another sentence when information in the first sentence leads the hearer to expect something that is neither explicitly stated nor necessarily implied by the original sentence. Thus, the sentence "The safe-cracker put the match to the fuse" pragmatically implies that "the safe-cracker lit…

77 FR 31647 - Establishing Indicators to Determine Whether State Plan Operations are At Least as Effective as...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-29

... their information and participate through a single representative. Members of the general public may... working man and woman in the Nation safe and healthful working conditions * * *.'' The Act also encourages.... OSHA's mission is ``to assure safe and healthful working conditions for working men and women by...

A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practice in Intensive Care Units

PubMed Central

Malekzadeh, Javad; Mazluom, Seyed Reza; Etezadi, Toktam; Tasseri, Alireza

2013-01-01

Introduction: For maintaining the continuity of care and improving the quality of care, effective inter-shift information communication is necessary. Any handover error can endanger patient safety. Despite the importance of shift handover, there is no standard handover protocol in our healthcare settings. Methods: In this one-group pretest-posttest quasi-experimental study conducted in spring and summer of 2011, we recruited a convenience sample of 56 ICU nurses. The Nurses’ Safe Practice Evaluation Checklist was used for data collection. The Content Validity Index and the inter-rater correlation coefficient of the checklist was 0.92 and 89, respectively. We employed the SPSS 11.5 software and the Mc Nemar and paired-samples t test for data analysis. Results: Study findings revealed that nurses’ mean score on the Safe Practice Evaluation Checklist increased significantly from 11.6 (2.7) to 17.0 (1.8) (P < 0.001). Conclusion: using a standard handover protocol for communicating patient’s needs and information improves nurses’ safe practice in the area of basic nursing care. PMID:25276725

Predictors of attrition for a sexual assault forensic examiner (SAFE) blended learning training program.

PubMed

Patterson, Debra; Resko, Stella

2015-01-01

Participant attrition is a major concern for online continuing education health care courses. The current study sought to understand what factors predicted health care professionals completing the online component of a sexual assault forensic examiner (SAFE) blended learning training program (12-week online course and 2-day in-person clinical skills workshop). The study used a Web-based survey to examine participant characteristics, motivation, and external barriers that may influence training completion. Hierarchical logistic regression was utilized to examine the predictors of training completion, while the Cox proportional hazards (Cox PH) regression model helped determine the factors associated with the timing of participant attrition. Results show that 79.3% of the enrolled professionals completed the online component. The study also found that clinicians who work in rural communities and those who were interested in a 2-day clinical skills workshop were more likely to complete the online course. In terms of when attrition occurred, we found that participants who were motivated by the 2-day clinical workshop, those who worked in a rural community, and participants interested in the training program because of its online nature were more likely to complete more of the online course. Blending an online course with a brief in-person clinical component may serve as a motivator for completing an online course because it provides the opportunity to develop clinical skills while receiving immediate feedback. Participant attrition appears to be less of a concern for rural clinicians because this modality can reduce their barriers to accessing continuing education. © 2015 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on Continuing Medical Education, Association for Hospital Medical Education.

Successful use of full-dose dexamethasone, high-dose cytarabine, and cisplatin as part of initial therapy in non-hodgkin and hodgkin lymphoma with severe hepatic dysfunction.

PubMed

McCarthy, Jeanne; Gopal, Ajay K

2009-04-01

Anthracycline-based chemotherapy is the cornerstone of modern curative regimens for aggressive lymphomas; however, these drugs cannot be safely administered in the setting of severe hepatic dysfunction. Alternative regimens for this setting are required. We describe 2 patients with newly diagnosed advanced aggressive lymphoma (diffuse large B-cell lymphoma [DLBCL] and classic Hodgkin lymphoma [HL]) presenting with severe hepatic dysfunction with hyperbilirubinemia (4.3-13.2 mg/dL). Because of the inability to safely administer unattenuated doses of anthracycline-based regimens, dexamethasone, high-dose cytarabine, and cisplatin (DHAP) was used at full doses (along with rituximab for the DLBCL patient) until hepatic function normalized (1-5 cycles). The treatment was then converted to R-CHOP (rituximab/cyclophosphamide/ doxorubicin/vincristine/prednisone) and ABVD (doxorubicin/bleomycin/vinblastine/dacarbazine) for the DLBCL and HL patient, respectively, to complete therapy. The patients had a partial remission and complete remission, respectively. These data suggest that DHAP is a safe and effective regimen that can be used without dose modification as part of initial therapy in the setting of aggressive lymphoma and hepatic failure. The literature on the use of treatment regimens for aggressive lymphoma in the setting of hepatic dysfunction is reviewed.

The Early Memories of Warmth and Safeness Scale for adolescents: Cross-Sample Validation of the Complete and Brief Versions.

PubMed

Vagos, Paula; Ribeiro da Silva, Diana; Brazão, Nélio; Rijo, Daniel; Gilbert, Paul

2017-05-01

This work presents psychometric analyses on the Early Memories of Warmth and Safeness Scale, which intends to evaluate the subjective perception of ones' early rearing experiences. Factor structure, measurement invariance, latent mean comparisons and validity in relation to external variables (i.e., forms of self-criticism/self-assurance, experiential avoidance and depressive, anxious and stress symptoms) were investigated. A sample of 1464 adolescents (52.3% male adolescents, mean age = 16.16, standard deviation = 1.51) was used, including 1064 participants recruited from schools, 192 participants recruited from foster care facilities and 208 boys recruited from juvenile justice facilities. A shortened version of the scale was also developed and subjected to the same psychometric analyses. A one-factor measurement model was a good fit for the data taken from both the complete and brief versions of the instrument. Such measures showed to be internally consistent with alpha values higher than 0.89. Evidence for their construct validity in relation to external variables was also found, with correlation values ranging from 0.19 to 0.45 for the complete version and from 0.18 to 0.44 for the brief version of the instrument. The brief version was the only one proving to be gender and sample invariant. Boys and girls scored similarly in their account of early memories, whereas community boys presented significantly higher scores when compared with referred and detained boys. Thus, the brief version of the instrument may be an appropriate alternative for use with diverse adolescent samples and may serve to advance knowledge on how early experiences impact on psychopathological outcomes. Copyright © 2016 John Wiley & Sons, Ltd. The Early Memories of Warmth and Safeness Scale (EMWSS), assessing early memories of warmth and safeness, was studied across community, referred for behavioural problems and detained Portuguese adolescent samples. A brief version of this instrument was also developed and studied in these same samples. Both versions of the EMWSS revealed a one-factor structure, good internal consistency and construct validity in relation to external variables; the brief version was also found to be invariant across gender and groups. Boys and girls were found to report similar levels of experienced warmth and safeness, whereas community boys reported significantly more of those experiences, followed by detained boys, and, lastly, referred boys. The brief version of the EMWSS represents a quick and valid measure to assess early memories of warmth and safeness in youth, providing for insights into the subjective experience of adolescents with diverse rearing experiences. Early memories of warmth and safeness, as assessed by the brief version of the EMWSS, may serve to advance knowledge on how early experiences impact on psychopathological outcomes in diverse youth samples. Copyright © 2016 John Wiley & Sons, Ltd.

Malpractice liability, technology choice and negative defensive medicine.

PubMed

Feess, Eberhard

2012-04-01

We extend the theoretical literature on the impact of malpractice liability by allowing for two treatment technologies, a safe and a risky one. The safe technology bears no failure risk, but leads to patient-specific disutility since it cannot completely solve the health problems. By contrast, the risky technology (for instance a surgery) may entirely cure patients, but fail with some probability depending on the hospital's care level. Tight malpractice liability increases care levels if the risky technology is chosen at all, but also leads to excessively high incentives for avoiding the liability exposure by adopting the safe technology. We refer to this distortion toward the safe technology as negative defensive medicine. Taking the problem of negative defensive medicine seriously, the second best optimal liability needs to balance between the over-incentive for the safe technology in case of tough liability and the incentive to adopt little care for the risky technology in case of weak liability. In a model with errors in court, we find that gross negligence where hospitals are held liable only for very low care levels outperforms standard negligence, even though standard negligence would implement the first best efficient care level.

[Rural work and health risks: a review into de "safe use" of pesticides in Brazil].

PubMed

de Abreu, Pedro Henrique Barbosa; Alonzo, Herling Gregorio Aguilar

2014-10-01

The paradigm of the "safe use" of pesticides is based on measures to control risks in the handling of these products. However, studies carried out in various regions of Brazil reveal a situation of widespread exposure and health damages among rural workers, revealing the ineffectiveness of this paradigm. This work presents a critical review of the "safe use" approach for pesticides in scientific papers published in Brazil in the past 15 years. Results indicate that these studies do not address, simultaneously, all the work activities that involve exposure and risk of intoxication (acquisition, transportation, storage, preparation and application, final disposal of empty containers and sanitization of contaminated clothes/ PPEs), nor do they comprehensively address the "safe use" measures recommended in safety manuals, which are mandatory for each activity. A total of 25 studies were selected and analyzed, revealing a high number of results and analyses regarding activities of preparation and application and final disposal of empty containers. The range of the approaches was seen to be timely in the six work activities. For future studies, a broader approach of the "safe use" of pesticides is recommended, seeking to reveal the complete infeasibility of this safety paradigm.

New Developments in FPGA Devices: SEUs and Fail-Safe Strategies from the NASA Goddard Perspective

NASA Technical Reports Server (NTRS)

Berg, Melanie; LaBel, Kenneth; Pellish, Jonathan

2016-01-01

It has been shown that, when exposed to radiation environments, each Field Programmable Gate Array (FPGA) device has unique error signatures. Subsequently, fail-safe and mitigation strategies will differ per FPGA type. In this session several design approaches for safe systems will be presented. It will also explore the benefits and limitations of several mitigation techniques. The intention of the presentation is to provide information regarding FPGA types, their susceptibilities, and proven fail-safe strategies; so that users can select appropriate mitigation and perform the required trade for system insertion. The presentation will describe three types of FPGA devices and their susceptibilities in radiation environments.

Safe Autonomous Flight Environment (SAFE50) for the Notional Last 50 ft of Operation of 55 lb Class of UAS

NASA Technical Reports Server (NTRS)

Krishnakumar, Kalmanje; Kopardekar, Parimal; Ippolito, Corey; Melton, John E.; Stepanyan, Vahram; Sankararaman, Shankar; Nikaido, Ben

2017-01-01

The most difficult phase of small Unmanned Aerial System (sUAS) deployment is autonomous operations below the notional 50 ft in urban landscapes. Understanding the feasibility of safely flying sUAS autonomously below 50 ft is a game changer for many civilian applications. This paper outlines three areas of research currently underway which address key challenges for flight in the urban landscape. These are: (1) Off-line and On-board wind estimation and accommodation; (2) Real-time trajectory planning via characterization of obstacles using a LIDAR; (3) On-board information fusion for real-time decision-making and safe trajectory generation.

Clinical review: Treatment of neurohypophyseal diabetes insipidus.

PubMed

Oiso, Yutaka; Robertson, Gary L; Nørgaard, Jens Peter; Juul, Kristian Vinter

2013-10-01

In recent years, there have been several improvements in the treatment of neurohypophyseal diabetes insipidus (DI). They include new formulations of the vasopressin analog, desmopressin; a better understanding of the effect of fluid intake on dosing; and more information about treatments of infants, children, and pregnant women who present special challenges. This review aims to summarize past and current information relative to the safety and efficacy of treatments for the types of DI caused by a primary deficiency of vasopressin. The review is based on publications identified primarily by a PubMed search of the international literature without limitations of date. In acute settings where fluid intake is determined by factors other than thirst, desmopressin should be given iv in doses that have a short duration of action and can be adjusted quickly in accordance with changes in hydration as indicated by plasma sodium. In ambulatory patients, the oral formulations (tablet or melt) are preferred for their convenience. If fluid intake is regulated normally by the thirst mechanism, the tablets or melt can be taken safely 1 to 3 times a day in doses sufficient to completely eliminate the polyuria. However, if fluid intake consistently exceeds replacement needs as evidenced by the development of hyponatremia, the dose should be reduced to allow higher than normal rates of urine output or intermittent breakthrough diuresis. This regimen is often indicated in infants or children because their rate of fluid intake tends to be greater than in adults. In all cases, the appropriate dose should be determined by titration, owing to considerable interindividual differences in bioavailability and antidiuretic effect. Desmopressin can provide effective and safe therapy for all patients with neurohypophyseal or gestational DI if given in doses and by a route that takes into account the determinants of fluid intake.

Current experience and future directions of completely NOTES colorectal resection.

PubMed

Sylla, Patricia

2010-06-27

Clinical implementation and widespread application of natural orifice translumenal surgery (NOTES) has been limited by the lack of specialized endoscopic equipment, which has prevented the ability to perform complex procedures including colorectal resections. Relative to other types of translumenal access, transanal NOTES using transanal endoscopic microsurgery (TEM) provides a stable platform for endolumenal and direct translumenal access to the peritoneal cavity, and specifically to the colon and rectum. Completely NOTES transanal rectosigmoid resection using TEM, with or without transgastric endoscopic assistance, was demonstrated to be feasible and safe in a swine survival model. The same technique was successfully replicated in human cadavers using commercially available TEM, with endoscopic and laparoscopic instrumentation. This approach also permitted complete rectal mobilization with total mesorectal excision to be performed completely transanally. As in the swine model, transgastric and/or transanal endoscopic assistance extended the length of proximal colon mobilized and overcame some of the difficulties with TEM dissection including limited endoscopic visualization and maladapted instrumentation. This extensive laboratory experience with NOTES transanal rectosigmoid resection served as the basis for the first human NOTES transanal rectal cancer excision using TEM and laparoscopic assistance. Based on this early clinical experience, NOTES transanal approach using TEM holds significant promise as a safe and substantially less morbid alternative to conventional colorectal resection in the management of benign and malignant colorectal diseases. Careful patient selection and substantial improvement in NOTES instrumentation are critical to optimize this approach prior to widespread clinical application, and may ultimately permit completely NOTES transanal colorectal resection.

Direct-to-consumer prescription drug advertising and the public.

PubMed

Bell, R A; Kravitz, R L; Wilkes, M S

1999-11-01

Drug manufacturers are intensely promoting their products directly to consumers, but the impact has not been widely studied. Consumers' awareness and understanding of, attitudes toward, and susceptibility to direct-to-consumer (DTC) drug advertising were examined. Random-digit dialing telephone survey with a random household member selection procedure (completion and response rates, 58% and 69%, respectively). Respondents were interviewed while they were at their residences. Complete data were obtained from 329 adults in Sacramento County, California. Outcome measures included awareness of advertisements for 10 selected drugs, misconceptions about DTC advertising, attitudes toward DTC ads, and behavioral responses to such promotions. The influence of demographic characteristics, health status, attitudes, beliefs, and media exposure on awareness and behaviors was examined. On average, respondents were aware of advertisements for 3.7 of the 10 drugs; awareness varied from 8% for Buspar (buspirone) to 72% for Claritin (loratadine). Awareness was associated with prescription drug use, media exposure, positive attitudes toward DTC advertising, poorer health, and insurance status. Substantial misconceptions were revealed; e.g., 43% thought that only "completely safe" drugs could be advertised. Direct-to-consumer advertisements had led one third of respondents to ask their physicians for drug information and one fifth to request a prescription. Direct-to-consumer advertisements are reaching the public, but selectively so, and affecting their behaviors. Implications for public policy are examined.

Heat-Related Illnesses

MedlinePlus Videos and Cool Tools

... Be Prepared Safe Citizen Day Organize Important Medical Information ER Checklists Preparing for Emergencies Be ready to ... anyone can be affected. Here you will find information about heat cramps and heat stroke and exhaustion. ...

"You're Really Gonna Kick Us All Out?" Sustaining Safe Spaces for Community-Based HIV Prevention and Control among Black Men Who Have Sex with Men.

PubMed

Garcia, Jonathan; Parker, Caroline; Parker, Richard G; Wilson, Patrick A; Philbin, Morgan M; Hirsch, Jennifer S

2015-01-01

Black men who have sex with men (BMSM) experience among the highest rates of HIV infection in the United States. We conducted a community-based ethnography in New York City to identify the structural and environmental factors that influence BMSMs vulnerability to HIV and their engagement with HIV prevention services. Methods included participant observation at community-based organizations (CBOs) in New York City, in-depth interviews with 31 BMSM, and 17 key informant interviews. Our conceptual framework shows how creating and sustaining safe spaces could be a critical environmental approach to reduce vulnerability to HIV among BMSM. Participant observation, in-depth and key informant interviews revealed that fear and mistrust characterized men's relation to social and public institutions, such as churches, schools, and the police. This fear and mistrust created HIV vulnerability among the BMSM in our sample by challenging engagement with services. Our findings suggest that to be successful, HIV prevention efforts must address these structural and environmental vulnerabilities. Among the CBOs that we studied, "safe spaces" emerged as an important tool for addressing these environmental vulnerabilities. CBOs used safe spaces to provide social support, to address stigma, to prepare men for the workforce, and to foster a sense of community among BMSM. In addition, safe spaces were used for HIV and STI testing and treatment campaigns. Our ethnographic findings suggest that safe spaces represent a promising but so far under-utilized part of HIV prevention infrastructure. Safe spaces seem integral to high impact comprehensive HIV prevention efforts, and may be considered more appropriately as part of HIV capacity-building rather than being nested within program-specific funding structures.

The fire-safe cigarette: a burn prevention tool.

PubMed

Barillo, D J; Brigham, P A; Kayden, D A; Heck, R T; McManus, A T

2000-01-01

Cigarettes are the most common ignition source for fatal house fires, which cause approximately 29% of the fire deaths in the United States. A common scenario is the delayed ignition of a sofa, chair, or mattress by a lit cigarette that is forgotten or dropped by a smoker whose alertness is impaired by alcohol or medication. Cigarettes are designed to continue burning when left unattended. If they are dropped on mattresses, upholstered furniture, or other combustible material while still burning, their propensity to start fires varies depending on the cigarette design and content. The term "fire-safe" has evolved to describe cigarettes designed to have a reduced propensity for igniting mattresses and upholstered furniture. Legislative interest in the development of fire-safe smoking materials has existed for more than 50 years. Studies that showed the technical and economic feasibility of commercial production of fire-safe cigarettes were completed more than 10 years ago. Despite this, commercial production of fire-safe smoking materials has not been undertaken. The current impasse relates to the lack of consensus on a uniform test method on which to base a standard for fire-safe cigarettes. Although the fire-safe cigarette is a potentially important burn prevention tool, commercial production of such cigarettes will not occur until a standard against which fire-starting performance can be measured has been mandated by law at the state or federal level. The burn care community can play a leadership role in such legislative efforts.

Cold-forceps avulsion with adjuvant snare-tip soft coagulation (CAST) is an effective and safe strategy for the management of non-lifting large laterally spreading colonic lesions.

PubMed

Tate, David J; Bahin, Farzan F; Desomer, Lobke; Sidhu, Mayenaaz; Gupta, Vikas; Bourke, Michael J

2018-01-01

 Non-lifting large laterally spreading colorectal lesions (LSLs) are challenging to resect endoscopically and often necessitate surgery. A safe, simple technique to treat non-lifting LSLs endoscopically with robust long-term outcomes has not been described.  In this single-center prospective observational study of consecutive patients referred for endoscopic mucosal resection (EMR) of LSLs ≥ 20 mm, LSLs not completely resectable by snare because of non-lifting underwent standardized completion of resection with cold-forceps avulsion and adjuvant snare-tip soft coagulation (CAST). Scheduled surveillance colonoscopies were performed at 4 - 6 months (SC1) and 18 months (SC2). Primary outcomes were endoscopic evidence of adenoma clearance and avoidance of surgery. The secondary outcome was safety.  From January 2012 to October 2016, 540 lifting LSLs (82.2 %) underwent complete snare excision at EMR. CAST was required for complete removal in 101 non-lifting LSLs (17.8 %): 63 naïve non-lifting lesions (NNLs; 62.7 %) and 38 previously attempted non-lifting lesions (PANLs; 37.3 %). PANLs were smaller ( P  < 0.001) and more likely to be non-granular ( P  = 0.001) than the lifting LSLs. NNLs were of similar size ( P  = 0.77) and morphology ( P  = 0.10) to the lifting LSLs. CAST was successful in all cases and adverse events were comparable to lifting LSLs resected by complete snare excision. Recurrence at SC1 was comparable for PANLs (15.2 %) and lifting LSLs (15.3 %; P  = 0.99), whereas NNLs recurred more frequently (27.5 %; P  = 0.049); however, surgery was no more common for either type of non-lifting LSL than for lifting LSLs.  CAST is a safe, effective, and surgery-sparing therapy for the majority of non-lifting LSLs. It is easy to use, inexpensive, and does not require additional equipment. © Georg Thieme Verlag KG Stuttgart · New York.

Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents.

PubMed

Russ, Alissa L; Militello, Laura G; Glassman, Peter A; Arthur, Karen J; Zillich, Alan J; Weiner, Michael

2017-05-03

Cognitive task analysis (CTA) can yield valuable insights into healthcare professionals' cognition and inform system design to promote safe, quality care. Our objective was to adapt CTA-the critical decision method, specifically-to investigate patient safety incidents, overcome barriers to implementing this method, and facilitate more widespread use of cognitive task analysis in healthcare. We adapted CTA to facilitate recruitment of healthcare professionals and developed a data collection tool to capture incidents as they occurred. We also leveraged the electronic health record (EHR) to expand data capture and used EHR-stimulated recall to aid reconstruction of safety incidents. We investigated 3 categories of medication-related incidents: adverse drug reactions, drug-drug interactions, and drug-disease interactions. Healthcare professionals submitted incidents, and a subset of incidents was selected for CTA. We analyzed several outcomes to characterize incident capture and completed CTA interviews. We captured 101 incidents. Eighty incidents (79%) met eligibility criteria. We completed 60 CTA interviews, 20 for each incident category. Capturing incidents before interviews allowed us to shorten the interview duration and reduced reliance on healthcare professionals' recall. Incorporating the EHR into CTA enriched data collection. The adapted CTA technique was successful in capturing specific categories of safety incidents. Our approach may be especially useful for investigating safety incidents that healthcare professionals "fix and forget." Our innovations to CTA are expected to expand the application of this method in healthcare and inform a wide range of studies on clinical decision making and patient safety.

Effectiveness and safety of early medication abortion provided in pharmacies by auxiliary nurse-midwives: A non-inferiority study in Nepal.

PubMed

Rocca, Corinne H; Puri, Mahesh; Shrestha, Prabhakar; Blum, Maya; Maharjan, Dev; Grossman, Daniel; Regmi, Kiran; Darney, Philip D; Harper, Cynthia C

2018-01-01

Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public health facilities, by trained auxiliary nurse-midwives in Nepal. Auxiliary nurse-midwives were trained to provide medication abortion through twelve pharmacies and public facilities as part of a demonstration project in two districts. Eligible women were ≤63 days pregnant, aged 16-45, and had no medical contraindications. Between 2014-2015, participants (n = 605) obtained 200 mg mifepristone orally and 800 μg misoprostol sublingually or intravaginally 24 hours later, and followed-up 14-21 days later. The primary outcome was complete abortion without manual vacuum aspiration; the secondary outcome was complication requiring treatment. We assessed risk differences by facility type with multivariable logistic mixed-effects regression. Over 99% of enrolled women completed follow-up (n = 600). Complete abortions occurred in 588 (98·0%) cases, with ten incomplete abortions and two continuing pregnancies. 293/297 (98·7%) pharmacy participants and 295/303 (97·4%) public facility participants had complete abortions, with an adjusted risk difference falling within the pre-specified 5 percentage-point non-inferiority margin (1·5% [-0·8%, 3·8%]). No serious adverse events occurred. Five (1.7%) pharmacy and two (0.7%) public facility participants experienced a complication warranting treatment (aRD, 0.8% [-1.0%-2.7%]). Early mifepristone-misoprostol abortion was as effective and safe when provided by trained auxiliary nurse-midwives at pharmacies as at government-certified health facilities. Findings support policy expanding provision through registered pharmacies by trained auxiliary nurse-midwives to improve access to safe care.

Effectiveness and safety of early medication abortion provided in pharmacies by auxiliary nurse-midwives: A non-inferiority study in Nepal

PubMed Central

Puri, Mahesh; Shrestha, Prabhakar; Blum, Maya; Maharjan, Dev; Grossman, Daniel; Regmi, Kiran; Darney, Philip D.; Harper, Cynthia C.

2018-01-01

Background Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public health facilities, by trained auxiliary nurse-midwives in Nepal. Methods Auxiliary nurse-midwives were trained to provide medication abortion through twelve pharmacies and public facilities as part of a demonstration project in two districts. Eligible women were ≤63 days pregnant, aged 16–45, and had no medical contraindications. Between 2014–2015, participants (n = 605) obtained 200 mg mifepristone orally and 800 μg misoprostol sublingually or intravaginally 24 hours later, and followed-up 14–21 days later. The primary outcome was complete abortion without manual vacuum aspiration; the secondary outcome was complication requiring treatment. We assessed risk differences by facility type with multivariable logistic mixed-effects regression. Results Over 99% of enrolled women completed follow-up (n = 600). Complete abortions occurred in 588 (98·0%) cases, with ten incomplete abortions and two continuing pregnancies. 293/297 (98·7%) pharmacy participants and 295/303 (97·4%) public facility participants had complete abortions, with an adjusted risk difference falling within the pre-specified 5 percentage-point non-inferiority margin (1·5% [-0·8%, 3·8%]). No serious adverse events occurred. Five (1.7%) pharmacy and two (0.7%) public facility participants experienced a complication warranting treatment (aRD, 0.8% [-1.0%-2.7%]). Conclusions Early mifepristone-misoprostol abortion was as effective and safe when provided by trained auxiliary nurse-midwives at pharmacies as at government-certified health facilities. Findings support policy expanding provision through registered pharmacies by trained auxiliary nurse-midwives to improve access to safe care. PMID:29351313

Green Infrastructure Research at NRMRL’s Urban Watershed Research Facility

EPA Science Inventory

USEPA’s National Risk Management Research Laboratory (NRMRL) examined several options for completing water quality research supporting the Clean Water Act and the Safe Drinking Water Act. NRMRL concluded that developing and understanding the engineering unit processes within gre...

Negativity Bias in Dangerous Drivers.

PubMed

Chai, Jing; Qu, Weina; Sun, Xianghong; Zhang, Kan; Ge, Yan

2016-01-01

The behavioral and cognitive characteristics of dangerous drivers differ significantly from those of safe drivers. However, differences in emotional information processing have seldom been investigated. Previous studies have revealed that drivers with higher anger/anxiety trait scores are more likely to be involved in crashes and that individuals with higher anger traits exhibit stronger negativity biases when processing emotions compared with control groups. However, researchers have not explored the relationship between emotional information processing and driving behavior. In this study, we examined the emotional information processing differences between dangerous drivers and safe drivers. Thirty-eight non-professional drivers were divided into two groups according to the penalty points that they had accrued for traffic violations: 15 drivers with 6 or more points were included in the dangerous driver group, and 23 drivers with 3 or fewer points were included in the safe driver group. The emotional Stroop task was used to measure negativity biases, and both behavioral and electroencephalograph data were recorded. The behavioral results revealed stronger negativity biases in the dangerous drivers than in the safe drivers. The bias score was correlated with self-reported dangerous driving behavior. Drivers with strong negativity biases reported having been involved in mores crashes compared with the less-biased drivers. The event-related potentials (ERPs) revealed that the dangerous drivers exhibited reduced P3 components when responding to negative stimuli, suggesting decreased inhibitory control of information that is task-irrelevant but emotionally salient. The influence of negativity bias provides one possible explanation of the effects of individual differences on dangerous driving behavior and traffic crashes.

Negativity Bias in Dangerous Drivers

PubMed Central

Chai, Jing; Qu, Weina; Sun, Xianghong; Zhang, Kan; Ge, Yan

2016-01-01

The behavioral and cognitive characteristics of dangerous drivers differ significantly from those of safe drivers. However, differences in emotional information processing have seldom been investigated. Previous studies have revealed that drivers with higher anger/anxiety trait scores are more likely to be involved in crashes and that individuals with higher anger traits exhibit stronger negativity biases when processing emotions compared with control groups. However, researchers have not explored the relationship between emotional information processing and driving behavior. In this study, we examined the emotional information processing differences between dangerous drivers and safe drivers. Thirty-eight non-professional drivers were divided into two groups according to the penalty points that they had accrued for traffic violations: 15 drivers with 6 or more points were included in the dangerous driver group, and 23 drivers with 3 or fewer points were included in the safe driver group. The emotional Stroop task was used to measure negativity biases, and both behavioral and electroencephalograph data were recorded. The behavioral results revealed stronger negativity biases in the dangerous drivers than in the safe drivers. The bias score was correlated with self-reported dangerous driving behavior. Drivers with strong negativity biases reported having been involved in mores crashes compared with the less-biased drivers. The event-related potentials (ERPs) revealed that the dangerous drivers exhibited reduced P3 components when responding to negative stimuli, suggesting decreased inhibitory control of information that is task-irrelevant but emotionally salient. The influence of negativity bias provides one possible explanation of the effects of individual differences on dangerous driving behavior and traffic crashes. PMID:26765225

Preoperative Navigated Transcranial Magnetic Stimulation and Tractography to Guide Endoscopic Cystoventriculostomy: A Technical Note and Case Report.

PubMed

Hendrix, Philipp; Senger, Sebastian; Griessenauer, Christoph J; Simgen, Andreas; Linsler, Stefan; Oertel, Joachim

2018-01-01

To report a technique for endoscopic cystoventriculostomy guided by preoperative navigated transcranial magnetic stimulation (nTMS) and tractography in a patient with a large speech eloquent arachnoid cyst. A 74-year old woman presented with a seizure and subsequent persistent anomic aphasia from a progressive left-sided parietal arachnoid cyst. An endoscopic cystoventriculostomy and endoscope-assisted ventricle catheter placement were performed. Surgery was guided by preoperative nTMS and tractography to avoid eloquent language, motor, and visual pathways. Preoperative nTMS motor and language mapping were used to guide tractography of motor and language white matter tracts. The ideal locations of entry point and cystoventriculostomy as well as trajectory for stent-placement were determined preoperatively with a pseudo-3-dimensional model visualizing eloquent language, motor, and visual cortical and subcortical information. The early postoperative course was uneventful. At her 3-month follow-up visit, her language impairments had completely recovered. Additionally, magnetic resonance imaging demonstrated complete collapse of the arachnoid cyst. The combination of nTMS and tractography supports the identification of a safe trajectory for cystoventriculostomy in eloquent arachnoid cysts. Copyright © 2017 Elsevier Inc. All rights reserved.

Empowering a safer practice: PDAs are integral tools for nursing and health care.

PubMed

Hudson, Kathleen; Buell, Virginia

2011-04-01

This study's purpose was to assess the characteristics of personal digital assistant (PDA) uptake and use in both clinical and classroom work for baccalaureate student nurses (BSN) within a rural Texas university. Patient care has become more complicated, risk prone, automated and costly. Efficiencies at the bedside are needed to continue to provide safe and successful within this environment. Purposive sample of nursing students using PDAs throughout their educational processes, conducted at three campus sites. The initial sample size was 105 students, followed by 94 students at end of the first semester and 75 students at curriculum completion at the end of a 2-year period. Students completed structured and open-ended questions to assess their perspectives on PDA usage. Student uptake varied in relation to overall competency, with minimal to high utilization noted, and was influenced by the current product costs. PDAs are developing into useful clinical tools by providing quick and important information for safer care. Using bedside PDAs effectively assists with maintaining patient safety, efficiency of care delivery and staff satisfaction. This study evaluates the initial implementation of PDAs by students, our future multitasking nurses. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

Hypodermoclysis: a literature review to assist in clinical practice

PubMed Central

Bruno, Vanessa Galuppo

2015-01-01

The aim of this study was to analyze the information available in the literature about the drugs that can be administered through hypodermoclysis and the resulting impact that this information may have on the routine of the pharmacist working at a hospital. The study was based on a review of the literature. The results showed positive points of the procedure, but little specific information about medications such as routes of administration, standard dilutions, optimal doses, etc. Thus, it was possible to verify that there is no definite information as to the correct way to administer the drugs in this route, even though this is an effective and safe option, according to the literature. The lack of information has a negative impact on the support provided by the pharmacist to the nursing staff to ensure that the drug actually reaches its therapeutic goals safely. PMID:25807246

76 FR 28844 - Agency Information Collection Activities: Notice of Request for Approval of a New Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-18

..., education, enforcement, and emergency medical service stakeholders. The SHSP process allows highway safety... INFORMATION CONTACT: Jeffrey Miller, (202) 366-0744 or [email protected] , Office of Safety Integration... Highway Safety Plan (SHSP). Type of request: New information collection requirement. Background: The Safe...

14 CFR 27.1587 - Performance information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Performance information. 27.1587 Section 27... Manual and Approved Manual Material § 27.1587 Performance information. (a) The Rotorcraft Flight Manual... performance information is provided and at which the rotorcraft cannot land and take off safely with the...

14 CFR 27.1587 - Performance information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Performance information. 27.1587 Section 27... Manual and Approved Manual Material § 27.1587 Performance information. (a) The Rotorcraft Flight Manual... performance information is provided and at which the rotorcraft cannot land and take off safely with the...

14 CFR 27.1587 - Performance information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Performance information. 27.1587 Section 27... Manual and Approved Manual Material § 27.1587 Performance information. (a) The Rotorcraft Flight Manual... performance information is provided and at which the rotorcraft cannot land and take off safely with the...

14 CFR 27.1587 - Performance information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Performance information. 27.1587 Section 27... Manual and Approved Manual Material § 27.1587 Performance information. (a) The Rotorcraft Flight Manual... performance information is provided and at which the rotorcraft cannot land and take off safely with the...

Emotional response to a therapeutic technique: The social Broad Minded Affective Coping.

PubMed

Holden, Natasha; Kelly, James; Welford, Mary; Taylor, Peter J

2017-03-01

It has been suggested that savouring positive memories can generate positive emotions. Increasing positive emotion can have a range of benefits including reducing attention to and experiences of threat. This study investigated individuals' emotional reactions to a guided mental imagery task focussing on positive social memory called the 'social Broad Minded Affective Coping (BMAC)' technique. The study examined possible predictors of individuals' responses to this intervention. An internet-based, within-group, repeated-measures design was used. One hundred and twenty-three participants completed self-report measures of self-attacking and social safeness/pleasure. They were then guided through the social BMAC. Participants completed state measures of positive and negative affect and social safeness/pleasure before and after the intervention. Forty-nine participants took part in a 2-week follow-up. It was found that safe/warm positive affect, relaxed positive affect and feelings of social safeness increased following the social BMAC, whilst negative affect decreased. In addition, it was found that people scoring higher on inadequate self-attacking benefited most from this intervention. Changes in affect were not maintained at the 2-week follow-up. The results provide preliminary support for the efficacy of the social BMAC in activating specific types of mood (those associated with safeness rather than drive/reward). This task has potential as part of therapeutic interventions directed at clinical groups, but further evaluation is needed. The social Broad Minded Affective Coping (BMAC) was related to improvements in forms of positive affect linked to the affiliative system. This task may be helpful in inducing these positive mood states within therapy. Further evaluation comparing the BMAC to a control task is needed. Individuals with a greater fear of compassion or more hated-self-criticism may gain less from the task, although effects were small. © 2016 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of the British Psychological Society.

Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.

PubMed

Rapala, Kathryn

2005-06-01

This article describes a second element of the Synergy Model of Patient Care implemented by Clarian Health Partners of Indiana. The Clarian Safe Passage Program is a unique approach to the promotion of patient safety. In this program, frontline staff nurses are trained to serve as Safe Passage nurses, who are unit-based safety experts. These nurses mentor each other and their peers in acquiring patient safety expertise and promoting a free flow of information to avert actual and potential errors in health care delivery.

New digital anti-copy/scan and verification technologies

NASA Astrophysics Data System (ADS)

Phillips, George K.

2004-06-01

This white paper reviews the method for making bearer printed information indistinguishable on a non-copyable substrate when a copied attempt is made on either an analog or digital electrostatic photocopier device. In 1995 we received patent number 5,704,651 for a non-copyable technology trademarked MetallicSafe. In this patent the abstract describes the usage of a reflective layer, formed on a complex pattern region and having graphic or font size shapes and type coordinating to particular patterns in the complex pattern region. The technology used in this patent has now been improved and evolved to new methods of creating a non-copyable substrate trademarked CopySafe+. CopySafe+ is formed of a metallic specular light reflector, a white camouflaged diffused light reflector, and the content information 'light absorption' layer. The synthesizing of these layers on a substrate creates dynamic camouflaged interference patterns and the phenomena of image chaos on a copy. In short, the orientation of a plurality of spectral and diffused light reflection camouflaged layers, mixed and coordinated with light absorption printed information, inhibits the copying device from reproducing the printed content.

The Need to Apply Medical Device Informatics in Developing Standards for Safe Interoperable Medical Systems.

PubMed

Weininger, Sandy; Jaffe, Michael B; Goldman, Julian M

2017-01-01

Medical device and health information technology systems are increasingly interdependent with users demanding increased interoperability. Related safety standards must be developed taking into account these systems' perspective. In this article, we describe the current development of medical device standards and the need for these standards to address medical device informatics. Medical device information should be gathered from a broad range of clinical scenarios to lay the foundation for safe medical device interoperability. Five clinical examples show how medical device informatics principles, if applied in the development of medical device standards, could help facilitate the development of safe interoperable medical device systems. These examples illustrate the clinical implications of the failure to capture important signals and device attributes. We provide recommendations relating to the coordination between historically separate standards development groups, some of which focus on safety and effectiveness and others focus on health informatics. We identify the need for a shared understanding among stakeholders and describe organizational structures to promote cooperation such that device-to-device interactions and related safety information are considered during standards development.

The Need to Apply Medical Device Informatics in Developing Standards for Safe Interoperable Medical Systems

PubMed Central

Weininger, Sandy; Jaffe, Michael B.; Goldman, Julian M

2016-01-01

Medical device and health information technology systems are increasingly interdependent with users demanding increased interoperability. Related safety standards must be developed taking into account this systems perspective. In this article we describe the current development of medical device standards and the need for these standards to address medical device informatics. Medical device information should be gathered from a broad range of clinical scenarios to lay the foundation for safe medical device interoperability. Five clinical examples show how medical device informatics principles, if applied in the development of medical device standards, could help facilitate the development of safe interoperable medical device systems. These examples illustrate the clinical implications of the failure to capture important signals and device attributes. We provide recommendations relating to the coordination between historically separate standards development groups; some which focus on safety and effectiveness, and others that focus on health informatics. We identify the need for a shared understanding among stakeholders and describe organizational structures to promote cooperation such that device-to-device interactions and related safety information are considered during standards development. PMID:27584685

STS safety approval process for small self-contained payloads

NASA Technical Reports Server (NTRS)

Gum, Mary A.

1988-01-01

The safety approval process established by the National Aeronautics and Space Administration for Get Away Special (GAS) payloads is described. Although the designing organization is ultimately responsible for the safe operation of its payload, the Get Away Special team at the Goddard Space Flight Center will act as advisors while iterative safety analyses are performed and the Safety Data Package inputs are submitted. This four phase communications process will ultimately give NASA confidence that the GAS payload is safe, and successful completion of the Phase 3 package and review will clear the way for flight aboard the Space Transportation System orbiter.

The Universal Anaesthesia Machine (UAM): assessment of a new anaesthesia workstation built with global health in mind.

PubMed

de Beer, D A H; Nesbitt, F D; Bell, G T; Rapuleng, A

2017-04-01

The Universal Anaesthesia Machine has been developed as a complete anaesthesia workstation for use in low- and middle-income countries, where the provision of safe general anaesthesia is often compromised by unreliable supply of electricity and anaesthetic gases. We performed a functional and clinical assessment of this anaesthetic machine, with particular reference to novel features and functioning in the intended environment. The Universal Anaesthesia Machine was found to be reliable, safe and consistent across a range of tests during targeted functional testing. © 2016 The Association of Anaesthetists of Great Britain and Ireland.

78 FR 66097 - Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-04

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of Information Collection: Safety Awareness, Feedback, and Evaluation (SAFE) Program AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice...

Information security : is your information safe?

DOT National Transportation Integrated Search

1999-01-01

This article characterizes the problem of cyber-terrorism, outlines the Federal government's response to several security-related concerns, and describes the Volpe Center's critical support to this response. The possibility of catastrophic terrorist ...

76 FR 8337 - Proposed Information Collection; Comment Request; Survey of Participating Companies in the U.S...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-14

... Request; Survey of Participating Companies in the U.S.-European Union and U.S.-Swiss Safe Harbor... Trade Administration (ITA) administers the U.S.-European Union (EU) and U.S.- Swiss Safe Harbor Frameworks. These Frameworks allow U.S. companies to meet the requirements of the European Union's Data...

Safe and Secure Schools Assessment. Public School Information. Legislative Report, 2008

ERIC Educational Resources Information Center

Idaho State Department of Education, 2008

2008-01-01

As a result of high profile shootings and critical incidents in schools on a national level, combined with the lack of a cohesive, standardized approach to safety and security in Idaho Schools, Superintendent Tom Luna requested an appropriation to address this issue and the Legislature allocated 5150.000 in FY 2008 for the Safe and Secure…

Environmental Action Guide for New York City Schools.

ERIC Educational Resources Information Center

Advocates for Children of New York, Inc., Long Island City.

The purpose of this guide is to inform parents, advocates, and school personnel about existing laws and resources available to ensure that every child and every school employee has an environmentally safe and healthy school that is clean and in good repair. An environmentally safe and healthy school is one of the principles adopted by the New York…

Home Safety, Safe Behaviors of Elderly People, and Fall Accidents At Home

ERIC Educational Resources Information Center

Erkal, Sibel

2010-01-01

The present study analyzed home safety and safe behaviors against fall accidents of elderly people living at home. The study group comprised 121 people aged 65+ living in the catchment area of Ankara Mamak Halil Ulgen Health Center. Data were collected via a personal information form and Home-Screen Scale. Statistical analysis used an independent…

The ABCs of Safe and Healthy Child Care: A Handbook for Child Care Providers.

ERIC Educational Resources Information Center

Hale, Cynthia M.; Polder, Jacquelyn A.

Recognizing the importance of maintaining a safe and healthy child care setting, this manual for home or center child care providers contains information and guidelines to help providers maintain child health and reduce sickness and injuries. Part 1, "Introduction," describes how diseases are spread and how to prevent and prepare for unintentional…

Home Safe Home: Appliances, Tools, and Small Equipment. Proceed with Caution: Consumer Safety in the Home, III.

ERIC Educational Resources Information Center

Saskatchewan Consumer and Commercial Affairs, Regina.

Many accidents in the home are caused by faulty, defective or improperly designed tools, appliances, and equipment. Government, non-governmental organizations, and industries cooperate to develop and implement standards for the safe design and manufacture of consumer products. This booklet provides information to help consumers select products,…

EPA Reaches Settlement with Two N.H. Companies for Failure to Disclose Lead Paint Information or Follow Lead-Safe Work Practices at Residential Property in Manchester

EPA Pesticide Factsheets

The U.S. EPA finalized a settlement agreement with two N.H. companies for their alleged failure to follow lead-safe work practices and provide proper lead paint disclosure to tenants at a residential property in Manchester, N.H.

Safe School Design: A Handbook for Educational Leaders Applying the Principles of Crime Prevention through Environmental Design.

ERIC Educational Resources Information Center

Schneider, Tod; Walker, Hill; Sprague, Jeffrey

This document seeks to synthesize, integrate, and make available to school personnel solid information regarding Crime Prevention through Environmental Design (CPTED). Chapter 1, "The Changed Landscape of School Safety and Security," examines characteristics of safe and unsafe schools, causes of vulnerability, and the role of design and technology…

50 CFR 216.93 - Tracking and verification program.

Code of Federal Regulations, 2011 CFR

2011-10-01

... unload part or all of its catch, new TTFs will be assigned to the new trip, and any information concerning tuna retained on the vessel will be recorded as the first entry on the TTFs for the new trip. If... safeguard the identification of the dolphin-safe or non-dolphin-safe designation of the tuna as it left the...

75 FR 38168 - Hazardous Materials: International Regulations for the Safe Transport of Radioactive Material (TS...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... (IAEA) ``Regulations for the Safe Transport of Radioactive Material'' (TS-R-1), which is scheduled for... comments on the draft document to the IAEA. We are requesting input from the public to assist in developing....gov . SUPPLEMENTARY INFORMATION: I. Background The IAEA works with its Member States and multiple...

Use of Health Belief Model Variables To Examine Self-Reported Food Handling Behaviors in a Sample of U.S. Adults Attending a Tailgate Event.

PubMed

Hanson, Jennifer A; Hughes, Susan M; Liu, Pei

2015-12-01

Unsafe food handling behaviors are common among consumers, and, given the venue, individuals attending a tailgating event may be at risk for foodborne illness. The objective of this study was to measure the association between Health Belief Model variables and self-reported usual food handling behaviors in a convenience sample of men and women at a tailgate event. Participants (n = 128) completed validated subscales for self-reported food handling behaviors (i.e., cross-contamination, sanitation), perceived threat of foodborne illness (i.e., perceived severity, perceived susceptibility), and safe food handling cues to action (i.e., media cues, educational cues). Perceived severity of foodborne illness was associated with safer behaviors related to sanitation (r = 0.40; P < 0.001) and cross-contamination (r = 0.33; P = 0.001). Perceived severity of foodborne illness was also associated with exposure to safe food handling media cues (r = 0.20; P = 0.027) but not with safe food handling educational cues. A large proportion of participants reported that they never or seldom (i) read newspaper or magazine articles about foodborne illness (65.6%); (ii) read brochures about safe ways to handle food (61.7%); (iii) see store displays that explain ways to handle food (51.6%); or (iv) read the "safe handling instructions" on packages of raw meat and poultry (46.9%). Perceived severity of foodborne illness was positively related to both dimensions of safe food handling as well as with safe food handling media cues. Except for the weak correlation between media cues and perceived severity, the relationships between safe food handling cues and perceived threat, as well as between safe food handling cues and behaviors, were nonsignificant. This finding may be due, in part, to the participants' overall low exposure to safe food handling cues. The overall results of this study reinforce the postulate that perceived severity of foodborne illness may influence food handling behaviors.

Management of hypothermia: impact of lecture-based interactive workshops on training of pediatric nurses.

PubMed

Altun, Insaf; Karakoç, Ali

2012-05-01

This study aimed to determine the efficacy of interactive workshop on the management of hypothermia and its impact on pediatric nurses' training. This is a pretest-to-posttest quasi-experimental descriptive study. Thirty pediatric nurses attended an interactive lecture-based interactive workshop on the management of hypothermia. Participants had to accept an invitation to the presentation before the training event. They completed the lecture, and a multiple-choice question test before and after the lecture was given. There was a significant improvement in mean test scores after the lecture when compared with those before the lecture (mean [SD], 15.5 [1.3] vs 5.0 [1.7], P < 0.001). The information gained in this study will be valuable as a baseline for further research and help guide improvements in the management of hypothermia with the ultimate goal of enhancing safe and quality patient care.

Autonomous Unmanned Helicopter System for Remote Sensing Missions in Unknown Environments

NASA Astrophysics Data System (ADS)

Merz, T.; Chapman, S.

2011-09-01

This paper presents the design of an autonomous unmanned helicopter system for low-altitude remote sensing. The proposed concepts and methods are generic and not limited to a specific helicopter. The development was driven by the need for a dependable, modular, and affordable system with sufficient payload capacity suitable for both research and real-world deployment. The helicopter can be safely operated without a backup pilot in a contained area beyond visual range. This enables data collection in inaccessible or dangerous areas. Thanks to its terrain following and obstacle avoidance capability, the system does not require a priori information about terrain elevation and obstacles. Missions are specified in state diagrams and flight plans. We present performance characteristics of our system and show results of its deployment in real-world scenarios. We have successfully completed several dozen infrastructure inspection missions and crop monitoring missions facilitating plant phenomics studies.

Reproductive health experiences of women with cardiovascular disease.

PubMed

Chor, Julie; Oswald, Lora; Briller, Joan; Cowett, Allison; Peacock, Nadine; Harwood, Bryna

2012-11-01

Limited research exists exploring contraceptive and pregnancy experiences of women with cardiovascular diseases. We conducted semistructured interviews with reproductive-age women with chronic hypertension or peripartum cardiomyopathy exploring thoughts and behaviors regarding future fertility. Transcribed interviews were coded and analyzed identifying salient themes. We interviewed 20 women with chronic hypertension and 10 women with peripartum cardiomyopathy. Women described a spectrum of perspectives regarding the relationship between disease and fertility: from complete disconnect to full integration of diagnosis and future fertility plans. Integration of reproductive and cardiovascular health was influenced by and reflected in circumstances of diagnosis, pregnancy-related experiences, contraception-related experiences and conceptualization of disease risk related to reproductive health. Providers must better understand how women perceive and consider their reproductive and cardiovascular health in order to optimize contraceptive care of women with cardiovascular disease and help them make safe, informed decisions about future fertility. Copyright © 2012 Elsevier Inc. All rights reserved.

Chemotherapy extravasations: prevention, identification, management, and documentation.

PubMed

Gonzalez, Tulia

2013-02-01

The nurses' role in safe and effective practice of chemotherapy administration is paramount. The purpose of this article is to present nurses administering chemotherapy with evidence-based information useful in eliminating or reducing the severity of an injury from a chemotherapy extravasation. Nurse education is essential to prevent, recognize, manage, and document chemotherapy extravasations. The classification of the cytotoxic drug and its mechanism of action is useful when selecting the IV access device and also will direct the nurse's intervention to manage the injury. The Oncology Nursing Society's Chemotherapy and Biotherapy Guidelines and Recommendations for Practice and the drug manufacturer are the best sources offering pharmacologic and nonpharmacologic recommendations. The nurse's best ally in the prevention, prompt recognition, and management of an extravasation is the educated patient. Documenting chemotherapy extravasation is another important step to guide the treatment plan; therefore, the document must provide complete details and the extent of the event.

Guideline Implementation: Energy-Generating Devices, Part 1-Electrosurgery.

PubMed

Eder, Sheryl P

2017-03-01

Energy-generating devices are standard equipment in the surgical suite, with electrosurgical units being the most common type of electrical device used in the OR. Prevention of injuries to patients and personnel related to the use of energy-generating devices is a key component of the perioperative nurse's role. The AORN "Guideline for safe use of energy-generating devices" provides guidance on the use and maintenance of devices that deliver energy in the forms of radiofrequency waves, ultrasound waves, or lasers. This article focuses on key points of the guideline, which address precautions specific to electrosurgical units, patients with implanted electronic devices, and minimally invasive surgery, and documentation of the use of energy-generating devices. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Mars Science Laboratory (MSL) Entry, Descent, and Landing Instrumentation (MEDLI): Complete Flight Data Set

NASA Technical Reports Server (NTRS)

Cheatwood, F. McNeil; Bose, Deepak; Karlgaard, Christopher D.; Kuhl, Christopher A.; Santos, Jose A.; Wright, Michael J.

2014-01-01

The Mars Science Laboratory (MSL) entry vehicle (EV) successfully entered the Mars atmosphere and landed the Curiosity rover safely on the surface of the planet in Gale crater on August 6, 2012. MSL carried the MSL Entry, Descent, and Landing (EDL) Instrumentation (MEDLI). MEDLI delivered the first in-depth understanding of the Mars entry environments and the response of the entry vehicle to those environments. MEDLI was comprised of three major subsystems: the Mars Entry Atmospheric Data System (MEADS), the MEDLI Integrated Sensor Plugs (MISP), and the Sensor Support Electronics (SSE). Ultimately, the entire MEDLI sensor suite consisting of both MEADS and MISP provided measurements that were used for trajectory reconstruction and engineering validation of aerodynamic, atmospheric, and thermal protection system (TPS) models in addition to Earth-based systems testing procedures. This report contains in-depth hardware descriptions, performance evaluation, and data information of the three MEDLI subsystems.

WAG 2 remedial investigation and site investigation site-specific work plan/health and safety checklist for the ecological assessment task, Kingfisher Study

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

Holt, V.L.; Baron, L.A.

1994-05-01

This report provides specific details and requirements for the WAG 2 remedial investigation and site investigation Ecological Assessment Task, Kingfisher Study, including information that will contribute to safe completion of the project. The report includes historical background; a site map; project organization; task descriptions and hazard evaluations; controls; and monitoring, personal protective equipment, decontamination, and medical surveillance program requirements. The report also includes descriptions of site personnel and their certifications as well as suspected WAG 2 contaminants and their characteristics. The primary objective of the WAG 2 Kingfisher Study is to assess the feasibility of using kingfishers as biological monitorsmore » of contaminants on the Oak Ridge Reservation (ORR). Kingfisher sample collection will be used to determine the levels of contaminants and degree of bioaccumulation within a common piscivorous bird feeding on contaminated fish from streams on the ORR.« less

Orion Underway Recovery Test 5 (URT-5)

NASA Image and Video Library

2016-11-01

The USS San Diego approaches Naval Base San Diego in California after completion of Underway Recovery Test 5 in the Pacific Ocean. NASA's Ground Systems Development and Operations Program and the U.S. Navy conducted a series of tests using the ship's well deck and a test version of the Orion crew module to prepare for recovery of Orion on its return from deep space missions. The testing allowed the team to demonstrate and evaluate recovery processes, procedures, hardware and personnel in open waters. Orion is the exploration spacecraft designed to carry astronauts to destinations not yet explored by humans, including an asteroid and NASA's Journey to Mars. It will have emergency abort capability, sustain the crew during space travel and provide safe re-entry from deep space return velocities. Orion is scheduled to launch on NASA's Space Launch System in late 2018. For more information, visit http://www.nasa.gov/orion.

Orion Underway Recovery Test 5 (URT-5)

NASA Image and Video Library

2016-11-01

The USS San Diego approaches the coast of San Diego, California after completion of Underway Recovery Test 5 in the Pacific Ocean. NASA's Ground Systems Development and Operations Program and the U.S. Navy conducted a series of tests, called Underway Recovery Test 5, using the ship's well deck and a test version of the Orion crew module to prepare for recovery of Orion on its return from deep space missions. The testing allowed the team to demonstrate and evaluate recovery processes, procedures, hardware and personnel in open waters. Orion is the exploration spacecraft designed to carry astronauts to destinations not yet explored by humans, including an asteroid and NASA's Journey to Mars. It will have emergency abort capability, sustain the crew during space travel and provide safe re-entry from deep space return velocities. Orion is scheduled to launch on NASA's Space Launch System in late 2018. For more information, visit http://www.nasa.gov/orion.

Physical Activity during Pregnancy: Recommendations and Assessment Tools.

PubMed

Oliveira, Cibele; Imakawa, Thiago Dos Santos; Moisés, Elaine Christine Dantas

2017-08-01

The literature that supports and recommends the practice of exercise during pregnancy is extensive.However, although a more complete research on ways to evaluate the physical activity performed by pregnant women has been perfomed, it is found that there is no gold standard and that the articles in the area are inconclusive. Thus, the objective of the present article is to review relevant aspects, such as, technique and applicability of the different methods for the assessment of physical activity during pregnancy to provide more reliable and safe information for health professionals to encourage their pregnant patients to engage in the practice of physical activity. This review concluded that all tools for the analysis of physical activity have limitations. Thus, it is necessary to establish the objectives of evaluation in an appropriate manner, as well as to determine their viability and cost-effectiveness for the population under study. Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil.

Dual renin-angiotensin-aldosterone blockade: promises and pitfalls.

PubMed

Chrysant, Steven G; Chrysant, George S

2015-01-01

Single renin-angiotensin-aldosterone system (RAAS) blockade has been shown to be effective and safe for the treatment of hypertension, coronary heart disease (CHD), heart failure (HF), diabetes, and chronic kidney disease (CKD) with proteinuria. Due to the action of RAAS blockers at various levels of the RAAS cascade, it was hypothesized that dual RAAS blockade would result in more complete inhibition of angiotensin II (Ang II) production and be more effective in blocking its detrimental cardiovascular remodeling effects. Unfortunately, several clinical trials in patients with hypertension, CHD, HF, and CKD with proteinuria have demonstrated no superiority of dual versus single RAAS blockade, but a higher incidence of adverse events. Based on these findings, dual RAAS blockade is no longer recommended for the routine treatment of various cardiovascular diseases, except diabetic nephropathy with proteinuria and HF with reduced ejection fraction. All the new information gathered from studies within the last 3 years will be presented in this review.

TECHNOLOGY TRANSFER HANDBOOK: MANAGEMENT OF WATER TREATMENT PLANT RESIDUALS

EPA Science Inventory

Potable water treatment processes produce safe drinking water and generate a wide variety of waste products known as residuals, including organic and inorganic compounds in liquid, solid, and gaseous forms. In the current regulatory climate, a complete management program for a w...

Fiber Supplements: Are They Safe to Take Every Day?

MedlinePlus

... be sure to drink plenty of fluids every day. With Michael F. Picco, M.D. Duyff RL. Carbs. In: American Dietetic Association Complete Food and Nutrition Guide. 4th ed. Hoboken, N.J.: John Wiley & Sons; 2012. Slavin JL. Position of ...

The Supertree Toolkit 2: a new and improved software package with a Graphical User Interface for supertree construction.

PubMed

Hill, Jon; Davis, Katie E

2014-01-01

Building large supertrees involves the collection, storage, and processing of thousands of individual phylogenies to create large phylogenies with thousands to tens of thousands of taxa. Such large phylogenies are useful for macroevolutionary studies, comparative biology and in conservation and biodiversity. No easy to use and fully integrated software package currently exists to carry out this task. Here, we present a new Python-based software package that uses well defined XML schema to manage both data and metadata. It builds on previous versions by 1) including new processing steps, such as Safe Taxonomic Reduction, 2) using a user-friendly GUI that guides the user to complete at least the minimum information required and includes context-sensitive documentation, and 3) a revised storage format that integrates both tree- and meta-data into a single file. These data can then be manipulated according to a well-defined, but flexible, processing pipeline using either the GUI or a command-line based tool. Processing steps include standardising names, deleting or replacing taxa, ensuring adequate taxonomic overlap, ensuring data independence, and safe taxonomic reduction. This software has been successfully used to store and process data consisting of over 1000 trees ready for analyses using standard supertree methods. This software makes large supertree creation a much easier task and provides far greater flexibility for further work.

Psychosocial risk factors associated with cyberbullying among adolescents: a population-based study.

PubMed

Sourander, Andre; Brunstein Klomek, Anat; Ikonen, Maria; Lindroos, Jarna; Luntamo, Terhi; Koskelainen, Merja; Ristkari, Terja; Helenius, Hans

2010-07-01

To our knowledge, no population study examining psychosocial and psychiatric risk factors associated with cyberbullying among adolescents exists. To study cross-sectional associations between cyberbullying and psychiatric and psychosomatic problems among adolescents. Population-based cross-sectional study. Finland. The sample consists of 2215 Finnish adolescents aged 13 to 16 years with complete information about cyberbullying and cybervictimization. Self-reports of cyberbullying and cybervictimization during the past 6 months. In the total sample, 4.8% were cybervictims only, 7.4% were cyberbullies only, and 5.4% were cyberbully-victims. Cybervictim-only status was associated with living in a family with other than 2 biological parents, perceived difficulties, emotional and peer problems, headache, recurrent abdominal pain, sleeping difficulties, and not feeling safe at school. Cyberbully-only status was associated with perceived difficulties, hyperactivity, conduct problems, low prosocial behavior, frequent smoking and drunkenness, headache, and not feeling safe at school. Cyberbully-victim status was associated with all of these risk factors. Among cybervictims, being cyberbullied by a same-sex or opposite-sex adult, by an unknown person, and by a group of people were associated with fear for safety, indicating possible trauma. Both cyberbullying and cybervictimization are associated with psychiatric and psychosomatic problems. The most troubled are those who are both cyberbullies and cybervictims. This indicates the need for new strategies for cyberbullying prevention and intervention.

Flu Vaccine Safety Information

MedlinePlus

... Types Seasonal Avian Swine Variant Pandemic Other Flu Vaccine Safety Information Questions & Answers Language: English (US) Español ... of flu vaccines monitored? Egg Allergy Are flu vaccines safe? Flu vaccines have good safety record. Hundreds ...

Staying Safe on Social Network Sites

MedlinePlus

... including photos, about your connections. Remember that the Internet is a public resource - Only post information you ... Publishing Information Online .) Be wary of strangers - The Internet makes it easy for people to misrepresent their ...

17 CFR 230.168 - Exemption from sections 2(a)(10) and 5(c) of the Act for certain communications of regularly...

Code of Federal Regulations, 2011 CFR

2011-04-01

... and forward-looking information. 230.168 Section 230.168 Commodity and Securities Exchanges SECURITIES... factual business information and forward-looking information. Preliminary Notes to § 230.168. 1. This... provides a non-exclusive safe harbor for factual business information and forward-looking information...

Automatic extraction of pavement markings on streets from point cloud data of mobile LiDAR

NASA Astrophysics Data System (ADS)

Gao, Yang; Zhong, Ruofei; Tang, Tao; Wang, Liuzhao; Liu, Xianlin

2017-08-01

Pavement markings provide an important foundation as they help to keep roads users safe. Accurate and comprehensive information about pavement markings assists the road regulators and is useful in developing driverless technology. Mobile light detection and ranging (LiDAR) systems offer new opportunities to collect and process accurate pavement markings’ information. Mobile LiDAR systems can directly obtain the three-dimensional (3D) coordinates of an object, thus defining spatial data and the intensity of (3D) objects in a fast and efficient way. The RGB attribute information of data points can be obtained based on the panoramic camera in the system. In this paper, we present a novel method process to automatically extract pavement markings using multiple attribute information of the laser scanning point cloud from the mobile LiDAR data. This method process utilizes a differential grayscale of RGB color, laser pulse reflection intensity, and the differential intensity to identify and extract pavement markings. We utilized point cloud density to remove the noise and used morphological operations to eliminate the errors. In the application, we tested our method process on different sections of roads in Beijing, China, and Buffalo, NY, USA. The results indicated that both correctness (p) and completeness (r) were higher than 90%. The method process of this research can be applied to extract pavement markings from huge point cloud data produced by mobile LiDAR.

Improving Information on Maternal Medication Use by Linking Prescription Data to Congenital Anomaly Registers: A EUROmediCAT Study.

PubMed

de Jonge, Linda; Garne, Ester; Gini, Rosa; Jordan, Susan E; Klungsoyr, Kari; Loane, Maria; Neville, Amanda J; Pierini, Anna; Puccini, Aurora; Thayer, Daniel S; Tucker, David; Vinkel Hansen, Anne; Bakker, Marian K

2015-11-01

Research on associations between medication use during pregnancy and congenital anomalies is significative for assessing the safe use of a medicine in pregnancy. Congenital anomaly (CA) registries do not have optimal information on medicine exposure, in contrast to prescription databases. Linkage of prescription databases to the CA registries is a potentially effective method of obtaining accurate information on medicine use in pregnancies and the risk of congenital anomalies. We linked data from primary care and prescription databases to five European Surveillance of Congenital Anomalies (EUROCAT) CA registries. The linkage was evaluated by looking at linkage rate, characteristics of linked and non-linked cases, first trimester exposure rates for six groups of medicines according to the prescription data and information on medication use registered in the CA databases, and agreement of exposure. Of the 52,619 cases registered in the CA databases, 26,552 could be linked. The linkage rate varied between registries over time and by type of birth. The first trimester exposure rates and the agreements between the databases varied for the different medicine groups. Information on anti-epileptic drugs and insulins and analogue medicine use recorded by CA registries was of good quality. For selective serotonin reuptake inhibitors, anti-asthmatics, antibacterials for systemic use, and gonadotropins and other ovulation stimulants, the recorded information was less complete. Linkage of primary care or prescription databases to CA registries improved the quality of information on maternal use of medicines in pregnancy, especially for medicine groups that are less fully registered in CA registries.

A comprehensive operating room information system using the Kinect sensors and RFID.

PubMed

Nouei, Mahyar Taghizadeh; Kamyad, Ali Vahidian; Soroush, Ahmad Reza; Ghazalbash, Somayeh

2015-04-01

Occasionally, surgeons do need various types of information to be available rapidly, efficiently and safely during surgical procedures. Meanwhile, they need to free up hands throughout the surgery to necessarily access the mouse to control any application in the sterility mode. In addition, they are required to record audio as well as video files, and enter and save some data. This is an attempt to develop a comprehensive operating room information system called "Medinav" to tackle all mentioned issues. An integrated and comprehensive operating room information system is introduced to be compatible with Health Level 7 (HL7) and digital imaging and communications in medicine (DICOM). DICOM is a standard for handling, storing, printing, and transmitting information in medical imaging. Besides, a natural user interface (NUI) is designed specifically for operating rooms where touch-less interactions with finger and hand tracking are in use. Further, the system could both record procedural data automatically, and view acquired information from multiple perspectives graphically. A prototype system is tested in a live operating room environment at an Iranian teaching hospital. There are also contextual interviews and usability satisfaction questionnaires conducted with the "MediNav" system to investigate how useful the proposed system could be. The results reveal that integration of these systems into a complete solution is the key to not only stream up data and workflow but maximize surgical team usefulness as well. It is now possible to comprehensively collect and visualize medical information, and access a management tool with a touch-less NUI in a rather quick, practical, and harmless manner.

18 CFR 367.9090 - Account 909, Informational and instructional advertising expenses.

Code of Federal Regulations, 2013 CFR

2013-04-01

... protect health and safety, to encourage environmental protection, to utilize their equipment safely and..., billboards, and other similar forms of advertisement, and preparing and conducting informational motion... forms of advertisement, used in direct mailings. (4) Preparing informational window and other displays...

18 CFR 367.9090 - Account 909, Informational and instructional advertising expenses.

Code of Federal Regulations, 2014 CFR

2014-04-01

... protect health and safety, to encourage environmental protection, to utilize their equipment safely and..., billboards, and other similar forms of advertisement, and preparing and conducting informational motion... forms of advertisement, used in direct mailings. (4) Preparing informational window and other displays...

18 CFR 367.9090 - Account 909, Informational and instructional advertising expenses.

Code of Federal Regulations, 2011 CFR

2011-04-01

... protect health and safety, to encourage environmental protection, to utilize their equipment safely and..., billboards, and other similar forms of advertisement, and preparing and conducting informational motion... forms of advertisement, used in direct mailings. (4) Preparing informational window and other displays...

18 CFR 367.9090 - Account 909, Informational and instructional advertising expenses.

Code of Federal Regulations, 2012 CFR

2012-04-01

... protect health and safety, to encourage environmental protection, to utilize their equipment safely and..., billboards, and other similar forms of advertisement, and preparing and conducting informational motion... forms of advertisement, used in direct mailings. (4) Preparing informational window and other displays...

Making a difference: using the safe surgery checklist to initiate continuing education for perioperative nurses in low-income settings.

PubMed

Leifso, Genelle

2014-03-01

The WHO Safe Surgery Checklist (2008) patient safety focus and communication prompts are widely accepted. In many low-income regions (as defined by the World Bank and accepted by the World Health Organization) perioperative nurses have little or no formal training; continuing and in-service education are virtually unknown; nor does an articulated "culture of safety" exist. In 2009 the Canadian Network for International Surgery (CNIS) piloted a two-day perioperative nursing course, in Addis Ababa, Ethiopia, using lectures, case studies, skills sessions, and role-play exercises based on the SSSL Checklist outline and protocols. Canadian instructors (who are certified after taking the Canadian Network for International Surgery-sponsored Instructor's Course) have since returned and taught at additional sites in Ethiopia and Uganda. Course participants now include perioperative nurses, anaesthetists, and junior surgical residents--mirroring the interdisciplinary teamwork that is crucial to safe perioperative patient care. The course's facilitated discussions focus on workplace and practice issues in order to allow for appropriate evaluation and planning of future educational initiatives. Participants complete pre- and post-course questionnaires, which evaluate baseline and post-course knowledge, and further follow-up is completed four months after course completion. This article explains the need for aiding in the expansion of perioperative nursing knowledge and skill in low-income settings and provides the author's personal perspective and experience in responding to this need. Her experience as facilitator in a pilot project and subsequent course development described. The objective is to discuss ways that other perioperative nurses can work to make a positive difference on professional practice and patient care in low-income regions.

[Legal aspects of the REACH regulation. The control system of the REACH regulation--new approaches in the EU chemical legislation].

PubMed

Pache, Eckhard

2008-12-01

The REACH regulation from 2006 shall overcome the deficiencies of the previously existing inconsistent legal system of chemicals and build an efficient and innovative regulation for industrial chemicals in the EU. For this purpose, the REACH regulation is not inventing a completely new legislation for chemical substances, but refers to the existing rules, regulates and structures them in a new manner and complements them. With REACH a consistent control system for chemicals in Europe has been created, which basically is managed and coordinated by the newly established European Chemicals Agency (ECHA). In the first phases of the REACH system, information about chemicals is generated and afterwards evaluated. Then this information is used in a process of authorization and restriction, to ensure adequate proliferation and safe exposure to chemical substances. Numerous duties to furnish information complement the readjustment's procedural steps, particularly with regard to the supply chain and down to the consumer. It is mainly affected by the abrogation of the determination between new and existing substances, the principle of substitution and is based on the idea that industry itself is best suited to ensure that the substances it manufactures and places on the market in the EU do not adversely affect human health or the environment.

Maximising the Highs and Minimising the Lows: Harm Reduction Guidance within Ecstasy Distribution Networks

PubMed Central

Duterte, Micheline; Sales, Paloma; Murphy, Sheigla

2008-01-01

Background Little is known about how users build and share knowledge concerning the highs and lows of Ecstasy and the role that Ecstasy sellers play in the exchange of this information. Methods These findings are based on a National Institute on Drug Abuse-funded project, “An Exploratory Study of Ecstasy Distribution,” conducted between 2003 and 2006. We completed in-depth interviews with 120 men and women in the San Francisco Bay Area who had sold 5 or more doses 5 or more times in the 6 months prior to the interview. The research focused on buyer-seller relationships and the influence of these relationships on users’ health. Results Users constructed harm reduction strategies in attempts to maximise the Ecstasy high and minimise the risks. The social context of Ecstasy use allowed for the exchange of harm reduction information and advice on how to maximise the pleasurable aspects of Ecstasy. Some participants served as “guides” to ensure that their customers had safe and enjoyable experiences while using Ecstasy. Conclusion These findings suggest that Ecstasy sellers are important points of intervention for the dissemination of harm reduction information as friendship networks were the primary link in creating awareness of safer Ecstasy use. PMID:17964771

A longitudinal study of the educational and career trajectories of female participants of an urban informal science education program

NASA Astrophysics Data System (ADS)

Fadigan, Kathleen A.; Hammrich, Penny L.

2004-10-01

The purpose of this longitudinal case study is to describe the educational trajectories of a sample of 152 young women from urban, low-income, single-parent families who participated in the Women in Natural Sciences (WINS) program during high school. Utilizing data drawn from program records, surveys, and interviews, this study also attempts to determine how the program affected the participants' educational and career choices to provide insight into the role informal science education programs play in increasing the participation of women and minorities in science, math, engineering, and technology (SMET)-related fields. Findings revealed 109 participants (93.16%) enrolled in a college program following high school completion. Careers in medical or health-related fields followed by careers in SMET emerged as the highest ranking career paths with 24 students (23.76%) and 21 students (20.79%), respectively, employed in or pursuing careers in these areas. The majority of participants perceived having staff to talk to, the job skills learned, and having the museum as a safe place to go as having influenced their educational and career decisions. These findings reflect the need for continued support of informal science education programs for urban girls and at-risk youth.

Rapid desensitization of mice with anti-FcγRIIb/FcγRIII mAb safely prevents IgG-mediated anaphylaxis.

PubMed

Khodoun, Marat V; Kucuk, Zeynep Yesim; Strait, Richard T; Krishnamurthy, Durga; Janek, Kevin; Clay, Corey D; Morris, Suzanne C; Finkelman, Fred D

2013-12-01

Stimulatory IgG receptors (FcγRs) on bone marrow-derived cells contribute to the pathogenesis of several autoimmune and inflammatory disorders. Monoclonal antibodies that block FcγRs might suppress these diseases, but they can induce anaphylaxis. We wanted to determine whether a rapid desensitization approach can safely suppress IgG/FcγR-mediated anaphylaxis. Mice were injected with serially increasing doses of 2.4G2, a rat mAb that blocks the inhibitory FcγR, FcγRIIb, and the stimulatory receptor, FcγRIII. Rectal temperature was used to detect the development of anaphylaxis. Passive and active IgG-mediated anaphylaxis were evaluated in mice that had been rapidly desensitized with 2.4G2 or mock-desensitized in mice in which monocyte/macrophages, basophils, or neutrophils had been depleted or desensitized and in mice in which FcγRI, FcγRIII, and/or FcγRIV had been deleted or blocked. Rapid desensitization with 2.4G2 prevented 2.4G2-induced shock and completely suppressed IgG-mediated anaphylaxis. Rapid desensitization of ovalbumin-sensitized mice with 2.4G2 was safer and more effective than rapid desensitization with ovalbumin. 2.4G2 treatment completely blocked FcγRIII and removed most FcγRI and FcγRIV from nucleated peripheral blood cells. Because IgG(2a)-mediated anaphylaxis was partially FcγRI and FcγRIV dependent, the effects of 2.4G2 on FcγRI and FcγRIV were probably crucial for its complete inhibition of IgG(2a)-mediated anaphylaxis. IgG(2a)-mediated anaphylaxis was partially inhibited by depletion or desensitization of monocyte/macrophages, basophils, or neutrophils. IgG-mediated anaphylaxis can be induced by ligation of FcγRI, FcγRIII, or FcγRIV on monocycte/macrophages, basophils, or neutrophils and can be safely suppressed by rapid desensitization with anti-FcγRII/RIII mAb. A similar approach may safely suppress other FcγR-dependent immunopathology. Published by Mosby, Inc.

75 FR 62502 - Proposed Information Collection; Comment Request; Information for Self-Certification Under FAQ 6...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-12

... Request; Information for Self-Certification Under FAQ 6 of the United States--European Union Safe Harbor.... SUPPLEMENTARY INFORMATION: I. Abstract In response to the European Union Directive on Data Protection that... framework bridges the differences between the European Union (EU) and U.S. approaches to privacy protection...

Early Re-Do Surgery for Glioblastoma Is a Feasible and Safe Strategy to Achieve Complete Resection of Enhancing Tumor

PubMed Central

Schucht, Philippe; Murek, Michael; Jilch, Astrid; Seidel, Kathleen; Hewer, Ekkehard; Wiest, Roland; Raabe, Andreas; Beck, Jürgen

2013-01-01

Background Complete resection of enhancing tumor as assessed by early (<72 hours) postoperative MRI is regarded as the optimal result in glioblastoma surgery. As yet, there is no consensus on standard procedure if post-operative imaging reveals unintended tumor remnants. Objective The current study evaluated the feasibility and safety of an early re-do surgery aimed at completing resections with the aid of 5-ALA fluorescence and neuronavigation after detection of enhancing tumor remnants on post-operative MRI. Methods From October 2008 to October 2012 a single center institutional protocol offered a second surgery within one week to patients with unintentional incomplete glioblastoma resection. We report on the feasibility of the use 5-ALA fluorescence guidance, the extent of resection (EOR) rates and complications of early re-do surgery. Results Nine of 151 patients (6%) with glioblastoma resections had an unintentional tumor remnant with a volume >0.175 cm3. 5-ALA guided re-do surgery completed the resection (CRET) in all patients without causing neurological deficits, infections or other complications. Patients who underwent a re-do surgery remained hospitalized between surgeries, resulting in a mean length of hospital stay of 11 days (range 7-15), compared to 9 days for single surgery (range 3-23; p=0.147). Conclusion Our early re-do protocol led to complete resection of all enhancing tumor in all cases without any new neurological deficits and thus provides a similar oncological result as intraoperative MRI (iMRI). The repeated use of 5-ALA induced fluorescence, used for identification of small remnants, remains highly sensitive and specific in the setting of re-do surgery. Early re-do surgery is a feasible and safe strategy to complete unintended subtotal resections. PMID:24348904

A Phase II Trial of Neoadjuvant Preoperative Chemoradiotherapy With S-1 Plus Irinotecan and Radiation in Patients With Locally Advanced Rectal Cancer: Clinical Feasibility and Response Rate

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

Sato, Takeo; Ozawa, Heita; Hatate, Kazuhiko

Purpose: We aimed to validate our hypothesis that a preoperative chemoradiotherapy regimen with S-1 plus irinotecan is feasible, safe, and active for the management of locally advanced rectal cancer in a single-arm Phase II setting. Methods and Materials: Eligible patients had previously untreated, locally advanced rectal adenocarcinoma. Radiotherapy was administered in fractions of 1.8Gy/d for 25 days. S-1 was administered orally in a fixed daily dose of 80mg/m{sup 2} on Days 1 to 5, 8 to 12, 22 to 26, and 29 to 33. Irinotecan (80mg/m{sup 2}) was infused on Days 1, 8, 22, and 29. Four or more weeksmore » after the completion of the treatment, total mesorectal excision with lateral lymph node dissection was performed. The primary endpoint was the rate of completing treatment in terms of feasibility. The secondary endpoints were the response rate and safety. Results: We enrolled 43 men and 24 women in the study. The number of patients who completed treatment was 58 (86.6%). Overall, 46 patients (68.7%) responded to treatment and 24 (34.7%) had a complete histopathologic response. Three patients had Grade 3 leukopenia, and another three patients had Grade 3 neutropenia. Diarrhea was the most common type of nonhematologic toxicity: 3 patients had Grade 3 diarrhea. Conclusions: A preoperative regimen of S-1, irinotecan, and radiotherapy to the rectum was feasible, and it appeared safe and effective in this nonrandomized Phase II setting. It exhibited a low incidence of adverse events, a high rate of completion of treatment, and an extremely high rate of pathologic complete response.« less

Methods for Environments and Contaminants: Drinking Water

EPA Pesticide Factsheets

EPA’s Safe Drinking Water Information System Federal Version (SDWIS/FED) includes information on populations served and violations of maximum contaminant levels or required treatment techniques by the nation’s 160,000 public water systems.

Future paradigms for precision oncology

PubMed Central

Klement, Giannoula Lakka; Arkun, Knarik; Valik, Dalibor; Roffidal, Tina; Hashemi, Ali; Klement, Christos; Carmassi, Paolo; Rietman, Edward; Slaby, Ondrej; Mazanek, Pavel; Mudry, Peter; Kovacs, Gabor; Kiss, Csongor; Norga, Koen; Konstantinov, Dobrin; André, Nicolas; Slavc, Irene; van Den Berg, Henk; Kolenova, Alexandra; Kren, Leos; Tuma, Jiri; Skotakova, Jarmila; Sterba, Jaroslav

2016-01-01

Research has exposed cancer to be a heterogeneous disease with a high degree of inter-tumoral and intra-tumoral variability. Individual tumors have unique profiles, and these molecular signatures make the use of traditional histology-based treatments problematic. The conventional diagnostic categories, while necessary for care, thwart the use of molecular information for treatment as molecular characteristics cross tissue types. This is compounded by the struggle to keep abreast the scientific advances made in all fields of science, and by the enormous challenge to organize, cross-reference, and apply molecular data for patient benefit. In order to supplement the site-specific, histology-driven diagnosis with genomic, proteomic and metabolomics information, a paradigm shift in diagnosis and treatment of patients is required. While most physicians are open and keen to use the emerging data for therapy, even those versed in molecular therapeutics are overwhelmed with the amount of available data. It is not surprising that even though The Human Genome Project was completed thirteen years ago, our patients have not benefited from the information. Physicians cannot, and should not be asked to process the gigabytes of genomic and proteomic information on their own in order to provide patients with safe therapies. The following consensus summary identifies the needed for practice changes, proposes potential solutions to the present crisis of informational overload, suggests ways of providing physicians with the tools necessary for interpreting patient specific molecular profiles, and facilitates the implementation of quantitative precision medicine. It also provides two case studies where this approach has been used. PMID:27223079

Quality of drug information on the World Wide Web and strategies to improve pages with poor information quality. An intervention study on pages about sildenafil

PubMed Central

Martin-Facklam, Meret; Kostrzewa, Michael; Martin, Peter; Haefeli, Walter E

2004-01-01

Aims The generally poor quality of health information on the world wide web (WWW) has caused preventable adverse outcomes. Quality management of information on the internet is therefore critical given its widespread use. In order to develop strategies for the safe use of drugs, we scored general and content quality of pages about sildenafil and performed an intervention to improve their quality. Methods The internet was searched with Yahoo and AltaVista for pages about sildenafil and 303 pages were included. For assessment of content quality a score based on accuracy and completeness of essential drug information was assigned. For assessment of general quality, four criteria were evaluated and their association with high content quality was determined by multivariate logistic regression analysis. The pages were randomly allocated to either control or intervention group. Evaluation took place before, as well as 7 and 22 weeks after an intervention which consisted of two letters with individualized feedback information on the respective page which were sent electronically to the address mentioned on the page. Results Providing references to scientific publications or prescribing information was significantly associated with high content quality (odds ratio: 8.2, 95% CI 3.2, 20.5). The intervention had no influence on general or content quality. Conclusions To prevent adverse outcomes caused by misinformation on the WWW individualized feedback to the address mentioned on the page was ineffective. It is currently probably the most straight-forward approach to inform lay persons about indicators of high information quality, i.e. the provision of references. PMID:14678344

Development of a selection tool for use in the identification, recruitment & retention of safe intermodal transportation workers.

DOT National Transportation Integrated Search

2012-05-01

A total of 486 transportation employees employed by a major railroad completed a series of : tests constructed for this project. These tests or instruments included the Denver Lifestyle : Questionnaire, a performance rating scale called the Employees...

Teaching Young Children about AIDS.

ERIC Educational Resources Information Center

Schonfeld, David J.; Quackenbush, Marcia

2000-01-01

AIDS is a genuine concern for young schoolchildren, as a significant number begin having unprotected sex before completing elementary school. The most effective sex-education programs stress delaying the age of first intercourse and adopting safe sexual practices. Principals' supportive behaviors and prevention education tips are discussed. (MLH)

C.A.M.P.: A Community-Based Approach to Promoting Safe Sex Behavior in Adolescence.

ERIC Educational Resources Information Center

Guzman, Bianca L.; Casad, Bettina J.; Schlehofer-Sutton, Michele M.; Villanueva, Christina M.; Feria, Aida

The primary goal of this study was to assess the Community Awareness Motivation Partnership (C.A.M.P.) theater intervention based on the behavioral ecological model. C.A.M.P addresses the role of contraceptive use in safe sex behavior through an informative and entertaining culturally relevant dramatization program. Adolescents (N=1613) between…

Those Living along U.S. Coastline Should Always be Prepared for Tsunamis

Science.gov Websites

Working With NOAA Media & Constituents NOAA In Your State Emergency Information for NOAA Employees . If you are already in a safe location, STAY there Move on foot when possible - do not drive - keep tsunami alerts Stay away from the coast and low-lying areas until local officials say it's safe to return

A Procedure for Setting Environmentally Safe Total Maximum Daily Loads (TMDLs) for Selenium

Treesearch

A. Dennis Lemly

2002-01-01

This article presents a seven-step procedure for developing environmentally safe total maximum daily loads (TMDLs) for selenium. The need for this information stems from recent actions taken by the U.S. Environmental Protection Agency (EPA) that may require TMDLs for selenium and other contaminants that are impairing water bodies. However, there is no technical...

A SAFE PROTOCOL FOR RAPID DESENSITIZATION IN PATIENTS WITH CYSTIC FIBROSIS AND ANTIBIOTIC HYPERSENSITIVITY

PubMed Central

Legere, Henry J.; Palis, Ross I.; Bouza, Tito Rodriguez; Uluer, Ahmet Z.; Castells, Mariana C.

2009-01-01

Background CF patients often demonstrate hypersensitivity to one or multiple antibiotics due to frequent and repeated exposures. Attempts at antibiotic desensitization in this population are historically complicated by higher reaction rates, failure to complete the procedure and consequent withholding of first-line therapy. This study evaluates the outcomes of a rapid desensitization protocol developed at our institution. Methods We retrospectively reviewed the medical records of 15 patients undergoing 52 rapid antibiotic desensitizations at Brigham and Women’s Hospital and Children’s Hospital Boston utilizing our protocol. Results Mean FEV1 % predicted was 44.1 (SD 16.5), with two patients at <30% and one patient desensitized during bilateral lung transplantation. Adverse reactions during desensitization occurred in 13.4%, and most were mild. 100% of patients completed the protocol and ultimately tolerated subsequent full-strength antibiotic courses. Conclusions CF patients with antibiotic hypersensitivity can safely receive first-line antibiotics via our rapid desensitization protocol, including those with severe obstructive lung disease. PMID:19740711

The role of the concept of "history of safe use" in the safety assessment of novel foods and novel food ingredients. Opinion of the Senate Commission on Food Safety (SKLM) of the German Research Foundation (DFG).

PubMed

Engel, Karl-Heinz; Vogel, Rudi F; Knorr, Dietrich; Habermeyer, Michael; Kochte-Clemens, Barbara; Eisenbrand, Gerhard

2011-06-01

The Council of the European Union has proposed a revision on the EU regulation on novel foods and novel food ingredients concerning safety assessment of traditional foods from non-EU countries and their introduction onto the EU market. The proposal stipulates that such foods may be placed on the EU market if their history of safe use in the country of origin is appropriately documented. The present statement of the SKLM gives an overview on current discussions on practical implementation of the "history of safe use" concept as well as examples of its application. The SKLM, in principle, agrees with these concepts, underscores, however, in connection with convincing evidence for a "history of safe use" the need for a range of additional information to achieve a comprehensive risk assessment. In the opinion of the SKLM such information must comprise compositional data as well as experience on adverse effects. A list of questions considered essential is presented. The following opinion was adopted on December 23rd 2010. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Separation, Aspiration, and Fat Equalization: SAFE Liposuction Concepts for Comprehensive Body Contouring.

PubMed

Wall, Simeon H; Lee, Michael R

2016-12-01

Separation, aspiration, and fatty equilibration (SAFE) liposuction uses a process approach to body contouring and minimizes injury to surrounding structures. The multistep process allows for (1) fat separation, (2) lipoaspiration, and (3) fat equalization. The purpose of this study was to review both outcomes and complications of primary SAFE liposuction. Retrospective chart review was completed of patients undergoing SAFE liposuction from January of 2006 to January of 2011. Patient selection was limited to those undergoing liposuction alone with no adjuvant excisional procedures. Data were collected regarding demographics, body mass index, operative details, and outcomes. Seven hundred thirty-four patients were identified as having undergone SAFE liposuction. One hundred twenty-nine patients were found to have been treated with liposuction alone. Patient age ranged from 18 to 42 years and body mass index ranged from 18 to 42 kg/m (mean, 26.3 kg/m). Seven patients (5.4 percent) underwent treatment of the face and neck, six patients (4.7 percent) underwent treatment of upper extremities, 13 patients (10.1 percent) underwent treatment of the chest, 20 patients (15.5 percent) underwent treatment of lower extremities, 32 patients (24.8 percent) underwent treatment of the circumferential trunk, and 51 patients (39.5 percent) underwent treatment of circumferential trunk and additional area(s). No major complications occurred. Five of the 129 patients (3.87 percent) developed the minor complication of seroma formation. SAFE liposuction is a multistep process approach to body contouring consisting of (1) fat separation, (2) lipoaspiration, and (3) fat equalization. The results of this study show such technique to be safe and effective. Therapeutic, IV.

Women's questions about medicines in pregnancy - An analysis of calls to an Australian national medicines call centre.

PubMed

Pijpers, Eva L; Kreijkamp-Kaspers, Sanne; McGuire, Treasure M; Deckx, Laura; Brodribb, Wendy; van Driel, Mieke L

2017-06-01

For many medicines, safe use during pregnancy is not established and adherence is often poor due to safety concerns. Therefore, it is important to identify consumers' medicines information needs during pregnancy. A retrospective, mixed methods analysis was conducted on eight years of pregnancy-related calls to an Australian national medicines call centre. The call profile of pregnancy and non-pregnancy-related questions were compared. Medicines involved in pregnancy calls were categorised by class (Anatomical Therapeutic Chemical (ATC)3 level), and Therapeutic Goods Administration pregnancy category. Questions in these calls were also themed by pregnancy stage. We identified 4573 pregnancy-related and 118 547 non-pregnancy-related calls. The caller profile for pregnancy-related calls was female (93.7%), asking for herself (83.0%), and while 70.1% of questions involved one medicine, 9.6% involved three or more medicines. Pregnancy enquiries were prompted more often by conflicting information, inadequate information or desire for a second opinion. For 1166 calls, where the stage of pregnancy was available, most questions concerned safety. Medication classified as 'safe' during pregnancy accounted for 34% of these questions. After antidepressants, most calls were made about over-the-counter (OTC) medicines (paracetamol, dexchlorpheniramine, codeine). Safe treatment for everyday conditions was of increasing concern as the pregnancy progressed. Pregnant women are concerned about the safety of medication use in pregnancy and a significant proportion overestimate risk. Psychotropic medication and fertility are strong drivers to seek information during preconception. Everyday illnesses and self-medication with OTC medication are a common concern throughout pregnancy, even though many medicines are safe to use. © 2016 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

A longitudinal study of the educational and career trajectories of female participants of an urban informal science education program

NASA Astrophysics Data System (ADS)

Fadigan, Kathleen Ann

The purpose of this study is to describe the educational trajectories of a sample of young women from urban, low-income, single-parent families who participated in the Women in Natural Sciences (WINS) program during their ninth and/or tenth grade years of high school. This study also attempts to determine how the WINS program affected the participants' educational and career choices in order to provide insight into the role informal science education programs play in increasing the participation of women and minorities in science, math, engineering, and technology (SMET)-related fields. The research takes the form of a longitudinal, descriptive case study. The case is composed of 152 WINS participants who applied for, were accepted into, and completed at least one year of the program between 1992 and 1997. Data were drawn from program records, surveys, and interviews. Pre-WINS desired educational and career trajectory data were available for 152 participants. Post-WINS actual educational and career trajectory data were available for 101 of the young women in the sample. Seventy-eight women completed a WINS survey. The researcher conducted semi-structured interviews with 12 former participants. Findings revealed a 100 percent high school completion rate. A total of 109 participants (93.16%) enrolled in a college program following high school completion. Careers in medical or health-related fields followed by careers in SMET emerged as the highest ranking career paths with 24 students (23.76%) and 21 students (20.79%), respectively, employed in or pursuing careers in these areas. Taking a greater number of advanced or honors level SMET high school courses was the only contextual variable showing a significant relationship to pursuing a career in SMET. The majority of participants perceived having the WINS staff as people you could talk to, the job skills learned in WINS, and having the museum as a safe place to go as having influenced their educational and career decisions. These findings reflect the need for continued support of informal science education programs for urban girls and at-risk youth. Additional longitudinal studies of similar programs are crucial to understanding their effects on the education and career paths of young women with an initial interest in science.

Development of Safe and Effective Botanical Dietary Supplements

PubMed Central

2015-01-01

Regulated differently than drugs or foods, the market for botanical dietary supplements continues to grow worldwide. The recently implemented U.S. FDA regulation that all botanical dietary supplements must be produced using good manufacturing practice is an important step toward enhancing the safety of these products, but additional safeguards could be implemented, and unlike drugs, there are currently no efficacy requirements. To ensure a safe and effective product, botanical dietary supplements should be developed in a manner analogous to pharmaceuticals that involves identification of mechanisms of action and active constituents, chemical standardization based on the active compounds, biological standardization based on pharmacological activity, preclinical evaluation of toxicity and potential for drug–botanical interactions, metabolism of active compounds, and finally, clinical studies of safety and efficacy. Completing these steps will enable the translation of botanicals from the field to safe human use as dietary supplements. PMID:26125082

Bovine somatotropin supplementation of dairy cows. Is the milk safe?

PubMed

Daughaday, W H; Barbano, D M

Complex, biologically active proteins (eg, enzymes and hormones) can be manufactured safely and cost-effectively through applications of biotechnology. Some of these proteins (eg, human insulin, human somatotropin, rennet for cheese manufacture) are currently approved for medical or food processing applications. Bovine somatotropin (bST) for lactating dairy cattle is another product that can be produced via biotechnology and may allow dairy farmers to produce milk at a lower cost. In 1985, based on an evaluation of toxicological data, the Food and Drug Administration concluded that milk and meat from bST-supplemented cows was safe and wholesome. The Food and Drug Administration has authorized the use of milk and meat from bST-supplemented cows in the commercial food supply. Its evaluation of the impact of bST supplementation on the long-term health of dairy cattle is near completion, and bST may be approved for commercial use in early 1991.

Current experience and future directions of completely NOTES colorectal resection

PubMed Central

Sylla, Patricia

2010-01-01

Clinical implementation and widespread application of natural orifice translumenal surgery (NOTES) has been limited by the lack of specialized endoscopic equipment, which has prevented the ability to perform complex procedures including colorectal resections. Relative to other types of translumenal access, transanal NOTES using transanal endoscopic microsurgery (TEM) provides a stable platform for endolumenal and direct translumenal access to the peritoneal cavity, and specifically to the colon and rectum. Completely NOTES transanal rectosigmoid resection using TEM, with or without transgastric endoscopic assistance, was demonstrated to be feasible and safe in a swine survival model. The same technique was successfully replicated in human cadavers using commercially available TEM, with endoscopic and laparoscopic instrumentation. This approach also permitted complete rectal mobilization with total mesorectal excision to be performed completely transanally. As in the swine model, transgastric and/or transanal endoscopic assistance extended the length of proximal colon mobilized and overcame some of the difficulties with TEM dissection including limited endoscopic visualization and maladapted instrumentation. This extensive laboratory experience with NOTES transanal rectosigmoid resection served as the basis for the first human NOTES transanal rectal cancer excision using TEM and laparoscopic assistance. Based on this early clinical experience, NOTES transanal approach using TEM holds significant promise as a safe and substantially less morbid alternative to conventional colorectal resection in the management of benign and malignant colorectal diseases. Careful patient selection and substantial improvement in NOTES instrumentation are critical to optimize this approach prior to widespread clinical application, and may ultimately permit completely NOTES transanal colorectal resection. PMID:21160873

Feasibility of a computer-delivered driver safety behavior screening and intervention program initiated during an emergency department visit.

PubMed

Murphy, Mary; Smith, Lucia; Palma, Anton; Lounsbury, David; Bijur, Polly; Chambers, Paul; Gallagher, E John

2013-01-01

Injuries from motor vehicle crashes are a significant public health problem. The emergency department (ED) provides a setting that may be used to screen for behaviors that increase risk for motor vehicle crashes and provide brief interventions to people who might otherwise not have access to screening and intervention. The purpose of the present study was to (1) assess the feasibility of using a computer-assisted screening program to educate ED patients about risky driving behaviors, (2) evaluate patient acceptance of the computer-based traffic safety educational intervention during an ED visit, and (3) assess postintervention changes in risky driving behaviors. Pre/posteducational intervention involving medically stable adult ED patients in a large urban academic ED serving over 100,000 patients annually. Patients completed a self-administered, computer-based program that queried patients on risky driving behaviors (texting, talking, and other forms of distracted driving) and alcohol use. The computer provided patients with educational information on the dangers of these behaviors and data were collected on patient satisfaction with the program. Staff called patients 1 month post-ED visit for a repeat query. One hundred forty-nine patients participated, and 111 completed 1-month follow up (75%); the mean age was 39 (range: 21-70), 59 percent were Hispanic, and 52 percent were male. Ninety-seven percent of patients reported that the program was easy to use and that they were comfortable receiving this education via computer during their ED visit. All driving behaviors significantly decreased in comparison to baseline with the following reductions reported: talking on the phone, 30 percent; aggressive driving, 30 percent; texting while driving, 19 percent; drowsy driving, 16 percent; driving while multitasking, 12 percent; and drinking and driving, 9 percent. Overall, patients were very satisfied receiving educational information about these behaviors via computer during their ED visits and found the program easy to use. We found a high prevalence of self-reported risky driving behaviors in our ED population. At 1-month follow-up, patients reported a significant decrease in these behaviors. This study indicates that a low-intensity, computer-based educational intervention during an ED visit may be a useful approach to educate patients about safe driving behaviors and safe drinking limits and help promote behavior change.

Adaptive Value Normalization in the Prefrontal Cortex Is Reduced by Memory Load.

PubMed

Holper, L; Van Brussel, L D; Schmidt, L; Schulthess, S; Burke, C J; Louie, K; Seifritz, E; Tobler, P N

2017-01-01

Adaptation facilitates neural representation of a wide range of diverse inputs, including reward values. Adaptive value coding typically relies on contextual information either obtained from the environment or retrieved from and maintained in memory. However, it is unknown whether having to retrieve and maintain context information modulates the brain's capacity for value adaptation. To address this issue, we measured hemodynamic responses of the prefrontal cortex (PFC) in two studies on risky decision-making. In each trial, healthy human subjects chose between a risky and a safe alternative; half of the participants had to remember the risky alternatives, whereas for the other half they were presented visually. The value of safe alternatives varied across trials. PFC responses adapted to contextual risk information, with steeper coding of safe alternative value in lower-risk contexts. Importantly, this adaptation depended on working memory load, such that response functions relating PFC activity to safe values were steeper with presented versus remembered risk. An independent second study replicated the findings of the first study and showed that similar slope reductions also arose when memory maintenance demands were increased with a secondary working memory task. Formal model comparison showed that a divisive normalization model fitted effects of both risk context and working memory demands on PFC activity better than alternative models of value adaptation, and revealed that reduced suppression of background activity was the critical parameter impairing normalization with increased memory maintenance demand. Our findings suggest that mnemonic processes can constrain normalization of neural value representations.

Visual field defects may not affect safe driving.

PubMed

Dow, Jamie

2011-10-01

In Quebec a driver whose acquired visual field defect renders them ineligible for a driver's permit renewal may request an exemption from the visual field standard by demonstrating safe driving despite the defect. For safety reasons it was decided to attempt to identify predictors of failure on the road test in order to avoid placing driving evaluators in potentially dangerous situations when evaluating drivers with visual field defects. During a 4-month period in 2009 all requests for exemptions from the visual field standard were collected and analyzed. All available medical and visual field data were collated for 103 individuals, of whom 91 successfully completed the evaluation process and obtained a waiver. The collated data included age, sex, type of visual field defect, visual field characteristics, and concomitant medical problems. No single factor, or combination of factors, could predict failure of the road test. All 5 failures of the road test had cognitive problems but 6 of the successful drivers also had known cognitive problems. Thus, cognitive problems influence the risk of failure but do not predict certain failure. Most of the applicants for an exemption were able to complete the evaluation process successfully, thereby demonstrating safe driving despite their handicap. Consequently, jurisdictions that have visual field standards for their driving permit should implement procedures to evaluate drivers with visual field defects that render them unable to meet the standard but who wish to continue driving.

Cost of abortions in Zambia: A comparison of safe abortion and post abortion care.

PubMed

Parmar, Divya; Leone, Tiziana; Coast, Ernestina; Murray, Susan Fairley; Hukin, Eleanor; Vwalika, Bellington

2017-02-01

Unsafe abortion is a significant but preventable cause of maternal mortality. Although induced abortion has been legal in Zambia since 1972, many women still face logistical, financial, social, and legal obstacles to access safe abortion services, and undergo unsafe abortion instead. This study provides the first estimates of costs of post abortion care (PAC) after an unsafe abortion and the cost of safe abortion in Zambia. In the absence of routinely collected data on abortions, we used multiple data sources: key informant interviews, medical records and hospital logbooks. We estimated the costs of providing safe abortion and PAC services at the University Teaching Hospital, Lusaka and then projected these costs to generate indicative cost estimates for Zambia. Due to unavailability of data on the actual number of safe abortions and PAC cases in Zambia, we used estimates from previous studies and from other similar countries, and checked the robustness of our estimates with sensitivity analyses. We found that PAC following an unsafe abortion can cost 2.5 times more than safe abortion care. The Zambian health system could save as much as US$0.4 million annually if those women currently treated for an unsafe abortion instead had a safe abortion.

Developing Social Media-Based Suicide Prevention Messages in Partnership With Young People: Exploratory Study

PubMed Central

Hetrick, Sarah; Paix, Steve; O'Donnell, Matt; Cox, Georgina; Ftanou, Maria; Skehan, Jaelea

2017-01-01

Background Social media is increasingly being used by young people for health-related issues, including communicating about suicide. Due to the concerns about causing distress or inducing suicidal thoughts or behaviors, to date young people neither have been engaged in the development of social media–based suicide prevention interventions nor have interventions focused on educating young people about safe ways to communicate about suicide online. Given the potential that social media holds to deliver messages to vast numbers of people across space and time and the fact that young people often prefer to seek help from their friends and peers, safely educating and engaging young people to develop suicide prevention messages that can be delivered via social media is an obvious next step. Objectives The objectives of this study were to (1) provide education to a small number of secondary school students about safe ways to communicate about suicide via social media; (2) engage the same young people in the development of a suite of social media–based suicide prevention multimedia messages; (3) assess the impact of this on participants; and (4) assess the acceptability and safety of the messages developed. Methods This study involved two phases. In phase 1, 20 participants recruited from two schools took part in an 8- to 10-week program during which they were provided with psychoeducation about mental health and suicide, including how to talk safely about suicide online, and they were then supported to design and develop their own media messages. These participants completed an evaluation questionnaire at the conclusion of the program. In phase 2, a larger group of participants (n=69), recruited via an opt-in process, viewed the media messages and completed a short questionnaire about each one. Results Participants in phase 1 enjoyed the program and reported that they learned new skills, such as how to talk safely about suicide online, and felt more able to provide emotional support to others (16/20, 80%). No participants reported that the program made them feel suicidal. Participants in phase 2 generally rated the media messages as safe and acceptable, although some messages were rated more highly than others. Conclusions This study suggests that young people can be safely engaged in developing suicide prevention messages, which can be disseminated via social media. Engaging young people in this process may improve the traction that such campaigns will have with other young people. The study also suggests that educating young people regarding how to talk safely about suicide online has multiple benefits and is not associated with distress. Overall, these findings pave the way for new approaches to prevent suicide among young people. PMID:28978499

Commercial remote sensing & spatial information technologies program : program highlights.

DOT National Transportation Integrated Search

2017-01-01

The Commercial Remote Sensing and Spatial Information Technologies (CRS&SI) program was a congressionally mandated program authorized in the Safe, Accountable, Flexible and Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU). Under t...

Fundamental Use of Surgical Energy (FUSE) certification: validation and predictors of success.

PubMed

Robinson, Thomas N; Olasky, Jaisa; Young, Patricia; Feldman, Liane S; Fuchshuber, Pascal R; Jones, Stephanie B; Madani, Amin; Brunt, Michael; Mikami, Dean; Jackson, Gretchen P; Mischna, Jessica; Schwaitzberg, Steven; Jones, Daniel B

2016-03-01

The Fundamental Use of Surgical Energy (FUSE) program includes a Web-based didactic curriculum and a high-stakes multiple-choice question examination with the goal to provide certification of knowledge on the safe use of surgical energy-based devices. The purpose of this study was (1) to set a passing score through a psychometrically sound process and (2) to determine what pretest factors predicted passing the FUSE examination. Beta-testing of multiple-choice questions on 62 topics of importance to the safe use of surgical energy-based devices was performed. Eligible test takers were physicians with a minimum of 1 year of surgical training who were recruited by FUSE task force members. A pretest survey collected baseline information. A total of 227 individuals completed the FUSE beta-test, and 208 completed the pretest survey. The passing/cut score for the first test form of the FUSE multiple-choice examination was determined using the modified Angoff methodology and for the second test form was determined using a linear equating methodology. The overall passing rate across the two examination forms was 81.5%. Self-reported time studying the FUSE Web-based curriculum for a minimum of >2 h was associated with a passing examination score (p < 0.001). Performance was not different based on increased years of surgical practice (p = 0.363), self-reported expertise on one or more types of energy-based devices (p = 0.683), participation in the FUSE postgraduate course (p = 0.426), or having reviewed the FUSE manual (p = 0.428). Logistic regression found that studying the FUSE didactics for >2 h predicted a passing score (OR 3.61; 95% CI 1.44-9.05; p = 0.006) independent of the other baseline characteristics recorded. The development of the FUSE examination, including the passing score, followed a psychometrically sound process. Self-reported time studying the FUSE curriculum predicted a passing score independent of other pretest characteristics such as years in practice and self-reported expertise.

78 FR 22020 - Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-12

... Control Number: 2120-XXXX. Title: Safety Awareness, Feedback, and Evaluation (SAFE) Program. Form Numbers: No FAA forms are associated with this collection. Type of Review: Clearance of a new information... Activities: Requests for Comments; Clearance of New Approval of Information Collection: Safety Awareness...

14 CFR 23.153 - Control during landings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Control during landings. 23.153 Section 23.153 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... safely complete a landing without exceeding the one-hand control force limits specified in § 23.143(c...

14 CFR 23.153 - Control during landings.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Control during landings. 23.153 Section 23.153 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... safely complete a landing without exceeding the one-hand control force limits specified in § 23.143(c...

14 CFR 23.153 - Control during landings.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Control during landings. 23.153 Section 23.153 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... safely complete a landing without exceeding the one-hand control force limits specified in § 23.143(c...

14 CFR 23.153 - Control during landings.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Control during landings. 23.153 Section 23.153 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... safely complete a landing without exceeding the one-hand control force limits specified in § 23.143(c...

14 CFR 23.153 - Control during landings.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Control during landings. 23.153 Section 23.153 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... safely complete a landing without exceeding the one-hand control force limits specified in § 23.143(c...

76 FR 19975 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-11

... submit to the Office of Management and Budget (OMB) for clearance the following proposal for collection.... approaches to privacy protection. The complete set of Safe Harbor documents and additional guidance materials...: In response to the European-Union Directive on Data Protection that restricts transfers of personal...

76 FR 5120 - Highway-Rail Grade Crossing; Safe Clearance

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... driver from entering onto a highway-rail grade crossing unless there is sufficient space to drive... crossing unless there is sufficient space to drive completely through the grade crossing without stopping... as the ``clear storage distance.'' \\1\\ Chapter 8 guidance material also refers to ``storage space...

Informatics for patient safety: a nursing research perspective.

PubMed

Bakken, Suzanne

2006-01-01

In Crossing the Quality Chasm, the Institute of Medicine (IOM) Committee on Quality of Health Care in America identified the critical role of information technology in designing a health system that produces care that is "safe, effective, patient-centered, timely, efficient, and equitable" (Committee on Quality of Health Care in America, 2001, p. 164). A subsequent IOM report contends that improved information systems are essential to a new health care delivery system that "both prevents errors and learns from them when they occur" (Committee on Data Standards for Patient Safety, 2004, p. 1). This review specifically highlights the role of informatics processes and information technology in promoting patient safety and summarizes relevant nursing research. First, the components of an informatics infrastructure for patient safety are described within the context of the national framework for delivering consumer-centric and information-rich health care and using the National Health Information Infrastructure (NHII) (Thompson & Brailer, 2004). Second, relevant nursing research is summarized; this includes research studies that contributed to the development of selected infrastructure components as well as studies specifically focused on patient safety. Third, knowledge gaps and opportunities for nursing research are identified for each main topic. The health information technologies deployed as part of the national framework must support nursing practice in a manner that enables prevention of medical errors and promotion of patient safety and contributes to the development of practice-based nursing knowledge as well as best practices for patient safety. The seminal work that has been completed to date is necessary, but not sufficient, to achieve this objective.

2010 drug packaging review: identifying problems to prevent errors.

PubMed

2011-06-01

Prescrire's analyses showed that the quality of drug packaging in 2010 still left much to be desired. Potentially dangerous packaging remains a significant problem: unclear labelling is source of medication errors; dosing devices for some psychotropic drugs create a risk of overdose; child-proof caps are often lacking; and too many patient information leaflets are misleading or difficult to understand. Everything that is needed for safe drug packaging is available; it is now up to regulatory agencies and drug companies to act responsibly. In the meantime, health professionals can help their patients by learning to identify the pitfalls of drug packaging and providing safe information to help prevent medication errors.

Interim Status Report for Risk Management for SFRs

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

Jankovsky, Zachary Kyle; Denman, Matthew R.; Groth, Katrina

2015-10-01

Accident management is an important component to maintaining risk at acceptable levels for all complex systems, such as nuclear power plants. With the introduction of passive, or inherently safe, reactor designs the focus has shifted from management by operators to allowing the system's design to take advantage of natural phenomena to manage the accident. Inherently and passively safe designs are laudable, but nonetheless extreme boundary conditions can interfere with the design attributes which facilitate inherent safety, thus resulting in unanticipated and undesirable end states. This report examines an inherently safe and small sodium fast reactor experiencing a variety of beyondmore » design basis events with the intent of exploring the utility of a Dynamic Bayesian Network to infer the state of the reactor to inform the operator's corrective actions. These inferences also serve to identify the instruments most critical to informing an operator's actions as candidates for hardening against radiation and other extreme environmental conditions that may exist in an accident. This reduction in uncertainty serves to inform ongoing discussions of how small sodium reactors would be licensed and may serve to reduce regulatory risk and cost for such reactors.« less

The U.S. Geological Survey Drinking Water Initiative

USGS Publications Warehouse

,

1997-01-01

Safe drinking-water supplies are critical to maintaining and preserving public health. Although the Nation's drinking water is generally safe, natural and introduced contaminants in water supplies throughout the country have adversely affected human health. This new U.S. Geological Survey (USGS) initiative will provide information on the vulnerability of water supplies to be used by water-supply and regulatory agencies who must balance water-supply protection with the wise use of public funds. Using the results of the initiative, they will be better able to focus on the supplies most at risk and the variability of contaminants of most concern, and so address the mandates of the Safe Drinking Water Act. With its store of geologic, hydrologic, and land use and land cover data and its network of information in every State, the USGS can help to identify potential sources of contamination, delineate source areas, determine the vulnerability of waters to potential contamination, and evaluate strategies being used to protect source waters in light of the scientific information available. Many recent and ongoing studies by the USGS concern drinking-water issues. This fact sheet highlights four particular studies begun under the Drinking Water Initiative.

Intravehicular, Short- and Long-Range Communication Information Fusion for Providing Safe Speed Warnings

PubMed Central

Jiménez, Felipe; Naranjo, Jose Eugenio; Serradilla, Francisco; Pérez, Elisa; Hernández, María Jose; Ruiz, Trinidad; Anaya, José Javier; Díaz, Alberto

2016-01-01

Inappropriate speed is a relevant concurrent factor in many traffic accidents. Moreover, in recent years, traffic accidents numbers in Spain have fallen sharply, but this reduction has not been so significant on single carriageway roads. These infrastructures have less equipment than high-capacity roads, therefore measures to reduce accidents on them should be implemented in vehicles. This article describes the development and analysis of the impact on the driver of a warning system for the safe speed on each road section in terms of geometry, the presence of traffic jams, weather conditions, type of vehicle and actual driving conditions. This system is based on an application for smartphones and includes knowledge of the vehicle position via Ground Positioning System (GPS), access to intravehicular information from onboard sensors through the Controller Area Network (CAN) bus, vehicle data entry by the driver, access to roadside information (short-range communications) and access to a centralized server with information about the road in the current and following sections of the route (long-range communications). Using this information, the system calculates the safe speed, recommends the appropriate speed in advance in the following sections and provides warnings to the driver. Finally, data are sent from vehicles to a server to generate new information to disseminate to other users or to supervise drivers’ behaviour. Tests in a driving simulator have been used to define the system warnings and Human Machine Interface (HMI) and final tests have been performed on real roads in order to analyze the effect of the system on driver behavior. PMID:26805839

Mental Health Issues and the Foster Care System: An Examination of the Impact of the Adoption and Safe Families Act

ERIC Educational Resources Information Center

McWey, Lenore M.; Henderson, Tammy L.; Tice, Susan N.

2006-01-01

Although marriage and family therapists are being called on to help at-risk families, some say that clinicians have insufficient knowledge about the impact of policies on families involved in the foster care system. The purpose of this qualitative investigation was to identify how the Adoption and Safe Families Act informs decision making, to…