Science.gov

Sample records for conservation stewardship program

  1. 75 FR 31609 - Conservation Stewardship Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... Agriculture Commodity Credit Corporation 7 CFR Part 1470 Conservation Stewardship Program; Final Rule #0;#0... OF AGRICULTURE Commodity Credit Corporation 7 CFR Part 1470 RIN 0578-AA43 Conservation Stewardship... Department of Agriculture. ACTION: Final rule. SUMMARY: Section 2301 of the Food, Conservation, and...

  2. 75 FR 34924 - Conservation Stewardship Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ...-12699, concerning the Conservation Stewardship Program, contained an error in the words of ``issuance..., June 3, 2010, the following correction is made: Words of Issuance (1) On page 31653, in the second column, the Words of Issuance that read ``For the reasons stated above, the CCC adds part 1470 of the CFR...

  3. Estimating Landholders’ Probability of Participating in a Stewardship Program, and the Implications for Spatial Conservation Priorities

    PubMed Central

    Adams, Vanessa M.; Pressey, Robert L.; Stoeckl, Natalie

    2014-01-01

    The need to integrate social and economic factors into conservation planning has become a focus of academic discussions and has important practical implications for the implementation of conservation areas, both private and public. We conducted a survey in the Daly Catchment, Northern Territory, to inform the design and implementation of a stewardship payment program. We used a choice model to estimate the likely level of participation in two legal arrangements - conservation covenants and management agreements - based on payment level and proportion of properties required to be managed. We then spatially predicted landholders’ probability of participating at the resolution of individual properties and incorporated these predictions into conservation planning software to examine the potential for the stewardship program to meet conservation objectives. We found that the properties that were least costly, per unit area, to manage were also the least likely to participate. This highlights a tension between planning for a cost-effective program and planning for a program that targets properties with the highest probability of participation. PMID:24892520

  4. 7 CFR 1470.22 - Conservation stewardship plan.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Conservation stewardship plan. 1470.22 Section 1470..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.22 Conservation stewardship plan. (a) NRCS will use the conservation...

  5. 7 CFR 1470.22 - Conservation stewardship plan.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Conservation stewardship plan. 1470.22 Section 1470..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.22 Conservation stewardship plan. (a) NRCS will use the conservation...

  6. 7 CFR 1470.22 - Conservation stewardship plan.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Conservation stewardship plan. 1470.22 Section 1470..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.22 Conservation stewardship plan. (a) NRCS will use the conservation...

  7. 7 CFR 1470.22 - Conservation stewardship plan.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Conservation stewardship plan. 1470.22 Section 1470..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.22 Conservation stewardship plan. (a) NRCS will use the conservation...

  8. 7 CFR 1470.22 - Conservation stewardship plan.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Conservation stewardship plan. 1470.22 Section 1470..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.22 Conservation stewardship plan. (a) NRCS will use the conservation...

  9. Pediatric Antimicrobial Stewardship Programs

    PubMed Central

    Nichols, Kristen; Stoffella, Sylvia; Meyers, Rachel; Girotto, Jennifer

    2017-01-01

    The frequent use of antimicrobials in pediatric patients has led to a significant increase in multidrug-resistant bacterial infections among children. Antimicrobial stewardship programs have been created in many hospitals in an effort to curtail and optimize the use of antibiotics. Pediatric-focused programs are necessary because of the differences in antimicrobial need and use among this patient population, unique considerations and dosing, vulnerability for resistance due to a lifetime of antibiotic exposure, and the increased risk of adverse events. This paper serves as a position statement of the Pediatric Pharmacy Advocacy Group (PPAG) who supports the implementation of antimicrobial stewardship programs for all pediatric patients. PPAG also believes that a pediatric pharmacy specialist should be included as part of that program and that services be covered by managed care organizations and government insurance entities. PPAG also recommends that states create legislation similar to that in existence in California and Missouri and that a federal Task Force for Combating Antibiotic-Resistant Bacteria be permanently established. PPAG also supports post-doctoral pharmacy training programs in antibiotic stewardship.

  10. NOAA's Scientific Data Stewardship Program

    NASA Astrophysics Data System (ADS)

    Bates, J. J.

    2004-12-01

    The NOAA mission is to understand and predict changes in the Earth's environment and conserve and manage coastal and marine resources to meet the Nation's economic, social and environmental needs. NOAA has responsibility for long-term archiving of the United States environmental data and has recently integrated several data management functions into a concept called Scientific Data Stewardship. Scientific Data Stewardship a new paradigm in data management consisting of an integrated suite of functions to preserve and exploit the full scientific value of NOAA's, and the world's, environmental data These functions include careful monitoring of observing system performance for long-term applications, the generation of authoritative long-term climate records from multiple observing platforms, and the proper archival of and timely access to data and metadata. NOAA has developed a conceptual framework to implement the functions of scientific data stewardship. This framework has five objectives: 1) develop real-time monitoring of all satellite observing systems for climate applications, 2) process large volumes of satellite data extending up to decades in length to account for systematic errors and to eliminate artifacts in the raw data (referred to as fundamental climate data records, FCDRs), 3) generate retrieved geophysical parameters from the FCDRs (referred to as thematic climate data records TCDRs) including combining observations from all sources, 4) conduct monitoring and research by analyzing data sets to uncover climate trends and to provide evaluation and feedback for steps 2) and 3), and 5) provide archives of metadata, FCDRs, and TCDRs, and facilitate distribution of these data to the user community. The term `climate data record' and related terms, such as climate data set, have been used for some time, but the climate community has yet to settle on a concensus definition. A recent United States National Academy of Sciences report recommends using the

  11. Pesticide Environmental Stewardship Program Member Handbook

    EPA Pesticide Factsheets

    This Pesticide Environmental Stewardship Program (PESP) handbook is a resource with information to help prospective members to learn about PESP, to understand how the program works, and to assist in applying for membership.

  12. 2015 Stewardship Science Academic Programs Annual

    SciTech Connect

    Stone, Terri; Mischo, Millicent

    2015-02-01

    The Stockpile Stewardship Academic Programs (SSAP) are essential to maintaining a pipeline of professionals to support the technical capabilities that reside at the National Nuclear Security Administration (NNSA) national laboratories, sites, and plants. Since 1992, the United States has observed the moratorium on nuclear testing while significantly decreasing the nuclear arsenal. To accomplish this without nuclear testing, NNSA and its laboratories developed a science-based Stockpile Stewardship Program to maintain and enhance the experimental and computational tools required to ensure the continued safety, security, and reliability of the stockpile. NNSA launched its academic program portfolio more than a decade ago to engage students skilled in specific technical areas of relevance to stockpile stewardship. The success of this program is reflected by the large number of SSAP students choosing to begin their careers at NNSA national laboratories.

  13. PFOA Stewardship Program Baseline Year Summary Report

    EPA Pesticide Factsheets

    In 2006, EPA and the eight major companies in the industry launched the 2010/15 PFOA Stewardship Program, in which companies committed to reduce global facility emissions and product content of PFOA and related chemicals by 95 percent by 2010, and to work

  14. 7 CFR 1450.207 - Conservation plan, forest stewardship plan, or equivalent plan.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Conservation plan, forest stewardship plan, or... plan, forest stewardship plan, or equivalent plan. (a) The producer must implement a conservation plan, forest stewardship plan, or equivalent plan that complies with CCC guidelines and is approved by the...

  15. 7 CFR 1450.207 - Conservation plan, forest stewardship plan, or equivalent plan.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Conservation plan, forest stewardship plan, or... plan, forest stewardship plan, or equivalent plan. (a) The producer must implement a conservation plan, forest stewardship plan, or equivalent plan that complies with CCC guidelines and is approved by the...

  16. 7 CFR 1450.207 - Conservation plan, forest stewardship plan, or equivalent plan.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Conservation plan, forest stewardship plan, or... plan, forest stewardship plan, or equivalent plan. (a) The producer must implement a conservation plan, forest stewardship plan, or equivalent plan that complies with CCC guidelines and is approved by the...

  17. Effectiveness of voluntary habitat stewardship in conserving grassland: case of operation burrowing owl in Saskatchewan.

    PubMed

    Warnock, Robert G; Skeel, Margaret A

    2004-03-01

    There have been no published performance evaluations of nongovernmental, voluntary habitat stewardship programs. The Operation Burrowing Owl (OBO) stewardship program, initiated in 1987, was evaluated for its effectiveness in conservation of grassland habitat during 1986-1993. The 108 OBO sites from 1987 to 88 and 98 randomly selected non-OBO sites that were grassland in 1986 in the Regina-Weyburn, Saskatchewan study area were classified by size and agricultural soil suitability. By 1993, 41 (38%) of the 108 OBO sites had been withdrawn from the program. The 1986 area of grassland was compared with grassland area calculated from digitized 1993 LANDSAT imagery. A correction for satellite inaccuracies was determined. Grassland retention in 1993 was significantly higher at OBO sites (66%) than at random sites (49%), demonstrating that the OBO voluntary program effectively conserved habitat. Also, grassland retention was significantly lower on sites with better agricultural soils, and for sites <12 ha in size. Site type (OBO or random), size and their interaction, followed by agricultural soil suitability, had the greatest effects on grassland retention. During an era of accelerated grassland loss, OBO strongly and positively (statistically significant) affected conservation of grassland sites most at risk: sites <12 ha in size and with good to excellent agricultural soils. This suggests that grassland conservation efforts focus on vulnerable sites (small size and/or good agricultural soils) to provide nesting habitat for burrowing owls. Our study demonstrates that a voluntary stewardship program can significantly increase conservation of habitat.

  18. Evaluating environmental education, citizen science, and stewardship through naturalist programs.

    PubMed

    Merenlender, Adina M; Crall, Alycia W; Drill, Sabrina; Prysby, Michelle; Ballard, Heidi

    2016-12-01

    Amateur naturalists have played an important role in the study and conservation of nature since the 17th century. Today, naturalist groups make important contributions to bridge the gap between conservation science and practice around the world. We examined data from 2 regional naturalist programs to understand participant motivations, barriers, and perspectives as well as the actions they take to advance science, stewardship, and community engagement. These programs provide certification-based natural history and conservation science training for adults that is followed by volunteer service in citizen science, education, and stewardship. Studies in California and Virginia include quantitative and qualitative evaluation data collected through pre- and postcourse surveys, interviews, and long-term tracking of volunteer hours. Motivations of participants focused on learning about the local environment and plants and animals, connecting with nature, becoming certified, and spending time with people who have similar interests. Over half the participants surveyed were over 50 years old, two-thirds were women, and a majority reported household incomes of over $50,000 (60% in California, 85% in Virginia), and <20% of those surveyed in both states described themselves as nonwhite. Thus, these programs need to improve participation by a wider spectrum of the public. We interviewed younger and underrepresented adults to examine barriers to participation in citizen science. The primary barrier was lack of time due to the need to work and focus on career advancement. Survey data revealed that participants' ecological knowledge, scientific skills, and belief in their ability to address environmental issues increased after training. Documented conservation actions taken by the participants include invasive plant management, habitat restoration, and cleanups of natural areas and streams. Long-term data from Virginia on volunteer hours dedicated to environmental citizen science

  19. 76 FR 19683 - Conservation Program Recipient Reporting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-08

    ... Conservation Service 7 CFR Parts 622, 624 and 625 Commodity Credit Corporation 7 CFR Parts 1465 and 1470 RIN 0578-AA56 Conservation Program Recipient Reporting AGENCY: Natural Resources Conservation Service... Conservation Stewardship Program have application or plan due dates after October 1, 2010, and therefore,...

  20. Report: Ongoing Management Improvements and Further Evaluation Vital to EPA Stewardship and Voluntary Programs

    EPA Pesticide Factsheets

    Report #2005-P-00007, February 17, 2005. We asked stakeholders to define stewardship, list motivators and obstacles to participating in stewardship programs, and outline key roles for EPA to play to foster participating in environmental stewardship.

  1. Gasoline toxicology: overview of regulatory and product stewardship programs.

    PubMed

    Swick, Derek; Jaques, Andrew; Walker, J C; Estreicher, Herb

    2014-11-01

    Significant efforts have been made to characterize the toxicological properties of gasoline. There have been both mandatory and voluntary toxicology testing programs to generate hazard characterization data for gasoline, the refinery process streams used to blend gasoline, and individual chemical constituents found in gasoline. The Clean Air Act (CAA) (Clean Air Act, 2012: § 7401, et seq.) is the primary tool for the U.S. Environmental Protection Agency (EPA) to regulate gasoline and this supplement presents the results of the Section 211(b) Alternative Tier 2 studies required for CAA Fuel and Fuel Additive registration. Gasoline blending streams have also been evaluated by EPA under the voluntary High Production Volume (HPV) Challenge Program through which the petroleum industry provide data on over 80 refinery streams used in gasoline. Product stewardship efforts by companies and associations such as the American Petroleum Institute (API), Conservation of Clean Air and Water Europe (CONCAWE), and the Petroleum Product Stewardship Council (PPSC) have contributed a significant amount of hazard characterization data on gasoline and related substances. The hazard of gasoline and anticipated exposure to gasoline vapor has been well characterized for risk assessment purposes.

  2. The role of the microbiology laboratory in antimicrobial stewardship programs.

    PubMed

    Avdic, Edina; Carroll, Karen C

    2014-06-01

    One of the impediments to the success of antimicrobial stewardship is the lack of availability of rapid and sensitive laboratory tests. The last decade has seen an explosion in new technologies that permit, in less than 4 hours, the identification of organisms and their resistance markers. In addition, the use of biomarkers has been explored in algorithms to distinguish infections that require antimicrobial agents. Clinical microbiology laboratories also contribute to the success of stewardship programs through compilation of aggregate antimicrobial susceptibility data. This article reviews rapid diagnostics, the use of biomarkers, and antibiogram development to antimicrobial stewardship activities and the subsequent impact on patient outcomes.

  3. 7 CFR 1450.207 - Conservation plan, forest stewardship plan, or equivalent plan.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... purposes as determined by CCC. (c) If applicable, a tree planting plan must be developed and included in the conservation plan, forest stewardship plan, or equivalent plan. Such tree planting plan may...

  4. 25 CFR 170.700 - What is the IRR Program stewardship plan?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is the IRR Program stewardship plan? 170.700 Section... ROADS PROGRAM Program Oversight and Accountability § 170.700 What is the IRR Program stewardship plan? The IRR Program stewardship plan delineates the respective roles and responsibilities of BIA and...

  5. 25 CFR 170.700 - What is the IRR Program stewardship plan?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is the IRR Program stewardship plan? 170.700 Section... ROADS PROGRAM Program Oversight and Accountability § 170.700 What is the IRR Program stewardship plan? The IRR Program stewardship plan delineates the respective roles and responsibilities of BIA and...

  6. Long-Term Stewardship Program Science and Technology Requirements

    SciTech Connect

    Joan McDonald

    2002-09-01

    Many of the United States’ hazardous and radioactively contaminated waste sites will not be sufficiently remediated to allow unrestricted land use because funding and technology limitations preclude cleanup to pristine conditions. This means that after cleanup is completed, the Department of Energy will have long-term stewardship responsibilities to monitor and safeguard more than 100 sites that still contain residual contamination. Long-term stewardship encompasses all physical and institutional controls, institutions, information, and other mechanisms required to protect human health and the environment from the hazards remaining. The Department of Energy Long-Term Stewardship National Program is in the early stages of development, so considerable planning is still required to identify all the specific roles and responsibilities, policies, and activities needed over the next few years to support the program’s mission. The Idaho National Engineering and Environmental Laboratory was tasked with leading the development of Science and Technology within the Long-Term Stewardship National Program. As part of that role, a task was undertaken to identify the existing science and technology related requirements, identify gaps and conflicts that exist, and make recommendations to the Department of Energy for future requirements related to science and technology requirements for long-term stewardship. This work is summarized in this document.

  7. 7 CFR 1469.7 - Benchmark condition inventory and conservation stewardship plan.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... operation to be enrolled; (3) The existing conservation practices and resource concerns, problems, and... conservation and environmental benefits that the conservation stewardship contract will achieve; (ii) A plan... effectiveness of the plan in achieving its environmental objectives; and (viii) Other information determined...

  8. 7 CFR 1469.7 - Benchmark condition inventory and conservation stewardship plan.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... operation to be enrolled; (3) The existing conservation practices and resource concerns, problems, and... conservation and environmental benefits that the conservation stewardship contract will achieve; (ii) A plan... effectiveness of the plan in achieving its environmental objectives; and (viii) Other information determined...

  9. Review of rapid diagnostic tests used by antimicrobial stewardship programs.

    PubMed

    Bauer, Karri A; Perez, Katherine K; Forrest, Graeme N; Goff, Debra A

    2014-10-15

    Rapid microbiologic tests provide opportunities for antimicrobial stewardship programs to improve antimicrobial use and clinical and economic outcomes. Standard techniques for identification of organisms require at least 48-72 hours for final results, compared with rapid diagnostic tests that provide final organism identification within hours of growth. Importantly, rapid microbiologic tests are considered "game changers" and represent a significant advancement in the management of infectious diseases. This review focuses on currently available rapid diagnostic tests and, importantly, the impact of rapid testing in combination with antimicrobial stewardship on patient outcomes.

  10. Transformation of antimicrobial stewardship programs through technology and informatics.

    PubMed

    Kullar, Ravina; Goff, Debra A

    2014-06-01

    The successful integration of technology in antimicrobial stewardship programs has made it possible for clinicians to function more efficiently. With government endorsement of electronic health records (EHRs), EHRs and clinical decision support systems (CDSSs) are being used as decision support tools to aid clinicians in efforts to improve antibiotic use. Likewise, medical applications (apps) have provided educational tools easily accessible to clinicians through their mobile devices. In this article, the impact that informatics and technology have had on promoting antibiotic stewardship is described, focusing on EHRs and CDSSs, apps, electronic resources, and social media.

  11. 2010/2015 PFOA Stewardship Program - 2014 Annual Progress Reports

    EPA Pesticide Factsheets

    In 2006, EPA and the eight major companies in the industry launched the 2010/15 PFOA Stewardship Program, in which companies committed to reduce global facility emissions and product content of PFOA and related chemicals by 95 percent by 2010, and to work

  12. Antimicrobial stewardship programs - cost-minimizing or cost-effective?

    PubMed

    You, Joyce

    2015-02-01

    Antimicrobial stewardship programs (ASPs) are aimed to improve patient care and health care outcomes. It is encouraging to find ASP interventions to be cost-saving in many cost-minimization analyses in literature. Nevertheless, the cost-effectiveness of ASP interventions, measured in cost per quality-adjusted life-years, is less well-established. This Editorial aims to explore the barriers in assessing clinical effectiveness of ASPs and provide suggestions to conduct cost-effectiveness analysis of ASPs.

  13. Antimicrobial Stewardship

    PubMed Central

    Doron, Shira; Davidson, Lisa E.

    2011-01-01

    Antimicrobial resistance is increasing; however, antimicrobial drug development is slowing. Now more than ever before, antimicrobial stewardship is of the utmost importance as a way to optimize the use of antimicrobials to prevent the development of resistance and improve patient outcomes. This review describes the why, what, who, how, when, and where of antimicrobial stewardship. Techniques of stewardship are summarized, and a plan for implementation of a stewardship program is outlined. PMID:22033257

  14. Motivational functionalism and urban conservation stewardship: implications for volunteer involvement

    Treesearch

    Stanley T. Asah; Dale J. Blahna

    2012-01-01

    Conservation in urban areas faces growing financial challenges and inadequate stakeholder involvement. Conservation psychology can mitigate these challenges in many ways. One way is through conservation volunteerism, if we attend to and capitalize on volunteers' motivations. Conservation volunteerism significantly contributes to ecological knowledge acquisition,...

  15. A Survey of Antimicrobial Stewardship Programs in Korea, 2015.

    PubMed

    Kim, Bongyoung; Kim, Jieun; Kim, Shin Woo; Pai, Hyunjoo

    2016-10-01

    The study was conducted to evaluate the Antibiotic Stewardship Program (ASP) in Korean hospitals compared with the previous two surveys in 2006 and 2012. The information on ASPs was collected through an online-based survey sent by e-mail to 192 infectious diseases specialists in 101 Korean hospitals in September 2015. Fifty-four hospitals (53.5%, 54/101) responded to the online survey. One infectious diseases specialist was employed in 30 (55.6%) of the 54 hospitals, and they were in charge of ASPs in hospitals with the program. Fifty of the 54 hospitals (92.6%) had ASPs and the same number of hospitals was conducting a preauthorization-of-antibiotics-use program. Although most hospitals adopted preauthorization strategies for more antibiotics in 2015 than in 2012 (median 14 in 2015; 13 in 2012), a limited number of antibiotics were under control. The number of per oral and parenteral antibiotics available in hospitals in 2015 decreased compared to 2006 and 2012. The number of hospitals performing a retrospective or prospective qualitative drug use evaluation of antibiotic use increased from 2006 to 2015. Manpower in charge of antibiotic stewardship in most hospitals was still very limited and ASPs heavily depended on preauthorization-of-antibiotics-use programs in this survey. In conclusion, there leaves much to be desired in ASPs in Korea in 2015.

  16. A Survey of Antimicrobial Stewardship Programs in Korea, 2015

    PubMed Central

    2016-01-01

    The study was conducted to evaluate the Antibiotic Stewardship Program (ASP) in Korean hospitals compared with the previous two surveys in 2006 and 2012. The information on ASPs was collected through an online-based survey sent by e-mail to 192 infectious diseases specialists in 101 Korean hospitals in September 2015. Fifty-four hospitals (53.5%, 54/101) responded to the online survey. One infectious diseases specialist was employed in 30 (55.6%) of the 54 hospitals, and they were in charge of ASPs in hospitals with the program. Fifty of the 54 hospitals (92.6%) had ASPs and the same number of hospitals was conducting a preauthorization-of-antibiotics-use program. Although most hospitals adopted preauthorization strategies for more antibiotics in 2015 than in 2012 (median 14 in 2015; 13 in 2012), a limited number of antibiotics were under control. The number of per oral and parenteral antibiotics available in hospitals in 2015 decreased compared to 2006 and 2012. The number of hospitals performing a retrospective or prospective qualitative drug use evaluation of antibiotic use increased from 2006 to 2015. Manpower in charge of antibiotic stewardship in most hospitals was still very limited and ASPs heavily depended on preauthorization-of-antibiotics-use programs in this survey. In conclusion, there leaves much to be desired in ASPs in Korea in 2015. PMID:27550482

  17. Effective Antibiotic Conservation by Emergency Antimicrobial Stewardship During a Drug Shortage.

    PubMed

    Hsueh, Kevin; Reyes, Maria; Krekel, Tamara; Casabar, Ed; Ritchie, David J; Jafarzadeh, S Reza; Hays, Amanda J; Lane, Michael A; Durkin, Michael J

    2017-03-01

    We present the first description of an antimicrobial stewardship program (ASP) used to successfully manage a multi-antimicrobial drug shortage. Without resorting to formulary restriction, meropenem utilization decreased by 69% and piperacillin-tazobactam by 73%. During the shortage period, hospital mortality decreased (P=.03), while hospital length of stay remained unchanged. Infect Control Hosp Epidemiol 2017;38:356-359.

  18. Watershed Stewardship Education Program--A Multidisciplinary Extension Education Program for Oregon's Watershed Councils.

    ERIC Educational Resources Information Center

    Conway, Flaxen D. L.; Godwin, Derek; Cloughesy, Mike; Nierenberg, Tara

    2003-01-01

    The Watershed Stewardship Education Program (WSEP) is a multidisciplinary Oregon Extension designed to help watershed councils, landowners, and others work effectively together on water management. Components include practical, easy-to-use educational materials, training in effective collaboration, a Master Watershed Stewards program, and advanced…

  19. Watershed Stewardship Education Program--A Multidisciplinary Extension Education Program for Oregon's Watershed Councils.

    ERIC Educational Resources Information Center

    Conway, Flaxen D. L.; Godwin, Derek; Cloughesy, Mike; Nierenberg, Tara

    2003-01-01

    The Watershed Stewardship Education Program (WSEP) is a multidisciplinary Oregon Extension designed to help watershed councils, landowners, and others work effectively together on water management. Components include practical, easy-to-use educational materials, training in effective collaboration, a Master Watershed Stewards program, and advanced…

  20. Practical implications of understanding the influence of motivations on commitment to voluntary urban conservation stewardship.

    PubMed

    Asah, Stanley T; Blahna, Dale J

    2013-08-01

    -building motivations may help enhance volunteers' commitment to conservation stewardship and address the pressing challenge of retaining urban conservation volunteers.

  1. Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention.

    PubMed

    Pollack, Loria A; Srinivasan, Arjun

    2014-10-15

    The proven benefits of antibiotic stewardship programs (ASPs) for optimizing antibiotic use and minimizing adverse events, such as Clostridium difficile and antibiotic resistance, have prompted the Centers for Disease Control and Prevention (CDC) to recommend that all hospitals have an ASP. This article summarizes Core Elements of Hospital Antibiotic Stewardship Programs, a recently released CDC document focused on defining the infrastructure and practices of coordinated multidisciplinary programs to improve antibiotic use and patient care in US hospitals.

  2. Impact of an antimicrobial stewardship program on critical haematological patients.

    PubMed

    Ruiz-Ramos, Jesus; Frasquet, Juan; Poveda-Andrés, Jose Luis; Romá, Eva; Salavert-Lleti, Miguel; Castellanos, Álvaro; Ramirez, Paula

    2017-07-01

    Antimicrobial Stewardship Programs (ASPs) have appeared as very useful tools in order to improve the use of antimicrobial agents. The objective of this study is to assess the impact of an ASP on haematological patients hospitalized in an Intensive Care Unit (ICU). A quasi-experimental pre-post intervention study, which included haematological patients admitted to an ICU and assessed by the ASP program during 3 years. The impact of the program on patient evolution was assessed by comparison between the previous period and the intervention period in terms of mortality, mean stay, number of re-hospitalizations, and duration of mechanical ventilation for intubated patients. The ASP team assessed 324 antimicrobial agents in 169 patients; they recommended 121 modifications, including 55 treatment discontinuations. Compared with the pre-intervention period, there were no significant differences in the variables assessed. No variation was observed in colonization by multi-resistant bacteria. The implementation of an APS on critical haematological patients will lead to a relevant number of treatment modifications, without any impact on the clinical evolution of patients. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  3. Nuclear Materials Stewardship Within the DOE Environmental Management Program

    SciTech Connect

    Bilyeu, J. D.; Kiess, T. E.; Gates, M. L.

    2002-02-26

    The Department of Energy (DOE) Environmental Management (EM) Program has made significant progress in planning disposition of its excess nuclear materials and has recently completed several noteworthy studies. Since establishment in 1997, the EM Nuclear Material Stewardship Program has developed disposition plans for excess nuclear materials to support facility deactivation. All nuclear materials have been removed from the Miamisburg Environmental Management Project (Mound), and disposition planning is nearing completion for the Fernald Environmental Management Project and the Rocky Flats Environmental Technology Site. Only a few issues remain for materials at the Hanford and Idaho sites. Recent trade studies include the Savannah River Site Canyons Nuclear Materials Identification Study, a Cesium/Strontium Management Alternatives Trade Study, a Liquid Technical Standards Trade Study, an Irradiated Beryllium Reflectors with Tritium study, a Special Performance Assessment Required Trade Study, a Neutron Source Trade Study, and development of discard criteria for uranium. A Small Sites Workshop was also held. Potential and planned future activities include updating the Plutonium-239 storage study, developing additional packaging standards, developing a Nuclear Material Disposition Handbook, determining how to recover or dispose of Pu-244 and U-233, and working with additional sites to define disposition plans for their nuclear materials.

  4. A stepwise introduction of a successful antimicrobial stewardship program

    PubMed Central

    Alawi, Maha M.; Darwesh, Bayan M.

    2016-01-01

    Objectives To analyze and evaluate the safety and cost-effectiveness of a gradually-implemented antimicrobial stewardship programs (ASP) in a tertiary care center. Methods Prospective data were collected from an ASP that was gradually introduced between April 2012 and December 2013 in 6 hospital departments, over successive periods of 3 months each. A multidisciplinary team supervised antibiotic use and regulated pharmacy dispensations of a list of restricted antimicrobials (RAs). Indicators were prospectively monitored and included hospital mortality as the safety indicator; incidence of multi-drug resistance (MDR) infections as the effectiveness indicator, RA cost savings as the cost-effectiveness indicator and RA consumption indicated the process implementation. Results Between 2012 and 2014, dispensations of RAs decreased by 67% and prescriptions by 75%; no increase in mortality rate was observed. Microbiologically, there was a decreasing trend of incidence across all monitored infections, but this was only significant for Acinetobacter baumannii (p=0.007). Cost analysis showed a decrease in expenditure for RAs, with an average monthly saving of up to 326,020USD. Conclusions Stepwise implementation of ASPs is a safe and cost-effective strategy for improving antibiotic prescribing practice and to reduce multi-drug resistance. PMID:27874151

  5. Financial evaluations of antibiotic stewardship programs-a systematic review.

    PubMed

    Dik, Jan-Willem H; Vemer, Pepijn; Friedrich, Alex W; Hendrix, Ron; Lo-Ten-Foe, Jerome R; Sinha, Bhanu; Postma, Maarten J

    2015-01-01

    There is an increasing awareness to counteract problems due to incorrect antimicrobial use. Interventions that are implemented are often part of an Antimicrobial Stewardship Program (ASPs). Studies publishing results from these interventions are increasing, including reports on the economical effects of ASPs. This review will look at the economical sections of these studies and the methods that were used. A systematic review was performed of articles found in the PubMed and EMBASE databases published from 2000 until November 2014. Included studies found were scored for various aspects and the quality of the papers was assessed following an appropriate check list (CHEC criteria list). 1233 studies were found, of which 149 were read completely. Ninety-nine were included in the final review. Of these studies, 57 only mentioned the costs associated with the antimicrobial medication. Others also included operational costs (n = 23), costs for hospital stay (n = 18), and/or other costs (n = 19). Nine studies were further assessed for their quality. These studies scored between 2 and 14 out of a potential total score of 19. This review gives an extensive overview of the current financial evaluation of ASPs and the quality of these economical studies. We show that there is still major potential to improve financial evaluations of ASPs. Studies do not use similar nor consistent methods or outcome measures, making it impossible draw sound conclusions and compare different studies. Finally, we make some recommendations for the future.

  6. A cost-effectiveness analysis of two different antimicrobial stewardship programs.

    PubMed

    Okumura, Lucas Miyake; Riveros, Bruno Salgado; Gomes-da-Silva, Monica Maria; Veroneze, Izelandia

    2016-01-01

    There is a lack of formal economic analysis to assess the efficiency of antimicrobial stewardship programs. Herein, we conducted a cost-effectiveness study to assess two different strategies of Antimicrobial Stewardship Programs. A 30-day Markov model was developed to analyze how cost-effective was a Bundled Antimicrobial Stewardship implemented in a university hospital in Brazil. Clinical data derived from a historical cohort that compared two different strategies of antimicrobial stewardship programs and had 30-day mortality as main outcome. Selected costs included: workload, cost of defined daily doses, length of stay, laboratory and imaging resources used to diagnose infections. Data were analyzed by deterministic and probabilistic sensitivity analysis to assess model's robustness, tornado diagram and Cost-Effectiveness Acceptability Curve. Bundled Strategy was more expensive (Cost difference US$ 2119.70), however, it was more efficient (US$ 27,549.15 vs 29,011.46). Deterministic and probabilistic sensitivity analysis suggested that critical variables did not alter final Incremental Cost-Effectiveness Ratio. Bundled Strategy had higher probabilities of being cost-effective, which was endorsed by cost-effectiveness acceptability curve. As health systems claim for efficient technologies, this study conclude that Bundled Antimicrobial Stewardship Program was more cost-effective, which means that stewardship strategies with such characteristics would be of special interest in a societal and clinical perspective.

  7. Antimicrobial stewardship

    PubMed Central

    Chung, Gladys W.; Wu, Jia En; Yeo, Chay Leng; Chan, Douglas; Hsu, Li Yang

    2013-01-01

    Antimicrobial stewardship is an emerging field currently defined by a series of strategies and interventions aimed toward improving appropriate prescription of antibiotics in humans in all healthcare settings. The ultimate goal is the preservation of current and future antibiotics against the threat of antimicrobial resistance, although improving patient safety and reducing healthcare costs are important concurrent aims. Prospective audit and feedback interventions are probably the most widely practiced of all antimicrobial stewardship strategies. Although labor-intensive, they are more easily accepted by physicians compared with formulary restriction and preauthorization strategies and have a higher potential for educational opportunities. Objective evaluation of antimicrobial stewardship is critical for determining the success of such programs. Nonetheless, there is controversy over which outcomes to measure and there is a pressing need for novel study designs that can objectively assess antimicrobial stewardship interventions despite the limitations inherent in the structure of most such programs. PMID:23302793

  8. 7 CFR 1469.7 - Benchmark condition inventory and conservation stewardship plan.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Benchmark condition inventory and conservation...) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION SECURITY PROGRAM General Provisions § 1469.7 Benchmark condition inventory and conservation...

  9. 7 CFR 1469.7 - Benchmark condition inventory and conservation stewardship plan.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Benchmark condition inventory and conservation...) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION SECURITY PROGRAM General Provisions § 1469.7 Benchmark condition inventory and conservation...

  10. Highlights of the national evaluation of the Forest Stewardship Planning Program

    Treesearch

    R.J. Moulton; J.D. Esseks

    2001-01-01

    In 1998 and 1999, a nationwide random sample of 1238 nonindustrial private (NIPF) landowners with approved multiple resource Forest Stewardship Plans were interviewed to determine if this program is meeting its Congressional mandate of promoting sustainable management of forest resources on NIPF ownerships. It was found that two-thirds of program participants had never...

  11. Effectiveness of landowner assistance activities: an examination of the USDA Forest Service's Forest Stewardship Program

    Treesearch

    Brett J. Butler; Marla Markowski-Lindsay; Stephanie Snyder; Paul Catanzaro; David B. Kittredge; Kyle Andrejczyk; Brenton J. Dickinson; Derya Eryilmaz; Jaketon H. Hewes; Paula Randler; Donna Tadle; Michael A. Kilgore

    2014-01-01

    The USDA Forest Service's Forest Stewardship Program (FSP) is the nation's most prominent private forestry assistance program. We examined the FSP using a multiple analytic approach: analysis of annual FSP accomplishments, survey of state FSP coordinators, analytic comparison of family forest owners receiving and not receiving forestry practice assistance,...

  12. Impact of CLSI Breakpoint Changes on Microbiology Laboratories and Antimicrobial Stewardship Programs

    PubMed Central

    Heil, Emily L.

    2016-01-01

    In 2010, the Clinical and Laboratory Standards Institute (CLSI) lowered the MIC breakpoints for many beta-lactam antibiotics to enhance detection of known resistance among Enterobacteriaceae. The decision to implement these new breakpoints, including the changes announced in both 2010 and 2014, can have a significant impact on both microbiology laboratories and antimicrobial stewardship programs. In this commentary, we discuss the changes and how implementation of these updated CLSI breakpoints requires partnership between antimicrobial stewardship programs and the microbiology laboratory, including data on the impact that the changes had on antibiotic usage at our own institution. PMID:26791363

  13. Impact of CLSI Breakpoint Changes on Microbiology Laboratories and Antimicrobial Stewardship Programs.

    PubMed

    Heil, Emily L; Johnson, J Kristie

    2016-04-01

    In 2010, the Clinical and Laboratory Standards Institute (CLSI) lowered the MIC breakpoints for many beta-lactam antibiotics to enhance detection of known resistance amongEnterobacteriaceae The decision to implement these new breakpoints, including the changes announced in both 2010 and 2014, can have a significant impact on both microbiology laboratories and antimicrobial stewardship programs. In this commentary, we discuss the changes and how implementation of these updated CLSI breakpoints requires partnership between antimicrobial stewardship programs and the microbiology laboratory, including data on the impact that the changes had on antibiotic usage at our own institution.

  14. Evaluating the forest stewardship program through a national survey of participants

    Treesearch

    J.D. Esseks; R.J. Moulton

    2000-01-01

    This paper reports findings from a national survey of 1,231 participants in the Forest Stewardship Program (FSP) of USDA's Forest Service. Launched in 1991, the FSP provides technical assistance through state forestry agencies to help landowners develop management plans for their non-industrial forestland. The survey allowed us to address five main evaluative...

  15. Teacher Candidates' Perceptions of the Emphasis on Stewardship in Their Initial Teacher Licensure Program

    ERIC Educational Resources Information Center

    Yontz, Brian David

    2010-01-01

    The stewardship of schools is central to the renewal and preservation of that which is precious in our nation's schools. This study examined perceptions of future teachers as to the degree to which their teacher preparation program emphasized the idea of stewarding schools. With a theoretical foundation that initial teacher preparation provides…

  16. Hearing Conservation Medical Program

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Background on hearing impairment is presented including causes and criteria for safe noise levels. The purpose of the Hearing Conservation Program at LeRC is outlined, and the specifics of the Medical Surveillance Program for Hearing Impairment at LeRC are discussed.

  17. Intravenous Immune Globulin Stewardship Program at a Tertiary Academic Medical Center.

    PubMed

    Rocchio, Megan A; Schurr, James W; Hussey, Aaron P; Szumita, Paul M

    2017-02-01

    In October 2010, a pharmacist-driven stewardship program was implemented at the Brigham and Women's Hospital to ensure continued adherence to the prescribing guideline, focusing on indications for intravenous immune globulin (IVIG) use and dosing per ideal body weight. The primary objective was to describe an IVIG stewardship program at a tertiary academic medical center. This was a prospective, observational study from January 2013 through December 2014. All patients ordered to receive IVIG during the defined study period were included. The intervention assessed describes a pharmacist-driven IVIG stewardship program for medication approval. The primary end point was guideline compliance based on indication, dose, dosing weight, and frequency. Secondary end points included the number of patients receiving IVIG, indications, orders discontinued as a result of guideline nonadherence, and total amount dispensed. A total of 418 patients were identified during the study time frame. The top indications were: hypogammaglobulinemia in bone marrow transplantation and hematological malignancy (50.7%), acute solid organ rejection (11.8%), and immune thrombocytopenia with bleeding (10.1%). In all, 12 patients (2.9%) received IVIG for an indication nonadherent with the IVIG prescribing guideline; 9 patients (2.2%) and 2 patients (0.5%), respectively, received a different dose or frequency per the prescribed indication; and 12 orders (2.9%) for indications nonadherent to the guideline were discontinued. A total of 26 033 g of IVIG were dispensed during the study period. An IVIG stewardship program, including an institution-specific prescribing guideline and a pharmacist-driven stewardship program, may ensure guideline compliance for appropriateness of indication and dose at an academic medical center.

  18. How to Pitch an Antibiotic Stewardship Program to the Hospital C-Suite

    PubMed Central

    Bartlett, John G.; Gilbert, David N.

    2016-01-01

    Hospitals will soon require antibiotic stewardship programs. Infectious diseases specialists must craft business plans to engage hospital leadership to fund such programs. In this article, we review key cost and revenue elements that should be covered in such plans. Society is placing increasing emphasis on the importance of antimicrobial stewardship programs (ASPs). New regulatory standards require hospitals to implement ASPs. Infectious Diseases (ID) specialists will need to help design and implement such programs at hospitals. A critical component of establishing such programs is submitting a business plan to hospital leadership justifying the cost and structure of the ASP and explaining what benefits the hospital will gain in return. In this article, we explore typical elements of such business plans and describe how hospital leadership may evaluate and determine the value of such plans. Understanding hospital costs and revenue models is critical to creating a viable and realistic business plan to support ASPs. PMID:27844028

  19. Antimicrobial stewardship programs: how to start and steer a successful program.

    PubMed

    Drew, Richard H

    2009-03-01

    Antimicrobial stewardship programs (ASPs) promote the appropriate use of antimicrobials by selecting the appropriate dose, duration, and route of administration. The appropriate use of antimicrobials has the potential to improve efficacy, reduce treatment-related costs, minimize drug-related adverse events, and limit the potential for emergence of antimicrobial resistance. To summarize ASP tactics that can improve the appropriate use of antimicrobials in the hospital setting. Several measures can be used to implement such programs and gain multidisciplinary support while addressing common barriers. Implementation of an ASP requires a multidisciplinary approach with an infectious diseases physician and a clinical pharmacist with infectious diseases training as its core team members. As identified by recently published guidelines, 2 proactive strategies for promoting antimicrobial stewardship include: (1) formulary restriction and pre-authorization, and (2) prospective audit with intervention and feedback. Other supplemental strategies involve education, guidelines and clinical pathways, antimicrobial order forms, de-escalation of therapy, intravenous-to-oral (IV-to-PO) switch therapy, and dose optimization. Several barriers exist to successful implementation of ASPs. These include obtaining adequate administrative support and compensation for team members. Gaining physician acceptance can also be challenging if there is a perceived loss of autonomy in clinical decision making. ASPs have the potential to reduce antimicrobial resistance, health care costs, and drug-related adverse events while improving clinical outcomes. The efforts and expense required to implement and maintain ASPs are more than justified given their potential benefits to both the hospital and the patient.

  20. Subdivision design and stewardship affect bird and mammal use of conservation developments.

    PubMed

    Farr, Cooper M; Pejchar, Liba; Reed, Sarah E

    2017-02-07

    Developing effective tools for conservation on private lands is increasingly important for global biodiversity conservation; private lands are located in more productive and biologically diverse areas, and they face accelerated rates of land conversion. One strategy is conservation development (CD) subdivisions, which cluster houses in a small portion of a property and preserve the remaining land as protected open space. Despite widespread use, the characteristics that make CD more or less effective at achieving biodiversity conservation are not well understood. We investigated CD's ability to successfully protect animal populations by examining bird and mammal occurrences in 14 CD subdivisions and four undeveloped areas (range: 14-432 ha) in northern Colorado, USA. Using point count and camera trap data in an occupancy modeling framework, we evaluated the relative importance of nine subdivision design factors (e.g., housing density, proportion of CD protected) and 14 stewardship factors (e.g., presence of livestock, percent native vegetation cover) in influencing the overall community composition and the probability of use by 16 birds and six mammals. We found that habitat use by 75% of birds and 83% of mammals was associated with design characteristics that maximized the natural or undisturbed land area both within and near the development (e.g., proportion of CD protected, total area of protected open space, proportion of natural land cover in the surrounding landscape). These factors were also associated with an increasing dominance of human-sensitive bird species, larger-bodied mammals, and mammals with larger home ranges. Habitat use by birds was also influenced by local land use composition and quality, and use by several bird and mammal species decreased with increased localized disturbances. We found few differences in habitat use between sampling sites in undeveloped areas and in CD subdivisions. These similarities indicate that, if CDs are large enough

  1. Prescribing trends before and after implementation of an antimicrobial stewardship program.

    PubMed

    Cairns, Kelly A; Jenney, Adam W J; Abbott, Iain J; Skinner, Matthew J; Doyle, Joseph S; Dooley, Michael; Cheng, Allen C

    2013-03-18

    Antimicrobial stewardship programs are recommended to reduce antimicrobial resistance by reducing inappropriate use of antimicrobials. We implemented an antimicrobial stewardship program and aimed to evaluate its effect on broad-spectrum antimicrobial use. Observational study with historical control using interrupted time series analysis conducted in a tertiary referral hospital. Hospital inpatients prescribed restricted antimicrobials for non-standard indications, where approval had expired or without approval. Baseline period of 30 months immediately followed by an 18-03 intervention period commencing January 2011. Number and type of interventions made by antimicrobial stewardship team; monthly rate of use of broad-spectrum antimicrobial agents (in defined daily doses/1000 occupied bed-18s). The antimicrobial stewardship team made 1104 recommendations in 779 patients during the 18-03 intervention period. In 64% of cases, the recommendation was made to cease or de-escalate the antimicrobial therapy, or to change from intravenous to oral therapy. The introduction of the intervention resulted in an immediate 17% (95% CI, 13%-20%) reduction in broad-spectrum antimicrobial use in the intensive care unit and a 10% (95% CI, 4%-16%) reduction in broad-spectrum antimicrobial use outside the intensive care unit. Reductions were particularly seen in cephalosporin and glycopeptide use, although these were partially offset by increases in the use of β-lactam-β-lactamase inhibitors. The introduction of an antimicrobial stewardship program, including postprescription review, resulted in an immediate reduction in broad-spectrum antimicrobial use in a tertiary referral centre. However, the effect of this intervention reduced over time.

  2. A human-centered framework for innovation in conservation incentive programs.

    PubMed

    Sorice, Michael G; Donlan, C Josh

    2015-12-01

    The promise of environmental conservation incentive programs that provide direct payments in exchange for conservation outcomes is that they enhance the value of engaging in stewardship behaviors. An insidious but important concern is that a narrow focus on optimizing payment levels can ultimately suppress program participation and subvert participants' internal motivation to engage in long-term conservation behaviors. Increasing participation and engendering stewardship can be achieved by recognizing that participation is not simply a function of the payment; it is a function of the overall structure and administration of the program. Key to creating innovative and more sustainable programs is fitting them within the existing needs and values of target participants. By focusing on empathy for participants, co-designing program approaches, and learning from the rapid prototyping of program concepts, a human-centered approach to conservation incentive program design enhances the propensity for discovery of novel and innovative solutions to pressing conservation issues.

  3. 77 FR 15933 - Conservation Loan Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

    ... minor amendment to the definition of ``Conservation Practice'' to coincide with the definition in NRCS... Forest (NIPF) landowners are excluded from eligibility, even though forestry practices are included in 7... ``Forest Stewardship Management Plan'' and providing that any conservation practice included in the...

  4. Fact Sheet: 2010/2015 PFOA Stewardship Program

    EPA Pesticide Factsheets

    EPA's existing chemicals programs address pollution prevention, risk assessment, hazard and exposure assessment and/or characterization, and risk management for chemicals substances in commercial use.

  5. Parenteral to oral conversion of fluoroquinolones: low-hanging fruit for antimicrobial stewardship programs?

    PubMed

    Jones, Makoto; Huttner, Benedikt; Madaras-Kelly, Karl; Nechodom, Kevin; Nielson, Christopher; Bidwell Goetz, Matthew; Neuhauser, Melinda M; Samore, Matthew H; Rubin, Michael A

    2012-04-01

    To estimate avoidable intravenous (IV) fluoroquinolone use in Veterans Affairs (VA) hospitals. A retrospective analysis of bar code medication administration (BCMA) data. Acute care wards of 128 VA hospitals throughout the United States. Data were analyzed for all medications administered on acute care wards between January 1, 2006, and December 31, 2010. Patient-days receiving therapy were expressed as fluoroquinolone-days (FD) and divided into intravenous (IV; all doses administered intravenously) and oral (PO; at least one dose administered per os) FD. We assumed IV fluoroquinolone use to be potentially avoidable on a given IV FD when there was at least 1 other medication administered via the enteral route. Over the entire study period, 884,740 IV and 830,572 PO FD were administered. Overall, avoidable IV fluoroquinolone use accounted for 46.8% of all FD and 90.9% of IV FD. Excluding the first 2 days of all IV fluoroquinolone courses and limiting the analysis to the non-ICU setting yielded more conservative estimates of avoidable IV use: 20.9% of all FD and 45.9% of IV FD. Avoidable IV use was more common for levofloxacin and more frequent in the ICU setting. There was a moderate correlation between avoidable IV FD and total systemic antibiotic use (r = 0.32). Unnecessary IV fluoroquinolone use seems to be common in the VA system, but important variations exist between facilities. Antibiotic stewardship programs could focus on this patient safety issue as a "low-hanging fruit" to increase awareness of appropriate antibiotic use.

  6. Impact of a national antimicrobial stewardship mentoring program: Insights and lessons learned.

    PubMed

    Goff, Debra A; Karam, George H; Haines, Stuart T

    2017-02-15

    The impact of an interprofessional mentoring program to advance antimicrobial stewardship programs (ASPs) in selected U.S. hospitals and lessons learned are described. A seven-step mentoring process with self-assessment, telephone calls, continuing education, a one-day onsite visit, action plan, and outcome data collection and analysis was provided to ASP teams at nine hospitals. Six hospitals completed the program. A significant improvement in the timeliness and appropriateness of i.v. antibiotic therapy (defined as a hang time within one hour after prescriber order entry and broad-spectrum coverage for gram-negative pathogens administered first when combination therapy was used) was observed in patients with sepsis over the 12-month period after implementation of the mentoring program. As a result of requiring hospital administration's participation in the mentoring program, increased funding became available at three hospitals for the microbiology laboratory to provide new rapid diagnostic tests and for pharmacist and physician time to devote to ASP activities. The collaboration and engagement of ASP team members, inclusion of hospital administrators and pharmacy directors in the onsite mentoring visits, and an experienced mentor team with an infectious diseases (ID) physician and ID pharmacist contributed to ASP success. Challenges included insufficient time to collect outcome metrics due to competing hospital priorities and loss of momentum over time. A mentoring program for antimicrobial stewardship provided the perspective that comes from experience. Engagement of hospital administration was a key factor for both developing and sustaining a stewardship program. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  7. The Nature Conservancy's Student Stewardship Program, Student Workbook.

    ERIC Educational Resources Information Center

    Roberts, Mary, Ed.

    Five schools in northeastern Ohio were chosen to participate in this environmental education project. Students were assigned a natural area in their community to study in detail. This workbook is designed for recording data collected during the year long project. The topics to be studied are organized according to the month that they will be done,…

  8. Technology to Support Integrated Antimicrobial Stewardship Programs: A User Centered and Stakeholder Driven Development Approach

    PubMed Central

    Beerlage-de Jong, Nienke; van Gemert-Pijnen, Lisette; Wentzel, Jobke; Hendrix, Ron; Siemons, Liseth

    2017-01-01

    The rise of antimicrobial resistance (AMR) is a severe global health problem. Tackling this problem requires the prudent prescribing of antimicrobials. This is promoted through Antimicrobial Stewardship Programs (ASPs). In this position paper we describe i) how a socio-technical multidisciplinary approach (based on the CeHRes Roadmap) can be applied in the development and implementation of Antimicrobial Stewardship technologies and ii) how this approach can be of value to support Antimicrobial Stewardship in practice. The CeHRes Roadmap entails five different phases to explore and test how an eHealth technology can be tailored to the target group and successfully implemented in practice: i) contextual inquiry, ii) value specification, iii) design, iv) operationalization, v) evaluation. In this position paper we describe the lessons learned from research and practice to guide future developments of technology based ASP interventions. Since AMR is a huge wicked problem on a global level, it requires innovative methods and models to empower general public and professionals to be proactive rather than reactive in a digitalized world. We highlight how to combat the dangerous rise of antimicrobial resistance in the future. PMID:28458796

  9. Costing conservation: an expert appraisal of the pollinator habitat benefits of England's entry level stewardship.

    PubMed

    Breeze, T D; Bailey, A P; Balcombe, K G; Potts, S G

    2014-01-01

    Pollination services provided by insects play a key role in English crop production and wider ecology. Despite growing evidence of the negative effects of habitat loss on pollinator populations, limited policy support is available to reverse this pressure. One measure that may provide beneficial habitat to pollinators is England's entry level stewardship agri-environment scheme. This study uses a novel expert survey to develop weights for a range of models which adjust the balance of Entry Level Stewardship options within the current area of spending. The annual costs of establishing and maintaining these option compositions were estimated at £59.3-£12.4 M above current expenditure. Although this produced substantial reduction in private cost:benefit ratios, the benefits of the scheme to pollinator habitat rose by 7-140 %; significantly increasing the public cost:benefit ratio. This study demonstrates that the scheme has significant untapped potential to provide good quality habitat for pollinators across England, even within existing expenditure. The findings should open debate on the costs and benefits of specific entry level stewardship management options and how these can be enhanced to benefit both participants and biodiversity more equitably.

  10. A NASA Program Perspective on Data Stewardship (Invited)

    NASA Astrophysics Data System (ADS)

    Maiden, M. E.

    2009-12-01

    At a recent meeting of scientific digital data managers at NASA Headquarters, a colleague posed the question, ‘Can you ensure your data be available for analysis one hundred years from now?’. Another colleague immediately said, ‘The answer to that question is: No.’. In my position of NASA Earth Science Data System Program Executive, I am responsible to assure the availability of NASA Earth Science data in perpetuity for the so-called long-term archive. NASA has a continuing responsibility to the Earth science research community to provide high quality data as long as they are valuable to support active research. This in itself is a long-term responsibility. In addition, past the period of active research, when the science community deems the data to be valuable, but no longer of immediate interest for active research, it is still necessary to preserve the data in a manner that they can be used after many decades (or even centuries) to support analyses, should the need arise. Our discipline-based distributed data center structure has been supporting very well the active archive role for the past 15 years. Regarding preparing for data preparation in perpetuity, my efforts have heretofore been to ensure that the data centers follow best practices for the near term, and to pursue NASA’s Earth Science strategic policy of passing our data to a designated US National Archive via interagency agreements and transfer for long-term archive. NASA bears much responsibility on the technical preparations for the success of long-term “digital curation” within the data life cycle, and on how we partner and work with our archival institutions. As a research organization, NASA can afford to be thorough and forerunning but can sometimes take a path that does not bear fruit. This presentation examines some issues, choices, and experiences over the past two decades of NASA’s Earth Science Data System Program.

  11. Impact of formulary restriction with prior authorization by an antimicrobial stewardship program

    PubMed Central

    Reed, Erica E.; Stevenson, Kurt B.; West, Jessica E.; Bauer, Karri A.; Goff, Debra A.

    2013-01-01

    In an era of increasing antimicrobial resistance and few antimicrobials in the developmental pipeline, many institutions have developed antimicrobial stewardship programs (ASPs) to help implement evidence-based (EB) strategies for ensuring appropriate utilization of these agents. EB strategies for accomplishing this include formulary restriction with prior authorization. Potential limitations to this particular strategy include delays in therapy, prescriber pushback, and unintended increases in use of un-restricted antimicrobials; however, our ASP found that implementing prior authorization for select antimicrobials along with making a significant effort to educate clinicians on criteria for use ensured more appropriate prescribing of these agents, hopefully helping to preserve their utility for years to come. PMID:23154323

  12. Practical implications of understanding the influence of motivations on commitment to voluntary urban conservation stewardship

    Treesearch

    Stanley T. Asah; Dale J. Blahna

    2013-01-01

    Although the word commitment is prevalent in conservation biology literature and despite the importance of people’s commitment to the success of conservation initiatives, commitment as a psychological phenomenon and its operation in specific conservation behaviors remains unexplored. Despite increasing calls for conservation psychology to play a greater role in meeting...

  13. Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program

    PubMed Central

    Garcell, Humberto Guanche; Arias, Ariadna Villanueva; Fernandez, Eliezer Alemán; Guerrero, Yaquelín Batista; Serrano, Ramon N. Alfonso

    2016-01-01

    Objectives We sought to evaluate the trend of antibiotic consumption in patients admitted to a community hospital in Qatar with an antimicrobial stewardship program. Methods This observational study was carried out in a 75-bed facility in Western Qatar over a 4-year period (2012–2015). The monitoring of antimicrobial consumption from inpatient wards was performed from the pharmacy records and presented as defined daily dose (DDD) divided by the patient days and expressed as 100 bed-days (DBD). Results The consumption of antimicrobials in 2012 was 171.3 DBD, and increased to 252.7 DBD in 2013, 229.1 DBD in 2014, and 184.7 DBD in 2015. Cephalosporins use reduced from 98.2 DBD in 2013 to 51.5 DBD in 2015 while the consumption of penicillins increased during the beginning of 2014 with a slight decrease in 2015. Carbapenems consumption during 2014–2015 was lower than previous years, and vice-versa for aminoglycosides. Fluoroquinolones had a sustained increase with 37.1% increased consumption in 2015 compared to the two previous years. There was an increase in the use of intravenous (IV) (108.5%) and oral azithromycin (55.1%) and the use of oral (152.8%) and IV moxifloxacin (22.9%). Conclusions We observed a decrease in antibiotic use in patients admitted to a community hospital with an antimicrobial stewardship program, but the increase in fluoroquinolones consumption is a concern that requires focused strategies. PMID:27602189

  14. What is urban environmental stewardship? Constructing a practitioner-derived framework

    Treesearch

    M. Romolini; W. Brinkley; K.L. Wolf

    2012-01-01

    Agencies and organizations deploy various strategies in response to environmental challenges, including the formulation of policy, programs, and regulations. Citizen-based environmental stewardship is increasingly seen as an innovative and important approach to improving and conserving landscape health. A new research focus on the stewardship of urban natural resources...

  15. Impact of an Antimicrobial Stewardship Program on Antimicrobial Utilization, Bacterial Susceptibilities, and Financial Expenditures at an Academic Medical Center.

    PubMed

    Timbrook, Tristan T; Hurst, John M; Bosso, John A

    2016-10-01

    Background: Antimicrobial stewardship programs (ASPs) have the potential to improve patient outcomes, decrease microbial resistance, increase patient safety, and decrease costs. However, to justify the costs involved with providing an ASP, it is necessary to assess its impact in achieving these outcomes on an ongoing basis. Objective: The purpose of this study was to characterize the overall impact of the ASP at an Academic medical center. Methods: Quasi-experimental, before and after stewardship program implementation, retrospective analyses of quarterly antimicrobial utilization, bacterial susceptibilities, and antibiotic acquisition costs were utilized. Results: Mean stewardship-focused antibiotic utilization was 510.3 defined daily doses (DDD) per 1,000 patient days for the pre-ASP period and 426.4 DDD per 1,000 patient days for the ASP period (16.4% decrease; p < .001). Significant changes in Pseudomonas aeruginosa susceptibility to tobramycin (8% increase; p = .006) and piperacillin-tazobactam (8% decrease; p = .024) were noted. Changes in susceptibility of Staphylococcus aureus to methicillin (7% increase, p = .012) were also observed. ASP-focused antibiotic expenditures decreased from $4,028,068 in fiscal year (FY) 2010 to $2,135,173 in FY2013 (p = .01). Conclusions: ASP initiatives were associated with an observed reduction in stewardship-focused antibiotic utilization. Significant changes in susceptibilities of some bacteria were noted but did not seem to consistently reflect antibiotic utilization changes. Significant decreases in antimicrobial expenditures were observed. Observed outcomes are temporally related to shifts in antimicrobial selection through the initiation of stewardship program-driven antibiotic policy changes. These outcomes have been used to justify and expand our stewardship program moving forward.

  16. Recology: Material Conservation Program Fieldbook.

    ERIC Educational Resources Information Center

    Stanwood, Bill

    Recology is the combination of teaching and learning through the interaction of conservation (waste management and recycling) and ecology. This fieldbook is designed to provide an overview of the development of a Recology environmental education program. The program facilitates infusion of material conservation education into existing curriculum.…

  17. National Nuclear Security Administration Service Center Environmental Programs Long-Term Environmental Stewardship Baseline Handbook

    SciTech Connect

    Griswold, D. D.; Rohde, K.

    2003-02-26

    As environmental restoration (ER) projects move toward completion, the planning, integration, and documentation of long-term environmental stewardship (LTES) activities is increasingly important for ensuring smooth transition to LTES. The Long-Term Environmental Stewardship Baseline Handbook (Handbook) prepared by the National Nuclear Security Administration (NNSA) Service Center Environmental Programs Department (EPD) outlines approaches for integrating site-specific LTES planning and implementation into site ER baseline documentation. Since LTES will vary greatly from site to site, the Handbook also provides for flexibility in addressing LTES in ER Project life-cycle baselines, while clearly identifying Environmental Management (EM) requirements. It provides suggestions for enacting LTES principles and objectives through operational activities described in site-specific LTES plans and life cycle ER Project baseline scope, cost, and schedule documentation and tools for more thorough planning, better quantification, broader understanding of risk and risk management factors, and more comprehensive documentation. LTES planning applied to baselines in a phased approach will facilitate seamlessly integrating LTES into site operational activities, thereby minimizing the use of resources.

  18. 76 FR 65121 - Community Forest and Open Space Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-20

    ...This final rule implements the Community Forest and Open Space Conservation Program (CFP), authorized by Section 8003 of the Food, Conservation, and Energy Act of 2008. The CFP legislation is an amendment to the Cooperative Forestry Assistance Act of 1978. The CFP is a competitive grant program whereby local governments, Indian tribes, and qualified nonprofit organizations are eligible to apply for grants to establish community forests through fee-simple acquisition of private forest land. The program's two purposes are to provide public benefits to communities including economic benefits through sustainable forest management, environmental benefits including clean air, water, and wildlife habitat; benefits from forest-based educational programs; benefits from serving as models of effective forest stewardship; and recreational benefits secured with public access; and to acquire private forest lands that are threatened by conversion to nonforest uses. Existing provisions in Forest Service regulations pertaining to the Stewardship Incentive Program will be removed as deauthorized by the Farm Security and Rural Investment Act of 2002, and this final rule will be substituted in lieu thereof.

  19. IUCN Conservation Programs

    ERIC Educational Resources Information Center

    Budowski, Gerardo

    1972-01-01

    Brief, but comprehensive, description of the International Union for Conservation of Nature and Natural Resources (IUCN), a non-governmental organization located in Morges, Switzerland. Presents its objectives, broad purpose and describes the specific activities of the organization. (LK)

  20. Clinical diagnoses and antimicrobials predictive of pediatric antimicrobial stewardship recommendations: a program evaluation.

    PubMed

    Goldman, Jennifer L; Lee, Brian R; Hersh, Adam L; Yu, Diana; Stach, Leslie M; Myers, Angela L; Jackson, Mary Anne; Day, James C; McCulloh, Russell J; Newland, Jason G

    2015-06-01

    The number of pediatric antimicrobial stewardship programs (ASPs) is increasing and program evaluation is a key component to improve efficiency and enhance stewardship strategies. To determine the antimicrobials and diagnoses most strongly associated with a recommendation provided by a well-established pediatric ASP. Retrospective cohort study from March 3, 2008, to March 2, 2013, of all ASP reviews performed at a free-standing pediatric hospital. ASP recommendations were classified as follows: stop therapy, modify therapy, optimize therapy, or consult infectious diseases. A multinomial distribution model to determine the probability of each ASP recommendation category was performed on the basis of the specific antimicrobial agent or disease category. A logistic model was used to determine the odds of recommendation disagreement by the prescribing clinician. The ASP made 2,317 recommendations: stop therapy (45%), modify therapy (26%), optimize therapy (19%), or consult infectious diseases (10%). Third-generation cephalosporins (0.20) were the antimicrobials with the highest predictive probability of an ASP recommendation whereas linezolid (0.05) had the lowest probability. Community-acquired pneumonia (0.26) was the diagnosis with the highest predictive probability of an ASP recommendation whereas fever/neutropenia (0.04) had the lowest probability. Disagreement with ASP recommendations by the prescribing clinician occurred 22% of the time, most commonly involving community-acquired pneumonia and ear/nose/throat infections. Evaluation of our pediatric ASP identified specific clinical diagnoses and antimicrobials associated with an increased likelihood of an ASP recommendation. Focused interventions targeting these high-yield areas may result in increased program efficiency and efficacy.

  1. Clinical Diagnoses and Antimicrobials Predictive of Pediatric Antimicrobial Stewardship Recommendations: A Program Evaluation

    PubMed Central

    Goldman, Jennifer L.; Lee, Brian R.; Hersh, Adam L.; Yu, Diana; Stach, Leslie M.; Myers, Angela L.; Jackson, Mary Anne; Day, James C.; McCulloh, Russell J.; Newland, Jason G.

    2015-01-01

    BACKGROUND The number of pediatric antimicrobial stewardship programs (ASPs) is increasing and program evaluation is a key component to improve efficiency and enhance stewardship strategies. OBJECTIVE To determine the antimicrobials and diagnoses most strongly associated with a recommendation provided by a well-established pediatric ASP. DESIGN AND SETTING Retrospective cohort study from March 3, 2008, to March 2, 2013, of all ASP reviews performed at a free-standing pediatric hospital. METHODS ASP recommendations were classified as follows: stop therapy, modify therapy, optimize therapy, or consult infectious diseases. A multinomial distribution model to determine the probability of each ASP recommendation category was performed on the basis of the specific antimicrobial agent or disease category. A logistic model was used to determine the odds of recommendation disagreement by the prescribing clinician. RESULTS The ASP made 2,317 recommendations: stop therapy (45%), modify therapy (26%), optimize therapy (19%), or consult infectious diseases (10%). Third-generation cephalosporins (0.20) were the antimicrobials with the highest predictive probability of an ASP recommendation whereas linezolid (0.05) had the lowest probability. Community-acquired pneumonia (0.26) was the diagnosis with the highest predictive probability of an ASP recommendation whereas fever/neutropenia (0.04) had the lowest probability. Disagreement with ASP recommendations by the prescribing clinician occurred 22% of the time, most commonly involving community-acquired pneumonia and ear/nose/throat infections. CONCLUSIONS Evaluation of our pediatric ASP identified specific clinical diagnoses and antimicrobials associated with an increased likelihood of an ASP recommendation. Focused interventions targeting these high-yield areas may result in increased program efficiency and efficacy. PMID:25773192

  2. What does it take to get family forest owners to enroll in a forest stewardship-type program?

    Treesearch

    Michael A. Kilgore; Stephanie A. Snyder; Joseph Schertz; Steven J. Taff

    2008-01-01

    We estimated the probability of enrollment and factors influencing participation in a forest stewardship-type program, Minnesota's Sustainable Forest Incentives Act, using data from a mail survey of over 1000 randomly-selected Minnesota family forest owners. Of the 15 variables tested, only five were significant predictors of a landowner's interest in...

  3. The Federal Forest Stewardship Program and its implications for sustainable forestry on private forest ownerships in the United States

    Treesearch

    Robert J. Moulton; J. Dixon Esseks

    2002-01-01

    A 72 percent response rate was achieved in 1998 and 1999 national survey of 1,238 participants in the USDA Forest Service's Forest Stewardship Program, under which 130,000 individual multiple resource plans encompassing 16.5 million acres (6.5 million ha) of privately owned forest lands in the United States had been completed. Objectives were to determine if the...

  4. A stewardship approach to grassland bird habitat conservation in Saskatchewan, Canada

    Treesearch

    Stephen K. Davis; Bob Springer; Jennifer Lohmeyer; Lesley Hall; Tom Harrison

    2005-01-01

    Saskatchewan provides habitat for a number of grassland specialists that are of high conservation concern. For example, 10 of 12 “primary endemic,” and 17 of 25 “secondary endemic” species of the Great Plains identified by Mengel (1970) regularly breed in Saskatchewan. In addition, each of the 30 species of high conservation...

  5. Approaches to Modifying the Behavior of Clinicians Who Are Noncompliant With Antimicrobial Stewardship Program Guidelines.

    PubMed

    Goldstein, Ellie J C; Goff, Debra A; Reeve, William; Naumovski, Snezana; Epson, Erin; Zenilman, Jonathan; Kaye, Keith S; File, Thomas M

    2016-08-15

    Antimicrobial stewardship programs (ASPs) are a key national initiative to promote appropriate use of antibiotics and to reduce the burden of resistance. The dilemma of managing the outlier physician is especially complex. We outline strategies to establish a successful ASP that reviews appropriate efforts to achieve the goal of modifying outlier physicians' behavior. One must try to differentiate deviation from ASP norms from all other issues of outliers. Essential elements include identifying and understanding the local problems, planning, and achieving hospital administration and medical staff support. A successful ASP includes effective communication and acceptance of evidence-based recommendations, so that patient clinical outcomes will be optimized. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  6. [Antibiotic stewardship].

    PubMed

    Kerwat, Klaus; Wulf, Hinnerk

    2014-09-01

    Resistance against antibiotics is continuously increasing throughout the world and has become a very serious problem. For just this reason "Antibiotic Stewardship Programs" have been developed. These programs are intended to lead to a sustained improvement in the situation and to assure a rational practice for the prescription of anti-infective agents in medical facilities. The aim is to prescribe the correct antibiotic therapy to the right patient at the most appropriate point in time. An AWMF S3 guideline on this topic published by the German Society for Infectiology (S3-Leitlinie StrategienzurSicherungrationalerAntibiotika-AnwendungimKrankenhaus.AWMF-Registernummer 092/001 - S3 Guideline on Strategies for the Rational Use of Antibiotics in Hospitals. AWMF - Registry Number 092/001) has been available since the end of 2013. An essential aspect therein is the expert interdisciplinary cooperation of a team comprising a clinically experienced infectiologist, a hospital pharmacist and a consultant for microbiology.

  7. Developing a Sight Conservation Program

    ERIC Educational Resources Information Center

    Braxton, Olivia A.; Farris, R. Linsy

    1975-01-01

    Among the services added to Harlem (New York) Hospital's opthalmology department was a sight conservation program designed to alert the community to the need for eye care and to screen for early signs of eye disorders causing sight impairment. (SB)

  8. Conservation and renewable energy program

    NASA Astrophysics Data System (ADS)

    Vaughan, K. H.

    1990-04-01

    This bibliography lists reports and selected papers published under the Oak Ridge National Laboratory Conservation and Renewable Energy Program from 1986 through February 1990. Most of the documents in the bibliography are available from Oak Ridge National Laboratory.

  9. The Impact of Antibiotic Stewardship Programs in Combating Quinolone Resistance: A Systematic Review and Recommendations for More Efficient Interventions.

    PubMed

    Pitiriga, Vasiliki; Vrioni, Georgia; Saroglou, George; Tsakris, Athanasios

    2017-04-01

    Quinolones are among the most commonly prescribed antibiotics worldwide. A clear relationship has been demonstrated between excessive quinolone use and the steady increase in the incidence of quinolone-resistant bacterial pathogens, both in hospital and community sites. In addition, exposure to quinolones has been associated with colonization and infection with healthcare-associated pathogens such as methicillin-resistant Staphylococcus aureus and Clostridium difficile in hospitalized patients. Therefore, the management of quinolone prescribing in hospitals through antibiotic stewardship programs is considered crucial. Although suggestions have been made by previous studies on the positive impact of stewardship programs concerning the emergence and spread of multidrug-resistant bacteria at hospital level, the association of quinolone-targeted interventions with reduction of quinolone resistance is vague. The purpose of this article was to evaluate the impact of stewardship interventions on quinolone resistance rates and healthcare-associated infections, through a literature review using systematic methods to identify and select the appropriate studies. Recommendations for improvements in quinolone-targeted stewardship programs are also proposed. Efforts in battling quinolone resistance should combine various interventions such as restriction formulary policies, prospective audits with feedback to prescribers, infection prevention and control measures, prompt detection of low-level resistance, educational programs, and guidelines for optimal quinolone usage. However, the effectiveness of such strategies should be assessed by properly designed and conducted clinical trials. Finally, novel approaches in diagnostic stewardship for rapidly detecting bacterial resistance, including PCR-based techniques, mass spectrometry, microarrays, and whole-genome sequencing as well as the prompt investigation on the clonality of quinolone-resistant strains, will strengthen our

  10. Results of a Veterans Affairs employee education program on antimicrobial stewardship for older adults.

    PubMed

    Heath, Barbara; Bernhardt, Jaime; Michalski, Thomas J; Crnich, Christopher J; Moehring, Rebekah; Schmader, Kenneth E; Olds, Danielle; Higgins, Patricia A; Jump, Robin L P

    2016-03-01

    We describe a course in the Veterans Affairs (VA) Employee Education System designed to engage nursing staff working in VA long-term care facilities as partners in antimicrobial stewardship. We found that the course addressed an important knowledge gap. Our outcomes suggest opportunities to engage nursing staff in advancing antimicrobial stewardship, particularly in the long-term care setting.

  11. The Daniel K. Inouye College of Pharmacy Scripts: The Development of Antimicrobial Stewardship Programs in Hawai'i.

    PubMed

    Goo, Roy Alan Sh; Chu, Cherie Hl; Yoneda, Melissa K; Ma, Carolyn Sj

    2016-07-01

    In recent years the misuse of antimicrobials has contributed to the growing problem of antimicrobial resistance. Antimicrobial Stewardship Programs (ASP) decrease the misuse of antimicrobials by supporting a rational, systematic approach. ASP strategies vary from broad-ranging policies and other decision support tools to prospective audit review of patients on antimicrobials. Many healthcare facilities, however, have been slow to adopt stewardship attributable to the fact that early ASP models required individuals with specialized training, and a significant amount of time and infrastructural investment from facilities. In response to the increasing need for ASPs in Hawai'i, the Hawai'i Department of Health (HDOH) partnered with the Daniel K. Inouye College of Pharmacy (DKICP) to develop the Hawai'i Antimicrobial Stewardship Collaborative (HASC), a voluntary collaboration whose main objective is to assist hospital institutions in the implementation of a simplified model of the Centers for Disease Control and Prevention's Core Elements of Hospital Antimicrobial Stewardship Programs. The work of HASC places Hawai'i's health care institutions in an advantageous position to be able to comply with impending accreditation standards relating to antibiotics and infections.

  12. Dramatic effects of a new antimicrobial stewardship program in a rural community hospital.

    PubMed

    Libertin, Claudia R; Watson, Stephanie H; Tillett, William L; Peterson, Joy H

    2017-09-01

    New Joint Commission antimicrobial stewardship requirements took effect on January 1, 2017, promoted as a central strategy for coping with the emerging problems of antimicrobial resistance and Clostridium difficile infection. Our objective was to measure the effects of a new antimicrobial stewardship program (ASP) in a rural community hospital with no prior ASP, in the context of having a new infectious disease specialist on staff. An ASP team was formed to implement a prospective audit with health care provider feedback and targeting 12 antimicrobial agents in a rural hospital in Georgia. An educational grand rounds lecture series was provided before implementation of the ASP to all prescribers. After implementation, algorithms to aid the selection of empirical antibiotics for specific infectious disease syndromes based on local antibiograms were provided to prescribers to improve this selection. Rates of C difficile infections, total targeted antimicrobial costs, and drug utilization rates were calculated for 1 year pre-ASP implementation (2013) and 1 year post-ASP implementation (October 2014-December 2015). The patient safety metric of C difficile infections decreased from 3.35 cases per 1,000 occupied bed days (OBDs) in 2013 to 1.35 cases per 1,000 OBDs in 2015. Total targeted antimicrobial costs decreased 50% from $16.93 per patient day in 2013 to $8.44 per patient day in 2015. Overall antimicrobial use decreased 10% from before the ASP initiative to 1 year after it. Annualized savings were $280,000 in 1 year, based on drug savings only. Judicious use of antimicrobials and resources can improve a patient safety metric and decrease costs dramatically in rural institutions where the average hospital census is <100 patients per day. The savings would allow the institutions to spend better while improving the use of antimicrobials. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights

  13. How to assist clinicians in improving antimicrobial prescribing: tools and interventions provided by stewardship programs.

    PubMed

    López-Medrano, Francisco; Moreno-Ramos, Francisco; de Cueto, Marina; Mora-Rillo, Marta; Salavert, Miguel

    2013-09-01

    In the last decade, there has been an exponential increase in the microorganisms resistant to antimicrobials and a significant increase in the cost of these types of drugs. This phenomenon has increased interest in the development of interventions for counseling on and control of the use of antimicrobials, referred to as stewardship programs. In this article we review, from various points of view, the tools that have been developed with this purpose. First, we highlight the value of locally adapted guidelines and clinical pathways as an essential part of the operational process. Then we emphasize the importance of the relationship between microbiologists and clinicians for the accurate transmission of the information provided by blood cultures to make the most appropriate choice of antimicrobial for the patient's treatment. We also review the computerized tools that have facilitated the correct use of antimicrobials according to the controls established by the departments of pharmacy. Based on the previous tools, some programs based on "bedside recommendations" provided by multidisciplinary teams have been developed for optimizing the rational use of antimicrobials (PROA programs). Finally, we comment on the peculiarities of the programs targeting antifungals that have been developed in recent years.

  14. [Antibiotic Stewardship].

    PubMed

    Lanckohr, Christian; Ellger, Björn

    2016-02-01

    The adequate management of infections is an important task in critical care medicine which has an effect on patient outcome. As a result, the prevalence of antiinfective therapy is high in intensive care units. In the face of an unsettling development of worldwide microbial resistance, an optimization and reduction of antiinfective therapy is necessary. Antibiotic stewardship tries to improve antiinfective therapy with an interdisciplinary approach. One overall objective of antibiotic stewardship is the reduction of resistance induction in order to preserve the therapeutic efficiency of antibiotics. Intensive care units are important fields of action for antibiotic stewardship interventions. This article reviews available evidence and some practical aspects for antibiotic stewardship.

  15. Natural Resources Conservation Program

    DTIC Science & Technology

    2011-02-14

    Performance," October 8, 2009 (ae) Pages 62565 through 62572 of Volume 65, Federal Register (af) Executive Order 13508, " Chesapeake Bay Protection...34 Chesapeake Bay Strategic Action Plan," September 30, 20 1 0 14 (aq) U.S. Fish and Wildlife Service and National Marine Fisheries Service, "Endangered...responsibilities in section 7 of this enclosure, shall: a. Provide oversight and management of the DoD Coral Reef Protection Program, DoD Chesapeake Bay

  16. The NASA Energy Conservation Program

    NASA Technical Reports Server (NTRS)

    Gaffney, G. P.

    1977-01-01

    Large energy-intensive research and test equipment at NASA installations is identified, and methods for reducing energy consumption outlined. However, some of the research facilities are involved in developing more efficient, fuel-conserving aircraft, and tradeoffs between immediate and long-term conservation may be necessary. Major programs for conservation include: computer-based systems to automatically monitor and control utility consumption; a steam-producing solid waste incinerator; and a computer-based cost analysis technique to engineer more efficient heating and cooling of buildings. Alternate energy sources in operation or under evaluation include: solar collectors; electric vehicles; and ultrasonically emulsified fuel to attain higher combustion efficiency. Management support, cooperative participation by employees, and effective reporting systems for conservation programs, are also discussed.

  17. The NASA Energy Conservation Program

    NASA Technical Reports Server (NTRS)

    Gaffney, G. P.

    1977-01-01

    Large energy-intensive research and test equipment at NASA installations is identified, and methods for reducing energy consumption outlined. However, some of the research facilities are involved in developing more efficient, fuel-conserving aircraft, and tradeoffs between immediate and long-term conservation may be necessary. Major programs for conservation include: computer-based systems to automatically monitor and control utility consumption; a steam-producing solid waste incinerator; and a computer-based cost analysis technique to engineer more efficient heating and cooling of buildings. Alternate energy sources in operation or under evaluation include: solar collectors; electric vehicles; and ultrasonically emulsified fuel to attain higher combustion efficiency. Management support, cooperative participation by employees, and effective reporting systems for conservation programs, are also discussed.

  18. Brains Rule!: A Model Program for Developing Professional Stewardship among Neuroscientists

    PubMed Central

    Mu, Keli; Carruth, Laura L.; Frantz, Kyle J.

    2006-01-01

    Brains Rule! Neuroscience Expositions, funded through a National Institute on Drug Abuse Science Education Drug Abuse Partnership Award, has developed a successful model for informal neuroscience education. Each Exposition is a “reverse science fair” in which neuroscientists present short neuroscience teaching modules to students. This study focuses on results of assessments conducted with neuroscientist presenters during Expositions at two sites, Atlanta, Georgia and Corpus Christi, Texas. The effects of participating in the Expositions on presenters' perceptions of their own presentation and communication skills were evaluated, as was the potential for increased active participation by neuroscientists in future outreach programs. In four of the five Expositions studied, pre- versus post-event surveys demonstrated significant changes in presenters' perceptions of their own abilities to explain neuroscience concepts to children. Over the course of an Exposition, presenters learned to fit their approaches to conveying neuroscience concepts to fifth through eighth graders and learned to link information they presented about the brain and nervous system to children's past experiences to improve comprehension. The present data suggest that Brains Rule! Neuroscience Expositions are effective in improving communication and teaching skills among neuroscience professionals and contribute to professional stewardship by increasing motivation to participate in future informal education programs. PMID:17012206

  19. Brains Rule!: a model program for developing professional stewardship among neuroscientists.

    PubMed

    Zardetto-Smith, Andrea M; Mu, Keli; Carruth, Laura L; Frantz, Kyle J

    2006-01-01

    Brains Rule! Neuroscience Expositions, funded through a National Institute on Drug Abuse Science Education Drug Abuse Partnership Award, has developed a successful model for informal neuroscience education. Each Exposition is a "reverse science fair" in which neuroscientists present short neuroscience teaching modules to students. This study focuses on results of assessments conducted with neuroscientist presenters during Expositions at two sites, Atlanta, Georgia and Corpus Christi, Texas. The effects of participating in the Expositions on presenters' perceptions of their own presentation and communication skills were evaluated, as was the potential for increased active participation by neuroscientists in future outreach programs. In four of the five Expositions studied, pre- versus post-event surveys demonstrated significant changes in presenters' perceptions of their own abilities to explain neuroscience concepts to children. Over the course of an Exposition, presenters learned to fit their approaches to conveying neuroscience concepts to fifth through eighth graders and learned to link information they presented about the brain and nervous system to children's past experiences to improve comprehension. The present data suggest that Brains Rule! Neuroscience Expositions are effective in improving communication and teaching skills among neuroscience professionals and contribute to professional stewardship by increasing motivation to participate in future informal education programs.

  20. Benefits of a Biological Monitoring Program for Assessing Remediation Performance and Long-Term Stewardship - 12272

    SciTech Connect

    Peterson, Mark

    2012-07-01

    The Biological Monitoring and Abatement Program (BMAP) is a long-running program that was designed to evaluate biological conditions and trends in waters downstream of Department of Energy (DOE) facilities in Oak Ridge, Tennessee. BMAP monitoring has focused on aquatic pathways from sources to biota, which is consistent with the sites' clean water regulatory focus and the overall cleanup strategy which divided remediation areas into watershed administrative units. Specific programmatic goals include evaluating operational and legacy impacts to nearby streams and the effectiveness of implemented remediation strategies at the sites. The program is characterized by consistent, long-term sampling and analysis methods in a multidisciplinary and quantitative framework. Quantitative sampling has shown conclusively that at most Oak Ridge stream sites, fish and aquatic macro-invertebrate communities have improved considerably since the 1980s. Monitoring of mercury and PCBs in fish has shown that remedial and abatement actions have also improved stream conditions, although in some cases biological monitoring suggests further actions are needed. Follow-up investigations have been implemented by BMAP to identify sources or causes, consistent with an adaptive management approach. Biological monitoring results to date have not only been used to assess regulatory compliance, but have provided additional benefits in helping address other components of the DOE's mission, including facility operations, natural resource, and scientific goals. As a result the program has become a key measure of long-term trends in environmental conditions and of high value to the Oak Ridge environmental management community, regulators, and the public. Some of the BMAP lessons learned may be of value in the design, implementation, and application of other long-term monitoring and stewardship programs, and assist environmental managers in the assessment and prediction of the effectiveness of remedial

  1. Implementation and first-year results of an antimicrobial stewardship program at a community hospital.

    PubMed

    Bartlett, James M; Siola, Patricia L

    2014-06-01

    The implementation of an antimicrobial stewardship program (ASP) at a small community hospital affiliated with an accountable care organization (ACO) is described, including a report on first-year program outcomes. With no infectious diseases (ID)-trained pharmacists on staff, a 155-bed hospital formed an ASP by restructuring its clinical pharmacy services. One full-time pharmacist led the program; nine full- or part-time pharmacists-none of whom had residency training-shared ASP responsibilities on a weekly rotation. Under a contract with a private medical group, an ID physician reviewed cases with ASP pharmacists for up to two hours each weekday. ASP interventions and tracking and reporting of outcomes were done primarily by pharmacists. Monitoring of pharmacy purchases in the first year of the program indicated an annualized 26% decrease in overall antimicrobial expenditures from prior-year spending, with a nearly 18% decrease in defined daily doses per 1000 patient-days. Total first-year direct cost savings attributed to the ASP were estimated at $145,353. Pharmacist-initiated conversions of patients from i.v. to oral antimicrobial therapy increased by 688% (p < 0.0001). Overall, the rate of ID physician acceptance of ASP-recommended interventions (mainly streamlining of therapy, limiting the duration of therapy to a specific stop date, and discontinuation of nonindicated drugs) was 74%. An ASP was implemented at a small ACO-affiliated community hospital by a team of pharmacists without specialized ID training. During the first year of the program, antimicrobial expenditures were reduced and there was a significant increase in pharmacist-initiated i.v.-to-oral conversions. Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  2. Cost-effectiveness analysis of implementing an antimicrobial stewardship program in critical care units.

    PubMed

    Ruiz-Ramos, Jesus; Frasquet, Juan; Romá, Eva; Poveda-Andres, Jose Luis; Salavert-Leti, Miguel; Castellanos, Alvaro; Ramirez, Paula

    2017-06-01

    To evaluate the cost-effectiveness of antimicrobial stewardship (AS) program implementation focused on critical care units based on assumptions for the Spanish setting. A decision model comparing costs and outcomes of sepsis, community-acquired pneumonia, and nosocomial infections (including catheter-related bacteremia, urinary tract infection, and ventilator-associated pneumonia) in critical care units with or without an AS was designed. Model variables and costs, along with their distributions, were obtained from the literature. The study was performed from the Spanish National Health System (NHS) perspective, including only direct costs. The Incremental Cost-Effectiveness Ratio (ICER) was analysed regarding the ability of the program to reduce multi-drug resistant bacteria. Uncertainty in ICERs was evaluated with probabilistic sensitivity analyses. In the short-term, implementing an AS reduces the consumption of antimicrobials with a net benefit of €71,738. In the long-term, the maintenance of the program involves an additional cost to the system of €107,569. Cost per avoided resistance was €7,342, and cost-per-life-years gained (LYG) was €9,788. Results from the probabilistic sensitivity analysis showed that there was a more than 90% likelihood that an AS would be cost-effective at a level of €8,000 per LYG. Wide variability of economic results obtained from the implementation of this type of AS program and short information on their impact on patient evolution and any resistance avoided. Implementing an AS focusing on critical care patients is a long-term cost-effective tool. Implementation costs are amortized by reducing antimicrobial consumption to prevent infection by multidrug-resistant pathogens.

  3. Long-term environmental stewardship.

    SciTech Connect

    Nagy, Michael David

    2010-08-01

    The purpose of this Supplemental Information Source Document is to effectively describe Long-Term Environmental Stewardship (LTES) at Sandia National Laboratories/New Mexico (SNL/NM). More specifically, this document describes the LTES and Long-Term Stewardship (LTS) Programs, distinguishes between the LTES and LTS Programs, and summarizes the current status of the Environmental Restoration (ER) Project.

  4. Strategic Program Planning Lessons Learned In Developing The Long-Term Stewardship Science and Technology Roadmap

    SciTech Connect

    Dixon, B.W.; Hanson, D.J.; Matthern, G.E.

    2003-04-24

    Technology roadmapping is a strategic planning method used by companies to identify and plan the development of technologies necessary for new products. The U.S. Department of Energy's Office of Environmental Management has used this same method to refine requirements and identify knowledge and tools needed for completion of defined missions. This paper describes the process of applying roadmapping to clarify mission requirements and identify enhancing technologies for the Long-Term Stewardship (LTS) of polluted sites after site cleanup has been completed. The nature of some contamination problems is such that full cleanup is not achievable with current technologies and some residual hazards remain. LTS maintains engineered contaminant barriers and land use restriction controls, and monitors residual contaminants until they no longer pose a risk to the public or the environment. Roadmapping was used to clarify the breadth of the LTS mission, to identify capability enhancements needed to improve mission effectiveness and efficiency, and to chart out the research and development efforts to provide those enhancements. This paper is a case study of the application of roadmapping for program planning and technical risk management. Differences between the planned and actual application of the roadmapping process are presented along with lessons learned. Both the process used and lessons learned should be of interest for anyone contemplating a similar technology based planning effort.

  5. Utility and safety of procalcitonin in an antimicrobial stewardship program (ASP) in patients with malignancies.

    PubMed

    Liew, Y X; Lee, W; Cai, Y Y; Teo, J; Tang, S S-L; Ong, R W-Q; Lim, C L-L; Lingegowda, P B; Kwa, A L-H; Chlebicki, M P

    2012-11-01

    As data on procalcitonin utility in antibiotics discontinuation [under an antimicrobial stewardship program (ASP)] in patients with malignancies are lacking, we aimed to evaluate the utility of procalcitonin in an ASP in patients with malignancies. We conducted a retrospective review of the ASP database of all patients with malignancies in whom at least one procalcitonin level was taken and our ASP had recommended changes in carbapenem regimen, from January to December 2011. We compared clinical outcomes between two groups of patients: patients whose physicians accepted and those whose physicians rejected ASP interventions. There were 749 carbapenem cases reviewed. Ninety-nine were suggested to either de-escalate, discontinue antibiotics, or narrow the spectrum of empiric treatment, based on procalcitonin trends. While there was no statistical difference in the mortality within 30 days post-ASP intervention (accepted: 8/65 patients vs. rejected: 9/34 patients; p = 0.076), the median duration of carbapenem therapy was significantly shorter (5 vs. 7 days; p = 0.002). Procalcitonin use safely facilitates decisions on antibiotics discontinuation and de-escalation in patients with malignancies in the ASP.

  6. Use of Computer Decision Support in an Antimicrobial Stewardship Program (ASP)

    PubMed Central

    Olson, J.A.; Stenehjem, E.; Buckel, W.R.; Thorell, E.A.; Howe, S.; Wu, X.; Jones, P.S.; Lloyd, J.F.

    2015-01-01

    Summary Objective Document information needs, gaps within the current electronic applications and reports, and workflow interruptions requiring manual information searches that decreased the ability of our antimicrobial stewardship program (ASP) at Intermountain Healthcare (IH) to prospectively audit and provide feedback to clinicians to improve antimicrobial use. Methods A framework was used to provide access to patient information contained in the electronic medical record, the enterprise-wide data warehouse, the data-driven alert file and the enterprise-wide encounter file to generate alerts and reports via pagers, emails and through the Centers for Diseases and Control’s National Healthcare Surveillance Network. Results Four new applications were developed and used by ASPs at Intermountain Medical Center (IMC) and Primary Children’s Hospital (PCH) based on the design and input from the pharmacists and infectious diseases physicians and the new Center for Diseases Control and Prevention/National Healthcare Safety Network (NHSN) antibiotic utilization specifications. Data from IMC and PCH now show a general decrease in the use of drugs initially targeted by the ASP at both facilities. Conclusions To be effective, ASPs need an enormous amount of “timely” information. Members of the ASP at IH report these new applications help them improve antibiotic use by allowing efficient, timely review and effective prioritization of patients receiving antimicrobials in order to optimize patient care. PMID:25848418

  7. Use of computer decision support in an antimicrobial stewardship program (ASP).

    PubMed

    Evans, R S; Olson, J A; Stenehjem, E; Buckel, W R; Thorell, E A; Howe, S; Wu, X; Jones, P S; Lloyd, J F

    2015-01-01

    Document information needs, gaps within the current electronic applications and reports, and workflow interruptions requiring manual information searches that decreased the ability of our antimicrobial stewardship program (ASP) at Intermountain Healthcare (IH) to prospectively audit and provide feedback to clinicians to improve antimicrobial use. A framework was used to provide access to patient information contained in the electronic medical record, the enterprise-wide data warehouse, the data-driven alert file and the enterprise-wide encounter file to generate alerts and reports via pagers, emails and through the Centers for Diseases and Control's National Healthcare Surveillance Network. Four new applications were developed and used by ASPs at Intermountain Medical Center (IMC) and Primary Children's Hospital (PCH) based on the design and input from the pharmacists and infectious diseases physicians and the new Center for Diseases Control and Prevention/National Healthcare Safety Network (NHSN) antibiotic utilization specifications. Data from IMC and PCH now show a general decrease in the use of drugs initially targeted by the ASP at both facilities. To be effective, ASPs need an enormous amount of "timely" information. Members of the ASP at IH report these new applications help them improve antibiotic use by allowing efficient, timely review and effective prioritization of patients receiving antimicrobials in order to optimize patient care.

  8. Antimicrobial stewardship program in a Malaysian district hospital: First year experience.

    PubMed

    Sing, Diana Yap Fui; Boo, Yang Liang; Mukhlis, Roshalina; Chin, Pek Woon; Hoo, Fan Kee

    2016-01-01

    Antimicrobial resistance is an alarming public health threat that requires urgent global solution. Implementation of antimicrobial stewardship program (ASP) is an essential practice element for healthcare institutions in gate-keeping judicious antimicrobial use. This study highlighted the development, first year experience, and result of the implementation of ASP utilizing persuasive and restrictive approaches in a Malaysian district hospital. An observational study was conducted between January 2015 to December 2015 on implementation of ASP among hospitalized inpatients age 12 years old and above. Recommendations were provided for 60% of cases (110 patients) with the average acceptance rate of 83.33%. Majority of the interventions were to stop the antimicrobial therapy (30.3%), and the most common audited antimicrobials was Piperacillin/Tazobactam (25.5%), followed by Meropenem (11.82%), Amoxicillin/Clavulanate and Vancomycin (8.18%) respectively. The concordance rate towards authorization policy was increased in 2015 (71.59% of cases) as compared before the implementation of ASP in 2014 (60.6% of cases). Restrictive enforcement under ASP had been shown to improve significantly adherence rate towards antimicrobials authorization policy (p-value: 0.004). ASP was successfully implemented in a district hospital. Future studies on its clinical outcomes are important to evaluate its effectiveness as well as focus on the improvement to the pre-existing strategies and measures.

  9. Improving Wellbeing and Environmental Stewardship Through Volunteering in Nature.

    PubMed

    Molsher, Robyn; Townsend, Mardie

    2016-03-01

    Environmental volunteering (EV) can provide a unique way to optimise the wellbeing of participants while fostering environmental stewardship. However, the potential of EV to create human health benefits remains an under-researched area. This study provides evidence for improved wellbeing and mood state for 32 participants from diverse backgrounds undertaking EV activities. Most participants also reported improved environmental stewardship with a greatly improved understanding of the environment and the need to conserve it. Other benefits included: 31% of those seeking work obtained it; and 50% joined a volunteer group at program completion. EV provides a unique mechanism to enhance the wellbeing of the participants, while conserving the environment.

  10. Conservation enhancement programs add up

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    A new partnership between the U.S. federal government and the State of Delaware will provide 10 million to improve the water quality of the watersheds of the Chesapeake Bay, Delaware Bay, and other water bodies.The agreement, which establishes the Delaware Conservation Reserve Enhancement Program (CREP), marks the eighth such partnership established since 1997 and brings the total U.S. Department of Agriculture (USDA) investment in CREP programs to 1.45 billion for improving water quality and restoring wildlife habitat. USDA is expected to pay up to $8 million to enroll up to 6,000 acres in the Delaware CREP program.

  11. Conservation enhancement programs add up

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    A new partnership between the U.S. federal government and the State of Delaware will provide $10 million to improve the water quality of the watersheds of the Chesapeake Bay, Delaware Bay, and other water bodies.The agreement, which establishes the Delaware Conservation Reserve Enhancement Program (CREP), marks the eighth such partnership established since 1997 and brings the total U.S. Department of Agriculture (USDA) investment in CREP programs to $1.45 billion for improving water quality and restoring wildlife habitat. USDA is expected to pay up to $8 million to enroll up to 6,000 acres in the Delaware CREP program.

  12. A conserved germline multipotency program

    PubMed Central

    Juliano, Celina E.; Swartz, S. Zachary; Wessel, Gary M.

    2010-01-01

    The germline of multicellular animals is segregated from somatic tissues, which is an essential developmental process for the next generation. Although certain ecdysozoans and chordates segregate their germline during embryogenesis, animals from other taxa segregate their germline after embryogenesis from multipotent progenitor cells. An overlapping set of genes, including vasa, nanos and piwi, operate in both multipotent precursors and in the germline. As we propose here, this conservation implies the existence of an underlying germline multipotency program in these cell types that has a previously underappreciated and conserved function in maintaining multipotency. PMID:21098563

  13. Use of hazard assessments to achieve risk reduction in the USDOE Stockpile Stewardship (SS-21) Program

    SciTech Connect

    Fischer, S.R.; Konkel, H.; Bott, T.; Eisenhawer, S.W.; DeYoung, L.; Hockert, J.

    1995-07-01

    This paper summarizes the nuclear explosive hazard assessment activities performed to support US Department of Energy (DOE) Stockpile Stewardship Demonstration Project SS-21, better known as the ``Seamless Safety`` program. Past practice within the DOE Complex has dictated the use of a significant number of post-design/fabrication safety reviews to analyze the safety associated with operations on nuclear explosives and to answer safety questions. These practices have focused on reviewing-in or auditing-in safety vs incorporating safety in the design process. SS-21 was proposed by the DOE as an avenue to develop a program to ``integrate established, recognized, verifiable safety criteria into the process at the design stage rather than continuing the reliance on reviews, evaluations and audits.`` The entire Seamless Safety design and development process is verified by a concurrent hazard assessment (HA). The primary purpose of the SS-21 Demonstration Project HA was to demonstrate the feasibility of performing concurrent HAs as part of an engineering design and development effort and then to evaluate the use of the HA to provide an indication in the risk reduction or gain in safety achieved. To accomplish this objective, HAs were performed on both baseline (i.e., old) and new (i.e. SS-21) B61-0 Center Case Section disassembly processes. These HAs were used to support the identification and documentation of weapon- and process-specific hazards and safety-critical operating steps. Both HAs focused on identifying accidents that had the potential for worker injury, public health effects, facility damage, toxic gas release, and dispersal of radioactive materials. A comparison of the baseline and SS-21 process risks provided a semi-quantitative estimate of the risk reduction gained via the Seamless Safety process.

  14. Long-Term Outcomes of an Antimicrobial Stewardship Program Implemented in a Hospital with Low Baseline Antibiotic Use

    PubMed Central

    Jenkins, Timothy C.; Knepper, Bryan C.; Shihadeh, Katherine; Haas, Michelle K.; Sabel, Allison L.; Steele, Andrew W.; Wilson, Michael L.; Price, Connie S.; Burman, William J.; Mehler, Philip S.

    2016-01-01

    Objective To evaluate the long-term outcomes of an antimicrobial stewardship program (ASP) implemented in a hospital with low baseline antibiotic use Design Quasi-experimental, interrupted-time series study Setting 525-bed public safety-net hospital Intervention Implementation of a formal ASP in July 2008 Methods We conducted a time-series analysis to evaluate the impact of the ASP over a 6.25-year period (July 1, 2008 – September 30, 2014) while controlling for trends during a 3-year preintervention period (July 1, 2005 – June 30, 2008). The primary outcome measures were total antibacterial and antipseudomonal use in days of therapy (DOT) per 1000 patient-days (PD). Secondary outcomes included antimicrobial costs and resistance, hospital-onset C. difficile infection, and other patient-centered measures. Results During the preintervention period, total antibacterial and antipseudomonal use were declining (−9.2 and −5.5 DOT/1000 PD per quarter, respectively). During the stewardship period, both continued to decline, although at lower rates (−3.7 and −2.2 DOT/1000 PD, respectively), resulting in a slope change of 5.5 DOT/1000 PD per quarter for total antibacterial use (P = .10) and 3.3 DOT/100 PD per quarter for antipseudomonal use (P = .01). Antibiotic expenditures declined markedly during the stewardship period (−$295.42/1000PD per quarter, p=.002). There were variable changes in antimicrobial resistance and few apparent changes in C. difficile infection and other patient-centered outcomes. Conclusion In a hospital with low baseline antibiotic use, implementation of an ASP was associated with sustained reductions in total antibacterial and antipseudomonal use and declining antibiotic expenditures; however, this study highlights limitations of commonly used stewardship outcome measures. PMID:25740560

  15. Inventory of antibiotic stewardship programs in general practice in France and abroad.

    PubMed

    Wang, S; Pulcini, C; Rabaud, C; Boivin, J-M; Birgé, J

    2015-04-01

    The authors conducted a survey of measures implemented in France and abroad for a better use of antibiotics in general practice. A literature review was conducted from January 2000 to July 2014. Emails were sent to every infectious diseases department, to all regional health authorities (ARS), to the health insurance offices (CPAM) with the highest and lowest antibiotic use, and to the ministry of health to make an inventory of all antibiotic stewardship programs. The ministry of health, the board of general practitioners, infectious diseases specialists, pharmacists, and the medical and pharmacy schools of the nation's capital were contacted in 17 countries of Europe and North America. The main measures implemented in France were training of healthcare professionals, publishing guidelines, feedback to the practitioners on their prescriptions, and availability of rapid diagnostic tests. Telephone networks were created in some regions, such as Antibiolor or Medqual, to help physicians with antibiotic prescription. Many foreign countries issued pedagogical material to physicians, for patients to explain what to do in case of viral infection or delayed prescription. In Alberta (Canada), the government introduced an optional authorization for quinolones. In Denmark, the government temporarily suspended the reimbursement of some agents to preserve them according to bacterial ecology. In the United-Kingdom, the antibiotic susceptibility test report must include less than 5 agents. The measures implemented in France and abroad were usually more persuasive than restrictive. But the bacterial resistance crisis should lead to implementing more restrictive measures. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  16. A Quality Assessment of a Collaborative Model of a Pediatric Antimicrobial Stewardship Program.

    PubMed

    Nguyen-Ha, Phuong-Tan; Howrie, Denise; Crowley, Kelli; Vetterly, Carol G; McGhee, William; Berry, Donald; Ferguson, Elizabeth; Polischuk, Emily; Brooks, Maria Mori; Goff, Jeffrey; Stillwell, Terri; Darville, Toni; Thompson, Ann E; Levin, James E; Michaels, Marian G; Green, Michael

    2016-05-01

    Infectious Diseases Society of America guidelines recommend that key antimicrobial stewardship program (ASP) personnel include an infectious disease (ID) physician leader and dedicated ID-trained clinical pharmacist. Limited resources prompted development of an alternative model by using ID physicians and service-based clinical pharmacists at a pediatric hospital. The aim of this study was to analyze the effectiveness and impact of this alternative ASP model. The collaborative ASP model incorporated key strategies of education, antimicrobial restriction, day 3 audits, and practice guidelines. High-use and/or high-cost antimicrobial agents were chosen with audits targeting vancomycin, caspofungin, and meropenem. The electronic medical record was used to identify patients requiring day 3 audits and to communicate ASP recommendations. Segmented regression analyses were used to analyze quarterly antimicrobial agent prescription data for the institution and selected services over time. Initiation of ASP and day 3 auditing was associated with blunting of a preexisting increasing trend for caspofungin drug starts and use and a significant downward trend for vancomycin drug starts (relative change -12%) and use (-25%), with the largest reduction in critical care areas. Although meropenem use was already low due to preexisting requirements for preauthorization, a decline in drug use (-31%, P = .021) and a nonsignificant decline in drug starts (-21%, P = .067) were noted. A 3-month review of acceptance of ASP recommendations found rates of 90%, 93%, and 100% for vancomycin, caspofungin, and meropenem, respectively. This nontraditional ASP model significantly reduced targeted drug usage demonstrating acceptance of integration of service-based clinical pharmacists and ID consultants. Copyright © 2016 by the American Academy of Pediatrics.

  17. Field Work Proposal: PUBLIC OUTREACH EVENT FOR ACCELERATOR STEWARDSHIP TEST FACILITY PILOT PROGRAM

    SciTech Connect

    Hutton, Andrew; Areti, Hari

    2015-03-05

    Jefferson Lab’s outreach efforts towards the goals of Accelerator Stewardship Test Facility Pilot Program consist of the lab’s efforts in three venues. The first venue, at the end of March is to meet with the members of Virginia Tech Corporate Research Center (VTCRC) (http://www.vtcrc.com/tenant-directory/) in Blacksburg, Virginia. Of the nearly 160 members, we expect that many engineering companies (including mechanical, electrical, bio, software) will be present. To this group, we will describe the capabilities of Jefferson Lab’s accelerator infrastructure. The description will include not only the facilities but also the intellectual expertise. No funding is requested for this effort. The second venue is to reach the industrial exhibitors at the 6th International Particle Accelerator Conference (IPAC’15). Jefferson Lab will host a booth at the conference to reach out to the >75 industrial exhibitors (https://www.jlab.org/conferences/ipac2015/SponsorsExhibitors.php) who represent a wide range of technologies. A number of these industries could benefit if they can access Jefferson Lab’s accelerator infrastructure. In addition to the booth, where written material will be available, we plan to arrange a session A/V presentation to the industry exhibitors. The booth will be hosted by Jefferson Lab’s Public Relations staff, assisted on a rotating basis by the lab’s scientists and engineers. The budget with IPAC’15 designations represents the request for funds for this effort. The third venue is the gathering of Southeastern Universities Research Association (SURA) university presidents. Here we plan to reach the research departments of the universities who can benefit by availing themselves to the infrastructure (material sciences, engineering, medical schools, material sciences, to name a few). Funding is requested to allow for attendance at the SURA Board Meeting. We are coordinating with DOE regarding these costs to raise the projected conference

  18. Stockpile Stewardship: Los Alamos

    ScienceCinema

    McMillan, Charlie; Morgan, Nathanial; Goorley, Tom; Merrill, Frank; Funk, Dave; Korzekwa, Deniece; Laintz, Ken

    2016-07-12

    "Heritage of Science" is a short video that highlights the Stockpile Stewardship program at Los Alamos National Laboratory. Stockpile Stewardship was conceived in the early 1990s as a national science-based program that could assure the safety, security, and effectiveness of the U.S. nuclear deterrent without the need for full-scale underground nuclear testing. This video was produced by Los Alamos National Laboratory for screening at the Lab's Bradbury Science Museum in Los Alamos, NM and is narrated by science correspondent Miles O'Brien.

  19. Stockpile Stewardship: Los Alamos

    SciTech Connect

    McMillan, Charlie; Morgan, Nathanial; Goorley, Tom; Merrill, Frank; Funk, Dave; Korzekwa, Deniece; Laintz, Ken

    2012-01-26

    "Heritage of Science" is a short video that highlights the Stockpile Stewardship program at Los Alamos National Laboratory. Stockpile Stewardship was conceived in the early 1990s as a national science-based program that could assure the safety, security, and effectiveness of the U.S. nuclear deterrent without the need for full-scale underground nuclear testing. This video was produced by Los Alamos National Laboratory for screening at the Lab's Bradbury Science Museum in Los Alamos, NM and is narrated by science correspondent Miles O'Brien.

  20. A Review of Quality Measures for Assessing the Impact of Antimicrobial Stewardship Programs in Hospitals

    PubMed Central

    Akpan, Mary Richard; Ahmad, Raheelah; Shebl, Nada Atef; Ashiru-Oredope, Diane

    2016-01-01

    The growing problem of antimicrobial resistance (AMR) has led to calls for antimicrobial stewardship programs (ASP) to control antibiotic use in healthcare settings. Key strategies include prospective audit with feedback and intervention, and formulary restriction and preauthorization. Education, guidelines, clinical pathways, de-escalation, and intravenous to oral conversion are also part of some programs. Impact and quality of ASP can be assessed using process or outcome measures. Outcome measures are categorized as microbiological, patient or financial outcomes. The objective of this review was to provide an overview of quality measures for assessing ASP and the reported impact of ASP in peer-reviewed studies, focusing particularly on patient outcomes. A literature search of papers published in English between 1990 and June 2015 was conducted in five databases using a combination of search terms. Primary studies of any design were included. A total of 63 studies were included in this review. Four studies defined quality metrics for evaluating ASP. Twenty-one studies assessed the impact of ASP on antimicrobial utilization and cost, 25 studies evaluated impact on resistance patterns and/or rate of Clostridium difficile infection (CDI). Thirteen studies assessed impact on patient outcomes including mortality, length of stay (LOS) and readmission rates. Six of these 13 studies reported non-significant difference in mortality between pre- and post-ASP intervention, and five reported reductions in mortality rate. On LOS, six studies reported shorter LOS post intervention; a significant reduction was reported in one of these studies. Of note, this latter study reported significantly (p < 0.001) higher unplanned readmissions related to infections post-ASP. Patient outcomes need to be a key component of ASP evaluation. The choice of metrics is influenced by data and resource availability. Controlling for confounders must be considered in the design of evaluation studies

  1. Antimicrobial stewardship.

    PubMed

    Allerberger, F; Mittermayer, H

    2008-03-01

    The aim of antimicrobial management or stewardship programmes is to ensure proper use of antimicrobial agents in order to provide the best treatment outcomes, to lessen the risk of adverse effects (including antimicrobial resistance), and to promote cost-effectiveness. Increasingly, long-term sustainability is found to be the major focus of antimicrobial stewardship. Implementing structural measures in healthcare institutions is therefore a major, but not the sole, focus of attention in promoting prudent use of antibiotics. The problem of antimicrobial resistance requires common strategies at all levels--for the prescribers and at ward, departmental, hospital, national and international levels.

  2. Equity implications of utility energy conservation programs

    SciTech Connect

    Sutherland, R.J.

    1994-03-15

    This paper uses the Residential Energy Consumption Survey undertaken by the Energy Information Administration in 1990 to estimate the statistical association between household income and participation in electric utility energy conservation programs and the association between participation and the electricity consumption. The results indicate that utility rebates, energy audits, load management programs and other conservation measures tend to be undertaken at greater frequency by high income households than by low income households. Participants in conservation programs tend to occupy relatively new and energy efficient residences and undertake conservation measures other than utility programs, which suggests that utility sponsored programs are substitutes for other conservation investments. Electricity consumption during 1990 is not significantly less for households participating in utility programs than for nonparticipants, which also implies that utility conservation programs are displacing other conservation investments. Apparently, utility programs are not avoiding costs of new construction and instead are transferring wealth, particularly to high income participating households.

  3. A stewardship intervention program for safe medication management and use of antidiabetic drugs.

    PubMed

    Zhao, Rui-yi; He, Xiao-wen; Shan, Yan-min; Zhu, Ling-ling; Zhou, Quan

    2015-01-01

    Diabetes patients are complex due to considerations of polypharmacy, multimorbidities, medication adherence, dietary habits, health literacy, socioeconomic status, and cultural factors. Meanwhile, insulin and oral hypoglycemic agents are high-alert medications. Therefore it is necessary to require a multidisciplinary team's integrated endeavors to enhance safe medication management and use of antidiabetic drugs. A 5-year stewardship intervention program, including organizational measures and quality improvement activities in storage, prescription, dispensing, administration, and monitoring, was performed in the Second Affiliated Hospital of Zhejiang University, People's Republic of China, a 3,200-bed hospital with 3.5 million outpatient visits annually. The Second Affiliated Hospital of Zhejiang University has obtained a 100% implementation rate of standard storage of antidiabetic drugs in the Pharmacy and wards since August 2012. A zero occurrence of dispensing errors related to highly "look-alike" and "sound-alike" NovoMix 30(®) (biphasic insulin aspart) and NovoRapid(®) (insulin aspart) has been achieved since October 2011. Insulin injection accuracy among ward nurses significantly increased from 82% (first quarter 2011) to 96% (fourth quarter 2011) (P<0.05). The number of medication administration errors related to insulin continuously decreased from 20 (2011) to six (2014). The occurrence rate of hypoglycemia in non-endocrinology ward diabetes inpatients during 2011-2013 was significantly less than that in 2010 (5.03%-5.53% versus 8.27%) (P<0.01). Percentage of correct management of hypoglycemia by nurses increased from 41.5% (April 2014) to 67.2% (August 2014) (P<0.01). The percentage of outpatient diabetes patients receiving standard insulin injection education increased from 80% (April 2012) to 95.2% (October 2012) (P<0.05). Insulin injection techniques among diabetes outpatients who started to receive insulin were better than indicated in data from two

  4. Science and technology in the stockpile stewardship program, S & TR reprints

    SciTech Connect

    Storm, E

    1998-04-08

    This document reports on these topics: Computer Simulations in Support of National Security; Enhanced Surveillance of Aging Weapons; A New Precision Cutting Tool: The Femtosecond Laser; Superlasers as a Tool of Stockpile Stewardship; Nova Laser Experiments and Stockpile Stewardship; Transforming Explosive Art into Science; Better Flash Radiography Using the FXR; Preserving Nuclear Weapons Information; Site 300Õs New Contained Firing Facility; The Linear Electric Motor: Instability at 1,000 gÕs; A Powerful New Tool to Detect Clandestine Nuclear Tests; High Explosives in Stockpile Surveillance Indicate Constancy; Addressing a Cold War Legacy with a New Way to Produce TATB; JumpinÕ Jupiter! Metallic Hydrogen; Keeping the Nuclear Stockpile Safe, Secure, and Reliable; The Multibeam FabryÐPerot Velocimeter: Efficient Measurements of High Velocities; Theory and Modeling in Material Science; The Diamond Anvil Cell; Gamma-Ray Imaging Spectrometry; X-Ray Lasers and High-Density Plasma

  5. Influence of financial incentive programs in sustaining wildlife values

    Treesearch

    Thomas J. Straka; Michael A. Kilgore; Michael G. Jacobson; John L. Greene; Steven E. Daniels

    2007-01-01

    Conservation incentive programs have substantial impacts on the nation’s forests and wildlife habitat. There are eight major conservation incentive programs. The Forest Stewardship Program (FSP) provides forest landowner assistance by focusing on resource management plans embodying multi-resource stewardship principles. The Forest Land Enhancement Program (FLEP) is the...

  6. Forest gene conservation programs in Alberta, Canada

    Treesearch

    Jodie. Krakowski

    2017-01-01

    Provincial tree improvement programs in Alberta began in 1976. Early gene conservation focused on ex situ measures such as seed and clone banking, and research trials of commercial species with tree improvement programs. The gene conservation program now encompasses representative and unique populations of all native tree species in situ. The ex situ program aims to...

  7. Effect of a wildlife conservation camp experience in China on student knowledge of animals, care, propensity for environmental stewardship, and compassionate behavior toward animals

    NASA Astrophysics Data System (ADS)

    Bexell, Sarah M.

    The goal of conservation education is positive behavior change toward animals and the environment. This study was conducted to determine whether participation in a wildlife conservation education camp was effective in positively changing 8-12 year old students': (a) knowledge of animals, (b) care about animals, (c) propensity for environmental and wildlife stewardship, and (d) compassionate behavior toward animals. During the summer of 2005, 2 five-day camps were conducted at 2 zoological institutions in Chengdu, China. The camp curriculum was influenced by theory and research on the following: conservation psychology, social learning theory, empathy and moral development theory, socio-biological theory, constructivist theory, and conservation science. Camp activities were sensitive to Chinese culture and included Chinese conservation issues. Activities were designed to help children form bonds with animals and care enough about them to positively change their behavior toward animals and the environment. This mixed methods study triangulated quantitative and qualitative data from six sources to answer the following: (1) Did camp increase student knowledge of animals? (2) Did camp increase student caring about animals? (3) Did camp increase student propensity for environmental and wildlife stewardship? (4) Did camp affect student compassionate behavior toward animals? A conservation stewards survey revealed significant increases on pre-post, self-report of knowledge, care, and propensity. Pre-post, rubric-scored responses to human-animal interaction vignettes indicated a significant increase in knowledge, and stable scores on care and propensity. Qualitative data from student journals, vignettes, and end-of-camp questionnaires demonstrated knowledge, caring, and propensity, and revealed the emergent theme empathy. To address question 4, instructors tallied campers' behavior toward animals using a student behavior ethogram. Occurrence of positive behaviors was

  8. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America

    PubMed Central

    Barlam, Tamar F.; Cosgrove, Sara E.; Abbo, Lilian M.; MacDougall, Conan; Schuetz, Audrey N.; Septimus, Edward J.; Srinivasan, Arjun; Dellit, Timothy H.; Falck-Ytter, Yngve T.; Fishman, Neil O.; Hamilton, Cindy W.; Jenkins, Timothy C.; Lipsett, Pamela A.; Malani, Preeti N.; May, Larissa S.; Moran, Gregory J.; Neuhauser, Melinda M.; Newland, Jason G.; Ohl, Christopher A.; Samore, Matthew H.; Seo, Susan K.; Trivedi, Kavita K.

    2016-01-01

    Evidence-based guidelines for implementation and measurement of antibiotic stewardship interventions in inpatient populations including long-term care were prepared by a multidisciplinary expert panel of the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. The panel included clinicians and investigators representing internal medicine, emergency medicine, microbiology, critical care, surgery, epidemiology, pharmacy, and adult and pediatric infectious diseases specialties. These recommendations address the best approaches for antibiotic stewardship programs to influence the optimal use of antibiotics. PMID:27080992

  9. Development of Designer Diamond Technology for High Pressure High Temperature Experiments in Support of Stockpile Stewardship Program

    SciTech Connect

    Vohra, Yogesh, K.

    2009-10-28

    The role of nitrogen in the fabrication of designer diamond was systematically investigated by adding controlled amount of nitrogen in hydrogen/methane/oxygen plasma. This has led to a successful recipe for reproducible fabrication of designer diamond anvils for high-pressure high-temperature research in support of stockpile stewardship program. In the three-year support period, several designer diamonds fabricated with this new growth chemistry were utilized in high-pressure experiments at UAB and Lawrence Livermore National Laboratory. The designer diamond anvils were utilized in high-pressure studies on heavy rare earth metals, high pressure melting studies on metals, and electrical resistance measurements on iron-based layered superconductors under high pressures. The growth chemistry developed under NNSA support can be adapted for commercial production of designer diamonds.

  10. Wetlands stewardship

    SciTech Connect

    Whelan, J.M.

    1992-04-01

    Wetlands have important ecological values and functions. It is estimated that 80 percent of the Nation's coastal fisheries are dependent on wetlands for spawning, nursery areas, and food sources. Both coastal and inland wetlands provide essential breeding, nesting, feeding, and predator escape habitats for millions of waterfowl, other birds, mammals, and reptiles. Well over one-third of the 564 plant and animal species listed as threatened or endangered in the United States utilize wetland habitats during some portion of their life cycle. Wetlands Stewardship is intended as a resource for everyone interested in wetlands protection.

  11. Evaluation of a machine learning capability for a clinical decision support system to enhance antimicrobial stewardship programs.

    PubMed

    Beaudoin, Mathieu; Kabanza, Froduald; Nault, Vincent; Valiquette, Louis

    2016-03-01

    Antimicrobial stewardship programs have been shown to limit the inappropriate use of antimicrobials. Hospitals are increasingly relying on clinical decision support systems to assist in the demanding prescription reviewing process. In previous work, we have reported on an emerging clinical decision support system for antimicrobial stewardship that can learn new rules supervised by user feedback. In this paper, we report on the evaluation of this system. The evaluated system uses a knowledge base coupled with a supervised learning module that extracts classification rules for inappropriate antimicrobial prescriptions using past recommendations for dose and dosing frequency adjustments, discontinuation of therapy, early switch from intravenous to oral therapy, and redundant antimicrobial spectrum. Over five weeks, the learning module was deployed alongside the baseline system to prospectively evaluate its ability to discover rules that complement the existing knowledge base for identifying inappropriate prescriptions of piperacillin-tazobactam, a frequently used antimicrobial. The antimicrobial stewardship pharmacists reviewed 374 prescriptions, of which 209 (56% of 374) were identified as inappropriate leading to 43 recommendations to optimize prescriptions. The baseline system combined with the learning module triggered alerts in 270 prescriptions with a positive predictive value of identifying inappropriate prescriptions of 74%. Of these, 240 reviewed prescriptions were identified by the alerts of the baseline system with a positive predictive value of 82% and 105 reviewed prescriptions were identified by the alerts of the learning module with a positive predictive value of 62%. The combined system triggered alerts for all 43 recommendations, resulting in a rate of actionable alerts of 16% (43 recommendations of 270 reviewed alerts); the baseline system triggered alerts for 38 interventions, resulting in a rate of actionable alerts of 16% (38 of 240 reviewed

  12. Antibiotic stewardship: a focus on ambulatory care.

    PubMed

    Gangat, M Azhar; Hsu, Jennifer L

    2015-01-01

    Antibiotic resistance is one of the major health threats facing modern medicine. While there are many tactics to address this issue, antibiotic stewardship has been shown effective in reducing antimicrobial resistance, adverse drug effects, mortality and health care cost. Most antibiotic stewardship programs have evolved within acute care settings where the bulk of resistant infections are identified. Unfortunately, hospitals are just the tip of the iceberg in terms of overall antibiotic use. The vast majority of the antibiotic prescriptions are dispensed in ambulatory care settings, making this a critical target for stewardship programs. This article discusses the global need for antibiotic stewardship, highlights the importance of outpatient stewardship, and discusses strategies and challenges for implementation of stewardship in community settings.

  13. Improving antibiotic stewardship by involving nurses.

    PubMed

    Gillespie, Elizabeth; Rodrigues, Anne; Wright, Louise; Williams, Natalie; Stuart, Rhonda L

    2013-04-01

    Antimicrobial stewardship programs are important preventative strategies to reduce hospital-acquired infection, typically involving medical and pharmacy staff. Because nurses are pivotal in administering medication prescribed by medical staff and filled by pharmacy staff, we assessed nursing attitudes and antimicrobial stewardship knowledge before and after an education intervention that focused on nursing involvement in antimicrobial management. This study supports involving nurses as a means of improving antibiotic stewardship.

  14. Benefits and unintended consequences of antimicrobial de-escalation: Implications for stewardship programs

    PubMed Central

    Hurford, Amy; Lan, Kunquan; Coburn, Bryan; Morris, Andrew; Wu, Jianhong

    2017-01-01

    Sequential antimicrobial de-escalation aims to minimize resistance to high-value broad-spectrum empiric antimicrobials by switching to alternative drugs when testing confirms susceptibility. Though widely practiced, the effects de-escalation are not well understood. Definitions of interventions and outcomes differ among studies. We use mathematical models of the transmission and evolution of Pseudomonas aeruginosa in an intensive care unit to assess the effect of de-escalation on a broad range of outcomes, and clarify expectations. In these models, de-escalation reduces the use of high-value drugs and preserves the effectiveness of empiric therapy, while also selecting for multidrug-resistant strains and leaving patients vulnerable to colonization and superinfection. The net effect of de-escalation in our models is to increase infection prevalence while also increasing the probability of effective treatment. Changes in mortality are small, and can be either positive or negative. The clinical significance of small changes in outcomes such as infection prevalence and death may exceed more easily detectable changes in drug use and resistance. Integrating harms and benefits into ranked outcomes for each patient may provide a way forward in the analysis of these tradeoffs. Our models provide a conceptual framework for the collection and interpretation of evidence needed to inform antimicrobial stewardship. PMID:28182774

  15. Conservation Seeds Activities Book. An Early Childhood Conservation Education Program.

    ERIC Educational Resources Information Center

    Griffin, Sherri

    This activities book is used with an early childhood conservation education program. The activities are presented in four color-coded sections, each section representing one of the four seasons. Each activity includes a statement of purpose, list of materials needed, instructional strategies, and a list of supplementary activities. In addition to…

  16. Conservation Seeds Activities Book. An Early Childhood Conservation Education Program.

    ERIC Educational Resources Information Center

    Griffin, Sherri

    This activities book is used with an early childhood conservation education program. The activities are presented in four color-coded sections, each section representing one of the four seasons. Each activity includes a statement of purpose, list of materials needed, instructional strategies, and a list of supplementary activities. In addition to…

  17. Antimicrobial stewardship: philosophy versus practice.

    PubMed

    Dodds Ashley, Elizabeth S; Kaye, Keith S; DePestel, Daryl D; Hermsen, Elizabeth D

    2014-10-15

    To promote the judicious use of antimicrobials and preserve their usefulness in the setting of growing resistance, a number of policy-making bodies and professional societies have advocated the development of antimicrobial stewardship programs. Although these programs have been implemented at many institutions in the United States, their impact has been difficult to measure. Current recommendations advocate the use of both outcome and process measures as metrics for antimicrobial stewardship. Although patient outcome metrics have the greatest impact on the quality of care, the literature shows that antimicrobial use and costs are the indicators measured most frequently by institutions to justify the effectiveness of antimicrobial stewardship programs. The measurement of more meaningful outcomes has been constrained by difficulties inherent to these measures, lack of funding and resources, and inadequate study designs. Antimicrobial stewardship can be made more credible by refocusing the antimicrobial review process to target specific disease states, reassessing the usefulness of current metrics, and integrating antimicrobial stewardship program initiatives into institutional quality and safety efforts. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  18. Conservation Education Outreach Program Accomplishment Report, 1998.

    ERIC Educational Resources Information Center

    Kindlund, Rod, Comp.; Boshart, Tihisia, Comp.

    In 1992, Elaine McKinney and six college interns set into motion an experiment in human relations at the Forest Service's Northeast Area and Station Headquarters in Radnor, PA. The program provides basic conservation education to urban youth who may never have been exposed to the concepts of conservation, recycling, or forest management. This…

  19. Gila River Basin Native Fishes Conservation Program

    Treesearch

    Doug Duncan; Robert W. Clarkson

    2013-01-01

    The Gila River Basin Native Fishes Conservation Program was established to conserve native fishes and manage against nonnative fishes in response to several Endangered Species Act biological opinions between the Bureau of Reclamation and the U.S. Fish and Wildlife Service on Central Arizona Project (CAP) water transfers to the Gila River basin. Populations of some Gila...

  20. 75 FR 45600 - Information Collection: Emergency Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... Farm Service Agency Information Collection: Emergency Conservation Program AGENCY: Farm Service Agency... Emergency Conservation Program (ECP). To assist with the modernization of ECP, new forms, which allow for..., Conservation and Environmental Programs Division, Farm Service Agency, United States Department of...

  1. Stockpile Stewardship's 20th Anniversary

    SciTech Connect

    Hecker, Siegfried; Gottemoeller, Rose; Reis, Victor H.; McMillan, Charles; Rohlfing, Joan; Hurricane, Omar; Hagengruber, Roger; Taylor, John

    2015-10-22

    A short oral history of the NNSA's Stockpile Stewardship Program, produced in association with the 20th anniversary of the program. It features Siegfried Hecker, Rose Gottemoeller, Victor Reis, Charles McMillan, Joan Rohlfing, Omar Hurricane, Roger Hagengruber, and John Taylor.

  2. Stockpile Stewardship's 20th Anniversary

    ScienceCinema

    Hecker, Siegfried; Gottemoeller, Rose; Reis, Victor H.; McMillan, Charles; Rohlfing, Joan; Hurricane, Omar; Hagengruber, Roger; Taylor, John

    2016-07-12

    A short oral history of the NNSA's Stockpile Stewardship Program, produced in association with the 20th anniversary of the program. It features Siegfried Hecker, Rose Gottemoeller, Victor Reis, Charles McMillan, Joan Rohlfing, Omar Hurricane, Roger Hagengruber, and John Taylor.

  3. Informing rangeland stewardship with research: lessons learned from Yolo County, California

    Treesearch

    Vance Russell; Chris Rose; Miles DaPrato

    2008-01-01

    Approximately 70 percent of the contiguous United States is in private lands with half of this total in row crop or rangelands. Audubon California’s Landowner Stewardship Program engages with farmers and ranchers on conservation and restoration projects in a manner compatible with existing agricultural operations. To assess the success of these efforts, Audubon,...

  4. Development of the Alaska Heritage Stewardship Program for protection of cultural resources at increased risk due to the Exxon Valdez oil spill. Restoration study number 104a. Exxon Valdez oil spill state/federal natural resource damage assessment final report

    SciTech Connect

    Corbett, D.G.; Reger, D.

    1994-08-01

    The authors developed a stewardship program, based on functioning models in Arizona and Texas, to train interested local groups and individuals to protect cultural resources. The program was adapted to Alaska`s remoteness, sparse populations, and climate by giving Stewards greater flexibility to deal with local conditions. The State Office of History and Archaeology and U.S. Fish and Wildlife Service are attempting to implement Stewardship in areas expressing interest.

  5. An Audit-Based, Infectious Disease Specialist-Guided Antimicrobial Stewardship Program Profoundly Reduced Antibiotic Use Without Negatively Affecting Patient Outcomes

    PubMed Central

    Nilholm, Hannah; Holmstrand, Linnea; Ahl, Jonas; Månsson, Fredrik; Odenholt, Inga; Tham, Johan; Melander, Eva; Resman, Fredrik

    2015-01-01

    Background. Antimicrobial stewardship programs are increasingly implemented in hospital care. They aim to simultaneously optimize outcomes for individual patients with infections and reduce financial and health-associated costs of overuse of antibiotics. Few studies have examined the effects of antimicrobial stewardship programs in settings with low proportions of antimicrobial resistance, such as in Sweden. Methods. An antimicrobial stewardship program was introduced during 5 months of 2013 in a department of internal medicine in southern Sweden. The intervention consisted of audits twice weekly on all patients given antibiotic treatment. The intervention period was compared with a historical control consisting of patients treated with antibiotics in the same wards in 2012. Studied outcome variables included 28-day mortality and readmission, length of hospital stay, and use of antibiotics. Results. A reduction of 27% in total antibiotic use (2387 days of any antibiotic) was observed in the intervention period compared with the control period. The reduction was due to fewer patients started on antibiotics as well as to significantly shorter durations of antibiotic courses (P < .001). An earlier switch to oral therapy and a specific reduction in use of third-generation cephalosporins and fluoroquinolones was also evident. Mortality, total readmissions, and lengths of stay in hospital were unchanged compared with the control period, whereas readmissions due to a nonresolved infection were fewer during the intervention of 2013. Conclusions. This study demonstrates that an infectious disease specialist-guided antimicrobial stewardship program can profoundly reduce antibiotic use in a low-resistance setting with no negative effect on patient outcome. PMID:26380341

  6. [Measurement of antimicrobial consumption using DDD per 100 bed-days versus DDD per 100 discharges after the implementation of an antimicrobial stewardship program].

    PubMed

    Collado, Roberto; Losa, Juan Emilio; Álvaro, Elena Alba; Toro, Piedad; Moreno, Leonor; Pérez, Montserrat

    2015-12-01

    Monitoring antimicrobial consumption in hospitals is a necessary measure. The indicators commonly employed do not clearly reflect the antibiotic selection pressure. The objective of this study is to evaluate two different methods that analyze antimicrobial consumption based on DDD, per stay and per discharge, before and after the implementation an antimicrobial stewardship program. Comparative pre-post study of antimicrobial consumption with the implementation of an antimicrobial stewardship program using DDD per 100 bed-days and DDD per 100 discharges as indicators. Hospital bed days remained stable and discharges increased slightly along the period of study Antibiotic consumption in DDD per 100 bed-days decreased by 2.5% versus 3.8% when expressed as DDD per 100 discharges. Antifungal consumption decreased by more than 50%. When average hospital stay decreases, reductions in the consumption of antimicrobials with an antimicrobial stewardship program system occur at the expense of reducing the number of patients receiving treatment, while increases occur due to longer durations of treatment.

  7. 36 CFR 230.6 - Landowner forest stewardship plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 2 2011-07-01 2011-07-01 false Landowner forest stewardship plan. 230.6 Section 230.6 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE STATE AND PRIVATE FORESTRY ASSISTANCE Stewardship Incentive Program § 230.6 Landowner forest stewardship...

  8. 36 CFR 230.6 - Landowner forest stewardship plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Landowner forest stewardship plan. 230.6 Section 230.6 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE STATE AND PRIVATE FORESTRY ASSISTANCE Stewardship Incentive Program § 230.6 Landowner forest stewardship...

  9. Residential conservation demonstration program. Final report

    SciTech Connect

    Not Available

    1983-01-01

    Findings and conclusions from the RCD Program are based on the results of eight field test demonstration projects conducted by investigators from university and private research groups and staff technical research activities. These efforts produced actual Florida-specific data and information on the performance of selected conservation options and reviewed and synthesized current conservation literature applicable to issues and needs in the Florida residential sector. The following are reported here: program overview, field test demonstration projects, summaries of technical papers, and RCD program findings and conclusions. (MHR)

  10. What makes a successful hearing conservation program?

    PubMed

    Rogers, Bonnie; Meyer, Denai; Summey, Carol; Scheessele, Dawn; Atwell, Terry; Ostendorf, Judith; Randolph, Susan A; Buckheit, Kathleen

    2009-08-01

    Although preventable, hearing impairment is one of the most prevalent disabilities in Western societies. In the United States, approximately 30 million individuals are at risk for noise-induced hearing loss and 22 million individuals between the ages of 20 and 69 have permanently damaged their hearing by exposure to loud sounds or noise in their environment. Both work-related and recreational noise exposure affect an individual's hearing. Legislation in 1969 and later in 1983 established standards mandating that all workers exposed to noise levels at or greater than 85 dBA time-weighted average be placed in a hearing conservation program that includes provision of hearing protective devices. This article discusses components of an effective hearing conservation program, and the roles and functions of interdisciplinary team members in making a hearing conservation program successful.

  11. Incorporating pharmacy student activities into an antimicrobial stewardship program in a long-term acute care hospital.

    PubMed

    Benson, John M

    2014-02-01

    The impact on antimicrobial costs of an antimicrobial stewardship program (ASP) that integrated pharmacy students as integral members was evaluated. Demographic and discharge disposition data and antimicrobial acquisition cost data were retrospectively collected for all patients admitted to Promise Hospital of Salt Lake between June 1, 2009, and May 31, 2012. During this study, the primary role of pharmacy students in the ASP was to monitor all infection-related patient problems in the facility and meet daily with the infectious diseases pharmacist and clinical pharmacist to develop recommendations for optimizing antimicrobial use. The primary outcome measure was the mean antimicrobial acquisition cost per patient per day, calculated before ASP implementation (baseline period) and two years after ASP implementation (intervention period). The acquisition costs of antimicrobial agents per patient day were compared before and two years after implementation of the ASP involving pharmacy students. Statistical significance was determined using Student's t test for continuous data and the chi-square test for nominal data. The rate of patient discharge to skilled nursing facilities was significantly higher during the intervention period versus the baseline period (p = 0.016); no other significant comparisons were found. The mean ± S.D. antimicrobial costs per patient day were $75.37 ± $11.85 in the baseline period and $64.13 ± $13.78 in the intervention period (p = 0.022). This difference represents a cost savings of $261,630 during the two-year intervention period. Decreased antimicrobial costs were observed over a two-year period after implementation of an ASP that incorporated pharmacy students as integral members of the program.

  12. Assessing Environmental Stewardship Motivation

    ERIC Educational Resources Information Center

    Bramston, Paul; Pretty, Grace; Zammit, Charlie

    2011-01-01

    Environmental stewardship networks flourish across Australia. Although the environment benefits, this article looks to identify what volunteers draw from their stewardship. The authors adapted 16 questions that purportedly tap environmental stewardship motivation and administered them to a convenience sample of 318 university students and then to…

  13. Steering through Stewardship

    ERIC Educational Resources Information Center

    Emlen, Julia S.

    2010-01-01

    A cornerstone of intentional stewardship is measuring outcomes--essentially keeping track of the changing behavior of donors. Evaluating stewardship outcomes may require a considerable amount of work in determining cause-and-effect relationships between stewardship actions and donor behaviors, but a few tests can be revelatory. For instance, it…

  14. Defense Experimentation and Stockpile Stewardship

    ScienceCinema

    None

    2016-07-12

    A primary mission of the site is to help ensure that the nation's nuclear weapon stockpile remains safe, secure and reliable. The stockpile stewardship program, working with the national weapons laboratories conducts a wide range of experiments using advanced diagnostic technologies, many of which were developed right here at the NNSS.

  15. Defense Experimentation and Stockpile Stewardship

    SciTech Connect

    2014-10-28

    A primary mission of the site is to help ensure that the nation's nuclear weapon stockpile remains safe, secure and reliable. The stockpile stewardship program, working with the national weapons laboratories conducts a wide range of experiments using advanced diagnostic technologies, many of which were developed right here at the NNSS.

  16. 7 CFR 701.44 - Agricultural Conservation Program (ACP) contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 7 2014-01-01 2014-01-01 false Agricultural Conservation Program (ACP) contracts. 701... AGENCY, DEPARTMENT OF AGRICULTURE AGRICULTURAL CONSERVATION PROGRAM EMERGENCY CONSERVATION PROGRAM... General § 701.44 Agricultural Conservation Program (ACP) contracts. Contracts for ACP that are, or were...

  17. 7 CFR 701.44 - Agricultural Conservation Program (ACP) contracts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 7 2013-01-01 2013-01-01 false Agricultural Conservation Program (ACP) contracts. 701... AGENCY, DEPARTMENT OF AGRICULTURE AGRICULTURAL CONSERVATION PROGRAM EMERGENCY CONSERVATION PROGRAM... General § 701.44 Agricultural Conservation Program (ACP) contracts. Contracts for ACP that are, or were...

  18. 7 CFR 701.44 - Agricultural Conservation Program (ACP) contracts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 7 2012-01-01 2012-01-01 false Agricultural Conservation Program (ACP) contracts. 701... AGENCY, DEPARTMENT OF AGRICULTURE AGRICULTURAL CONSERVATION PROGRAM EMERGENCY CONSERVATION PROGRAM... General § 701.44 Agricultural Conservation Program (ACP) contracts. Contracts for ACP that are, or were...

  19. 7 CFR 701.44 - Agricultural Conservation Program (ACP) contracts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Agricultural Conservation Program (ACP) contracts. 701... AGENCY, DEPARTMENT OF AGRICULTURE AGRICULTURAL CONSERVATION PROGRAM EMERGENCY CONSERVATION PROGRAM AND CERTAIN RELATED PROGRAMS PREVIOUSLY ADMINISTERED UNDER THIS PART § 701.44 Agricultural Conservation...

  20. 7 CFR 701.44 - Agricultural Conservation Program (ACP) contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 7 2011-01-01 2011-01-01 false Agricultural Conservation Program (ACP) contracts. 701... AGENCY, DEPARTMENT OF AGRICULTURE AGRICULTURAL CONSERVATION PROGRAM EMERGENCY CONSERVATION PROGRAM... General § 701.44 Agricultural Conservation Program (ACP) contracts. Contracts for ACP that are, or were...

  1. The customer stewardship program: Successfully linking consumer education and corporate strategy

    SciTech Connect

    Wimberly, J.; Malloy, K.; Van Liere, K.

    1999-09-01

    Consumer education, not marketing, programs are the first order of business in laying the groundwork for deregulation. As Missouri Gas Energy showed with its SmartChoice effort, doing the right thing also can be good business. Missouri Gas Energy (MGE), a local distribution company of natural gas based in Kansas City, MO, has implemented such a consumer education program. Although it is still early in the debate in Missouri, it is already evident that MGE has gained many strategic benefits from undertaking such an effort.

  2. USGS Mineral Resources Program--Supporting Stewardship of America's Natural Resources

    USGS Publications Warehouse

    Kropschot, Susan J.

    2006-01-01

    The USGS Mineral Resources Program continues a tradition of Federal leadership in the science of mineral resources that extends back before the beginning of the bureau. The need for information on metallic mineral resources helped lead to the creation of the USGS in 1879. In response to the need to assess large areas of Federal lands in the 20th century, Program scientists developed, tested, and refined tools to support managers making land-use decisions on Federal lands. The refinement of the tools and techniques that have established the USGS as a leader in the world in our ability to conduct mineral resource assessments extends into the 21st century.

  3. Point-of-care Beta-lactam Allergy Skin Testing by Antimicrobial Stewardship Programs: A Pragmatic Multicenter Prospective Evaluation.

    PubMed

    Leis, Jerome A; Palmay, Lesley; Ho, Grace; Raybardhan, Sumit; Gill, Suzanne; Kan, Tiffany; Campbell, Jackie; Kiss, Alex; McCready, Janine B; Das, Pavani; Minnema, Brian; Powis, Jeff E; Walker, Sandra A N; Ferguson, Heather; Wong, Benny; Weber, Elizabeth

    2017-06-01

    Beta-lactam allergy skin testing (BLAST) is recommended by antimicrobial stewardship program (ASP) guidelines, yet few studies have systematically evaluated its impact when delivered at point-of-care. We conducted a pragmatic multicenter prospective evaluation of the use of point-of-care BLAST by ASPs. In staggered 3-month intervals, ASP teams at three hospitals received training by allergists to offer BLAST for eligible patients with infectious diseases receiving non-preferred beta-lactam therapy due to severity of their allergy. The primary outcome was the proportion of patients receiving the preferred beta-lactam therapy. Of 827 patients with reported beta-lactam allergy over 15-months, beta-lactam therapy was preferred among 632(76%). During baseline periods, 50% (124/246) received preferred beta-lactam therapy based on history, compared with 60% (232/386) during the intervention periods (p=0.02), which improved further to 81% (313/386) upon provision of BLAST (p<0.001) without any increase in incidence of adverse drug reactions (4% vs. 3%; p=0.4). After adjusting for patient variables and the correlation between hospitals, the intervention period was associated with a 4.5-fold greater odds of receiving preferred beta-lactam therapy (95% CI, 2.4-8.2; p<0.0001). The use of BLAST at the point-of-care across three hospital ASPs resulted in greater use of preferred beta-lactam therapy without increasing the risk of adverse drug reactions. Longer term studies are needed to better assess the safety and clinical impact of this ASP intervention.

  4. Bad bugs need old drugs: a stewardship program's evaluation of minocycline for multidrug-resistant Acinetobacter baumannii infections.

    PubMed

    Goff, Debra A; Bauer, Karri A; Mangino, Julie E

    2014-12-01

    Minocycline is an "old-drug" with Food and Drug Administration approval for the treatment of infection due to Acinetobacter species. The purpose of this study is to describe an Antimicrobial Stewardship Program's evaluation of minocycline for the treatment of patients with multidrug resistant A. baumannii (MDR-AB) infections. This study evaluated hospitalized adult patients (September 2010 through March 2013) who received minocycline intravenously (IV) for a MDR-AB infection. Clinical and microbiological outcomes were analyzed. Secondary outcomes included infection-related mortality, length of hospital stay (LOS), infection-related LOS, intensive care unit (ICU) LOS, mechanical ventilation days, and 30-day readmission. A total of 55 patients received minocycline. Median age was 56 (23-85) years, 65% were male with an APACHE II score of 21 (4-41). Clinical success was achieved in 40/55 (73%) patients treated with minocycline monotherapy (n = 3) or in combination with a second active agent (n = 52). Overall 43 (78%) patients demonstrated documented or presumed microbiologic eradication. Infection-related mortality was 25%. Hospital LOS was 31 (5-132) and infection-related LOS was 16 (2-43) days. Forty-seven (85%) patients were admitted to the ICU for a LOS of 18 (2-78) days. Thirty-nine (71%) patients required mechanical ventilation for 6 (2-29) days. One patient had a 30-day readmission. The response rate to minocycline monotherapy or in combination for the treatment of MDR-AB infections is encouraging as therapeutic options are limited. Prospective studies in patients with MDR-AB infections will help establish the role of minocycline alone or in combination with other antimicrobials. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  5. Benefits of Adding a Rapid PCR-Based Blood Culture Identification Panel to an Established Antimicrobial Stewardship Program

    PubMed Central

    2016-01-01

    Studies have demonstrated that the combination of antimicrobial stewardship programs (ASP) and rapid organism identification improves outcomes in bloodstream infections (BSI) but have not controlled for the incremental contribution of the individual components. Hospitalized adult patients with blood culture pathogens on a rapid, multiplex PCR-based blood culture identification panel (BCID) that included 19 bacterial species, 5 Candida spp., and 4 antimicrobial resistance genes were studied over sequential time periods in a pre-post quasiexperimental study in 3 groups in the following categories: conventional organism identification (controls), conventional organism identification with ASP (AS), and BCID with ASP (BCID). Clinical and economic outcomes were compared between groups. There were 783 patients with positive blood cultures; of those patients, 364 (115 control, 104 AS, and 145 BCID) met inclusion criteria. The time from blood culture collection to organism identification was shorter in the BCID group (17 h; P < 0.001) than in the control group (57 h) or the AS group (54 h). The BCID group had a shorter time to effective therapy (5 h; P < 0.001) than the control group (15 h) or AS group (13 h). The AS (57%) and BCID (52%) groups had higher rates of antimicrobial de-escalation than the control group (34%), with de-escalation occurring sooner in the BCID group (48 h; P = 0.034) than in the AS group (61 h) or the control group (63 h). No difference between the control group, AS group, and BCID group was seen with respect to mortality, 30-day readmission, intensive care unit length of stay (LOS), postculture LOS, or costs. In patients with BSI, ASP alone improved antimicrobial utilization. Addition of BCID to an established ASP shortened the time to effective therapy and further improved antimicrobial use compared to ASP alone, even in a setting of low antimicrobial resistance rates. PMID:27487951

  6. Federal Funds: Fuel Conservation Fellowship Program

    ERIC Educational Resources Information Center

    Bobowski, Rita Cipalla

    1977-01-01

    To train individuals who might design and implement plans for developing alternative sources of energy like solar or geothermal power, the Office of Education supports graduate fellowships in mining, mineral, and mineral fuel conservation. Describes three projects funded by the fellowship program during the 1976-77 academic year. (Author/RK)

  7. Making an Energy Conservation Program Work.

    ERIC Educational Resources Information Center

    Rump, Erwin E.; Hunter, James L.

    The first step of an energy conservation program is to monitor energy consumption. A system is explained that, in order to determine which buildings are energy efficient (considering all types of energy that a building might use), monitors total energy consumption. All such consumptions can be reduced to a common denominator: Barrels of Energy…

  8. Making an Energy Conservation Program Work.

    ERIC Educational Resources Information Center

    Rump, Erwin E.; Hunter, James L.

    The first step of an energy conservation program is to monitor energy consumption. A system is explained that, in order to determine which buildings are energy efficient (considering all types of energy that a building might use), monitors total energy consumption. All such consumptions can be reduced to a common denominator: Barrels of Energy…

  9. Federal Funds: Fuel Conservation Fellowship Program

    ERIC Educational Resources Information Center

    Bobowski, Rita Cipalla

    1977-01-01

    To train individuals who might design and implement plans for developing alternative sources of energy like solar or geothermal power, the Office of Education supports graduate fellowships in mining, mineral, and mineral fuel conservation. Describes three projects funded by the fellowship program during the 1976-77 academic year. (Author/RK)

  10. 76 FR 70865 - Energy Conservation Program: Energy Conservation Standards for Residential Refrigerators...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ...-AB79 Energy Conservation Program: Energy Conservation Standards for Residential Refrigerators, Refrigerator-Freezers, and Freezers Correction In rule document 2011-22329 appearing on pages 57516...

  11. Taimi Lynne Hoag Award for Environmental Stewardship

    EPA Pesticide Factsheets

    The Region 5 Tribal Operation Committee established this Award in the name of Taimi Hoag to recognize significant contributions in environmental management and/or environmental stewardship by a tribal government leader, program manager, or staff person.

  12. Framework for Springs Stewardship Program and proposed action development: Spring Mountains National Recreation Area, Humboldt-Toiyabe National Forest

    Treesearch

    Marc Coles-Ritchie; Stephen J. Solem; Abraham E. Springer; Burton Pendleton

    2014-01-01

    In the desert Southwest, springs are an important ecological feature and serve as a focal point for both biological and human interactions on the landscape. As a result, attention has been placed on the stewardship and protection of these important resources. Management has traditionally focused on the more accessible and heavily used eastern canyons within the Spring...

  13. 77 FR 54839 - Energy Efficiency and Conservation Loan Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... Energy Efficiency and Conservation Loan Program AGENCY: Rural Utilities Service, USDA. ACTION: Notice of... assistance in support of energy efficiency programs (EE Programs) sponsored and implemented by...

  14. U.S. Geological Survey Mineral Resources Program - Science Supporting Mineral Resource Stewardship

    USGS Publications Warehouse

    Kropschot, S.J.

    2007-01-01

    The United States is the world's largest user of mineral resources. We use them to build our homes and cities, fertilize our food crops, and create wealth that allows us to buy goods and services. Individuals rarely use nonfuel mineral resources in their natural state - we buy light bulbs, not the silica, soda ash, lime, coal, salt, tungsten, copper, nickel, molybdenum, iron, manganese, aluminum, and zinc used to convert electricity into light. The USGS Mineral Resources Program (MRP) is the sole Federal source of scientific information and unbiased research on nonfuel mineral potential, production, and consumption, as well as on the environmental effects of minerals. The MRP also provides baseline geochemical, geophysical, and mineral-deposit data used to understand environmental issues related to extraction and use of mineral resources. Understanding how minerals, water, plants, and organisms interact contributes to our understanding of the environment, which is essential for maintaining human and ecosystem health. To support creation of economic and national security policies in a global context, MRP collects and analyzes data on essential mineral commodities from around the world.

  15. A World Wide Web-based antimicrobial stewardship program improves efficiency, communication, and user satisfaction and reduces cost in a tertiary care pediatric medical center.

    PubMed

    Agwu, Allison L; Lee, Carlton K K; Jain, Sanjay K; Murray, Kara L; Topolski, Jason; Miller, Robert E; Townsend, Timothy; Lehmann, Christoph U

    2008-09-15

    Antimicrobial stewardship programs aim to reduce inappropriate hospital antimicrobial use. At the Johns Hopkins Children's Medical and Surgical Center (Baltimore, MD), we implemented a World Wide Web-based antimicrobial restriction program to address problems with the existing restriction program. A user survey identified opportunities for improvement of an existing antimicrobial restriction program and resulted in subsequent design, implementation, and evaluation of a World Wide Web-based antimicrobial restriction program at a 175-bed, tertiary care pediatric teaching hospital. The program provided automated clinical decision support, facilitated approval, and enhanced real-time communication among prescribers, pharmacists, and pediatric infectious diseases fellows. Approval status, duration, and rationale; missing request notifications; and expiring approvals were stored in a database that is accessible via a secure Intranet site. Before and after implementation of the program, user satisfaction, reports of missed and/or delayed doses, antimicrobial dispensing times, and cost were evaluated. After implementation of the program, there was a $370,069 reduction in projected annual cost associated with restricted antimicrobial use and an 11.6% reduction in the number of dispensed doses. User satisfaction increased from 22% to 68% and from 13% to 69% among prescribers and pharmacists, respectively. There were 21% and 32% reductions in the number of prescriber reports of missed and delayed doses, respectively, and there was a 37% reduction in the number of pharmacist reports of delayed approvals; measured dispensing times were unchanged (P = .24). In addition, 40% fewer restricted antimicrobial-related phone calls were noted by the pharmacy. The World Wide Web-based antimicrobial approval program led to improved communication, more-efficient antimicrobial administration, increased user satisfaction, and significant cost savings. Integrated tools, such as this World

  16. 77 FR 43723 - Energy Efficiency and Conservation Loan Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... demand side management (DSM), EE Programs and energy conservation programs. This proposed rulemaking... matter, energy efficiency investment includes the eligible purposes of DSM and energy conservation as... implement DSM, EE Programs and conservation programs, and on-grid and off-grid renewable energy...

  17. 75 FR 10873 - Energy Conservation Program: Energy Conservation Standards for Small Electric Motors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-09

    ... Energy 10 CFR Part 431 Energy Conservation Program: Energy Conservation Standards for Small Electric... Regulations#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AB70 Energy Conservation Program: Energy Conservation Standards for Small Electric Motors AGENCY: Office of Energy Efficiency and Renewable...

  18. 78 FR 77019 - Energy Conservation Program: Energy Conservation Standards for Certain Consumer Products

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... Part 430 RIN 1904-AD08 Energy Conservation Program: Energy Conservation Standards for Certain Consumer... the Energy Policy and Conservation Act of 1975 (EPCA or ``the Act'') (42 U.S.C. 6291-6309, as codified), which provides for an energy conservation program for consumer products other than automobiles, and...

  19. 76 FR 793 - Multistate Conservation Grant Program; Priority List for Conservation Projects

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-06

    ... Fish and Wildlife Service Multistate Conservation Grant Program; Priority List for Conservation... the FY 2011 priority list of wildlife and sport fish conservation projects from the Association of... Multistate Conservation Grant program. We have reviewed the list and will award the grants from the...

  20. Designing Program Roadmaps to Catalyze Community Formation: A Case Study of the Long-Term Stewardship Science and Technology Roadmapword

    SciTech Connect

    Dixon, Brent; Hanson, Duane; Matthern, Gretchen

    2003-02-27

    A number of broad perspective technology roadmaps have been developed in the last few years as tools for coordinating nation-wide research in targeted areas. These roadmaps share a common characteristic of coalescing the associated stakeholder groups into a special-interest community that is willing to work cooperatively in achieving the roadmap goals. These communities are key to roadmap implementation as they provide the collaborative energy necessary to obtain the political support and funding required for identified science and technology development efforts. This paper discusses the relationship between roadmaps and special-interest communities, using the recently drafted Department of Energy's Long-Term Stewardship Science and Technology Roadmap as a case study. Specific aspects this roadmap's design facilitated the development of a long-term stewardship community while specific realities during roadmap development impacted the realization of the design.

  1. Natural resources: stewardship of our public lands

    SciTech Connect

    Jackson, H.

    1982-06-01

    Senator Jackson notes that the Reagan administration's strategy of using budget cuts as a policy tool is evident in the area of natural resources, notably by the following: not including urban parks in the national park system; the low priority given to land acquisition; and the emphasis on resource development over conservation. Further, the administration has not requested funding for recreational grant programs, which are administered by the states and already incorporate the concepts of the new federalism. He feels that efforts to turn public lands over to the private sector bear watching because they seek a short-term gain at the expense of future public-land uses. He observes that Interior Secretary Watt's proposal to expedite land and offshore leasing has created a problem where none existed before. At issue in the Reagan initiatives is the proper stewardship of public lands, which should be a bipartisan effort. (DCK)

  2. 7 CFR 1470.7 - Enhancements and conservation practices.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Enhancements and conservation practices. 1470.7... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Provisions § 1470.7 Enhancements and conservation practices. (a) Participant decisions...

  3. 7 CFR 1470.23 - Conservation activity operation and maintenance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Conservation activity operation and maintenance. 1470... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.23 Conservation activity operation and maintenance....

  4. 7 CFR 1470.37 - Environmental credits for conservation improvements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Environmental credits for conservation improvements... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Administration § 1470.37 Environmental credits for conservation improvements....

  5. 7 CFR 1470.7 - Enhancements and conservation practices.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Enhancements and conservation practices. 1470.7... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Provisions § 1470.7 Enhancements and conservation practices. (a) Participant decisions...

  6. 7 CFR 1470.23 - Conservation activity operation and maintenance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Conservation activity operation and maintenance. 1470... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.23 Conservation activity operation and maintenance....

  7. 7 CFR 1470.23 - Conservation activity operation and maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Conservation activity operation and maintenance. 1470... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.23 Conservation activity operation and maintenance....

  8. 7 CFR 1470.23 - Conservation activity operation and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Conservation activity operation and maintenance. 1470... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.23 Conservation activity operation and maintenance....

  9. 7 CFR 1470.23 - Conservation activity operation and maintenance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Conservation activity operation and maintenance. 1470... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM Contracts and Payments § 1470.23 Conservation activity operation and maintenance....

  10. 7 CFR 1470.37 - Environmental credits for conservation improvements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Environmental credits for conservation improvements... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Administration § 1470.37 Environmental credits for conservation improvements....

  11. 7 CFR 1470.37 - Environmental credits for conservation improvements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Environmental credits for conservation improvements... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Administration § 1470.37 Environmental credits for conservation improvements....

  12. 7 CFR 1470.7 - Enhancements and conservation practices.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Enhancements and conservation practices. 1470.7... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Provisions § 1470.7 Enhancements and conservation practices. (a) Participant decisions...

  13. 7 CFR 1470.37 - Environmental credits for conservation improvements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Environmental credits for conservation improvements... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Administration § 1470.37 Environmental credits for conservation improvements....

  14. 7 CFR 1470.37 - Environmental credits for conservation improvements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Environmental credits for conservation improvements... CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Administration § 1470.37 Environmental credits for conservation improvements....

  15. 7 CFR 1470.7 - Enhancements and conservation practices.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Enhancements and conservation practices. 1470.7... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Provisions § 1470.7 Enhancements and conservation practices. (a) Participant decisions...

  16. 7 CFR 1470.7 - Enhancements and conservation practices.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Enhancements and conservation practices. 1470.7... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION STEWARDSHIP PROGRAM General Provisions § 1470.7 Enhancements and conservation practices. (a) Participant decisions...

  17. Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship.

    PubMed

    Messacar, Kevin; Parker, Sarah K; Todd, James K; Dominguez, Samuel R

    2017-03-01

    New rapid molecular diagnostic technologies for infectious diseases enable expedited accurate microbiological diagnoses. However, diagnostic stewardship and antimicrobial stewardship are necessary to ensure that these technologies conserve, rather than consume, additional health care resources and optimally affect patient care. Diagnostic stewardship is needed to implement appropriate tests for the clinical setting and to direct testing toward appropriate patients. Antimicrobial stewardship is needed to ensure prompt appropriate clinical action to translate faster diagnostic test results in the laboratory into improved outcomes at the bedside. This minireview outlines the roles of diagnostic stewardship and antimicrobial stewardship in the implementation of rapid molecular infectious disease diagnostics.

  18. Summary of commercial conservation programs environmental issues and program consistency

    SciTech Connect

    Beachler, M.C.

    1989-06-01

    Pacific Northwest Laboratory (PNL) conducted this study for the Office of Energy Resources of the Bonneville Power Administration. The purpose of the report is to compare and contrast the environmental requirements and issues involving Bonneville's residential conservation programs. In addition to environmental issues that Bonneville has addressed in environmental documents, this report also briefly examines new issues that may affect residential conservation programs. The key environmental concern confronting each of the programs with measures aimed at reducing air leakage in houses (both new and existing) is indoor air quality. There are inconsistencies in how the Weatherization Program and the New Homes programs approach indoor air quality. However, these differences make sense, given the character and constraints affecting how each program operates. Newer issues that have arisen include global warming, potential health effects of mineral and glass fibers, and possible fire hazards associated with plastic foam and cellulose insulation. Bonneville staff are aware of these issues as they relate to conservation programs. No action appears necessary at this time.

  19. 49 CFR 227.107 - Hearing conservation program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Hearing conservation program. 227.107 Section 227... Operating Employees. § 227.107 Hearing conservation program. (a) Consistent with the requirements of the... hearing conservation program, as set forth in §§ 227.109 through 227.121, for all employees exposed...

  20. 49 CFR 227.107 - Hearing conservation program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Hearing conservation program. 227.107 Section 227... Operating Employees. § 227.107 Hearing conservation program. (a) Consistent with the requirements of the... hearing conservation program, as set forth in §§ 227.109 through 227.121, for all employees exposed...

  1. 49 CFR 227.107 - Hearing conservation program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Hearing conservation program. 227.107 Section 227... Operating Employees. § 227.107 Hearing conservation program. (a) Consistent with the requirements of the... hearing conservation program, as set forth in §§ 227.109 through 227.121, for all employees exposed...

  2. 49 CFR 227.107 - Hearing conservation program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Hearing conservation program. 227.107 Section 227... Operating Employees. § 227.107 Hearing conservation program. (a) Consistent with the requirements of the... hearing conservation program, as set forth in §§ 227.109 through 227.121, for all employees exposed...

  3. 49 CFR 227.107 - Hearing conservation program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Hearing conservation program. 227.107 Section 227... Operating Employees. § 227.107 Hearing conservation program. (a) Consistent with the requirements of the... hearing conservation program, as set forth in §§ 227.109 through 227.121, for all employees exposed...

  4. Stockpile Stewardship at Los Alamos(U)

    SciTech Connect

    Webster, Robert B.

    2012-06-29

    Stockpile stewardship is the retention of nuclear weapons in the stockpile beyond their original design life. These older weapons have potential changes inconsistent with the original design intent and military specifications. The Stockpile Stewardship Program requires us to develop high-fidelity, physics-based capabilities to predict, assess, certify and design nuclear weapons without conducting a nuclear test. Each year, the Lab Directors are required to provide an assessment of the safety, security, and reliability our stockpile to the President of the United States. This includes assessing whether a need to return to testing exists. This is a talk to provide an overview of Stockpile Stewardship's scientific requirements and how stewardship has changed in the absence of nuclear testing. The talk is adapted from an HQ talk to the War college, and historical unclassified talks on weapon's physics.

  5. The Antimicrobial Stewardship Approach to Combating Clostridium Difficile

    PubMed Central

    Wenzler, Eric; Mulugeta, Surafel G.; Danziger, Larry H.

    2015-01-01

    Clostridium difficile remains a major public health threat and continues to contribute to excess morbidity, mortality and healthcare costs. Antimicrobial stewardship programs have demonstrated success in combating C. difficile, primarily through antibiotic restrictive strategies. As the incidence and prevalence of C. difficile associate disease continues to increase both in the hospital and community setting, additional stewardship approaches are needed. This manuscript reviews stewardship interventions that have been successful against C. difficile associated disease and proposes future tactics that antimicrobial stewardship programs may employ to develop a more global approach to combat this difficult pathogen. PMID:27025621

  6. Guidance for the knowledge and skills required for antimicrobial stewardship leaders.

    PubMed

    Cosgrove, Sara E; Hermsen, Elizabeth D; Rybak, Michael J; File, Thomas M; Parker, Sarah K; Barlam, Tamar F

    2014-12-01

    Antimicrobial stewardship programs are increasingly recognized as critical in optimizing the use of antimicrobials. Consequently, more physicians, pharmacists, and other healthcare providers are developing and implementing such programs in a variety of healthcare settings. The purpose of this guidance document is to outline the knowledge and skills that are needed to lead an antimicrobial stewardship program. It was developed by antimicrobial stewardship experts from organizations that are engaged in advancing the field of antimicrobial stewardship.

  7. 76 FR 26656 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... Part 430 RIN 1904-AA89 Energy Conservation Program: Energy Conservation Standards for Residential... adopted amended energy conservation standards for residential clothes dryers and room air conditioners. As... direct final rule for ] Energy Conservation Standards for Residential Clothes Dryers and Room Air...

  8. 75 FR 1651 - Multistate Conservation Grant Program; Priority List for Conservation Projects

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-12

    ... Fish and Wildlife Service Multistate Conservation Grant Program; Priority List for Conservation... of wildlife and sport fish conservation projects from the Association of Fish and Wildlife Agencies... submits a list of projects to us each year to consider for funding under the Multistate Conservation...

  9. 77 FR 31917 - Energy Conservation Program: Energy Conservation Standards for Residential Dishwashers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ... May 30, 2012 Part II Department of Energy 10 CFR Parts 429 and 430 Energy Conservation Program: Energy.... 77, No. 104 / Wednesday, May 30, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Parts 429 and 430 RIN 1904-AC64 Energy Conservation Program: Energy Conservation Standards...

  10. 30 CFR 62.150 - Hearing conservation program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Hearing conservation program. 62.150 Section 62.150 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.150 Hearing conservation program. A hearing conservation...

  11. 30 CFR 62.150 - Hearing conservation program.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Hearing conservation program. 62.150 Section 62.150 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.150 Hearing conservation program. A hearing conservation...

  12. 30 CFR 62.150 - Hearing conservation program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Hearing conservation program. 62.150 Section 62.150 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.150 Hearing conservation program. A hearing conservation...

  13. 30 CFR 62.150 - Hearing conservation program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Hearing conservation program. 62.150 Section 62.150 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.150 Hearing conservation program. A hearing conservation...

  14. 30 CFR 62.150 - Hearing conservation program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Hearing conservation program. 62.150 Section 62.150 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.150 Hearing conservation program. A hearing conservation...

  15. Increasing participation in incentive programs for biodiversity conservation.

    PubMed

    Sorice, Michael G; Oh, Chi-Ok; Gartner, Todd; Snieckus, Mary; Johnson, Rhett; Donlan, C Josh

    2013-07-01

    Engaging private landowners in conservation activities for imperiled species is critical to maintaining and enhancing biodiversity. Market-based approaches can incentivize conservation behaviors on private lands by shifting the benefit-cost ratio of engaging in activities that result in net conservation benefits for target species. In the United States and elsewhere, voluntary conservation agreements with financial incentives are becoming an increasingly common strategy. While the influence of program design and delivery of voluntary conservation programs is often overlooked, these aspects are critical to achieving the necessary participation to attain landscape-scale outcomes. Using a sample of family-forest landowners in the southeast United States, we show how preferences for participation in a conservation program to protect an at-risk species, the gopher tortoise (Gopherus polyphemus), are related to program structure, delivery, and perceived efficacy. Landowners were most sensitive to programs that are highly controlling, require permanent conservation easements, and put landowners at risk for future regulation. Programs designed with greater levels of compensation and that support landowners' autonomy to make land management decisions can increase participation and increase landowner acceptance of program components that are generally unfavorable, like long-term contracts and permanent easements. There is an inherent trade-off between maximizing participation and maximizing the conservation benefits when designing a conservation incentive program. For conservation programs targeting private lands to achieve landscape-level benefits, they must attract a critical level of participation that creates a connected mosaic of conservation benefits. Yet, programs with attributes that strive to maximize conservation benefits within a single agreement (and reduce risks of failure) are likely to have lower participation, and thus lower landscape benefits. Achieving

  16. Understanding Barriers to Participation in Cost-Share Programs For Pollinator Conservation by Wisconsin (USA) Cranberry Growers

    PubMed Central

    Gratton, Claudio

    2017-01-01

    The expansion of modern agriculture has led to the loss and fragmentation of natural habitat, resulting in a global decline in biodiversity, including bees. In many countries, farmers can participate in cost-share programs to create natural habitat on their farms for the conservation of beneficial insects, such as bees. Despite their dependence on bee pollinators and the demonstrated commitment to environmental stewardship, participation in such programs by Wisconsin cranberry growers has been low. The objective of this study was to understand the barriers that prevent participation by Wisconsin cranberry growers in cost-share programs for on-farm conservation of native bees. We conducted a survey of cranberry growers (n = 250) regarding farming practices, pollinators, and conservation. Although only 10% of growers were aware of federal pollinator cost-share programs, one third of them were managing habitat for pollinators without federal aid. Once informed of the programs, 50% of growers expressed interest in participating. Fifty-seven percent of growers manage habitat for other wildlife, although none receive cost-share funding to do so. Participation in cost-share programs could benefit from outreach activities that promote the programs, a reduction of bureaucratic hurdles to participate, and technical support for growers on how to manage habitat for wild bees. PMID:28763038

  17. Understanding Barriers to Participation in Cost-Share Programs For Pollinator Conservation by Wisconsin (USA) Cranberry Growers.

    PubMed

    Gaines-Day, Hannah R; Gratton, Claudio

    2017-08-01

    The expansion of modern agriculture has led to the loss and fragmentation of natural habitat, resulting in a global decline in biodiversity, including bees. In many countries, farmers can participate in cost-share programs to create natural habitat on their farms for the conservation of beneficial insects, such as bees. Despite their dependence on bee pollinators and the demonstrated commitment to environmental stewardship, participation in such programs by Wisconsin cranberry growers has been low. The objective of this study was to understand the barriers that prevent participation by Wisconsin cranberry growers in cost-share programs for on-farm conservation of native bees. We conducted a survey of cranberry growers (n = 250) regarding farming practices, pollinators, and conservation. Although only 10% of growers were aware of federal pollinator cost-share programs, one third of them were managing habitat for pollinators without federal aid. Once informed of the programs, 50% of growers expressed interest in participating. Fifty-seven percent of growers manage habitat for other wildlife, although none receive cost-share funding to do so. Participation in cost-share programs could benefit from outreach activities that promote the programs, a reduction of bureaucratic hurdles to participate, and technical support for growers on how to manage habitat for wild bees.

  18. Marketing: an approach to successful energy-conservation information programs

    SciTech Connect

    Hutton, R. B.; McNeill, D. L.

    1980-08-01

    This monograph shows how the adoption of a marketing approach can improve the quality of the development and delivery of energy-conservation programs. Several factors make the use of such a marketing approach to conservation particularly beneficial, namely: (1) goals of conservation programs can be quantified (e.g., specified amount of energy to be saved); in addition, intermediate effects necessary for program success are also measureable (e.g., knowledge, attitude change, etc); (2) there is an apparent and increasing need for conservation by different parts (or sectors) of the population; however, it is clear that the desire for conservation is not the same for all sectors; (3) conservation programs can be thought of in much the same way as products with benefits and costs; this necessitates an understanding of how the population makes conservation decisions so that the program can fit into that decision process; (4) the need to tailor programs to the needs of the population is heightened by the general competition for the consumer dollar; it is necessary to design and present programs in a way that the individual will view conservation as an attractive choice among many (e.g., bank savings, buying clothes, furniture, car, etc.); and (5) the population's response to, and need for conservation is constantly changing; consequently, it is important to realize that these changes may need to be reflected in the conservation programs themselves (both ongoing and new).

  19. Branching Out: The North Carolina Forest Stewardship Activity Guide.

    ERIC Educational Resources Information Center

    Chesson, Gail

    Stewardship is the responsibility of individuals to maintain and improve their natural resources and surroundings. The Forest Stewardship Program (FSP) in North Carolina aims at enhancing the management of all forest resources on private lands. This activity guide is designed to help youth appreciate and understand forests and natural…

  20. Branching Out: The North Carolina Forest Stewardship Activity Guide.

    ERIC Educational Resources Information Center

    Chesson, Gail

    Stewardship is the responsibility of individuals to maintain and improve their natural resources and surroundings. The Forest Stewardship Program (FSP) in North Carolina aims at enhancing the management of all forest resources on private lands. This activity guide is designed to help youth appreciate and understand forests and natural…

  1. 75 FR 80292 - Energy Conservation Program: Energy Conservation Standards for Electric Motors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... Part 431 RIN 1904-AB71 Energy Conservation Program: Energy Conservation Standards for Electric Motors..., promulgating energy conservation standards for certain electric motors as prescribed in the Energy Policy and... motors that, due to a drafting error, are not consistent with statutory requirements. DATES: This...

  2. 78 FR 25626 - Energy Conservation Program for Consumer Products: Energy Conservation Standards for Ceiling Fans...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC87 Energy Conservation Program for Consumer Products: Energy Conservation Standards... and invite comments on the Framework Document regarding energy conservation standards for...

  3. 77 FR 13026 - Energy Conservation Program: Energy Conservation Standard for Automatic Commercial Ice Makers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... products; and potential energy conservation standard levels derived from these analyses that DOE could... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AC39 Energy Conservation Program: Energy Conservation Standard for...

  4. New Horizons for Pediatric Antibiotic Stewardship.

    PubMed

    Goldman, Jennifer L; Newland, Jason G

    2015-09-01

    Antibiotic resistance remains a major health threat and the overuse of antimicrobials contributes to this serious problem. Antimicrobial stewardship programs (ASPs) are effective in decreasing the inappropriate use of antimicrobials. The development of pediatric ASPs is increasing and these programs have proven effective in optimizing antimicrobial use in children. The value of ASPs is gaining recognition and the expansion of stewardship into additional health care settings is expected. Collaborative efforts are underway among pediatric ASPs to enhance best practices and develop efficient and effective strategies to minimize unnecessary antimicrobial use in children.

  5. Evaluating ecological monitoring of civic environmental stewardship in the Green-Duwamish watershed, Washington

    Treesearch

    Jacob C. Sheppard; Clare M. Ryan; Dale J. Blahna

    2017-01-01

    The ecological outcomes of civic environmental stewardship are poorly understood, especially at scales larger than individual sites. In this study we characterized civic environmental stewardship programs in the Green-Duwamish watershed in King County, WA, and evaluated the extent to which stewardship outcomes were monitored. We developed a four-step process based on...

  6. Developmental hematopoiesis: ontogeny, genetic programming and conservation.

    PubMed

    Ciau-Uitz, Aldo; Monteiro, Rui; Kirmizitas, Arif; Patient, Roger

    2014-08-01

    Hematopoietic stem cells (HSCs) sustain blood production throughout life and are of pivotal importance in regenerative medicine. Although HSC generation from pluripotent stem cells would resolve their shortage for clinical applications, this has not yet been achieved mainly because of the poor mechanistic understanding of their programming. Bone marrow HSCs are first created during embryogenesis in the dorsal aorta (DA) of the midgestation conceptus, from where they migrate to the fetal liver and, eventually, the bone marrow. It is currently accepted that HSCs emerge from specialized endothelium, the hemogenic endothelium, localized in the ventral wall of the DA through an evolutionarily conserved process called the endothelial-to-hematopoietic transition. However, the endothelial-to-hematopoietic transition represents one of the last steps in HSC creation, and an understanding of earlier events in the specification of their progenitors is required if we are to create them from naïve pluripotent cells. Because of their ready availability and external development, zebrafish and Xenopus embryos have enormously facilitated our understanding of the early developmental processes leading to the programming of HSCs from nascent lateral plate mesoderm to hemogenic endothelium in the DA. The amenity of the Xenopus model to lineage tracing experiments has also contributed to the establishment of the distinct origins of embryonic (yolk sac) and adult (HSC) hematopoiesis, whereas the transparency of the zebrafish has allowed in vivo imaging of developing blood cells, particularly during and after the emergence of HSCs in the DA. Here, we discuss the key contributions of these model organisms to our understanding of developmental hematopoiesis. Copyright © 2014 ISEH - International Society for Experimental Hematology. Published by Elsevier Inc. All rights reserved.

  7. Environmental Management Long-Term Stewardship Transition Guidance

    SciTech Connect

    Kristofferson, Keith

    2001-11-01

    Long-term stewardship consists of those actions necessary to maintain and demonstrate continued protection of human health and the environment after the completion of facility cleanup. Long-term stewardship is administered and overseen by the U.S. Department of Energy Environmental Management Office of Science and Technology. This report describes the background of long-term stewardship and gives general guidance about considerations when ownership and/or responsibility of a site should be transferred to a long-term stewardship program. This guidance document will assist the U.S. Department of Energy in: (a) ensuring that the long-term stewardship program leads transition planning with respect to facility and site areas, and (b) describing the classes and types of criteria and data required to initiate transition for areas and sites where the facility mission has ended and cleanup is complete.

  8. Conservation and management applications of the REEF volunteer fish monitoring program.

    PubMed

    Pattengill-Semmens, Christy V; Semmens, Brice X

    2003-01-01

    The REEF Fish Survey Project is a volunteer fish monitoring program developed by the Reef Environmental Education Foundation (REEF). REEF volunteers collect fish distribution and abundance data using a standardized visual method during regular diving and snorkeling activities. Survey data are recorded on preprinted data sheets that are returned to REEF and optically digitized. Data are housed in a publicly accessible database on REEF's Web site (http://www.reef.org). Since the project's inception in 1993, over 40,000 surveys have been conducted in the coastal waters of North America, tropical western Atlantic, Gulf of California and Hawaii. The Fish Survey Project has been incorporated into existing monitoring programs through partnerships with government agencies, scientists, conservation organizations, and private institutions. REEF's partners benefit from the educational value and increased stewardship resulting from volunteer data collection. Applications of the data include an evaluation of fish/habitat interactions in the Florida Keys National Marine Sanctuary, the development of a multi-species trend analysis method to identify sites of management concern, assessment of the current distribution of species, status reports on fish assemblages of marine parks, and the evaluation of no-take zones in the Florida Keys. REEF's collaboration with a variety of partners, combined with the Fish Survey Project's standardized census method and database management system, has resulted in a successful citizen science monitoring program.

  9. Infrared thermography in a residential energy conservation program

    SciTech Connect

    Ward, R.J.

    1980-01-01

    Implementing a thermographic inspection service in a residential energy conservation program offers numerous benefits to consumers, the conservation program, and the provider of this service. A description of the need for thermographic inspections, the problems encountered in setting up this service, the interface of the technical and non-technical sectors will be discussed in addition to the benefits to be gained through thermographic inspections. The credibility of a residential energy conservation service can be enhanced tremendously through the implementation of a thermographic inspection service. The need for thermography and its resultant benefits can provide a barometer for the future implementation of thermography within residential conservation programs.

  10. Conservation program participation and adaptive rangeland decision-making

    USDA-ARS?s Scientific Manuscript database

    This paper analyzes rancher participation in conservation programs in the context of a social-ecological framework for adaptive rangeland management. We argue that conservation programs are best understood as one of many strategies of adaptively managing rangelands in ways that sustain livelihoods a...

  11. Farmer participation in U.S. Farm Bill conservation programs.

    PubMed

    Reimer, Adam P; Prokopy, Linda S

    2014-02-01

    Conservation policy in agricultural systems in the United States relies primarily on voluntary action by farmers. Federal conservation programs, including the Environmental Quality Incentives Program, offer incentives, both financial and technical, to farmers in exchange for adoption of conservation practices. Understanding motivations for (as well as barriers to) participation in voluntary programs is important for the design of future policy and effective outreach. While a significant literature has explored motivations and barriers to conservation practice adoption and participation in single programs, few studies in the U.S. context have explored general participation by farmers in one place and time. A mixed-methods research approach was utilized to explore farmer participation in all U.S. Farm Bill programs in Indiana. Current and past program engagement was high, with nearly half of survey respondents reporting participation in at least one program. Most participants had experience with the Conservation Reserve Program, with much lower participation rates in other programs. Most interview participants who had experience in programs were motivated by the environmental benefits of practices, with incentives primarily serving to reduce the financial and technical barriers to practice adoption. The current policy arrangement, which offers multiple policy approaches to conservation, offers farmers with different needs and motivations a menu of options. However, evidence suggests that the complexity of the system may be a barrier that prevents participation by farmers with scarce time or resources. Outreach efforts should focus on increasing awareness of program options, while future policy must balance flexibility of programs with complexity.

  12. Farmer Participation in U.S. Farm Bill Conservation Programs

    NASA Astrophysics Data System (ADS)

    Reimer, Adam P.; Prokopy, Linda S.

    2014-02-01

    Conservation policy in agricultural systems in the United States relies primarily on voluntary action by farmers. Federal conservation programs, including the Environmental Quality Incentives Program, offer incentives, both financial and technical, to farmers in exchange for adoption of conservation practices. Understanding motivations for (as well as barriers to) participation in voluntary programs is important for the design of future policy and effective outreach. While a significant literature has explored motivations and barriers to conservation practice adoption and participation in single programs, few studies in the U.S. context have explored general participation by farmers in one place and time. A mixed-methods research approach was utilized to explore farmer participation in all U.S. Farm Bill programs in Indiana. Current and past program engagement was high, with nearly half of survey respondents reporting participation in at least one program. Most participants had experience with the Conservation Reserve Program, with much lower participation rates in other programs. Most interview participants who had experience in programs were motivated by the environmental benefits of practices, with incentives primarily serving to reduce the financial and technical barriers to practice adoption. The current policy arrangement, which offers multiple policy approaches to conservation, offers farmers with different needs and motivations a menu of options. However, evidence suggests that the complexity of the system may be a barrier that prevents participation by farmers with scarce time or resources. Outreach efforts should focus on increasing awareness of program options, while future policy must balance flexibility of programs with complexity.

  13. Summary of current state industrial energy conservation programs

    SciTech Connect

    Anderson, R.W.; Evans, A.R.; Grogan, P.J.

    1980-05-01

    A preliminary study of industrial energy conservation measures initiated by states under the State Energy Conservation Program is presented. Elements, targets, and administration of state programs are briefly examined. As the results of the study indicate, the states perceive the need for Federal assistance in programs to: establish a forum for coordination of state programs and interchange of approaches and program materials; provide to state offices direct technical assistance, including specific program information, training materials and manuals directed toward specific industries, and an energy accounting methodology; promote national industrial energy conservation measures; develop methods for providing financial assistance to companies, especially small business, for incorporating energy conserving measures; devise a plan for coordinating the state energy-related regulatory activities; and disseminate information on Federal programs and regulations that may impact energy-related decisions at the state level and within private industry.

  14. Effect of Financially Punished Audit and Feedback in a Pediatric Setting in China, within an Antimicrobial Stewardship Program, and as Part of an International Accreditation Process.

    PubMed

    Gong, Sitang; Qiu, Xiu; Song, Yanyan; Sun, Xin; He, Yanling; Chen, Yilu; Li, Minqing; Luo, Rui; He, Liya; Wei, Qing; Shen, Songying; Liu, Yu; Zhang, Lian; Zhou, Wei; Huang, Ping; Mai, Jianning; Liu, Li; Xu, Yi; Liang, Huiying; Xia, Huimin

    2016-01-01

    Prior authorization, audit and feedback, and pay for performance are the three core "active" strategies of antimicrobial stewardship program (ASP), yet little is known about the individual or combined benefits of such programs, particularly in a pediatric setting. The aim of this study was to compare these core ASP strategies and determine the incremental effect of financially punished audit and feedback. During the journey to the Joint Commission International accreditation, a tertiary pediatric medical center performed two different hospital-wide stewardship interventions in succession. The first stage without formalized ASPs served as pre-intervention period, January 2011 to April 2011. The ASP used prior authorization alone during the first-intervention period, May 2011 to September 2011. In October 2011, financially punished audit and feedback was introduced, marking the start of the second-intervention period, October 2011 to November 2012. We compared the differences of the change in monthly average use of antibiotics and expenditure on antibiotics before and after the ASP changes by using interrupted time series via dynamic regression. The main end points included the proportions of antibiotic prescriptions and expenditure on antibacterial relative to all medications. Before the second-intervention period, neither the proportion of antibiotic prescriptions nor the proportion of expenditure on antibiotics declined significantly in both ambulatory and inpatient settings. However, after the introduction of financially punished audit and feedback, the proportion of both antibiotic prescriptions (β = -6.269, P < 0.001, and reduction = 59.4% for outpatients; β = -1.235, P < 0.001, and reduction = 19.8% for inpatients) and expenditure on antibiotics (β = -7.777, P < 0.001, and reduction = 46.7% for outpatients; β = -4.933, P = 0.001, and reduction = 16.3% for inpatients) dropped immediately. The combination of

  15. Managing state energy conservation programs - The Minnesota experience

    NASA Astrophysics Data System (ADS)

    Hirst, E.; Armstrong, J. R.

    1980-11-01

    The development and operation of energy conservation programs in the Minnesota Energy Agency (MEA) are discussed. The MEA has responsibility for voluntary conservation efforts, regulating energy efficient devices, and grant programs to audit and retrofit public buildings. The MEA has developed the plan under which the Minnesota utilities will provide conservation services to residential customers, including an on-site home energy audit. The relation between the Department of Energy (DOE) and state energy offices in implementing programs is considered. The DOE has provided technical assistance to the states through the development of a model audit. Steps are discussed to reduce the burdens imposed on the states by program planning, funding, and management responsibilities, including the consolidation of several existing state conservation programs. Improved policy analysis is suggested to correct inefficiencies in government programs.

  16. Embedding Data Stewardship in Geoscience Australia

    NASA Astrophysics Data System (ADS)

    Bastrakova, I.; Fyfe, S.

    2013-12-01

    ; - Developing guiding Principles on how the Agency undertakes Science, Data Management and Cataloguing; - Developing a Data Classification Schema that aligns scientific requirements and business workflows with data architecture; - Creating the Scientific Data Stewardship Steering Committee, comprising champions from across the Agency to guide development and support implementation of Data Stewardship in GA; - Forming Scientific Data Communities of Practice of leading scientific experts to identify tandards and practices across their domain, and integrate data stewardship practices into scientific workflows; - Establishing the Data Governance and Services Section to provide ongoing capacity for the development, communication, coordination and governance of data stewardship policies, strategies, standards and practices. GA is now moving towards Data Stewardship as an operational capability and culture within the Agency. The challenges we face into the future include: - Maintaining continuous and enthusiastic engagement from the Agency executive; - Implementing long term cultural change at all levels within the organisation; - Formal recognition that data stewardship is a continuous operational BAU activity; - Incorporation of data custodianship and management activities in work programs and budgets; and - Cultivation and support of the data stewardship champions.

  17. 76 FR 27986 - Funding for the Conservation Loan Program; Farm Loan Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ...; ] DEPARTMENT OF AGRICULTURE Farm Service Agency Funding for the Conservation Loan Program; Farm Loan Programs...) Program because of lack of program funding. DATES: Effective May 13, 2011. FOR FURTHER INFORMATION CONTACT... direct or guaranteed loan applications for the CL Program due to lack of funding. However, conservation...

  18. Effects of various antimicrobial stewardship programs on antimicrobial usage and resistance among common gram-negative bacilli causing health care-associated infections: A multicenter comparison.

    PubMed

    Lai, Chung-Chih; Shi, Zhi-Yuan; Chen, Yen-Hsu; Wang, Fu-Der

    2016-02-01

    The effects of various antimicrobial stewardship programs (ASPs) on both antibiotic consumption and resistance among different hospitals within the same insurance system have rarely been investigated. This 6-year retrospective study included three medical centers with similar facilities and infection control measures in Taiwan. These hospitals used different types of ASPs: one had a hospital-wide preauthorization requirement by infectious diseases physicians for all broad-spectrum antibiotics, covering all intensive care units; the second used the same program, but excluded all intensive care units; and the third used postprescription review only. The nonsusceptibility of unduplicated isolates of gram-negative bacilli causing health care-associated infections and consumption of broad-spectrum antibiotics were analyzed. Overall, the usage of broad-spectrum antibiotics of all classes escalated significantly over time in all three hospitals, but consumption was lowest under the hospital-wide preauthorization program. Under this ASP, despite a 2-fold increase in the total broad-spectrum antibiotic consumption during study period, some declining trends of resistance were found, including ciprofloxacin-resistant Pseudomonas aeruginosa and Acinetobacter baumannii, and carbapenem-resistant P. aeruginosa. By contrast, the other two hospitals with preauthorization program excluding all intensive care units and postprescription review had similar high broad-spectrum antibiotic consumption, comparable growing trends of resistant strains in general, and the correlations of antibiotic consumption and resistance were basically positive. Carbapenem-resistant A. baumannii increased significantly over time in all three hospitals. This interhospital comparison suggested that hospital-wide preauthorization program is the most effective to reduce key gram-negative bacilli resistance, with the exception of carbapenem-resistant A. baumannii. Copyright © 2015. Published by Elsevier B.V.

  19. Point-of-Prescription Interventions to Improve Antimicrobial Stewardship

    PubMed Central

    Hamilton, Keith W.; Gerber, Jeffrey S.; Moehring, Rebekah; Anderson, Deverick J.; Calderwood, Michael S.; Han, Jennifer H.; Mehta, Jimish M.; Pollack, Lori A.; Zaoutis, Theoklis; Srinivasan, Arjun; Camins, Bernard C.; Schwartz, David N.; Lautenbach, Ebbing

    2015-01-01

    Antimicrobial stewardship is pivotal to improving patient outcomes, reducing adverse events, decreasing healthcare costs, and preventing further emergence of antimicrobial resistance. In an era in which antimicrobial resistance is increasing, judicious antimicrobial use is the responsibility of every healthcare provider. Antimicrobial stewardship programs (ASPs) have made headway in improving antimicrobial prescribing using such “top-down” methods as formulary restriction and prospective audit with feedback; however, engagement of prescribers has not been fully explored. Strategies that include frontline prescribers and other unit-based healthcare providers have the potential to expand stewardship, both to augment existing centralized ASPs and to provide alternative approaches to perform stewardship at healthcare facilities with limited resources. This review discusses interventions focusing on antimicrobial prescribing at the point of prescription as well as a pilot project to engage unit-based healthcare providers in antimicrobial stewardship. PMID:25595748

  20. NASA Earth Science Data Stewardship

    NASA Astrophysics Data System (ADS)

    Moses, J. F.; Ramapriyan, H. K.

    2009-12-01

    The Earth Science Data and Information System (ESDIS) Project at NASA Goddard Space Flight Center was established in the early 1990s to develop and maintain a core collection of NASA’s critical earth science data. Its mission was to provide an archive and distribution system for the huge volume of data and products from the major EOS missions. We have encountered and addressed engineering, scientific and organizational challenges that show stewardship is more than preserving the bits. Engineering - including petabyte scale archives that appeared daunting when we got started, but not so anymore, thanks to advances in hardware and information systems technology. Scientific - having knowledgeable people familiar with data being archived responsible for data in their respective disciplines; understanding what needs to be preserved; defining appropriate metadata; preserving usability; determining active research period vs. “inactive” preservation for potential future use, and the value of peer review processes. Organizational - setting up DAACs, getting them to work together, interoperability, enforcing standards and the producer’s point view as well as the end users’ point of view. This presentation will highlight organizational and technical aspects of being good data stewards for the data and information from the EOS missions. A timeline of key events, activities and accomplishments illustrate the fundamental elements of Earth science data stewardship over the course of the 15 year program. These range from the backup of raw instrument datasets at the onset to extending a common data model across a broad and diverse Earth science community. The relative advantages of standard and unique data formats, standard and extended metadata and data representation, and documentation continue to be specific to each Earth science discipline community practices. Best practices for sizing and technology refresh vary by data center but have application in planning future

  1. Use of a business excellence model to improve conservation programs.

    PubMed

    Black, Simon; Groombridge, Jim

    2010-12-01

    The current shortfall in effectiveness within conservation biology is illustrated by increasing interest in "evidence-based conservation," whose proponents have identified the need to benchmark conservation initiatives against actions that lead to proven positive effects. The effectiveness of conservation policies, approaches, and evaluation is under increasing scrutiny, and in these areas models of excellence used in business could prove valuable. Typically, conservation programs require years of effort and involve rigorous long-term implementation processes. Successful balance of long-term efforts alongside the achievement of short-term goals is often compromised by management or budgetary constraints, a situation also common in commercial businesses. "Business excellence" is an approach many companies have used over the past 20 years to ensure continued success. Various business excellence evaluations have been promoted that include concepts that could be adapted and applied in conservation programs. We describe a conservation excellence model that shows how scientific processes and results can be aligned with financial and organizational measures of success. We applied the model to two well-documented species conservation programs. In the first, the Po'ouli program, several aspects of improvement were identified, such as more authority for decision making in the field and better integration of habitat management and population recovery processes. The second example, the black-footed ferret program, could have benefited from leadership effort to reduce bureaucracy and to encourage use of best-practice species recovery approaches. The conservation excellence model enables greater clarity in goal setting, more-effective identification of job roles within programs, better links between technical approaches and measures of biological success, and more-effective use of resources. The model could improve evaluation of a conservation program's effectiveness and may be

  2. Assessment of USDA-NRCS rangeland conservation programs: recommendation for an evidence-based conservation platform.

    PubMed

    Briske, D D; Bestelmeyer, B T; Brown, J R; Brunson, M W; Thurow, T L; Tanaka, J A

    2017-01-01

    The Conservation Effects Assessment Project (CEAP) was created in response to a request from the Office of Management and Budget that the U.S. Department of Agriculture, Natural Resource Conservation Service (USDA-NRCS) document the societal benefits anticipated to accrue from a major increase in conservation funding authorized by the 2002 Farm Bill. A comprehensive evaluation of the efficacy of rangeland conservation practices cost-shared with private landowners was unable to evaluate conservation benefits because outcomes were seldom documented. Four interrelated suppositions are presented to examine the causes underlying minimal documentation of conservations outcomes. These suppositions are (1) the benefits of conservation practices are considered a certainty so that documentation in not required, (2) there is minimal knowledge exchange between the USDA-NRCS and research organizations, (3) and a paucity of conservation-relevant science, as well as (4) inadequate technical support for land owners following implementation of conservation practices. We then follow with recommendations to overcome potential barriers to documentation of conservation outcomes identified for each supposition. Collectively, this assessment indicates that the existing conservation practice standards are insufficient to effectively administer large conservation investments on rangelands and that modification of these standards alone will not achieve the goals explicitly stated by CEAP. We recommend that USDA-NRCS modify its conservation programs around a more comprehensive and integrative platform that is capable of implementing evidence-based conservation. Collaborative monitoring organized around landowner-agency-scientist partnerships would represent the focal point of a Conservation Program Assessment Network (CPAN). The primary network objective would be to establish missing information feedback loops between conservation practices and their agricultural and environmental outcomes

  3. Intergenerational equity and long-term stewardship plans.

    SciTech Connect

    Hocking, E. K.

    2002-02-05

    For an untold number of contaminated sites throughout the world, stewardship will be inevitable. For many such sites, stewardship will be a reasonable approach because of the uncertainties associated with present and future site conditions and site contaminants, the limited performance of available technologies, the nonavailability of technologies, and the risk and cost associated with complete cleanup. Regardless of whether stewardship is a realistic approach to site situations or simply a convenient default, it could be required at most contaminated sites for multiple generations. Because the stewardship plan is required to protect the release of hazardous contaminants to the environment, some use restrictions will be put in place to provide that protection. These use restrictions will limit access to resources for as long as the protection is required. The intergenerational quality of long-term stewardship plans and their inherent limitations on resource use require that they be designed to achieve equity among the affected generations. Intergenerational equity, defined here as the fairness of access to resources across generations, could be achieved through a well-developed stewardship plan that provides future generations with the information they need to make wise decisions about resource use. Developing and implementing such a plan would take into account the failure mechanisms of the plan's components, feature short stewardship time blocks that would allow for periodic reassessments of the site and of the stewardship program's performance, and provide present and future generations with necessary site information.

  4. 77 FR 59712 - Energy Conservation Program: Energy Conservation Standards for Dishwashers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Parts 429 and 430 RIN 1904-AC64 Energy Conservation Program: Energy Conservation Standards for Dishwashers AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Notice...

  5. 77 FR 59719 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF ENERGY 10 CFR Parts 429 and 430 RIN 1904-AB90 Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers AGENCY: Office of Energy Efficiency and Renewable Energy, Department of...

  6. 77 FR 32381 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    .... 77, No. 105 / Thursday May 31, 2012 / Proposed Rules#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Parts 429 and 430 RIN 1904-AB90 Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy....

  7. 77 FR 10997 - Energy Conservation Program: Energy Conservation Standards for Distribution Transformers; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AC04 Energy Conservation Program: Energy Conservation Standards for Distribution Transformers; Correction AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy....

  8. 78 FR 72533 - Energy Conservation Program: Energy Conservation Standards for Certain Consumer Products

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-03

    ... / Tuesday, December 3, 2013 / Rules and Regulations#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AD08 Energy Conservation Program: Energy Conservation Standards for Certain Consumer Products AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Final rule;...

  9. 76 FR 43941 - Energy Conservation Program: Energy Conservation Standards for Direct Heating Equipment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC56 Energy Conservation Program: Energy Conservation Standards for Direct Heating Equipment AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Notice...

  10. 77 FR 32307 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-31

    ... May 31, 2012 Part III Department of Energy 10 CFR Parts 429 and 430 Energy Conservation Program: Energy Conservation Standards for Residential Clothes Washers; Final Rule and Proposed Rule #0;#0;Federal Register / Vol. 77 , No. 105 / Thursday, May 31, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF...

  11. 77 FR 31964 - Energy Conservation Program: Energy Conservation Standards for Residential Dishwashers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    .... 77, No. 104 / Wednesday, May 30, 2012 / Proposed Rules#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Parts 429 and 430 RIN 1904-AC64 Energy Conservation Program: Energy Conservation Standards for Residential Dishwashers AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION:...

  12. 76 FR 37549 - Energy Conservation Program: Energy Conservation Standards for Residential Furnaces and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-27

    .... 76, No. 123 / Monday, June 27, 2011 / Proposed Rules#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC06 Energy Conservation Program: Energy Conservation Standards for Residential Furnaces and Residential Central Air Conditioners and Heat Pumps AGENCY: Office of Energy Efficiency and Renewable Energy...

  13. 76 FR 22324 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-21

    ... utilize forecasts of energy prices and housing starts from the AEO2010 Reference case, Low Economic Growth... energy prices and housing starts from the AEO2010 Reference case, Low Economic Growth case, and High...; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AA89 Energy Conservation Program: Energy Conservation Standards...

  14. 76 FR 69122 - Energy Conservation Program: Energy Conservation Standards for Certain Consumer Products...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AB93 Energy Conservation Program: Energy Conservation Standards for Certain Consumer Products (Dishwashers, Dehumidifiers, Microwave Ovens, and Electric and Gas Kitchen Ranges and Ovens) and...

  15. 76 FR 57897 - Energy Conservation Program: Energy Conservation Standards for Certain External Power Supplies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... mode energy efficiency standards established in paragraph (w)(1)(i) of this section shall not apply to... RIN 1904-AB57 Energy Conservation Program: Energy Conservation Standards for Certain External Power Supplies AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Final...

  16. 78 FR 62494 - Energy Conservation Program: Energy Conservation Standards for Ceiling Fans

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Part 430 RIN 1904-AC87 Energy Conservation Program: Energy Conservation Standards for Ceiling Fans AGENCY: Office of Energy Efficiency and Renewable Energy, Department of Energy. ACTION: Request for... standards for ceiling fans. Specifically, DOE seeks information on the interaction between ceiling fan...

  17. 75 FR 11194 - San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ... Fish and Wildlife Service San Diego County Water Authority Natural Communities Conservation Program/Habitat Conservation Plan, San Diego and Riverside Counties, CA AGENCY: Fish and Wildlife Service... application, and notice of public meetings for the San Diego County Water Authority's (Water Authority...

  18. 75 FR 21981 - Energy Conservation Program: Energy Conservation Standards for Residential Water Heaters, Direct...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AA90 Energy Conservation Program: Energy Conservation Standards for Residential Water Heaters, Direct Heating Equipment, and Pool Heaters Correction In rule document 2010-7611 beginning...

  19. Association between adherence to an antimicrobial stewardship program and mortality among hospitalised cancer patients with febrile neutropaenia: a prospective cohort study.

    PubMed

    Rosa, Regis G; Goldani, Luciano Z; dos Santos, Rodrigo P

    2014-05-23

    Initial management of chemotherapy-induced febrile neutropaenia (FN) comprises empirical therapy with a broad-spectrum antimicrobial. Currently, there is sufficient evidence to indicate which antibiotic regimen should be administered initially. However, no randomized trial has evaluated whether adherence to an antimicrobial stewardship program (ASP) results in lower rates of mortality in this setting. The present study sought to assess the association between adherence to an ASP and mortality among hospitalised cancer patients with FN. We conducted a prospective cohort study in a single tertiary hospital from October 2009 to August 2011. All adult patients who were admitted to the haematology ward with cancer and FN were followed up for 28 days. ASP adherence to the initial antimicrobial prescription was determined. The mortality rates of patients who were treated with antibiotics according to the ASP protocol were compared with those of patients treated with other antibiotic regimens. The multivariate Cox proportional hazards model and propensity score were used to estimate 28-day mortality risk. A total of 307 FN episodes in 169 subjects were evaluated. The rate of adherence to the ASP was 53%. In a Cox regression analysis, adjusted for propensity scores and other potential confounding factors, ASP adherence was independently associated with lower mortality (hazard ratio, 0.36; 95% confidence interval, 0.14-0.92). Antimicrobial selection is important for the initial management of patients with FN, and adherence to the ASP, which calls for the rational use of antibiotics, was associated with lower mortality rates in this setting.

  20. Energy Conservation: Implementing an Effective Campus Program.

    ERIC Educational Resources Information Center

    Marsee, Jeff

    After reviewing the physical plant environment and temperature control equipment at Eastfield College (Texas), this paper explains how redirected efforts toward energy conservation can result in important cost/usage savings. Electricity billing rates are explained to provide a stronger usage strategy for cost effectiveness. Two methods of reducing…

  1. CONSERVATION PROGRAMS THAT PROMOTE INVASIVE SPECIES

    EPA Science Inventory

    Invasive plant species are degrading the structure and function of ecosystems throughout the world. Although most state and federal conservation agencies in the U.S. attempt to reduce the impact of invasive species, some agency activities can contribute to the spread of invasive...

  2. CONSERVATION PROGRAMS THAT PROMOTE INVASIVE SPECIES

    EPA Science Inventory

    Invasive plant species are degrading the structure and function of ecosystems throughout the world. Although most state and federal conservation agencies in the U.S. attempt to reduce the impact of invasive species, some agency activities can contribute to the spread of invasive...

  3. 75 FR 41389 - Emergency Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... emergency conservation (EC) practices: (EC 1) Removing debris from farmland; (EC 2) Grading, shaping... implementing the approved practice and must also have an interest in the farm. American Indian Tribes or... approved, be normally used for farming or ranching operations, and be expected to have annual...

  4. The Role of Communicative Feedback in Successful Water Conservation Programs

    ERIC Educational Resources Information Center

    Tom, Gail; Tauchus, Gail; Williams, Jared; Tong, Stephanie

    2011-01-01

    The Sacramento County Water Agency has made available 2 water conservation programs to its customers. The Data Logger Program attaches the Meter Master Model 100 EL data logger to the customer's water meter for 1 week and provides a detailed report of water usage from each fixture. The Water Wise House Call Program provides findings and…

  5. The Role of Communicative Feedback in Successful Water Conservation Programs

    ERIC Educational Resources Information Center

    Tom, Gail; Tauchus, Gail; Williams, Jared; Tong, Stephanie

    2011-01-01

    The Sacramento County Water Agency has made available 2 water conservation programs to its customers. The Data Logger Program attaches the Meter Master Model 100 EL data logger to the customer's water meter for 1 week and provides a detailed report of water usage from each fixture. The Water Wise House Call Program provides findings and…

  6. 77 FR 13530 - Funding for the Conservation Loan Program; Farm Loan Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... Farm Service Agency Funding for the Conservation Loan Program; Farm Loan Programs AGENCY: Farm Service... funding for and is accepting guaranteed loan applications for the Conservation Loan (CL) Program. Due to a lack of program funding for direct CLs, direct loan applications are not being accepted at this time...

  7. 78 FR 48035 - Conservation Reserve Program, Re-Enrollment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-07

    ... producers in conserving and improving soil, water, wildlife, and other natural resources by converting..., and other natural resources by converting environmentally-sensitive acreage generally devoted to the..., Environmental protection, Grant programs--Agriculture, Natural resources, Reporting and recordkeeping...

  8. Assessing the effectiveness of a place-based conservation education program by applying utilization-focused evaluation

    NASA Astrophysics Data System (ADS)

    Flowers, Alice Blood

    Lack of personal connection to the natural world by most American youth builds reason for assessing effectiveness of conservation education programs. Place-based learning is important in helping youth understand how their personal and societal well-being are linked and dependent upon their local habitats. Across Montana 2277 students in grades 3--10 participate in an interactive year long fishing education program with their teachers called Hooked on Fishing (HOF). The purpose of my study was to assess the effectiveness of HOF, a place-based conservation education program established in 1996, and modeled after the national Hooked on Fishing, Not on Drugs program. Using a quasi-experimental nonequivalent group study design, students received a pre-survey during the beginning of the program, a post-survey after the program, and an extended post-survey 12 to 14 weeks later. Teachers voluntarily participated in an Internet survey during May 2006, and program instructors voluntarily participated in a structured open-ended telephone interview in June 2006. A key component of my study was the decision to conduct the evaluation process using an approach which included stakeholders in the development of the instruments to measure student outcomes. This approach is called utilization-focused evaluation and was developed by Michael Q. Patton. The motive of this approach is to promote the usability of the evaluation results. The results are considered to have a better chance to be applied by the program stakeholders to not only gauge program effectiveness, but to be used to improve the program. Two research questions were: (1) does the frequency of outdoor experiences have significant affects on students' knowledge, skills, attitudes, and intended stewardship behaviors; and (2) does improved knowledge of local natural resources have significant affects on students' skills, attitudes and intended stewardship behavior. Nonparametric statistical analyses calculated statistical

  9. Antibiotic stewardship implementation in the EU: the way forward.

    PubMed

    Allerberger, Franz; Gareis, Roland; Jindrák, Vlastimil; Struelens, Marc J

    2009-12-01

    There is an urgent need for an agreement on the principles and key components of antibiotic stewardship to support the EU member states in developing their national or regional programs. A proposal for a conceptual framework was drafted during an international expert workshop on hospital antibiotic stewardship organized under the Czech presidency in Prague on 15 April 2009. This document aims at defining structural and organizational requirements to optimize antibiotic use for hospitalized patients. Optimization should aim at improving patient outcomes, ensuring cost-effective therapy, and reducing the adverse health and ecological effects of antimicrobial use, including drug resistance. Antibiotic stewardship is of relevance to hospital as well as community care. To progress on antibiotic stewardship implementation in the EU, we suggest that three issues need to be addressed: the need for further research on the comparative effectiveness and cost-effectiveness of antibiotic stewardship strategies and interventions in different healthcare settings, the development of expert consensus on key elements of evidence-based best practice in hospital and community antibiotic stewardship, and strengthening the legal basis and core funding of antibiotic stewardship programs as integral components of quality and efficiency of care promotion initiatives.

  10. Antimicrobial Stewardship: How the Microbiology Laboratory Can Right the Ship.

    PubMed

    Morency-Potvin, Philippe; Schwartz, David N; Weinstein, Robert A

    2017-01-01

    SUMMARYAntimicrobial stewardship is a bundle of integrated interventions employed to optimize the use of antimicrobials in health care settings. While infectious-disease-trained physicians, with clinical pharmacists, are considered the main leaders of antimicrobial stewardship programs, clinical microbiologists can play a key role in these programs. This review is intended to provide a comprehensive discussion of the different components of antimicrobial stewardship in which microbiology laboratories and clinical microbiologists can make significant contributions, including cumulative antimicrobial susceptibility reports, enhanced culture and susceptibility reports, guidance in the preanalytic phase, rapid diagnostic test availability, provider education, and alert and surveillance systems. In reviewing this material, we emphasize how the rapid, and especially the recent, evolution of clinical microbiology has reinforced the importance of clinical microbiologists' collaboration with antimicrobial stewardship programs. Copyright © 2016 American Society for Microbiology.

  11. 76 FR 51943 - Proposed Information Collection; Comment Request; International Dolphin Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-19

    ...; International Dolphin Conservation Program AGENCY: National Oceanic and Atmospheric Administration (NOAA... (NOAA) collects information to implement the International Dolphin Conservation Program Act (Act). The... ] nations in the International Dolphin Conservation Program that would otherwise be under embargo. The...

  12. General aviation energy-conservation research programs

    NASA Technical Reports Server (NTRS)

    Willis, E. A.

    1978-01-01

    A review is presented of nonturbine general aviation engine programs underway at the NASA-Lewis Research Center. The program encompasses conventional, lightweight diesel, and rotary engines. Its three major thrusts are: (1) reduced SFC's; (2) improved fuels tolerance; and (3) reducing emissions. Current and planned future programs in such areas as lean operation, improved fuel management, advanced cooling techniques, and advanced engine concepts, are described. These are expected to lay the technology base, by the mid to latter 1980's, for engines whose total fuel costs are as much as 30% lower than today's conventional engines.

  13. General aviation energy-conservation research programs

    NASA Technical Reports Server (NTRS)

    Willis, E. A.

    1978-01-01

    A review is presented of nonturbine general aviation engine programs underway at the NASA-Lewis Research Center. The program encompasses conventional, lightweight diesel, and rotary engines. Its three major thrusts are: (1) reduced SFC's; (2) improved fuels tolerance; and (3) reducing emissions. Current and planned future programs in such areas as lean operation, improved fuel management, advanced cooling techniques, and advanced engine concepts, are described. These are expected to lay the technology base, by the mid to latter 1980's, for engines whose total fuel costs are as much as 30% lower than today's conventional engines.

  14. Dolphin shows and interaction programs: benefits for conservation education?

    PubMed

    Miller, L J; Zeigler-Hill, V; Mellen, J; Koeppel, J; Greer, T; Kuczaj, S

    2013-01-01

    Dolphin shows and dolphin interaction programs are two types of education programs within zoological institutions used to educate visitors about dolphins and the marine environment. The current study examined the short- and long-term effects of these programs on visitors' conservation-related knowledge, attitude, and behavior. Participants of both dolphin shows and interaction programs demonstrated a significant short-term increase in knowledge, attitudes, and behavioral intentions. Three months following the experience, participants of both dolphin shows and interaction programs retained the knowledge learned during their experience and reported engaging in more conservation-related behaviors. Additionally, the number of dolphin shows attended in the past was a significant predictor of recent conservation-related behavior suggesting that repetition of these types of experiences may be important in inspiring people to conservation action. These results suggest that both dolphin shows and dolphin interaction programs can be an important part of a conservation education program for visitors of zoological facilities. © 2012 Wiley Periodicals, Inc.

  15. Data Governance and Stewardship: Designing Data Stewardship Entities and Advancing Data Access

    PubMed Central

    Rosenbaum, Sara

    2010-01-01

    U.S. health policy is engaged in a struggle over access to health information, in particular, the conditions under which information should be accessible for research when appropriate privacy protections and security safeguards are in place. The expanded use of health information—an inevitable step in an information age—is widely considered be essential to health system reform. Models exist for the creation of data-sharing arrangements that promote proper use of information in a safe and secure environment and with attention to ethical standards. Data stewardship is a concept with deep roots in the science and practice of data collection, sharing, and analysis. Reflecting the values of fair information practice, data stewardship denotes an approach to the management of data, particularly data that can identify individuals. The concept of a data steward is intended to convey a fiduciary (or trust) level of responsibility toward the data. Data governance is the process by which responsibilities of stewardship are conceptualized and carried out. As the concept of health information data stewardship advances in a technology-enabled environment, the question is whether legal barriers to data access and use will begin to give way. One possible answer may lie in defining the public interest in certain data uses, tying provider participation in federal health programs to the release of all-payer data to recognized data stewardship entities for aggregation and management, and enabling such entities to foster and enable the creation of knowledge through research. PMID:21054365

  16. Initiatives and resources to promote antimicrobial stewardship.

    PubMed

    Paño-Pardo, José Ramón; Campos, José; Natera Kindelán, Clara; Ramos, Antonio

    2013-09-01

    The development of an antimicrobial stewardship program (ASP) requires institutional support. However, obtaining sufficient institutional support is often a complex task that requires convincing the hospital's managers of the benefits of these programs. Additionally, in the design and implementation of an ASP, antimicrobial stewardship (AS) leaders need tools for diverse purposes, such as measuring antimicrobial consumption, education and training and designing protocols. In this review we provide useful information for AS promoters to facilitate the task of designing and implementing an ASP. First, we summarize information about various institutions that promote AS and include evidence that supports the need for and benefits of these programs. Then, several campaigns promoting AS are described. Finally, online resources for professionals dealing with AS are briefly summarized. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  17. 77 FR 14509 - State Energy Program and Energy Efficiency and Conservation Block Grant (EECBG) Program; Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-12

    ... Energy Program and Energy Efficiency and Conservation Block Grant (EECBG) Program; Request for Information AGENCY: Office of Energy Efficiency and Renewable Energy and Office of the General Counsel... mechanisms by grantees of the State Energy Program (SEP) and Energy Efficiency and Conservation Block...

  18. Evaluating Conservation Education Programs at a South American Zoo.

    ERIC Educational Resources Information Center

    de White, Teresa Gutierrez; Jacobson, Susan K.

    1994-01-01

    Reports a study to determine the effectiveness of conservation education strategies in use at zoological parks by comparing program formats. Fourth-grade students (n=1,015) were assigned to experimental groups and completed questionnaires. Knowledge and attitude scores of students whose teachers participated in the educational program improved…

  19. The role of conservation programs in drought risk adaptation

    Treesearch

    Steven Wallander; Marcel Aillery; Daniel Hellerstein; Michael Hand

    2013-01-01

    This report evaluates the extent to which farms facing higher levels of drought risk are more likely to participate in conservation programs, and fi nds a strong link between drought risk and program participation. Prior research has shown that climate-related risk exposure infl uences production decisions such as crop choice; our research shows that adaptation also...

  20. Field-Proven Programs to Conserve Energy in Schools.

    ERIC Educational Resources Information Center

    Association of School Business Officials, Chicago, IL.

    This publication presents field-proven school energy conservation programs, practices, procedures, and ideas that can assist educators with the resource allocation challenges caused by the international energy situation. The programs presented are representative of a broad spectrum of school and school-related organizations from 15 widely…

  1. 75 FR 48934 - Coral Reef Conservation Program Implementation Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... sustainable development and ensure effective, long-term conservation of coral reefs; (2) Addressing the.... In response to an external program review in 2007, a new program manager, development of a `Roadmap... sustainable use of coral reef ecosystems to benefit local communities and the Nation; (3) To develop sound...

  2. Association between adherence to an antimicrobial stewardship program and mortality among hospitalised cancer patients with febrile neutropaenia: a prospective cohort study

    PubMed Central

    2014-01-01

    Background Initial management of chemotherapy-induced febrile neutropaenia (FN) comprises empirical therapy with a broad-spectrum antimicrobial. Currently, there is sufficient evidence to indicate which antibiotic regimen should be administered initially. However, no randomized trial has evaluated whether adherence to an antimicrobial stewardship program (ASP) results in lower rates of mortality in this setting. The present study sought to assess the association between adherence to an ASP and mortality among hospitalised cancer patients with FN. Methods We conducted a prospective cohort study in a single tertiary hospital from October 2009 to August 2011. All adult patients who were admitted to the haematology ward with cancer and FN were followed up for 28 days. ASP adherence to the initial antimicrobial prescription was determined. The mortality rates of patients who were treated with antibiotics according to the ASP protocol were compared with those of patients treated with other antibiotic regimens. The multivariate Cox proportional hazards model and propensity score were used to estimate 28-day mortality risk. Results A total of 307 FN episodes in 169 subjects were evaluated. The rate of adherence to the ASP was 53%. In a Cox regression analysis, adjusted for propensity scores and other potential confounding factors, ASP adherence was independently associated with lower mortality (hazard ratio, 0.36; 95% confidence interval, 0.14–0.92). Conclusions Antimicrobial selection is important for the initial management of patients with FN, and adherence to the ASP, which calls for the rational use of antibiotics, was associated with lower mortality rates in this setting. PMID:24884397

  3. The North Wind and the Sun: Pediatric Antimicrobial Stewardship Program Combining Restrictive and Persuasive Approaches in Hematology-Oncology Ward and Hematopoietic Stem Cell Transplant Unit.

    PubMed

    Horikoshi, Yuho; Kaneko, Tetsuji; Morikawa, Yoshihiko; Isogai, Mihoko; Suwa, Junichi; Higuchi, Hiroshi; Yuza, Yuki; Shoji, Takayo; Ito, Kenta

    2017-08-17

    The Japanese government's goal for the reduction of antimicrobial consumption is two-thirds of the 2013 rate by 2020. While the antimicrobial stewardship programs (ASP) are essential in health care facilities, ASP data on pediatric hematology-oncology and hematopoietic stem cell transplant (HSCT) patients are limited. Our aim was to evaluate the impact of restrictive and persuasive ASP on immunocompromised children. The ASP for hematology-oncology and HSCT patients at Tokyo Metropolitan Children's Medical Center was assessed. Phase 1 was a post-prescriptive review of carbapenem conducted between April, 2010 and September, 2011. Phase 2 consisted of the preauthorization of carbapenem, prospective audit with feedback, a weekly luncheon meeting among physicians, consensus on febrile neutropenia management, and implementation of viral molecular diagnostics between October, 2011 and September, 2015. Both phases were compared for day-of-therapy (DOT) per 1,000 patient-days, cost of intravenous antimicrobial agents, average hospitalization duration, all-cause mortality, infection-related mortality at 30 days, and appropriateness of empirical treatment of bacteremia. The ASP did not differ from phase 1 to phase 2 in terms of average hospitalization length, mortality rate, or appropriateness of empirical treatment for bacteremia. DOTs of cefepime, piperacillin/tazobactam, meropenem, vancomycin, liposomal amphotericin B, and fosfluconazole decreased by 20%, 45%, 57%, 38%, 85% and 44%, respectively (p<0.05). The total cost of antibiotic and antifungal agents decreased by 27%, for a savings of $59,905 USD annually. Restrictive and persuasive ASP in the hematology-oncology ward and the HSCT unit safely decreased the use of antibacterial and antifungal agents.

  4. Longitudinal evaluation of a World Wide Web-based antimicrobial stewardship program: assessing factors associated with approval patterns and trends over time.

    PubMed

    Venugopal, Vidya; Lehmann, Christoph U; Diener-West, Marie; Agwu, Allison L

    2014-02-01

    The Johns Hopkins Children's Medical and Surgery Center developed a Web-based Antimicrobial Stewardship Program (ASP) in 2005. The present study aimed to assess longitudinal antimicrobial request and approval patterns for this ASP. We analyzed a total of 16,229 antimicrobial requests for 3,542 patients between June 1, 2005, and June 30, 2009. Antimicrobial approval was the outcome of interest. We assessed gaming by studying trends in automatically approved requests. Nonparametric tests for trend were performed to detect changes in approval patterns. Multiple logistic regression was used to identify factors associated with approval. The vast majority (91.3%) of antimicrobial requests were approved, with an increase of 6.1% over time (P < .01). Renewal requests were more likely than primary requests (adjusted odds ratio [aOR], 1.72; 95% confidence interval [CI], 1.45-2.04) to be approved. Antiviral requests had higher odds of approval than antibiotic requests (aOR, 1.27; 95% CI, 1.04-1.56). Compared with requests by medical services, requests by surgical services had lower odds of approval (aOR, 0.70; 95% CI, 0.59-0.83), whereas pediatric intensive care requests had higher odds of approval (aOR, 1.18; 95% CI, 1.00-1.40). The number of auto-approved requests remained consistent. The Web-based ASP allows management of a large number of antimicrobial requests, without apparent gaming. Observed differences in approval patterns based on patient, requestor, and antimicrobial factors may inform the development of ASPs and evaluation of provider education and training. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  5. Strategy Plan Strengthens Energy Conservation Program.

    ERIC Educational Resources Information Center

    Minning, William R.

    1987-01-01

    The United States Department of Energy's Schools and Hospitals Program has been popular among schools. The necessity of locating nonfederal resources to achieve energy management warrants (1) developing a strategy of evaluation among schools and (2) market research and analysis. (CJH)

  6. Process Document for the Conservation Competitive Bidding Pilot Program.

    SciTech Connect

    United States. Bonneville Power Administration.

    1990-09-01

    Bonneville Power Administration (Bonneville) is proposing to test competitive bidding for Conservation Resources to expand its existing resource acquisition capabilities. Competitive bidding may target specific types of electric end-uses or end-use sectors. It is a new acquisition approach through which Bonneville seeks to acquire resources that are not acquired through other existing or planned conservation programs. This proposal describes the conservation component of the all-source competitive acquisition approach that will be developed. It is expected that the combined resource acquisition effort will target about 100 average megawatts (aMW) as proposed in the 1990 Resource Program, although the exact amount has not yet been determined. Increasing the acquisition target will, to some extent, depend on whether the proposed pilot program is large enough to establish confidence in the approach.

  7. Long-Term Stewardship Baseline Report and Transition Guidance

    SciTech Connect

    Kristofferson, Keith

    2001-11-01

    Long-term stewardship consists of those actions necessary to maintain and demonstrate continued protection of human health and the environment after facility cleanup is complete. As the Department of Energy’s (DOE) lead laboratory for environmental management programs, the Idaho National Engineering and Environmental Laboratory (INEEL) administers DOE’s long-term stewardship science and technology efforts. The INEEL provides DOE with technical, and scientific expertise needed to oversee its long-term environmental management obligations complexwide. Long-term stewardship is administered and overseen by the Environmental Management Office of Science and Technology. The INEEL Long-Term Stewardship Program is currently developing the management structures and plans to complete INEEL-specific, long-term stewardship obligations. This guidance document (1) assists in ensuring that the program leads transition planning for the INEEL with respect to facility and site areas and (2) describes the classes and types of criteria and data required to initiate transition for areas and sites where the facility mission has ended and cleanup is complete. Additionally, this document summarizes current information on INEEL facilities, structures, and release sites likely to enter long-term stewardship at the completion of DOE’s cleanup mission. This document is not intended to function as a discrete checklist or local procedure to determine readiness to transition. It is an overarching document meant as guidance in implementing specific transition procedures. Several documents formed the foundation upon which this guidance was developed. Principal among these documents was the Long-Term Stewardship Draft Technical Baseline; A Report to Congress on Long-Term Stewardship, Volumes I and II; Infrastructure Long-Range Plan; Comprehensive Facility Land Use Plan; INEEL End-State Plan; and INEEL Institutional Plan.

  8. Institutional Conservation Program management support services: Final report

    SciTech Connect

    Azad, B.; Poston, P.

    1983-08-01

    This Final Report documents the provision of program management support activities to the Institutional Conservation Program (ICP) on behalf of the Department of Energy (DOE), Boston Support Office (BSO). The Report provides a summary of the work accomplished and findings, as well as recommendations to DOE/BSO for improvements to the Program and its monitoring. Support activities under this Program included engineering and administrative review of ICP Cycle IV grant applications and on-site review of approximately 100 grants in the New England Region. A brief description of the Institutional Conservation Program and the support services is provided. A summary of the grant application review activities, on-site grant monitoring activities, and specific recommendations for improving grant application review and on-site grant monitoring procedures is included.

  9. 75 FR 652 - Energy Conservation Program: Certification, Compliance, and Enforcement Requirements for Certain...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... Energy Conservation Program Requirements for Certain Consumer Products and Commercial and Industrial... and 1904-AB53 Energy Conservation Program: Certification, Compliance, and Enforcement Requirements for... Renewable Energy, Department of Energy. ACTION: Final rule. SUMMARY: The Energy Policy and Conservation Act...

  10. Development of an Antimicrobial Stewardship-based Infectious Diseases Elective that Incorporates Human Patient Simulation Technology

    PubMed Central

    Meyer, Susan M.

    2014-01-01

    Objective. To design an elective for pharmacy students that facilitates antimicrobial stewardship awareness, knowledge, and skill development by solving clinical cases, using human patient simulation technology. Design. The elective was designed for PharmD students to describe principles and functions of stewardship programs, select, evaluate, refine, or redesign patient-specific plans for infectious diseases in the context of antimicrobial stewardship, and propose criteria and stewardship management strategies for an antimicrobial class at a health care institution. Teaching methods included active learning and lectures. Cases of bacterial endocarditis and cryptococcal meningitis were developed that incorporated human patient simulation technology. Assessment. Forty-five pharmacy students completed an antimicrobial stewardship elective between 2010 and 2013. Outcomes were assessed using student perceptions of and performance on rubric-graded assignments. Conclusion. A PharmD elective using active learning, including novel cases conducted with human patient simulation technology, enabled outcomes consistent with those desired of pharmacists assisting in antimicrobial stewardship programs. PMID:25386016

  11. I-SAVE conservation program. Implementing title II of NECPA residential conservation service. Final draft

    SciTech Connect

    1980-05-30

    The I-SAVE (Iowa Saves America's Vital Energy) conservation plan provides comprehensive energy-conservation information and services to residential consumers served by large investor-owned electric and gas utilities and participating home-heating suppliers. The overall objective of the I-SAVE plan is to conserve energy by facilitating cost-effective retrofit of existing housing and promoting more-efficient energy use. The ultimate benefit available to the customer under the I-SAVE plan - reduction in energy use - is dependent upon the action he or she takes as a result of the program audit. Benefits to the utility and the ratepayers as a whole, however, will accrue only upon widespread customer acceptance and utilization of program services. This degree of program acceptance and the resulting benefits to ratepayers can be attained only through an aggressive educational and promotional effort by the covered utilities. All electric and gas utilities which have sales, other than resale, exceeding 750 million kWh of electricity or 10 billion cubic feet of gas and participating home-heating suppliers, shall provide a program announcement and shall offer conservation services to their customers who occupy a residential building containing at least one, but not more than four units, in a manner as provided by the rules. The text of the rules is presented. (MCW)

  12. Energy Conservation: Guidelines for Action. Suggested Guidelines for Local School District Development of Energy Conservation Programs.

    ERIC Educational Resources Information Center

    Michigan Association of School Administrators, East Lansing.

    Curriculum guidelines for the local development of energy conservation programs in public schools reflect an interdisciplinary educational approach--the result of a coordinated effort by industry, commerce, education, and government agencies concerned with the energy crisis. The scope and nature of the problem, with its implications for education…

  13. Optimum allocation of conservation funds and choice of conservation programs for a set of African cattle breeds

    PubMed Central

    Reist-Marti, Sabine B; Abdulai, Awudu; Simianer, Henner

    2006-01-01

    Although funds for livestock conservation are limited there is little known about the optimal allocation of conservation funds. A new algorithm was used to allocate Mio US$ 1, 2, 3, 5 or unlimited funds, discounted over 50 years, on 23 African cattle breeds conserved with four different possible conservation programs. Additionally, Mio US$ 1 was preferably allocated to breeds with special traits. The conceptional in situ conservation programs strongly involve breeders and give them part of the responsibility for the conservation of the breed. Therefore, the pure in situ conservation was more efficient than cryoconservation or combined in situ and cryoconservation. The average annual discounted conservation cost for a breed can be as low as US$ 1000 to US$ 4400 depending on the design of the conservation program and the economic situation of the country of conservation. The choice of the breeds and the optimal conservation program and the amount of money allocated to each breed depend on many factors such as the amount of funds available, the conservation potential of each breed, the effects of the conservation program as well as its cost. With Mio US$ 1, 64% of the present diversity could be maintained over 50 years, which is 13% more than would be maintained if no conservation measures were implemented. Special traits could be conserved with a rather small amount of the total funds. Diversity can not be conserved completely, not even with unlimited funds. A maximum of 92% of the present diversity could be conserved with Mio US$ 10, leaving 8% of the diversity to unpredictable happenings. The suggested algorithm proved to be useful for optimal allocation of conservation funds. It allocated the funds optimally among breeds by identifying the most suited conservation program for each breed, also accounting for differences in currency exchange rates between the different countries. PMID:16451794

  14. Recovery Act. Development of a Model Energy Conservation Training Program

    SciTech Connect

    none,

    2012-07-05

    The overall objective of this project was to develop an updated model Energy Conservation training program for stationary engineers. This revision to the IUOE National Training Fund’s existing Energy Conservation training curriculum is designed to enable stationary engineers to incorporate essential energy management into routine building operation and maintenance tasks. The curriculum uses a blended learning approach that includes classroom, hands-on, computer simulation and web-based training in addition to a portfolio requirement for a workplace-based learning application. The Energy Conservation training program goal is development of a workforce that can maintain new and existing commercial buildings at optimum energy performance levels. The grant start date was July 6, 2010 and the project continued through September 30, 2012, including a three month non-funded extension.

  15. Impact of Antimicrobial Stewardship Program (ASP) on Outcomes in Patients with Acute Bacterial Skin and Skin Structure Infections (ABSSSIs) in an Acute-Tertiary Care Hospital.

    PubMed

    Loo, Li Wen; Liew, Yi Xin; Lee, Winnie; Chlebicki, Piotr; Kwa, Andrea Lay-Hoon

    2015-09-01

    Acute bacterial skin and skin structure infections (ABSSSIs) are among the most common infections treated in hospitals, but to date, there has been little information with regards to the implementation of Antimicrobial Stewardship Programs (ASPs) for patients with ABSSSIs. Hence, we aim to evaluate the impact of ASPs on the following outcomes in patients with ABSSSIs: duration of therapy and hospital stay, 14-day reinfection, infection-related readmissions and mortality. A retrospective review of the ASP database was conducted, focusing on selected outcomes (as above) among all patients in whom the institution's ASP recommended a change in antibiotic regimen-de-escalation of the antibiotic based on culture results; discontinuation of the antibiotic; narrowing of the empirical coverage; and intravenous-to-oral (i.v.-to-p.o.) switch between September 2009 and December 2012. Data were expressed as mean ± standard deviation for continuous variables, and unpaired Student's t test was performed to determine intergroup differences between mean values. For categorical variables, data were presented as number and percentage and analyzed using the χ (2) test or Fisher's exact test, as appropriate. ASP recommended 407 interventions with an overall acceptance rate of 66.8%. ASP interventions significantly reduced median duration of therapy by 2 [from a median (interquartile range, IQR) of 8 (6-12) days to 6 (4-9) days] and median length of stay by 5 days [from median (IQR) of 12 (5-32) days to 7 (3-18) days]. This led to an estimated total cost avoidance of USD 0.7 million. There were no significant differences in the 14-day reinfection, infection-related readmission and mortality rates between patients whose physicians accepted and those who rejected ASP interventions. Interventions recommended by the ASP in Singapore General Hospital were safe and associated with a significant reduction in duration of therapy and hospital stay. The results of our study have affirmed

  16. Scientific evidence and research in antimicrobial stewardship.

    PubMed

    Almirante, Benito; Garnacho-Montero, José; Pachón, Jerónimo; Pascual, Álvaro; Rodríguez-Baño, Jesús

    2013-09-01

    Evaluating the impact of antibiotic stewardship programs is challenging. There is evidence that they are effective in terms of reducing the consumption and cost of antibiotics, although establishing their impact on antimicrobial resistance (beyond restrictive policies in outbreaks caused by specific antimicrobial resistant organisms) and clinical outcomes is more difficult. Proper definitions of exposure and outcome variables, the use of advanced and appropriate statistical analyses and well-designed quasi-experimental studies would more accurately support the conclusions. Cluster randomized trials should be used whenever possible and appropriate, although the limitations of this approach should also be acknowledged. These issues are reviewed in this paper. We conclude that there are good research opportunities in the field of antibiotic stewardship. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  17. Measuring the effectiveness of conservation programs for shrubland birds

    Treesearch

    Scott Schlossberg; David I. King

    2015-01-01

    Disturbance-dependent habitats such as grasslands and shrublands are declining in many regions. To mitigate these declines, government agencies are using anthropogenic disturbances like logging and mowing to mimic natural ones. Because these programs can be costly or controversial, measuring their effectiveness is important. Here, we evaluate the conservation...

  18. Does race matter in landowners' participation in conservation incentive programs?

    Treesearch

    Jianbang Gan; Okwuldili O. Onianwa; John Schelhas; Gerald C. Wheelock; Mark R. Dubois

    2005-01-01

    This study investigated and compared the participation behavior of white and minority small landowners in Alabama in eight conservation incentive programs. Using nonparametric tests and logit modeling, we found both similarities and differences in participation behavior between these two landowner groups. Both white and minority landowners tended not to participate in...

  19. Use of aerial thermography in Canadian energy conservation programs

    NASA Technical Reports Server (NTRS)

    Cihlar, J.; Brown, R. J.; Lawrence, G.; Barry, J. N.; James, R. B.

    1977-01-01

    Recent developments in the use of aerial thermography in energy conservation programs within Canada were summarized. Following a brief review of studies conducted during the last three years, methodologies of data acquisition, processing, analysis and interpretation was discussed. Examples of results from an industrial oriented project were presented and recommendations for future basic work were outlined.

  20. Conservation education for Fire, Fuel and Smoke Program

    Treesearch

    Wayne Cook

    2009-01-01

    The mission of Conservation Education for the Fire, Fuel and Smoke (FFS) Program is to develop and deliver high-quality, science-based education about wildland fire to students, educators, the general public, and agency staff. Goals: 1) Increase awareness of the scope and content of FFS research. 2) Improve understanding of fundamental concepts in wildland fire science...

  1. 78 FR 67128 - Coral Reef Conservation Program; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... National Oceanic and Atmospheric Administration Coral Reef Conservation Program; Meeting AGENCY: Coral Reef... of public comment. SUMMARY: Notice is hereby given of a public meeting of the U.S. Coral Reef Task.../uscrtf-registration-form . Commenters may address the meeting, the role of the USCRTF, or general...

  2. Evaluation of the State Energy Conservation Program from program initiation to September 1978. Final report

    SciTech Connect

    Heller, James N.; Grossmann, John R.; Shochet, Susan; Bresler, Joel; Duggan, Noreene

    1980-03-01

    The State Energy Conservation Program was established in 1975 to promote energy conservation and to help states develop and implement their own conservation programs. Base (5) and supplemental (3) programs required states to implement programs including: mandatory thermal-efficiency standards and insulation requirements for new and renovated buildings; mandatory lighting efficiency standards for public buildings; mandatory standards and policies affecting the procurement practices of the state and its political subdivisions; program measures to promote the availability and use of carpools, vanpools, and public transportation; a traffic law or regulation which permits a right turn-on-red; and procedures to carry out a continuing public education effort to increase awareness of energy conservation; procedures which promote effective coordination among local, state, and Federal energy conservation programs; and procedures for carrying out energy audits on buildings and industrial plants. All 50 states and Puerto Rico, Guam, the Virgin Islands, American Samoa, and the District of Columbia participated in the program. The total 1980 energy savings projected by the states is about 5.9 quadrillion Btu's or about 7% of the DOE projected 1980 baseline consumption of just under 83 quads. The detailed summary is presented on the following: information the SECP evaluation; DOE response to the SECP; DOE's role in the program management process; the effectiveness of the states in managing the SECP; the status of program measure implementation; innovative state energy conservation programs; and the evaluation methodology.

  3. Conservation and solar energy program: congressional budget request, FY 1982

    SciTech Connect

    1981-01-01

    Funding summaries are presented for the Conservation and Solar Energy Program funding information and program overview on energy conservation (Volume 7 of 7, DOE/CR-0011/2) are included for the Buildings and Community Systems, Industrial, Transportation; State and Local, Multi-Sector, Energy Impact Assistance, and Residential/Commercial retrofit programs. Funding information and program overviews on solar technology (Volume 2 of 7, DOE/CR-011/2) are included for Active and Passive Solar Heating and Cooling, Photovoltaics Energy Systems, Solar Thermal Power Systems, Biomass Energy Systems, Wind Energy Conversion Systems, Ocean Systems, Solar International Activities, Solar Information Systems, SERI Facility, MX-RES, Program Direction, and Alcohol Fuels programs. Information and overviews on energy production, demonstration, and distribution (Volume 6 of 7, DOE/CR-0011/2) are given for the solar program. A funding summary and a program overview are included for electrochemical and physical and chemical storage systems as appearing in DOE/CR-0011/2, Volume 3 of 7. Relevant tabulated data from the FY 1981. Request to the Congress are presented for Supplementals, Rescissions, and Deferrals. (MCW)

  4. Split diversity in constrained conservation prioritization using integer linear programming.

    PubMed

    Chernomor, Olga; Minh, Bui Quang; Forest, Félix; Klaere, Steffen; Ingram, Travis; Henzinger, Monika; von Haeseler, Arndt

    2015-01-01

    Phylogenetic diversity (PD) is a measure of biodiversity based on the evolutionary history of species. Here, we discuss several optimization problems related to the use of PD, and the more general measure split diversity (SD), in conservation prioritization.Depending on the conservation goal and the information available about species, one can construct optimization routines that incorporate various conservation constraints. We demonstrate how this information can be used to select sets of species for conservation action. Specifically, we discuss the use of species' geographic distributions, the choice of candidates under economic pressure, and the use of predator-prey interactions between the species in a community to define viability constraints.Despite such optimization problems falling into the area of NP hard problems, it is possible to solve them in a reasonable amount of time using integer programming. We apply integer linear programming to a variety of models for conservation prioritization that incorporate the SD measure.We exemplarily show the results for two data sets: the Cape region of South Africa and a Caribbean coral reef community. Finally, we provide user-friendly software at http://www.cibiv.at/software/pda.

  5. The ONTraC Ontario program in blood conservation.

    PubMed

    Freedman, John

    2014-02-01

    Blood conservation, or Patient Blood Management (PBM), is a paradigm shift in transfusion practice. Recognizing the potential adverse effects associated with blood transfusion, PBM emphasises the use of alternatives to transfusion in order to minimize unnecessary or inappropriate blood transfusion. The ONTraC program is a network of transfusion coordinators in 25 Ontario hospitals with the focus of implementing PBM. The program has been highly successful in reducing transfusion rates and improving clinical outcomes, and has proven very cost-effective. This paper summarizes results of the program from its inception in 2002-2011.

  6. The Conservation Reserve Program: habitat for grassland birds

    USGS Publications Warehouse

    Johnson, Douglas H.; Schwartz, Michael D.

    1993-01-01

    The Conservation Reserve Program (CRP) has effected major changes to the landscape, especially in the northern Great Plains. Breeding birds have responded dramatically to habitat changes by colonizing CRP fields, often in large numbers. The vegetation in most CRP fields consists of introduced grasses and legumes, along with a variety of weedy species. This paper describes the bird populations found during three years of surveys on more than 300 CRP fields in western Minnesota, North Dakota, South Dakota, and eastern Montana. We relate densities of selected species to geographic location, annual effects, conservation practice adopted, and vegetation features.

  7. Programs in energy conservation: Inventions and Innovation Programs

    SciTech Connect

    Not Available

    1988-12-01

    DOE's Inventions and Innovation Programs--the Energy-Related Inventions Program (ERIP) and the Innovative Concepts Program (ICP)--are a unique federal response to the needs of individual and small businesses with creative ideas that could make a difference in our national use of energy. ERIP was established by Congress in 1974 to focus and nourish the creative powers of American inventors, no matter what the level of sophistication of the technology or its creator. This strategy, developed to recognize the potential contributions inherent in independent inventors and small businesses, has successfully supported innovators whose ideas are not yet attracting private investors but have technical and commercial potential. ERIP is, above all, a process. An unusual feature of the program is its joint operation by DOE and the US Department of Commerce through its National Institute of Standards and Technology, or NIST (formerly NBS, the National Bureau of Standards). This process involves increasing the awareness of ERIP in the community of inventors; NIST performing technical evaluations and feasibility studies; and DOE awarding grants, holding commercialization workshops, and performing periodic program evaluations. These activities are directed toward developing energy-related inventions closer to the stage where the private sector is willing to finance development and commercialization.

  8. The Critical Role of the Staff Nurse in Antimicrobial Stewardship--Unrecognized, but Already There.

    PubMed

    Olans, Richard N; Olans, Rita D; DeMaria, Alfred

    2016-01-01

    An essential participant in antimicrobial stewardship who has been unrecognized and underutilized is the "staff nurse." Although the role of staff nurses has not formally been recognized in guidelines for implementing and operating antimicrobial stewardship programs (ASPs) or defined in the medical literature, they have always performed numerous functions that are integral to successful antimicrobial stewardship. Nurses are antibiotic first responders, central communicators, coordinators of care, as well as 24-hour monitors of patient status, safety, and response to antibiotic therapy. An operational analysis of inpatient admissions evaluates these nursing stewardship activities and analyzes the potential benefits of nurses' formal education about, and inclusion into, ASPs.

  9. Thermographic Inspections And The Residential Conservation Service Program (RCS)

    NASA Astrophysics Data System (ADS)

    Ward, Ronald J.

    1983-03-01

    Rhode Islanders Saving Energy (RISE) is a non-profit corporation founded in 1977 to provide Rhode Island residents with a variety of energy conservation services. Since January of 1981, it has been performing energy audits in compliance with the Department of Energy's (DOE) Residential Conservation Service Program (RCS). One aspect of the RCS program is the performance of inspections on energy conservation activities completed according to RCS installation guidelines. This paper will describe both the use and results of thermographic inspections within the RISE program. The primary objective of these inspections has been to assure the quality of the building envelope after completion of retrofit measures. Thermal anamolies have been detected that vary in size, location and probable cause. Approximately 37% of all jobs performed through RISE in conjunction with the RCS program have required remedial work as a result of problems that were identi-fied during the thermographic inspection. This percentage was much higher when infra-red inspections were conducted on "Non-RCS" retrofits. Statistics will be presented that provide an interesting insight on the quality of retrofit work when performed in associa-tion with a constant inspection process.

  10. Stewardship and leadership in nursing.

    PubMed

    Milton, Constance L

    2014-04-01

    The concept or metaphor of stewardship is important to the future of the discipline of nursing. Nurse leaders and scholars of the discipline are entrusted to preserve and hold in trust the value priorities of the discipline as well as the value priorities of others who are living health. The author here offers a discussion of possible meanings and ethical implications for enhancing the discipline's potential obligations of leadership and stewardship as a basic human science discipline.

  11. Efficacy of two lion conservation programs in Maasailand, Kenya.

    PubMed

    Hazzah, Leela; Dolrenry, Stephanie; Naughton-Treves, Lisa; Naughton, Lisa; Edwards, Charles T T; Mwebi, Ogeto; Kearney, Fiachra; Frank, Laurence

    2014-06-01

    Lion (Panthera leo) populations are in decline throughout most of Africa. The problem is particularly acute in southern Kenya, where Maasai pastoralists have been spearing and poisoning lions at a rate that will ensure near term local extinction. We investigated 2 approaches for improving local tolerance of lions: compensation payments for livestock lost to predators and Lion Guardians, which draws on local cultural values and knowledge to mitigate livestock-carnivore conflict and monitor carnivores. To gauge the overall influence of conservation intervention, we combined both programs into a single conservation treatment variable. Using 8 years of lion killing data, we applied Manski's partial identification approach with bounded assumptions to investigate the effect of conservation treatment on lion killing in 4 contiguous areas. In 3 of the areas, conservation treatment was positively associated with a reduction in lion killing. We then applied a generalized linear model to assess the relative efficacy of the 2 interventions. The model estimated that compensation resulted in an 87-91% drop in the number of lions killed, whereas Lion Guardians (operating in combination with compensation and alone) resulted in a 99% drop in lion killing. © 2014 Society for Conservation Biology.

  12. 7 CFR 1710.405 - Eligible energy efficiency and conservation programs.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 11 2014-01-01 2014-01-01 false Eligible energy efficiency and conservation programs... LOANS AND GUARANTEES Energy Efficiency and Conservation Loan Program § 1710.405 Eligible energy efficiency and conservation programs. (a) General. Eligible EE Programs shall: (1) Be developed...

  13. Resource conservation program in terms of Vostokgazprom environmental policy

    NASA Astrophysics Data System (ADS)

    Tsibulnikova, M. R.; Nadyumov, S. V.; Adam, A. M.; Korotchenko, T. V.

    2016-09-01

    The article examines a number of key areas of environmental policy of Vostokgazprom. The Associated Petroleum Gas program is an important step within the resource conservation and environmental protection framework. In addition, the company undertakes the extensive work on emergency response programs, and carries out continuous protection of the subsurface and control over environmental safety in all production sites. Vostokgazprom continuously modernizes the basic industrial facilities and invests money in new projects. The study analyzes the steps being taken by the company within the energy saving policy that leads to significant costs cut.

  14. Systematic Review and Meta-analysis of Clinical and Economic Outcomes from the Implementation of Hospital-Based Antimicrobial Stewardship Programs

    PubMed Central

    Karanika, Styliani; Paudel, Suresh; Grigoras, Christos; Kalbasi, Alireza

    2016-01-01

    The implementation of antimicrobial stewardship programs (ASPs) is a promising strategy to help address the problem of antimicrobial resistance. We sought to determine the efficacy of ASPs and their effect on clinical and economic parameters. We searched PubMed, EMBASE, and Google Scholar looking for studies on the efficacy of ASPs in hospitals. Based on 26 studies (extracted from 24,917 citations) with pre- and postimplementation periods from 6 months to 3 years, the pooled percentage change of total antimicrobial consumption after the implementation of ASPs was −19.1% (95% confidence interval [CI] = −30.1 to −7.5), and the use of restricted antimicrobial agents decreased by −26.6% (95% CI = −52.3 to −0.8). Interestingly, in intensive care units, the decrease in antimicrobial consumption was −39.5% (95% CI = −72.5 to −6.4). The use of broad-spectrum antibiotics (−18.5% [95% CI = −32 to −5.0] for carbapenems and −14.7% [95% CI = −27.7 to −1.7] for glycopeptides), the overall antimicrobial cost (−33.9% [95% CI = −42.0 to −25.9]), and the hospital length of stay (−8.9% [95% CI = −12.8 to −5]) decreased. Among hospital pathogens, the implementation of ASPs was associated with a decrease in infections due to methicillin-resistant Staphylococcus aureus (risk difference [RD] = −0.017 [95% CI = −0.029 to −0.005]), imipenem-resistant Pseudomonas aeruginosa (RD = −0.079 [95% CI = −0.114 to −0.040]), and extended-spectrum beta-lactamase Klebsiella spp. (RD = −0.104 [95% CI = −0.153 to −0.055]). Notably, these improvements were not associated with adverse outcomes, since the all-cause, infection-related 30-day mortality and infection rates were not significantly different after implementation of an ASP (RD = −0.001 [95% CI = −0.009 to 0.006], RD = −0.005 [95% CI = −0.016 to 0.007], and RD = −0.045% [95% CI = −0.241 to 0.150], respectively). Hospital ASPs result in significant decreases in antimicrobial

  15. Dynamics of a wellness program: a conservation of resources perspective.

    PubMed

    Kim, Sung Doo; Hollensbe, Elaine C; Schwoerer, Catherine E; Halbesleben, Jonathon R B

    2015-01-01

    We leverage conservation of resources theory to explain possible dynamics through which a holistic wellness program results in positive longer-term outcomes. Specifically, we hypothesize that wellness self-efficacy at the end of a wellness program will create a positive resource gain spiral, increasing psychological availability (a sense of having cognitive, physical, and emotional resources to engage oneself) 6 months later, and career satisfaction, 1 year later. To test these hypotheses, using a time-lagged with control group design, we gathered questionnaire data from 160 Episcopal priests who participated in a 10-day off-site wellness program. We developed a scale measuring self-efficacy in the 4 wellness areas the program was designed to improve: physical, spiritual, financial, and vocational. Our findings provide evidence from a field setting of a relatively untested tenet of conservation of resources theory, resource gain spirals. The wellness program that we studied served as an opportunity for participants to gain new resources in the form of wellness self-efficacy, which in turn helped participants experience positive outcomes over time. We discuss theoretical and practical implications of the findings.

  16. 78 FR 12969 - Energy Conservation Program for Consumer Products: Energy Conservation Standards for Residential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including residential water heaters. EPCA also requires the U.S. Department of Energy (DOE) to determine whether more stringent amended standards would be technologically feasible and economically justified, and would save a significant amount of energy. Accordingly, DOE established amended energy conservation standards for several classes of residential water heaters in an April 2010 final rule. Subsequent to the publication of that final rule, a number of utility companies brought forth concerns regarding the amended energy conservation standard levels for electric storage water heaters and the impact of these standards on electric thermal storage programs that utility companies administer to manage peak load. In this document, DOE proposes to establish a waiver process that will mitigate the concerns of utility companies regarding the implementation of the April 2010 standard levels by allowing for the manufacture of certain large-volume electric storage water heaters provided that they meet a set of conditions discussed in this proposed rule. The document also announces a public meeting to receive comment on the proposed waiver process and criteria for obtaining a waiver.

  17. Methods for evaluating and ranking transportation energy conservation programs

    NASA Astrophysics Data System (ADS)

    Santone, L. C.

    1981-04-01

    The energy conservation programs are assessed in terms of petroleum savings, incremental costs to consumers probability of technical and market success, and external impacts due to environmental, economic, and social factors. Three ranking functions and a policy matrix are used to evaluate the programs. The net present value measure which computes the present worth of petroleum savings less the present worth of costs is modified by dividing by the present value of DOE funding to obtain a net present value per program dollar. The comprehensive ranking function takes external impacts into account. Procedures are described for making computations of the ranking functions and the attributes that require computation. Computations are made for the electric vehicle, Stirling engine, gas turbine, and MPG mileage guide program.

  18. Conserved Transcriptional Regulatory Programs Underlying Rice and Barley Germination

    PubMed Central

    Lin, Li; Tian, Shulan; Kaeppler, Shawn; Liu, Zongrang; An, Yong-Qiang (Charles)

    2014-01-01

    Germination is a biological process important to plant development and agricultural production. Barley and rice diverged 50 million years ago, but share a similar germination process. To gain insight into the conservation of their underlying gene regulatory programs, we compared transcriptomes of barley and rice at start, middle and end points of germination, and revealed that germination regulated barley and rice genes (BRs) diverged significantly in expression patterns and/or protein sequences. However, BRs with higher protein sequence similarity tended to have more conserved expression patterns. We identified and characterized 316 sets of conserved barley and rice genes (cBRs) with high similarity in both protein sequences and expression patterns, and provided a comprehensive depiction of the transcriptional regulatory program conserved in barley and rice germination at gene, pathway and systems levels. The cBRs encoded proteins involved in a variety of biological pathways and had a wide range of expression patterns. The cBRs encoding key regulatory components in signaling pathways often had diverse expression patterns. Early germination up-regulation of cell wall metabolic pathway and peroxidases, and late germination up-regulation of chromatin structure and remodeling pathways were conserved in both barley and rice. Protein sequence and expression pattern of a gene change quickly if it is not subjected to a functional constraint. Preserving germination-regulated expression patterns and protein sequences of those cBRs for 50 million years strongly suggests that the cBRs are functionally significant and equivalent in germination, and contribute to the ancient characteristics of germination preserved in barley and rice. The functional significance and equivalence of the cBR genes predicted here can serve as a foundation to further characterize their biological functions and facilitate bridging rice and barley germination research with greater confidence. PMID

  19. The integrated water conservation program at Sandia National Laboratories

    SciTech Connect

    Rogers, D.

    1997-08-22

    Sandia National Laboratories (SNL), located on Kirkland Air Force Base (KAFB) in Albuquerque, NM, is implementing a comprehensive water conservation program. Because the average rainfall in this metropolitan area of 500,000 is approximately 8 inches per year, conservation of this precious resource is critical to the economic health of the city and state, and the continued operations at SNL/NM. To address this need, SNL/NM is taking a systematic, comprehensive approach to water conservation. The approach is to estimate the water consumption for all of SNL/NM by type of consumption. For each type of water consumption, all cost effective measures for reducing, reclaiming, and/or recycling that usage will be ranked. These water conservation measures range from the simple such as retrofitting plumbing fixtures with low cost devices to reduce water required to flush toilets to the very complex. As an example of the very complex, a Microelectronics Development Laboratory (MDL) lab will implement a near zero water discharge from clean room wet benches. Deionized (DI) water can be sent back to the DI water input generation stream when the DI water is not being used for rinsing wafers. This paper discusses completed, ongoing and proposed projects at SNL/NM to reduce water consumption and recycle water to maximize its use, and how water conservation has resulted in energy savings, reductions in wastewater discharges, reductions in water treatment chemicals, and reduction in hazardous waste. Additionally the paper discusses preparation of SNL/NM`s Water Conservation Plan, and solutions to overcoming programmatic and bureaucratic hurdles to achieve reductions in water use, wastewater discharges, chemical use and energy.

  20. Antibiotic stewardship in orthopaedic surgery: principles and practice.

    PubMed

    Campbell, Kirk A; Stein, Spencer; Looze, Christopher; Bosco, Joseph A

    2014-12-01

    A thorough knowledge of the principles of antibiotic stewardship is a crucial part of high-quality orthopaedic surgical care. These principles include (1) determining appropriate indications for antibiotic administration, (2) choosing the correct antibiotic based on known or expected pathogens, (3) determining the correct dosage, and (4) determining the appropriate duration of treatment. Antibiotic stewardship programs have a multidisciplinary staff that can help guide antibiotic selection and dosage. These programs also perform active surveillance of antimicrobial use and may reduce Clostridium difficile and other drug-resistant bacterial infections by providing expert guidance on judicious antibiotic usage. The emergence of antibiotic-resistant pathogens, the geographical diversity of these infecting pathogens, and the changing patient population require customization of prophylactic regimens to reduce infectious complications. A multidisciplinary approach to antibiotic stewardship can lead to improved patient outcomes and cost-effective medical care.

  1. 76 FR 6491 - San Diego County Water Authority Subregional Natural Community Conservation Program/Habitat...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... Program/Habitat Conservation Plan, San Diego and Riverside Counties, CA; Final Environmental Impact Statement and Habitat Conservation Plan AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of... Conservation Program/Habitat Conservation Plan (NCCP/HCP), which the applicant has submitted with their...

  2. Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings.

    PubMed

    Jump, Robin L P; Gaur, Swati; Katz, Morgan J; Crnich, Christopher J; Dumyati, Ghinwa; Ashraf, Muhammad S; Frentzel, Elizabeth; Schweon, Steven J; Sloane, Philip; Nace, David

    2017-09-18

    In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA-The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the LTC setting. The intent of this policy, which can be adapted by individual facilities, is to help LTC facilities implement an antibiotic stewardship policy that will meet or exceed CMS requirements. We also briefly discuss implementation of an antibiotic stewardship program in LTC settings, including a list of free resources to support those efforts. Published by Elsevier Inc.

  3. Evidence, models, conservation programs and limits to management

    USGS Publications Warehouse

    Nichols, J.D.

    2012-01-01

    Walsh et al. (2012) emphasized the importance of obtaining evidence to assess the effects of management actions on state variables relevant to objectives of conservation programs. They focused on malleefowl Leipoa ocellata, ground-dwelling Australian megapodes listed as vulnerable. They noted that although fox Vulpes vulpes baiting is the main management action used in malleefowl conservation throughout southern Australia, evidence of the effectiveness of this action is limited and currently debated. Walsh et al. (2012) then used data from 64 sites monitored for malleefowl and foxes over 23 years to assess key functional relationships relevant to fox control as a conservation action for malleefowl. In one set of analyses, Walsh et al. (2012) focused on two relationships: fox baiting investment versus fox presence, and fox presence versus malleefowl population size and rate of population change. Results led to the counterintuitive conclusion that increases in investments in fox control produced slight decreases in malleefowl population size and growth. In a second set of analyses, Walsh et al. (2012) directly assessed the relationship between investment in fox baiting and malleefowl population size and rate of population change. This set of analyses showed no significant relationship between investment in fox population control and malleefowl population growth. Both sets of analyses benefited from the incorporation of key environmental covariates hypothesized to influence these management relationships. Walsh et al. (2012) concluded that "in most situations, malleefowl conservation did not effectively benefit from fox baiting at current levels of investment." In this commentary, I discuss the work of Walsh et al. (2012) using the conceptual framework of structured decision making (SDM). In doing so, I accept their analytic results and associated conclusions as accurate and discuss basic ideas about evidence, conservation and limits to management.

  4. 10 CFR Appendix D to Part 436 - Energy Program Conservation Elements

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 3 2014-01-01 2014-01-01 false Energy Program Conservation Elements D Appendix D to Part 436 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Pt. 436, App. D Appendix D to Part 436—Energy Program Conservation Elements (a) In all successful...

  5. 10 CFR Appendix D to Part 436 - Energy Program Conservation Elements

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 3 2013-01-01 2013-01-01 false Energy Program Conservation Elements D Appendix D to Part 436 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Pt. 436, App. D Appendix D to Part 436—Energy Program Conservation Elements (a) In all successful...

  6. 10 CFR Appendix D to Part 436 - Energy Program Conservation Elements

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 3 2011-01-01 2011-01-01 false Energy Program Conservation Elements D Appendix D to Part 436 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Pt. 436, App. D Appendix D to Part 436—Energy Program Conservation Elements (a) In all successful...

  7. 10 CFR Appendix D to Part 436 - Energy Program Conservation Elements

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 3 2012-01-01 2012-01-01 false Energy Program Conservation Elements D Appendix D to Part 436 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Pt. 436, App. D Appendix D to Part 436—Energy Program Conservation Elements (a) In all successful...

  8. 10 CFR Appendix D to Part 436 - Energy Program Conservation Elements

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Energy Program Conservation Elements D Appendix D to Part 436 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Pt. 436, App. D Appendix D to Part 436—Energy Program Conservation Elements (a) In all successful...

  9. Product stewardship in the composites industry

    NASA Technical Reports Server (NTRS)

    Aldrich, Donald C.; Merriman, Edmund A.

    1994-01-01

    The definition and purpose of Product Stewardship is discussed. Its' impact in the composites industry is stated. The report also outlines 12 ways that Product Stewardship can be utilized by consumers.

  10. Point-of-prescription interventions to improve antimicrobial stewardship.

    PubMed

    Hamilton, Keith W; Gerber, Jeffrey S; Moehring, Rebekah; Anderson, Deverick J; Calderwood, Michael S; Han, Jennifer H; Mehta, Jimish M; Pollack, Lori A; Zaoutis, Theoklis; Srinivasan, Arjun; Camins, Bernard C; Schwartz, David N; Lautenbach, Ebbing

    2015-04-15

    Antimicrobial stewardship is pivotal to improving patient outcomes, reducing adverse events, decreasing healthcare costs, and preventing further emergence of antimicrobial resistance. In an era in which antimicrobial resistance is increasing, judicious antimicrobial use is the responsibility of every healthcare provider. Antimicrobial stewardship programs (ASPs) have made headway in improving antimicrobial prescribing using such "top-down" methods as formulary restriction and prospective audit with feedback; however, engagement of prescribers has not been fully explored. Strategies that include frontline prescribers and other unit-based healthcare providers have the potential to expand stewardship, both to augment existing centralized ASPs and to provide alternative approaches to perform stewardship at healthcare facilities with limited resources. This review discusses interventions focusing on antimicrobial prescribing at the point of prescription as well as a pilot project to engage unit-based healthcare providers in antimicrobial stewardship. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  11. The Holyoke Industrial Energy Conservation And Development Program

    NASA Astrophysics Data System (ADS)

    Schaufler, Edward R.; Bateman, Robert H.; Connor, Frederick J.

    1982-03-01

    An innovative approach to the development of a model system for comprehensive industrial sector thermographic investigations and inspections will be taken during the winter of 1981-82 in Holyoke, MA. Infrared thermography techniques will be utilized for cost effective identification of building and process heat losses. The Holyoke program provides for a wide range of energy conservation services and will result in the implementation of no-cost, low-cost, and cost-effective capital intensive measures financed through a cooperative effort of government and private funding.

  12. The organisational structure of urban environmental stewardship

    Treesearch

    Dana R. Fisher; Lindsay Campbell; Erika S. Svendsen

    2012-01-01

    How is the organisational structure of urban environmental stewardship groups related to the diverse ways that civic stewardship is taking place in urban settings? The findings of the limited number of studies that have explored the organisational structure of civic environmentalism are combined with the research on civic stewardship to answer this question. By...

  13. 76 FR 56126 - Energy Conservation Program: Treatment of “Smart” Appliances in Energy Conservation Standards and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-12

    ... Parts 430 and 431 Energy Conservation Program: Treatment of ``Smart'' Appliances in Energy Conservation... September 30, 2011. DOE seeks information and comments related to the analytical treatment of ``smart... information (RFI) in the Federal Register (76 FR 47518) to request information on the treatment of...

  14. Stockpile stewardship past, present, and future

    SciTech Connect

    Adams, Marvin L.

    2014-05-09

    The U.S. National Academies released a report in 2012 on technical issues related to the Comprehensive Test Ban Treaty. One important question addressed therein is whether the U.S. could maintain a safe, secure, and reliable nuclear-weapons stockpile in the absence of nuclear-explosion testing. Here we discuss two main conclusions from the 2012 Academies report, which we paraphrase as follows: 1) Provided that sufficient resources and a national commitment to stockpile stewardship are in place, the U.S. has the technical capabilities to maintain a safe, secure, and reliable stockpile of nuclear weapons into the foreseeable future without nuclear-explosion testing. 2) Doing this would require: a) a strong weapons science and engineering program that addresses gaps in understanding; b) an outstanding workforce that applies deep and broad weapons expertise to deliver solutions to stockpile problems; c) a vigorous, stable surveillance program that delivers the requisite data; d) production facilities that meet stewardship needs. We emphasize that these conclusions are independent of CTBT ratification-they apply provided only that the U.S. continues its nuclear-explosion moratorium.

  15. Stockpile stewardship past, present, and future

    NASA Astrophysics Data System (ADS)

    Adams, Marvin L.

    2014-05-01

    The U.S. National Academies released a report in 2012 on technical issues related to the Comprehensive Test Ban Treaty. One important question addressed therein is whether the U.S. could maintain a safe, secure, and reliable nuclear-weapons stockpile in the absence of nuclear-explosion testing. Here we discuss two main conclusions from the 2012 Academies report, which we paraphrase as follows: 1) Provided that sufficient resources and a national commitment to stockpile stewardship are in place, the U.S. has the technical capabilities to maintain a safe, secure, and reliable stockpile of nuclear weapons into the foreseeable future without nuclear-explosion testing. 2) Doing this would require: a) a strong weapons science and engineering program that addresses gaps in understanding; b) an outstanding workforce that applies deep and broad weapons expertise to deliver solutions to stockpile problems; c) a vigorous, stable surveillance program that delivers the requisite data; d) production facilities that meet stewardship needs. We emphasize that these conclusions are independent of CTBT ratification-they apply provided only that the U.S. continues its nuclear-explosion moratorium.

  16. Planning and programing in the soil conservation service

    NASA Technical Reports Server (NTRS)

    Gray, R. M.

    1972-01-01

    The historical base is presented for the framework plan for soil conservation. Conservation effects, resource management systems, and accomplishments, activities, and costs of the Soil Conservation Service are discussed.

  17. The challenge of wilderness stewardship

    Treesearch

    David J. Parsons; David N. Cole

    2003-01-01

    The 1964 Wilderness Act and subsequent wilderness legislation have resulted in the designation of over 106 million acres of the United States as wilderness. Charged with the responsibility of protecting a significant portion of federal lands as wilderness, the federal land management agencies with responsibility for wilderness stewardship (Bureau of Land Management,...

  18. Stewardship as an Environmental Ethic.

    ERIC Educational Resources Information Center

    Horwood, Bert

    1991-01-01

    The stewardship model of environmental ethics, based on ancient Greek and Judeo-Christian doctrines, has failed to protect the earth. This model is committed to human superiority and detachment from nature and lacks the teeth of accountability for faithless stewards. An alternative model must recognize the biosphere's intrinsic values. (SV)

  19. The New York State Bird Conservation Area (BCA) Program: A Model for the United States

    Treesearch

    M. F. Burger; D. J. Adams; T. Post; L. Sommers; B. Swift

    2005-01-01

    The New York State Bird Conservation Area (BCA) Program, modeled after the National Audubon Society?s Important Bird Areas Program, is based on legislation signed by Governor Pataki in 1997. New York is the first state in the nation to enact such a program. The BCA Program seeks to provide a comprehensive, ecosystem approach to conserving birds and their habitats on...

  20. iPhones, iPads, and medical applications for antimicrobial stewardship.

    PubMed

    Goff, Debra A

    2012-07-01

    One of the most important antimicrobial stewardship activities of the infectious diseases pharmacist and physician is to provide education and clinical information about antimicrobials to health care professionals and patients; however, clinician training and continuing education in appropriate antimicrobial use in the United States are highly variable and nonstandardized. The iPhone, iPad, and the availability of more than 12,000 medical applications (referred to as "apps") allow stewardship programs the ability to integrate novel technology with point-of-care education. This article reviews medical apps for antimicrobial stewardship programs to use on the iPhone or iPad.

  1. Effects of a Conservation Education Camp Program on Campers' Self-Reported Knowledge, Attitude, and Behavior

    ERIC Educational Resources Information Center

    Kruse, Cara K.; Card, Jaclyn A.

    2004-01-01

    In this study, the authors examined the effects of a conservation education camp program offered through one zoo education department. The conservation education program included 4 levels of camps with increasing levels of animal husbandry. Campers rated their conservation knowledge, attitude, and behavior prior to, immediately after, and 1 month…

  2. Effects of a Conservation Education Camp Program on Campers' Self-Reported Knowledge, Attitude, and Behavior

    ERIC Educational Resources Information Center

    Kruse, Cara K.; Card, Jaclyn A.

    2004-01-01

    In this study, the authors examined the effects of a conservation education camp program offered through one zoo education department. The conservation education program included 4 levels of camps with increasing levels of animal husbandry. Campers rated their conservation knowledge, attitude, and behavior prior to, immediately after, and 1 month…

  3. 7 CFR 1412.23 - Base acres and Conservation Reserve Program.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Base acres and Conservation Reserve Program. 1412.23... Base Acres for a Farm for Covered Commodities § 1412.23 Base acres and Conservation Reserve Program. (a... of production flexibility contract acres or base acres protected by a Conservation Reserve...

  4. 7 CFR 1412.23 - Base acres and Conservation Reserve Program.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Base acres and Conservation Reserve Program. 1412.23... Base Acres for a Farm for Covered Commodities § 1412.23 Base acres and Conservation Reserve Program. (a... of production flexibility contract acres or base acres protected by a Conservation Reserve...

  5. 7 CFR 1412.23 - Base acres and Conservation Reserve Program.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Base acres and Conservation Reserve Program. 1412.23... Base Acres for a Farm for Covered Commodities § 1412.23 Base acres and Conservation Reserve Program. (a... of production flexibility contract acres or base acres protected by a Conservation Reserve...

  6. 7 CFR 1412.23 - Base acres and Conservation Reserve Program.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Base acres and Conservation Reserve Program. 1412.23... Base Acres for a Farm for Covered Commodities § 1412.23 Base acres and Conservation Reserve Program. (a... of production flexibility contract acres or base acres protected by a Conservation Reserve...

  7. A comprehensive review of Farm Bill contributions to wildlife conservation, 1985-2000

    USGS Publications Warehouse

    Heard, P.L.; Allen, A.W.; Best, Louis B.; Brady, S.J.; Burger, W.; Esser, A.J.; Hackett, E.; Johnson, D.H.; Pederson, R.L.; Reynolds, R.E.; Rewa, C.; Ryan, M.R.; Molleur, R.T.; Buck, P.

    2000-01-01

    A comprehensive review of the scientific literature was undertaken to determine wildlife responses to programs established under the conservation title of the 1985 Food Security Act as amended in 1990 and 1996 (Farm Bill). Literature was annotated and summaries of wildlife responses were provided for the Conservation Reserve Program CRP, Wetlands Reserve Program (WRP), Wildlife Habitat Incentives Program (WHIP) and Environmental Quality Incentives Program (EQIP). The report recognized that Farm Bill conservation programs were created to serve many purposes. Foremost among these purposes was to enable Americaa??s farmers and ranchers to be better stewards of their lands. In general, wildlife responded positively to improvements in land stewardship, particularly when the needs of wildlife were considered in conservation planning and implementation. Whereas authors acknowledged that their understanding of wildlife responses to Farm Bill conservation programs was still incomplete, they concluded that these programs were making significant contributions toward conservation of the nationa??s fish and wildlife resources.

  8. Conserved Gene Expression Programs in Developing Roots from Diverse Plants

    PubMed Central

    Huang, Ling; Schiefelbein, John

    2015-01-01

    The molecular basis for the origin and diversification of morphological adaptations is a central issue in evolutionary developmental biology. Here, we defined temporal transcript accumulation in developing roots from seven vascular plants, permitting a genome-wide comparative analysis of the molecular programs used by a single organ across diverse species. The resulting gene expression maps uncover significant similarity in the genes employed in roots and their developmental expression profiles. The detailed analysis of a subset of 133 genes known to be associated with root development in Arabidopsis thaliana indicates that most of these are used in all plant species. Strikingly, this was also true for root development in a lycophyte (Selaginella moellendorffii), which forms morphologically different roots and is thought to have evolved roots independently. Thus, despite vast differences in size and anatomy of roots from diverse plants, the basic molecular mechanisms employed during root formation appear to be conserved. This suggests that roots evolved in the two major vascular plant lineages either by parallel recruitment of largely the same developmental program or by elaboration of an existing root program in the common ancestor of vascular plants. PMID:26265761

  9. Conserved Gene Expression Programs in Developing Roots from Diverse Plants.

    PubMed

    Huang, Ling; Schiefelbein, John

    2015-08-01

    The molecular basis for the origin and diversification of morphological adaptations is a central issue in evolutionary developmental biology. Here, we defined temporal transcript accumulation in developing roots from seven vascular plants, permitting a genome-wide comparative analysis of the molecular programs used by a single organ across diverse species. The resulting gene expression maps uncover significant similarity in the genes employed in roots and their developmental expression profiles. The detailed analysis of a subset of 133 genes known to be associated with root development in Arabidopsis thaliana indicates that most of these are used in all plant species. Strikingly, this was also true for root development in a lycophyte (Selaginella moellendorffii), which forms morphologically different roots and is thought to have evolved roots independently. Thus, despite vast differences in size and anatomy of roots from diverse plants, the basic molecular mechanisms employed during root formation appear to be conserved. This suggests that roots evolved in the two major vascular plant lineages either by parallel recruitment of largely the same developmental program or by elaboration of an existing root program in the common ancestor of vascular plants.

  10. Weatherization and Intergovernmental Program - Energy Efficiency and Conservation Block Grant Program

    SciTech Connect

    2010-06-01

    The U.S. Department of Energy’s (DOE) Energy Efficiency and Conservation Block Grant (EECBG) program represents a Presidential priority to invest in the cheapest, cleanest and most reliable energy technologies we have—energy efficiency and conservation—which can be deployed immediately.

  11. Cumberlandian Mollusk Conservation Program. Activity 1: mussel distribution surveys

    SciTech Connect

    Ahlstedt, S.A.

    1986-01-01

    The distribution of Cumberlandian mollusks in the Tennessee Valley is one of nine research activities developed as part of TVA's Cumberlandian Mollusk Conservation Program (CMCP). The name Cumberlandian refers to an endemic faunal assemblage that encompasses portions of 7 states bordering the southern Appalachian Mountains and the Cumberland Plateau Region. This geographic region is known as one of the major centers for mussel speciation and is considered the most prolific areas of the world for this particular group of organisms. Nine Tennessee Valley streams were selected for intensive qualitative and quantitative mussel surveys under Activity I of the CMCP. The surveys were designed to gather information on the present distribution of Cumberlandian mollusks. The streams chosen for surveys were based on the documented presence of diverse mussel fauna, endangered mussels, and/or sufficient information (diverse fish fauna, good water quality, etc.) to suggest potential for occurrence of diverse mussel fauna or endangered species.

  12. Primate conservation: integrating communities through environmental education programs.

    PubMed

    Padua, Suzana M

    2010-05-01

    Environmental education has evolved over the years to respond to the varied complexities found in the different localities where it is practiced. In many parts of the world where biodiversity is rich, social conditions are poor, so educators have included sustainable development alternatives to better the environment and the livelihoods of local communities. Primate conservation education programs, which are often based in areas that face such challenges, have been a vanguard in creating means to integrate people with their natural environment and thus conquer supporters for the protection of natural habitats. In the search for effectiveness they have adopted evaluation methods to help assess what was offered. An example from Brazil is described in this commentary. (c) 2009 Wiley-Liss, Inc.

  13. Antibiotic stewardship in perinatal and neonatal care.

    PubMed

    Ramasethu, Jayashree; Kawakita, Tetsuya

    2017-10-01

    The spread of antibiotic resistance due to the use and misuse of antibiotics around the world is now a major health crisis. Neonates are exposed to antibiotics both before and after birth, often empirically because of risk factors for infection, or for non-specific signs which may or may not indicate sepsis. There is increasing evidence that, apart from antibiotic resistance, the use of antibiotics in pregnancy and in the neonatal period alters the microbiome in the fetus and neonate with an increased risk of immediate and long-term adverse effects. Antibiotic stewardship is a co-ordinated program that promotes the appropriate use of antibiotics, improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms. This review addresses some of the controversies in antibiotic use in the perinatal period, examines opportunities for reduction of unnecessary antibiotic exposure in neonates, and provides a framework for antibiotic stewardship in neonatal care. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. [Antibiotic stewardship and Staphylococcus aureus Bacteremia].

    PubMed

    Weis, S; Kimmig, A; Hagel, S; Pletz, M W

    2017-04-04

    Rates of antibiotic resistance are increasing worldwide and impact on the treatment of patients with bacterial infections. A broad and uncritical application in inpatient and outpatient settings as well as in agriculture has been recognized as the main driving force. Antibiotic stewardship (ABS) programs aim at countering this worrisome development using various direct interventions such as infectious disease counseling. Blood stream infections caused by Staphylococcus (S.) aureus are severe infections associated with high mortality rates. ABS interventions such as de-eskalation of the antibiotic regimen or application of narrow-spectrum beta-lactam antibiotics can significantly reduce mortality rates. In this review, we discuss the importance of ABS programs and infectious disease counseling for the treatment of S. aureus blood stream infection.

  15. Guiding concepts for park and wilderness stewardship in an era of global environmental change

    Treesearch

    Richard J. Hobbs; David N. Cole; Laurie Yung; Erika S. Zavaleta; Gregory H. Aplet; F. Stuart Chapin; Peter B. Landres; David J. Parsons; Nathan L. Stephenson; Peter S. White; David M. Graber; Eric S. Higgs; Connie Millar; John M. Randall; Kathy A. Tonnessen; Stephen. Woodley

    2010-01-01

    The major challenge to stewardship of protected areas is to decide where, when, and how to intervene in physical and biological processes, to conserve what we value in these places. To make such decisions, planners and managers must articulate more clearly the purposes of parks, what is valued, and what needs to be sustained. A key aim for conservation today is the...

  16. Program management support to the Institutional Conservation Program: Review of Cycle VII grant applications: Final report

    SciTech Connect

    Azad, B.; Poston, P.R.; Bradshaw, D.S. Jr.

    1985-12-01

    The Institutional Conservation Program (ICP), which was established under the authority of the National Energy Conservation Policy Act (NECPA) of 1978, Title III, is funded in annual cycles. The Department of Energy (DOE), Boston Support Office (BSO), administers the Program in the six New England states. The technical review of grant applications is an integral part of the administration of the Program in this Region. This Final Report covers grant application review activities during the period October 1, 1984 through December 31, 1985. It includes statistical information on the number and types of grants, grant budgets and number of buildings funded in each state; a discussion and comments on the quality of Cycle VII applications; and recommendations and suggestions for potential improvements to the grant application review process and the overall quality of applications.

  17. 77 FR 8801 - Request for Applications: The Community Forest and Open Space Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Request for Applications: The Community Forest and Open Space Conservation Program AGENCY... Community Forest and Open Space Conservation Program (Community Forest Program or CFP). This is...

  18. 78 FR 23335 - Energy Conservation Program: Energy Conservation Standards for Distribution Transformers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including distribution transformers. EPCA also requires the U.S. Department of Energy (DOE) to determine whether more-stringent standards would be technologically feasible and economically justified, and would save a significant amount of energy. In this final rule, DOE is adopting more- stringent energy conservation standards for distribution transformers. It has determined that the amended energy conservation standards for this equipment would result in significant conservation of energy, and are technologically feasible and economically justified.

  19. 76 FR 57515 - Energy Conservation Program: Energy Conservation Standards for Residential Refrigerators...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ...The Energy Policy and Conservation Act (EPCA) prescribes energy conservation standards for various consumer products and commercial and industrial equipment, including refrigerators, refrigerator-freezers, and freezers. EPCA also requires the U.S. Department of Energy (DOE) to determine if more stringent, amended standards for these products are technologically feasible and economically justified, and would save a significant amount of energy. In this final rule, DOE is adopting more stringent energy conservation standards for refrigerators, refrigerator-freezers, and freezers. It has determined that the amended energy conservation standards for these products would result in the significant conservation of energy and are technologically feasible and economically justified.

  20. 76 FR 70547 - Energy Conservation Program: Energy Conservation Standards for Fluorescent Lamp Ballasts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including fluorescent lamp ballasts. EPCA also requires the U.S. Department of Energy (DOE) to determine whether any new or amended standards would be technologically feasible and economically justified, and would save a significant amount of energy. In this final rule, DOE adopts new and amended federal energy conservation standards for fluorescent lamp ballasts. It has determined that the new and amended energy conservation standards for these products would result in significant conservation of energy, and are technologically feasible and economically justified.

  1. Sustained reduction in antibiotic consumption in a South African public sector hospital; Four year outcomes from the Groote Schuur Hospital antibiotic stewardship program.

    PubMed

    Boyles, T H; Naicker, V; Rawoot, N; Raubenheimer, P J; Eick, B; Mendelson, M

    2017-01-30

    Overuse of antibiotics has driven global bacterial resistance to the extent that we have entered a post-antibiotic era, where infections that were once easily treatable are now becoming untreatable. Efforts to control consumption have focused on antibiotic stewardship programmes (ASPs), aimed at optimising use. To report antibiotic consumption and cost over 4 years from a public hospital ASP in South Africa (SA). A comprehensive ASP comprising online education, a dedicated antibiotic prescription chart and weekly dedicated ward rounds was introduced at Groote Schuur Hospital, Cape Town, in 2012. Electronic records were used to collect data on volume and cost of antibiotics and related laboratory tests, and to determine inpatient mortality and 30-day readmission rates. These data were compared with a control period before the intervention. Total antibiotic consumption fell from 1 046 defined daily doses/1 000 patient days in 2011 (control period) to 868 by 2013 and remained at similar levels for the next 2 years. This was driven by reductions in intravenous antibiotic use, particularly ceftriaxone. Inflation-adjusted cost savings on antibiotics were ZAR3.2 million over 4 years. Laboratory tests increased over the same period with a total increased cost of ZAR0.4 million. There was no significant change in mortality or 30-day readmission rates. The effects of a comprehensive ASP on medical inpatients at a public sector hospital in SA were durable over 4 years, leading to a reduction in total antibiotic consumption without adverse effect. When increased laboratory costs were offset there was a net cost saving of ZAR2.8 million.

  2. Applications of Nuclear Science for Stewardship Science

    NASA Astrophysics Data System (ADS)

    Cizewski, Jolie A.

    2013-03-01

    Stewardship science is research important to national security interests that include stockpile stewardship science, homeland security, nuclear forensics, and non-proliferation. To help address challenges in stewardship science and workforce development, the Stewardship Science Academic Alliances (SSAA) was inaugurated ten years ago by the National Nuclear Security Administration of the U. S. Department of Energy. The goal was to enhance connections between NNSA laboratories and the activities of university scientists and their students in research areas important to NNSA, including low-energy nuclear science. This paper presents an overview of recent research in low-energy nuclear science supported by the Stewardship Science Academic Alliances and the applications of this research to stewardship science.

  3. 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.

  4. The farmer as a landscape steward: Comparing local understandings of landscape stewardship, landscape values, and land management actions.

    PubMed

    Raymond, Christopher M; Bieling, Claudia; Fagerholm, Nora; Martin-Lopez, Berta; Plieninger, Tobias

    2016-03-01

    We develop a landscape stewardship classification which distinguishes between farmers' understanding of landscape stewardship, their landscape values, and land management actions. Forty semi-structured interviews were conducted with small-holder (<5 acres), medium-holders (5-100 acres), and large-holders (>100 acres) in South-West Devon, UK. Thematic analysis revealed four types of stewardship understandings: (1) an environmental frame which emphasized the farmers' role in conserving or restoring wildlife; (2) a primary production frame which emphasized the farmers' role in taking care of primary production assets; (3) a holistic frame focusing on farmers' role as a conservationist, primary producer, and manager of a range of landscape values, and; (4) an instrumental frame focusing on the financial benefits associated with compliance with agri-environmental schemes. We compare the landscape values and land management actions that emerged across stewardship types, and discuss the global implications of the landscape stewardship classification for the engagement of farmers in landscape management.

  5. Idaho National Laboratory Site Long-Term Stewardship Implementation Plan

    SciTech Connect

    B. E. Olaveson

    2006-07-27

    The U.S. Department of Energy has established long-term stewardship programs to protect human health and the environment at sites where residual contamination remains after site cleanup. At the Idaho National Laboratory Site, Comprehensive Environmental Response, Compensation, and Liability Act (CERLA) long-term stewardship activities performed under the aegis of regulatory agreements, the Federal Facility Agreement and Consent Order for the Idaho National Laboratory, and state and federal requirements are administered primarily under the direction of the Idaho Cleanup Project. It represents a subset of all on-going environmental activity at the Idaho National Laboratory Site. This plan provides a listing of applicable CERCLA long-term stewardship requirements and their planned and completed implementation goals. It proffers the Long-Term Stewardship Environmental Data Warehouse for Sitewide management of environmental data. This plan will be updated as needed over time, based on input from the U.S. Department of Energy, its cognizant subcontractors, and other local and regional stakeholders.

  6. Chapter 1: Assessing pollinator habitat services to optimize conservation programs

    USGS Publications Warehouse

    Iovanna, Richard; Ando , Amy W.; Swinton, Scott; Hellerstein, Daniel; Kagan, Jimmy; Mushet, David M.; Otto, Clint R.; Rewa, Charles A.

    2017-01-01

    Pollination services have received increased attention over the past several years, and protecting foraging area is beginning to be reflected in conservation policy. This case study considers the prospects for doing so in a more analytically rigorous manner, by quantifying the pollination services for sites being considered for ecological restoration. The specific policy context is the Conservation Reserve Program (CRP), which offers financial and technical assistance to landowners seeking to convert sensitive cropland back to some semblance of the prairie (or, to a lesser extent, forest or wetland) ecosystem that preceded it. Depending on the mix of grasses and wildflowers that are established, CRP enrollments can provide pollinator habitat. Further, depending on their location, they will generate related services, such as biological control of crop pests, recreation, and aesthetics. While offers to enroll in CRP compete based on cost and some anticipated benefits, the eligibility and ranking criteria do not reflect these services to a meaningful degree. Therefore, we develop a conceptual value diagram to identify the sequence of steps and associated models and data necessary to quantify the full range of services, and find that critical data gaps, some of which are artifacts of policy, preclude the application of benefit-relevant indicators (BRIs) or monetization. However, we also find that there is considerable research activity underway to fill these gaps. In addition, a modeling framework has been developed that can estimate field-level effects on services as a function of landscape context. The approach is inherently scalable and not limited in geographic scope, which is essential for a program with a national footprint. The parameters in this framework are sufficiently straightforward that expert judgment could be applied as a stopgap approach until empirically derived estimates are available. While monetization of benefit-relevant indicators of yield

  7. Stockpile Stewardship: How we Ensure the Nuclear Deterrent without Testing

    SciTech Connect

    2014-09-04

    In the 1990s, the U.S. nuclear weapons program shifted emphasis from developing new designs to dismantling thousands of existing weapons and maintaining a much smaller enduring stockpile. The United States ceased underground nuclear testing, and the Department of Energy created the Stockpile Stewardship Program to maintain the safety, security, and reliability of the U.S. nuclear deterrent without full-scale testing. This video gives a behind the scenes look at a set of unique capabilities at Lawrence Livermore that are indispensable to the Stockpile Stewardship Program: high performance computing, the Superblock category II nuclear facility, the JASPER a two stage gas gun, the High Explosive Applications Facility (HEAF), the National Ignition Facility (NIF), and the Site 300 contained firing facility.

  8. Stockpile Stewardship: How we Ensure the Nuclear Deterrent without Testing

    ScienceCinema

    None

    2016-07-12

    In the 1990s, the U.S. nuclear weapons program shifted emphasis from developing new designs to dismantling thousands of existing weapons and maintaining a much smaller enduring stockpile. The United States ceased underground nuclear testing, and the Department of Energy created the Stockpile Stewardship Program to maintain the safety, security, and reliability of the U.S. nuclear deterrent without full-scale testing. This video gives a behind the scenes look at a set of unique capabilities at Lawrence Livermore that are indispensable to the Stockpile Stewardship Program: high performance computing, the Superblock category II nuclear facility, the JASPER a two stage gas gun, the High Explosive Applications Facility (HEAF), the National Ignition Facility (NIF), and the Site 300 contained firing facility.

  9. Antibiotic stewardship through the EU project "ABS International".

    PubMed

    Allerberger, Franz; Frank, Annegret; Gareis, Roland

    2008-01-01

    The increasing problem of antimicrobial resistance requires implementation of antibiotic stewardship (ABS) programs. The project "ABS International--implementing antibiotic strategies for appropriate use of antibiotics in hospitals in member states of the European Union" was started in September 2006 in Austria, Belgium, the Czech Republic, Germany, Hungary, Italy, Poland, Slovenia and Slovakia. A training program for national ABS trainers was prepared and standard templates for ABS tools (antibiotic list, guides for antibiotic treatment and surgical prophylaxis, antibiotic-related organization) and valid process measures, as well as quality indicators for antibiotic use were developed. Specific ABS tools are being implemented in up to five healthcare facilities in each country. Although ABS International clearly focuses on healthcare institutions, future antimicrobial stewardship programs must also cover public education and antibiotic prescribing in primary care.

  10. Understanding why landholders choose to participate or withdraw from conservation programs: a case study from a Queensland conservation auction.

    PubMed

    Comerford, Emma

    2014-08-01

    Ensuring adequate participation by private landholders in a conservation scheme is a challenge for program managers around the world. This paper uses a case study of the Vegetation Incentives Program from Queensland, Australia, to contribute additional information to the literature on influences on participation in conservation, and to offer insight into ways to improve program design to optimise participation. The research is particularly of interest to programs that include a tender mechanism or conservation covenant in their designs. Participation in the Vegetation Incentives Program was limited outside two small geographic areas, with the result that the budget was not expended. A survey of participants revealed that a narrow subset of the rural population was attracted to participate, namely highly educated, experienced landholders with positive environmental attitudes and a low opportunity cost of participation. The research also investigated why some landholders chose to withdraw from the program before full participation. Both qualitative and quantitative methods were used in the analysis. There were a variety of reasons for making the decision to leave, including disliking the requirement for permanent protection, the tender mechanism employed, and not understanding the process well enough. This information can help improve conservation outcomes by understanding where to target limited efforts in a catchment, and clarifying the likely limitations of some aspects of scheme design. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. 75 FR 31323 - Energy Efficiency Program: Energy Conservation Standards Furnace Fans: Public Meeting and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ...; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC22 Energy Efficiency Program: Energy Conservation Standards... data collection process to consider establishing new energy conservation standards or energy use....gov . SUPPLEMENTARY INFORMATION: Part A of the Energy Policy and Conservation Act of 1975 (EPCA...

  12. 77 FR 38743 - Energy Efficiency Program for Consumer Products: Energy Conservation Standards for Battery...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... must identify the subject matter (``Notice of Proposed Rulemaking to Establish Energy Conservation... Part 430 RIN 1904-AB57 Energy Efficiency Program for Consumer Products: Energy Conservation Standards... proposed rulemaking to establish energy conservation standards for battery chargers and external power...

  13. 75 FR 4474 - Energy Conservation Program: Certification, Compliance, and Enforcement Requirements for Certain...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... conservation standards and energy use, and to address other matters, including compliance certification... Part 431 RIN 1904-AA96 and 1904-AB53 Energy Conservation Program: Certification, Compliance, and... conservation standard for that product. Basic model means, with respect to a commercial HVAC & WH product, all...

  14. 40 CFR 73.80 - Operation of allowance reserve program for conservation and renewable energy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... for conservation and renewable energy. 73.80 Section 73.80 Protection of Environment ENVIRONMENTAL... and Renewable Energy Reserve § 73.80 Operation of allowance reserve program for conservation and renewable energy. (a) General. The Administrator will allocate allowances from the Conservation...

  15. 40 CFR 73.80 - Operation of allowance reserve program for conservation and renewable energy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... for conservation and renewable energy. 73.80 Section 73.80 Protection of Environment ENVIRONMENTAL... and Renewable Energy Reserve § 73.80 Operation of allowance reserve program for conservation and renewable energy. (a) General. The Administrator will allocate allowances from the Conservation...

  16. 40 CFR 73.80 - Operation of allowance reserve program for conservation and renewable energy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... for conservation and renewable energy. 73.80 Section 73.80 Protection of Environment ENVIRONMENTAL... and Renewable Energy Reserve § 73.80 Operation of allowance reserve program for conservation and renewable energy. (a) General. The Administrator will allocate allowances from the Conservation...

  17. 40 CFR 73.80 - Operation of allowance reserve program for conservation and renewable energy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for conservation and renewable energy. 73.80 Section 73.80 Protection of Environment ENVIRONMENTAL... and Renewable Energy Reserve § 73.80 Operation of allowance reserve program for conservation and renewable energy. (a) General. The Administrator will allocate allowances from the Conservation...

  18. 40 CFR 73.80 - Operation of allowance reserve program for conservation and renewable energy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... for conservation and renewable energy. 73.80 Section 73.80 Protection of Environment ENVIRONMENTAL... and Renewable Energy Reserve § 73.80 Operation of allowance reserve program for conservation and renewable energy. (a) General. The Administrator will allocate allowances from the Conservation...

  19. Antimicrobial stewardship: a review of prospective audit and feedback systems and an objective evaluation of outcomes.

    PubMed

    Chung, Gladys W; Wu, Jia En; Yeo, Chay Leng; Chan, Douglas; Hsu, Li Yang

    2013-02-15

    Antimicrobial stewardship is an emerging field currently defined by a series of strategies and interventions aimed toward improving appropriate prescription of antibiotics in humans in all healthcare settings. The ultimate goal is the preservation of current and future antibiotics against the threat of antimicrobial resistance, although improving patient safety and reducing healthcare costs are important concurrent aims. Prospective audit and feedback interventions are probably the most widely practiced of all antimicrobial stewardship strategies. Although labor-intensive, they are more easily accepted by physicians compared with formulary restriction and preauthorization strategies and have a higher potential for educational opportunities. Objective evaluation of antimicrobial stewardship is critical for determining the success of such programs. Nonetheless, there is controversy over which outcomes to measure and there is a pressing need for novel study designs that can objectively assess antimicrobial stewardship interventions despite the limitations inherent in the structure of most such programs.

  20. Antimicrobial stewardship and Clostridium difficile-associated diarrhea.

    PubMed

    Piacenti, Frank J; Leuthner, Kimberly D

    2013-10-01

    Antimicrobial stewardship programs are essential to health care institutions to promote the appropriate use of antibiotics not only to decrease antimicrobial resistance but to prevent the spread and infection of Clostridium difficile. Clostridium difficile-associated diarrhea is increasing rapidly in the United States and is now considered a major public health problem that poses an immediate threat to the health of patients prescribed antibiotics, more so than antimicrobial resistance. Clostridium difficile-associated disease is the result of collateral damage to the normal bacterial flora of the human body, which is an inevitable consequence of any antibiotic use. Antimicrobial stewardship programs such as audit with feedback and antibiotic restriction are designed to help limit Clostridium difficile infections and other hospital-associated organisms by optimizing antimicrobial selection, dosing, de-escalation, and duration of therapy. These programs also incorporate implementation of hospital-wide guidelines, staff education, enforcement of infection-control policies, and the use of electronic medical records when possible to help control antibiotic use. This article reviews the literature on how antimicrobial stewardship programs impact Clostridium difficile rates and discusses experiences in designing, implementing, monitoring, and follow-through of such programs.

  1. A simple tool for implementation of US Farm Bill Programs: Can a practice-based index predict soil function in organic and conventional farming systems?

    USDA-ARS?s Scientific Manuscript database

    Nationally, the focus on soil quality and soil ecosystem function as a foundation for natural resource conservation is rising in importance. The 2002 Farm Bill’s Conservation Security Program (CSP) considers soil quality a key component for good land stewardship. Similarly, the draft Senate and Hous...

  2. Assessment of the industrial energy-conservation program. Final report of the Committee on Assessment of the Industrial Energy Conservation Program

    SciTech Connect

    1982-01-01

    Industrial operations in the United States account for some 37% of the nation's consumptions of energy. It has been estimated that this figure will increase to 50% by 1990 unless appropriate industrial energy conservation measures are adopted. However, such measures are difficult to implement in spite of the potential of various existing, emerging, and advanced technologies that can be applied to the problem. Specifically, the application of many industrial energy conservation measures entails high economic, technological, and institutional risks and uncertainties that constrain industries from adopting such measures. Accordingly, in 1975 the federal government started a program designed to mitigate these risks and uncertainties via government-industry partnership arrangements in the interests of national energy conservation. An important element of this program is the Industrial Energy Conservation Program in the Federal Department of Energy (DOE). In June 1980, DOE asked the National Materials Advisory Board, a unit of the National Academy of Sciences-National Research Council, to form a study committee to assess the effectiveness of the Industrial Energy Conservation Program. The committee concluded that federal support embodied in the DOE program, present and planned, is important to conserving additional industrial energy. However, the committee also concluded that the program needs various improvements in project selection and management and in transfer of results to industry. The committee's findings and recommendations and the results of the deliberation of the committee's three panels, a special report on heat and power, and a report on the visit by four members of the committee to Japan are presented.

  3. Personal circumstances and social characteristics as determinants of landholder participation in biodiversity conservation programs.

    PubMed

    Moon, Katie; Marshall, Nadine; Cocklin, Chris

    2012-12-30

    Adequate conservation of biodiversity on private land remains elusive due, in part, to a failure to understand the personal circumstances and social characteristics of private landholders. Our aim was to identify those personal and social dimensions of landholders that might contribute to improved conservation policy and program design and, thereby, participation in private land conservation. We tested whether personal circumstances of landholders (e.g., lifestyle and wellbeing, information and knowledge, financial security) and social characteristics (e.g., attitudes, norms, and trust) would be important predictors of landholders' capacity and willingness to participate in biodiversity conservation programs. Forty-five participants and twenty-nine non-participants of biodiversity conservation programs in north Queensland, Australia, were surveyed to: 1) examine differences between their personal circumstances and social characteristics that may influence participation; and 2) explore whether personal circumstances and social characteristics were influenced by participation. The results revealed that, compared to participants, non-participants in conservation programs had significantly different personal circumstances and social characteristics for four of eight measured variables. Compared to participants, non-participants demonstrated a reduced capacity and willingness to participate in conservation programs. Participation did not appear to have a strong influence on participants' personal circumstances or social characteristics, and when social norms supported conservation, programs did not demonstrate additionality. Conservation policies that maintain or improve landholders' personal circumstances and that promote pro-environmental norms may result in increased participation and thereby conservation outcomes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. 78 FR 77607 - Energy Conservation Program for Consumer Products: Energy Conservation Standards for Residential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-24

    ... Standards for Residential Furnace Fans AGENCY: Office of Energy Efficiency and Renewable Energy, Department... conservation standards for residential furnace fans, with a comment period that was scheduled to close December... conservation standards for residential furnace fans published on October 25, 2013 (78 FR 64067) is extended...

  5. Assessment of USDA-NRCS Rangeland Conservation Programs: Recommendation for an Evidence-based Conservation Platform

    USDA-ARS?s Scientific Manuscript database

    The Conservation Effects Assessment Project (CEAP) was created in response to a request from the Office of Management and Budget that the U.S. Department of Agriculture - Natural Resource Conservation Service (USDA – NRCS) document the societal benefits anticipated to accrue from a major increase in...

  6. 75 FR 17036 - Energy Conservation Program: Energy Conservation Standards for Small Electric Motors; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ... rule regarding the energy conservation standards for small electric motors, which was published on... energy conservation standards for small electric motors. Due to a drafting error, an incorrect compliance... electric motor that requires listing or certification by a nationally recognized safety testing...

  7. 78 FR 51463 - Energy Conservation Program: Energy Conservation Standards for Metal Halide Lamp Fixtures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ..., framework documents, public meeting attendee lists and transcripts, comments, and other supporting documents... Approaches to Energy Conservation Standards: System Approaches 1. Lamp-Ballast System 2. Fixtures Systems... Competition f. Need for National Energy Conservation g. Other Factors 2. Rebuttable Presumption V. Methodology...

  8. Conservation.

    ERIC Educational Resources Information Center

    National Audubon Society, New York, NY.

    This set of teaching aids consists of seven Audubon Nature Bulletins, providing the teacher and student with informational reading on various topics in conservation. The bulletins have these titles: Plants as Makers of Soil, Water Pollution Control, The Ground Water Table, Conservation--To Keep This Earth Habitable, Our Threatened Air Supply,…

  9. Conservation.

    ERIC Educational Resources Information Center

    National Audubon Society, New York, NY.

    This set of teaching aids consists of seven Audubon Nature Bulletins, providing the teacher and student with informational reading on various topics in conservation. The bulletins have these titles: Plants as Makers of Soil, Water Pollution Control, The Ground Water Table, Conservation--To Keep This Earth Habitable, Our Threatened Air Supply,…

  10. An Evaluation of the Institutional Conservation Program: Results of On-Site Analyses. Final Report.

    ERIC Educational Resources Information Center

    Synectics Group, Inc., Washington, DC.

    The Institutional Conservation Program (ICP) is a voluntary grant program designed to help such non-profit institutions as schools, hospitals, local governments, and public care facilities save energy and reduce anticipated energy-related costs. Another primary ICP goal is to conserve oil, thereby reducing the nation's dependence on imported…

  11. 75 FR 28801 - Energy Efficiency and Conservation Block Grant Program: Funding Opportunity Announcement (DE-FOA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ... of Energy Efficiency and Renewable Energy Energy Efficiency and Conservation Block Grant Program: Funding Opportunity Announcement (DE-FOA-0000013) AGENCY: Office of Energy Efficiency and Renewable Energy... grants of the Energy Efficiency and Conservation Block Grant (EECBG) Program of the American Recovery...

  12. 75 FR 51423 - Energy Conservation Program for Consumer Products and Certain Commercial and Industrial Equipment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... energy prices reported by manufacturers on appliance Energy Guide labels. DOE is soliciting public...; ] DEPARTMENT OF ENERGY 10 CFR Part 431 RIN 1904-AC24 Energy Conservation Program for Consumer Products and... Adopting Full-Fuel-Cycle Analyses Into Energy Conservation Standards Program AGENCY: Office of Energy...

  13. 77 FR 14726 - Information Collection Request; Economic Assessment of Conservation Reserve Program Lands for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE... Conservation Reserve Program Lands for Hunting AGENCY: Farm Service Agency and Commodity Credit Corporation... with the Economic Assessment of Conservation Reserve Program (CRP) Lands for Hunting. DATES: We will...

  14. 77 FR 65103 - Community Forest and Open Space Conservation Program; Approval of Information Collection Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service 36 CFR Part 230 RIN 0596-AC84 Community Forest and Open Space Conservation Program... Open Space Conservation Program was published on October 20, 2011. The Office of Management and...

  15. Snakes. A Conservation Education Program of the Department of Fish and Wildlife Resources.

    ERIC Educational Resources Information Center

    Hubbard, Kelly; Theiss, Nancy S.

    The Kentucky Department of Fish and Wildlife Resources is charged with the responsibility to preserve, protect, and perpetuate the fish and wildlife in Kentucky. Involved in this broad program are a number of services, including the Wildlife Conservation Education Program. During the months of September through April, Conservation Club leaders…

  16. Snakes. A Conservation Education Program of the Department of Fish and Wildlife Resources.

    ERIC Educational Resources Information Center

    Hubbard, Kelly; Theiss, Nancy S.

    The Kentucky Department of Fish and Wildlife Resources is charged with the responsibility to preserve, protect, and perpetuate the fish and wildlife in Kentucky. Involved in this broad program are a number of services, including the Wildlife Conservation Education Program. During the months of September through April, Conservation Club leaders…

  17. 7 CFR 1412.23 - Base acres and Conservation Reserve Program.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Base acres and Conservation Reserve Program. 1412.23... Base Acres for a Farm for Covered Commodities § 1412.23 Base acres and Conservation Reserve Program. (a... year, adjust the base acres for covered commodities and peanuts with respect to the farm by the...

  18. Fitness for Purpose: The Role of Stabilization in a Collections Conservation Program.

    ERIC Educational Resources Information Center

    McKern, Debra

    Library preservation programs have focused traditionally on two areas: (1) conservation or restoration techniques to preserve the original item as an artifact; or (2) reformatting of items to microfilm or digital formats to preserve the intellectual content. A collections conservation program focuses on the maintenance or stabilization of…

  19. Successes and challenges from formation to implementation of eleven broad-extent conservation programs.

    PubMed

    Beever, Erik A; Mattsson, Brady J; Germino, Matthew J; Burg, Max Post Van Der; Bradford, John B; Brunson, Mark W

    2014-04-01

    Integration of conservation partnerships across geographic, biological, and administrative boundaries is increasingly relevant because drivers of change, such as climate shifts, transcend these boundaries. We explored successes and challenges of established conservation programs that span multiple watersheds and consider both social and ecological concerns. We asked representatives from a diverse set of 11 broad-extent conservation partnerships in 29 countries 17 questions that pertained to launching and maintaining partnerships for broad-extent conservation, specifying ultimate management objectives, and implementation and learning. Partnerships invested more funds in implementing conservation actions than any other aspect of conservation, and a program's context (geographic extent, United States vs. other countries, developed vs. developing nation) appeared to substantially affect program approach. Despite early successes of these organizations and benefits of broad-extent conservation, specific challenges related to uncertainties in scaling up information and to coordination in the face of diverse partner governance structures, conflicting objectives, and vast uncertainties regarding future system dynamics hindered long-term success, as demonstrated by the focal organizations. Engaging stakeholders, developing conservation measures, and implementing adaptive management were dominant challenges. To inform future research on broad-extent conservation, we considered several challenges when we developed detailed questions, such as what qualities of broad-extent partnerships ensure they complement, integrate, and strengthen, rather than replace, local conservation efforts and which adaptive management processes yield actionable conservation strategies that account explicitly for dynamics and uncertainties regarding multiscale governance, environmental conditions, and knowledge of the system? © 2014 Society for Conservation Biology.

  20. 78 FR 55889 - Energy Conservation Program: Energy Conservation Standards for Commercial Refrigeration Equipment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including commercial refrigeration equipment (CRE). EPCA also requires the U.S. Department of Energy (DOE) to determine whether more-stringent, amended standards would be technologically feasible and economically justified, and would save a significant amount of energy. In this notice, DOE proposes amended energy conservation standards for commercial refrigeration equipment. The notice also announces a public meeting to receive comment on these proposed standards and associated analyses and results.

  1. 78 FR 64067 - Energy Conservation Program for Consumer Products: Energy Conservation Standards for Residential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ...Pursuant to the Energy Policy and Conservation Act of 1975 (EPCA), as amended, the U.S. Department of Energy (DOE) must prescribe energy conservation standards for various consumer products and certain commercial and industrial equipment, including residential furnace fans. EPCA requires DOE to determine whether such standards would be technologically feasible and economically justified, and would save a significant amount of energy. In this notice, DOE is proposing new energy conservation standards for residential furnace fans. The notice also announces a public meeting to receive comment on these proposed standards and associated analyses and results.

  2. Conservation Plants for the Northeast. Program Aid No. 1154.

    ERIC Educational Resources Information Center

    1977

    Descriptions of plants suited to specific conservation uses under different site conditions in the Northeast United States are presented in this booklet. The plants are classified into categories based on conservation use. These include: (1) plants for disturbed areas; (2) ornamental ground covers; (3) plants for coastal dunes and sandy inland…

  3. Federal Government Energy Management and Conservation Programs Fiscal Year 2009

    SciTech Connect

    None, None

    2014-03-01

    Annual reports on Federal energy management respond to section 548 of the National Energy Conservation Policy Act (NECPA, Pub. L. No. 95-619), as amended, and provide information on energy consumption in Federal buildings, operations, and vehicles. Compiled by the Federal Energy Management Program, these reports document activities conducted by Federal agencies under the: Energy management and energy consumption requirements of section 543 of NECPA, as amended (42 U.S.C. § 8253); Energy savings performance contract authority of section 801 of NECPA, Pub. L. No. 95-619, as amended (42 U.S.C. §§ 8287-8287d); Renewable energy purchase goal of section 203 of the Energy Policy Act (EPAct) of 2005, Pub. L. No. 109-58 (codified at 42 U.S.C. § 15852); Federal building performance standard requirements under Section 109 of EPAct 2005, Pub. L. No. 109-58 (codified at 42 U.S.C. § 6834(a)); Requirements on the procurement and identification of energy efficient products under section 161 of EPAct 1992, Pub. L. No. 102-486 (codified at 42 U.S.C. § 8262g); Sections 431, 432, and 434 of the Energy Independence and Security Act of 2007 (EISA), Pub. L. No. 110-140 (42 U.S.C. § 8253) and section 527 of EISA (42 U.S.C. § 17143); Executive Order 13423, Strengthening Federal Environmental, Energy, and Transportation Management, 72 Fed. Reg. 3,919 (Jan. 26, 2007); Executive Order 13514, Federal Leadership in Environmental, Energy, and Economic Performance, 74 Fed. Reg. 52,117 (Oct. 5, 2009).

  4. Federal Government Energy Management and Conservation Programs Fiscal Year 2008

    SciTech Connect

    None, None

    2014-03-01

    Annual reports on Federal energy management respond to section 548 of the National Energy Conservation Policy Act (NECPA, Pub. L. No. 95-619), as amended, and provide information on energy consumption in Federal buildings, operations, and vehicles. Compiled by the Federal Energy Management Program, these reports document activities conducted by Federal agencies under the: Energy management and energy consumption requirements of section 543 of NECPA, as amended (42 U.S.C. § 8253); Energy savings performance contract authority of section 801 of NECPA, Pub. L. No. 95-619, as amended (42 U.S.C. §§ 8287-8287d); Renewable energy purchase goal of section 203 of the Energy Policy Act (EPAct) of 2005, Pub. L. No. 109-58 (codified at 42 U.S.C. § 15852); Federal building performance standard requirements under Section 109 of EPAct 2005, Pub. L. No. 109-58 (codified at 42 U.S.C. § 6834(a)); Requirements on the procurement and identification of energy efficient products under section 161 of EPAct 1992, Pub. L. No. 102-486 (codified at 42 U.S.C. § 8262g); Sections 431, 432, and 434 of the Energy Independence and Security Act of 2007 (EISA), Pub. L. No. 110-140 (42 U.S.C. § 8253) and section 527 of EISA (42 U.S.C. § 17143); Executive Order 13423, Strengthening Federal Environmental, Energy, and Transportation Management, 72 Fed. Reg. 3,919 (Jan. 26, 2007); Executive Order 13514, Federal Leadership in Environmental, Energy, and Economic Performance, 74 Fed. Reg. 52,117 (Oct. 5, 2009).

  5. 75 FR 12144 - Energy Conservation Program for Consumer Products: Energy Conservation Standards for Residential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-15

    ... Conservation Standards for Residential Furnaces AGENCY: Office of Energy Efficiency and Renewable Energy... for certain residential furnaces, and the analytical approach, models, and tools that DOE is using to... furnaces, which is available at:...

  6. 78 FR 42389 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... environmental advocates (American Council for an Energy Efficient Economy (ACEEE), Appliance Standards Awareness..., Confidential business information, Energy conservation, Household appliances, Imports, Intergovernmental... / Tuesday, July 16, 2013 / Rules and Regulations#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN...

  7. 76 FR 52852 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... for an Energy Efficient Economy (ACEEE), Appliance Standards Awareness Project (ASAP), Natural... information, Energy conservation, Household appliances, Reporting and recordkeeping requirements, Small... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10...

  8. 78 FR 20842 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-08

    ... Efficient Economy (ACEEE), Appliance Standards Awareness Project (ASAP), Natural Resources Defense Council... procedure, Confidential business information, Energy conservation, Household appliances, Imports... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10...

  9. The Six Principles of Facilities Stewardship

    ERIC Educational Resources Information Center

    Kaiser, Harvey H.; Klein, Eva

    2010-01-01

    Facilities stewardship means high-level and pervasive commitment to optimize capital investments, in order to achieve a high-functioning and attractive campus. It includes a major commitment to capital asset preservation and quality. Stewardship is about the long view of an institution's past and future. It ultimately forms the backdrop for…

  10. Preserving Open Space via Community Stewardship.

    ERIC Educational Resources Information Center

    Lopez, Stephen

    1983-01-01

    When community groups assume stewardship of underused properties and turn them into recreational spaces, park agencies can save money on overhead and construction. Three stewardship projects in New York State, involving a playing field, gardening areas, and a historical restoration, are described. Criteria for successful projects are included. (PP)

  11. Preserving Open Space via Community Stewardship.

    ERIC Educational Resources Information Center

    Lopez, Stephen

    1983-01-01

    When community groups assume stewardship of underused properties and turn them into recreational spaces, park agencies can save money on overhead and construction. Three stewardship projects in New York State, involving a playing field, gardening areas, and a historical restoration, are described. Criteria for successful projects are included. (PP)

  12. Linking Shorebird Conservation and Education Along Flyways: An Overview of the Shorebird Sister Schools Program

    Treesearch

    Hillary Chapman; Heather Johnson

    2005-01-01

    The Shorebird Sister Schools Program (SSSP) is an internet-based environmental education program that provides a forum for students, biologists, and shorebird enthusiasts to track shorebird migration and share observations along flyways. The program?s vision is to engage public participation in the conservation of shorebirds and their wetland, grassland, and shoreline...

  13. Examination of the costs, benefits and enery conservation aspects of the NASA aircraft fuel conservation technology program

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The costs and benefits of the NASA Aircraft Fuel Conservation Technology Program are discussed. Consideration is given to a present worth analysis of the planned program expenditures, an examination of the fuel savings to be obtained by the year 2005 and the worth of this fuel savings relative to the investment required, a comparison of the program funding with that planned by other Federal agencies for energy conservation, an examination of the private industry aeronautical research and technology financial posture for the period FY 76 - FY 85, and an assessment of the potential impacts on air and noise pollution. To aid in this analysis, a computerized fleet mix forecasting model was developed. This model enables the estimation of fuel consumption and present worth of fuel expenditures for selected commerical aircraft fleet mix scenarios.

  14. 75 FR 27227 - Energy Conservation Program: Energy Conservation Standards for Residential Central Air...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ...On March 25, 2010, the U.S. Department of Energy (DOE) announced that it would hold a public meeting to discuss and receive comments on the product classes that DOE plans to analyze for purposes of establishing energy conservation standards for residential central air conditioners and heat pumps; the analytical framework, models, and tools that DOE is using to evaluate amended standards for these products; the results of preliminary analyses performed by DOE for these products; and potential energy conservation standard levels derived from these analyses that DOE could consider for these products. DOE also encouraged written comments on these subjects. This document announces an extension of the time period for submitting comments on the energy conservation standards notice of public meeting (NOPM) and availability of the preliminary technical support document for central air conditioners and heat pumps. The comment period is extended to May 17, 2010.

  15. 77 FR 7281 - Energy Conservation Program: Energy Conservation Standards for Distribution Transformers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including low-voltage dry-type distribution transformers, and directs the U.S. Department of Energy (DOE) to prescribe standards for various other products and equipment, including other types of distribution transformers. EPCA also requires DOE to determine whether more- stringent, amended standards would be technologically feasible and economically justified, and would save a significant amount of energy. In this notice, DOE proposes amended energy conservation standards for distribution transformers. The notice also announces a public meeting to receive comment on these proposed standards and associated analyses and results.

  16. 76 FR 37407 - Energy Conservation Program: Energy Conservation Standards for Residential Furnaces and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-27

    ...The Energy Policy and Conservation Act of 1975 (EPCA), as amended, prescribes energy conservation standards for various consumer products and certain commercial and industrial equipment, including residential furnaces and residential central air conditioners and heat pumps. EPCA also requires the U.S. Department of Energy (DOE) to determine whether more-stringent, amended standards for these products would be technologically feasible and economically justified, and would save a significant amount of energy. In this direct final rule, DOE adopts amended energy conservation standards for residential furnaces and for residential central air conditioners and heat pumps. A notice of proposed rulemaking that proposes identical energy efficiency standards is published elsewhere in this issue of the Federal Register. If DOE receives adverse comment and determines that such comment may provide a reasonable basis for withdrawing the direct final rule, this final rule will be withdrawn, and DOE will proceed with the proposed rule.

  17. 76 FR 22453 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-21

    ...The Energy Policy and Conservation Act (EPCA) prescribes energy conservation standards for various consumer products and commercial and industrial equipment, including residential clothes dryers and room air conditioners. EPCA also requires the U.S. Department of Energy (DOE) to determine if amended standards for these products are technologically feasible and economically justified, and would save a significant amount of energy. In this direct final rule, DOE adopts amended energy conservation standards for residential clothes dryers and room air conditioners. A notice of proposed rulemaking that proposes identical energy efficiency standards is published elsewhere in today's Federal Register. If DOE receives adverse comment and determines that such comment may provide a reasonable basis for withdrawing the direct final rule, this final rule will be withdrawn and DOE will proceed with the proposed rule.

  18. Nuclear materials stewardship: Our enduring mission

    SciTech Connect

    Isaacs, T.H.

    1998-12-31

    The US Department of Energy (DOE) and its predecessors have handled a remarkably wide variety of nuclear materials over the past 50 yr. Two fundamental changes have occurred that shape the current landscape regarding nuclear materials. If one recognizes the implications and opportunities, one sees that the stewardship of nuclear materials will be a fundamental and important job of the DOE for the foreseeable future. The first change--the breakup of the Soviet Union and the resulting end to the nuclear arms race--altered US objectives. Previously, the focus was on materials production, weapon design, nuclear testing, and stockpile enhancements. Now the attention is on dismantlement of weapons, excess special nuclear material inventories, accompanying increased concern over the protection afforded to such materials; new arms control measures; and importantly, maintenance of the safety and reliability of the remaining arsenal without testing. The second change was the raised consciousness and sense of responsibility for dealing with the environmental legacies of past nuclear arms programs. Recognition of the need to clean up radioactive contamination, manage the wastes, conduct current operations responsibly, and restore the environment have led to the establishment of what is now the largest program in the DOE. Two additional features add to the challenge and drive the need for recognition of nuclear materials stewardship as a fundamental, enduring, and compelling mission of the DOE. The first is the extraordinary time frames. No matter what the future of nuclear weapons and no matter what the future of nuclear power, the DOE will be responsible for most of the country`s nuclear materials and wastes for generations. Even if the Yucca Mountain program is successful and on schedule, it will last more than 100 yr. Second, the use, management, and disposition of nuclear materials and wastes affect a variety of nationally important and diverse objectives, from national

  19. 76 FR 52854 - Energy Conservation Program: Energy Conservation Standards for Residential Clothes Dryers and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... Equipment Price Forecasting in Energy Conservation Standards Analysis (76 FR 9696, Feb. 22, 2011), has not... innovations for production of gas from tight shales. AGA recommended that DOE conduct its analysis using the.... Equipment Price Forecasting AHAM expressed concern regarding the use of experience curves in equipment...

  20. 76 FR 67037 - Energy Conservation Program: Energy Conservation Standards for Residential Furnaces and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-31

    ...The U.S. Department of Energy (DOE) published a direct final rule to establish amended energy conservation standards for residential furnaces and residential central air conditioners and heat pumps in the Federal Register on June 27, 2011. DOE has determined that the adverse comments received in response to the direct final rule do not provide a reasonable basis for withdrawing the direct......

  1. 75 FR 5544 - Energy Conservation Program: Energy Conservation Standards for Metal Halide Lamp Fixtures: Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ... for Metal Halide Lamp Fixtures: Public Meeting and Availability of the Framework Document AGENCY... conservation standards for certain metal halide lamp fixtures. This document announces that the period for... metal halide lamp fixtures and provide docket number EERE-2009-BT-STD-0018 and/or RIN number 1904-...

  2. Penicillin skin testing: potential implications for antimicrobial stewardship.

    PubMed

    Unger, Nathan R; Gauthier, Timothy P; Cheung, Linda W

    2013-08-01

    As the progression of multidrug-resistant organisms and lack of novel antibiotics move us closer toward a potential postantibiotic era, it is paramount to preserve the longevity of current therapeutic agents. Moreover, novel interventions for antimicrobial stewardship programs are integral to combating antimicrobial resistance worldwide. One unique method that may decrease the use of second-line antibiotics (e.g., fluoroquinolones, vancomycin) while facilitating access to a preferred β-lactam regimen in numerous health care settings is a penicillin skin test. Provided that up to 10% of patients have a reported penicillin allergy, of whom ~10% have true IgE-mediated hypersensitivity, significant potential exists to utilize a penicillin skin test to safely identify those who may receive penicillin or a β-lactam antibiotic. In this article, we provide information on the background, associated costs, currently available literature, pharmacists' role, antimicrobial stewardship implications, potential barriers, and misconceptions, as well as future directions associated with the penicillin skin test.

  3. Antimicrobial stewardship: application in the intensive care unit.

    PubMed

    Owens, Robert C

    2009-09-01

    Critical-care units can be barometers for appropriate antimicrobial use. There, life and death hang on empirical antimicrobial therapy for treatment of infectious diseases. With increasing therapeutic empiricism, triple-drug, broad-spectrum regimens are often necessary, but cannot be continued without fear of the double-edged sword: a life-saving intervention or loss of life following Clostridium difficile infection, infection from a resistant organism, nephrotoxicity, cardiac toxicity, and so on. While broadened initial empirical therapy is considered a standard, it must be necessary, dosed according to pharmacokinetic-pharmacodynamic principles, and stopped when no longer needed. Antimicrobial stewardship interventions shepherd these considerations in antimicrobial therapy. With pharmacists and physicians trained in infectious disease and critical care, clear-cut interventions can be focused on beginning or growing a stewardship program, or proposing future studies.

  4. Science-based stockpile stewardship at Los Alamos National Laboratory

    SciTech Connect

    Immele, J.

    1995-10-01

    I would like to start by working from Vic Reis`s total quality management diagram in which he began with the strategy and then worked through the customer requirements-what the Department of Defense (DoD) is hoping for from the science-based stockpile stewardship program. Maybe our customer`s requirements will help guide some of the issues that we should be working on. ONe quick answer to {open_quotes}why have we adopted a science-based strategy{close_quotes} is that nuclear weapons are a 50-year responsibility, not just a 5-year responsibility, and stewardship without testing is a grand challenge. While we can do engineering maintenance and turn over and remake a few things on the short time scale, without nuclear testing, without new weapons development, and without much of the manufacturing base that we had in the past, we need to learn better just how these weapons are actually working.

  5. Successes and challenges from formation to implementation of eleven broad-extent conservation programs

    USGS Publications Warehouse

    Beever, Erik A.; Bradford, John B.; Germino, Matthew J.; Mattsson, Brady J.; Post van der Burg, Max; Brunson, Mark

    2014-01-01

    Integration of conservation partnerships across geographic, biological, and administrative boundaries is increasingly relevant because drivers of change, such as climate shifts, transcend these boundaries. We explored successes and challenges of established conservation programs that span multiple watersheds and consider both social and ecological concerns. We asked representatives from a diverse set of 11 broadextent conservation partnerships in 29 countries 17 questions that pertained to launching and maintaining partnerships for broad-extent conservation, specifying ultimate management objectives, and implementation and learning. Partnerships invested more funds in implementing conservation actions than any other aspect of conservation, and a program’s context (geographic extent, United States vs. other countries, developed vs. developing nation) appeared to substantially affect program approach. Despite early successes of these organizations and benefits of broad-extent conservation, specific challenges related to uncertainties in scaling up information and to coordination in the face of diverse partner governance structures, conflicting objectives, and vast uncertainties regarding future system dynamics hindered long-term success, as demonstrated by the focal organizations. Engaging stakeholders, developing conservation measures, and implementing adaptive management were dominant challenges. To inform future research on broad-extent conservation, we considered several challenges when we developed detailed questions, such as what qualities of broad-extent partnerships ensure they complement, integrate, and strengthen, rather than replace, local conservation efforts and which adaptive management processes yield actionable conservation strategies that account explicitly for dynamics and uncertainties regarding multiscale governance, environmental conditions, and knowledge of the system?

  6. Conservation and Renewable Energy Program: Bibliography, 1988 edition

    SciTech Connect

    Vaughan, K.H.

    1988-04-01

    The 831 references covering the period 1980 through Feb. 1988, are arranged under the following: analysis and evaluation, building equipment, building thermal envelope systems and materials, community systems and cogeneration, residential conservation service, retrofit, advanced heat engine ceramics, alternative fuels, microemulsion fuels, industrial chemical heat pumps, materials for waste heat utilization, energy conversion and utilization materials, tribology, emergency energy conservation,inventions, electric energy systems, thermal storage, biofuels production, biotechnology, solar technology, geothermal, and continuous chromatography in multicomponent separations. An author index is included.

  7. Science and society: the role of long-term studies in environmental stewardship

    Treesearch

    Charles T. Driscoll; Kathleen F. Lambert; F. Stuart Chapin; David J. Nowak; Thomas A. Spies; Frederick J. Swanson; David B. Kittredge; Clarisse M. Hart

    2012-01-01

    Long-term research should play a crucial role in addressing grand challenges in environmental stewardship. We examine the efforts of five Long Term Ecological Research Network sites to enhance policy, management, and conservation decisions for forest ecosystems. In these case studies, we explore the approaches used to inform policy on atmospheric deposition, public...

  8. Wilderness stewardship challenges in the uKhahlamba Drakensberg Park World Heritage Site

    Treesearch

    Sonja Krüger

    2007-01-01

    The location of the uKhahlamba Drakensberg Park wilderness areas along an international border and within a World Heritage Site and Transfrontier Conservation Area, provides unique opportunities and challenges for the stewardship of these areas. Although the wilderness areas were proclaimed more than 30 years ago, wilderness-specific planning, management and monitoring...

  9. Water Conservation Study (Water and Energy), Energy Engineering Analysis Program (EEAP) FY94S, Fort Knox, Kentucky; Executive Summary

    DTIC Science & Technology

    1994-12-30

    plants, cooling towers, water treatment plants and water distribution systems. The water and energy conservation opportunities ( ECOs ) are evaluated...in Design (LCCID) computer program. Project descriptions and DD1391 forms were prepared for four Energy Conservation Investment program (ECIP

  10. 41 CFR 102-74.100 - What are conservation programs?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT... programs are programs that improve energy and water efficiency and promote the use of solar and other...

  11. Antibiotic Stewardship: New Frontier, Familiar Journey.

    PubMed

    Martin, Caren McHenry

    2017-03-01

    Recent changes in regulations by the Centers for Medicare & Medicaid Services require long-term care facilities to meet specific requirements on antibiotic stewardship, promoting the appropriate use of antibiotics and antimicrobials. The goal is to improve patient outcomes and decrease the spread of infections caused by multi-drug-resistant organisms. Consultant pharmacists can help facility personnel implement policies and procedures for effective antibiotic stewardship, assist prescribers and facility staff in understanding how to use the facility's antibiogram, find appropriate resources, and provide facility personnel with feedback on their antimicrobial stewardship efforts.

  12. Is nationwide special campaign on antibiotic stewardship program effective on ameliorating irrational antibiotic use in China? Study on the antibiotic use of specialized hospitals in China in 2011-2012.

    PubMed

    Zou, Xiao-xu; Fang, Zi; Min, Rui; Bai, Xue; Zhang, Yang; Xu, Dong; Fang, Peng-qian

    2014-06-01

    With dwindling number of new antibiotics and inappropriate use of antibiotics, the emergence and spread of antibiotics resistance occurs commonly in healthcare institutions worldwide. In China, antibiotics are commonly over prescribed and misused. This study is to assess the effect of the nationwide special campaign on antibiotic stewardship program (ASP) at specialized hospitals in China by investigating prescription information from 2011 to 2012. Data on the hospital consumption and prescription of systemic antibiotics were obtained from four specialized hospitals, including maternity, children's, stomatological and cancer hospitals. Systematic random sampling was used to select outpatient prescriptions and inpatient cases. A total of 105 specialized hospitals in 2011 and 121 specialized hospitals in 2012 were analysed. The defined daily doses (DDDs) per 100 inpatient days, the percentage of antibiotic use in outpatient prescriptions, and the percentage of antibiotic use in inpatient cases were used as measurements of antibiotic use. The overall antibiotic use density in the selected hospitals decreased between 2011 and 2012 from 39.37 to 26.54 DDD/100 inpatient days (P<0.001). The percentage of antibiotic use in outpatient prescriptions (range: 24.12%-18.71%, P=0.109) and inpatient cases (64.85%-60.10%, P=0.006) also decreased within the two years. Significant changes were observed among regions and different hospitals within the two years. And antibiotic consumption was correlated with the type and size of specialized hospital in 2012, but not with the regions. This analysis of antibiotic consumption of specialized hospitals allows relevant comparisons for benchmarking and shows that national ASP has improved antibiotic rational use in China. The data will assist policymakers in formulating effective strategies to decrease antibiotic overuse and identify areas that require further work.

  13. The efficacy of the direct clinical intervention for infectious diseases by a pediatric infectious disease specialist in the pediatric ward of a tertiary medical facility without a pediatric antimicrobial stewardship program.

    PubMed

    Hoshina, T; Yamamoto, N; Ogawa, M; Nakamoto, T; Kusuhara, K

    2017-08-01

    Antimicrobial stewardship programs (ASPs) have been introduced in most hospital complexes; however, they are not always useful for pediatric patients. The aim of this study is to investigate the efficacy of direct clinical intervention for infectious diseases by a pediatric infectious disease specialist in a tertiary medical facility without pediatric ASP. This retrospective study included 1,821 patients who were hospitalized in the pediatric ward of a large metropolitan hospital from 2010 to 2015. The clinical course, the use of intravenous antimicrobial agents and the results of a microbiological analysis were compared between the period after the beginning of direct intervention by the specialist (post-intervention period) and the previous period (pre-intervention period). In the post-intervention period, the proportion of the patients who received intravenous antimicrobial agents, the number of antimicrobial agents used for each episode, and the proportion of episodes in which an antimicrobial agent was re-administrated were significantly lower (P = 0.006, P = 0.004, P = 0.036, respectively), and the duration of antimicrobial treatment was significantly shorter (P < 0.001). In addition, narrower spectrum antimicrobial agents were used, and the incidence of meropenem-sensitive Pseudomonas aeruginosa significantly increased (P = 0.037) in the post-intervention period. There was no change of mortality between the two periods. Direct clinical intervention by a pediatric infectious diseases specialist is useful for the treatment of infectious diseases in the pediatric ward of a tertiary medical facility without a pediatric ASP. The creation of a pediatric ASP is recommended in hospital complexes.

  14. 41 CFR 102-74.100 - What are conservation programs?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... programs are programs that improve energy and water efficiency and promote the use of solar and other renewable energy. These programs must promote and maintain an effective source reduction activity (reducing consumption of resources such as energy, water, and paper), resource recovery activity (obtaining materials...

  15. 41 CFR 102-74.100 - What are conservation programs?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... programs are programs that improve energy and water efficiency and promote the use of solar and other renewable energy. These programs must promote and maintain an effective source reduction activity (reducing consumption of resources such as energy, water, and paper), resource recovery activity (obtaining materials...

  16. 41 CFR 102-74.100 - What are conservation programs?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... programs are programs that improve energy and water efficiency and promote the use of solar and other renewable energy. These programs must promote and maintain an effective source reduction activity (reducing consumption of resources such as energy, water, and paper), resource recovery activity (obtaining materials...

  17. 41 CFR 102-74.100 - What are conservation programs?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... programs are programs that improve energy and water efficiency and promote the use of solar and other renewable energy. These programs must promote and maintain an effective source reduction activity (reducing consumption of resources such as energy, water, and paper), resource recovery activity (obtaining materials...

  18. Residue Management: A Computer Program About Conservation Tillage Decisions.

    ERIC Educational Resources Information Center

    Thien, Steve J.

    1986-01-01

    Describes a computer program, Residue Management, which is designed to supplement discussions on the Universal Soil Loss Equation and the impact of tillage on soil properties for introductory soil courses. The program advances the user through three stages of residue management. Information on obtaining the program is also included. (ML)

  19. Earth is a Marine Habitat. Habitat Conservation Program.

    ERIC Educational Resources Information Center

    National Oceanic and Atmospheric Administration (DOC), Rockville, MD.

    This brochure is intended to educate the public about the need to conserve and preserve the earth's environment (man's habitat). It contains an introduction to the ocean world and threats to coastal habitat. Photos and narrative revolve around the theme "Earth is a Marine Habitat." Sections include: "The Web of…

  20. Using Audience Segmentation to Tailor Residential Irrigation Water Conservation Programs

    ERIC Educational Resources Information Center

    Warner, Laura A.; Chaudhary, Anil Kumar; Rumble, Joy N.; Lamm, Alexa J.; Momol, Esen

    2017-01-01

    Today's complex issues require technical expertise as well as the application of innovative social science techniques within Extension contexts. Researchers have suggested that a social science approach will play a critical role in water conservation, and people who use home landscape irrigation comprise a critical target audience for agriculture…

  1. Energy Conservation Program Cuts School Gas Use by 45%.

    ERIC Educational Resources Information Center

    Sampson, Walt

    1981-01-01

    Energy conservation measures at Longmont High School (Colorado), including reducing air entry, heating water only during school hours, and lowering lighting levels, are expected to save 45 percent in natural gas usage and 20 percent in electric usage. (Author/MLF)

  2. Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement Collaborative.

    PubMed

    Newland, Jason G; Gerber, Jeffrey S; Kronman, Matthew P; Meredith, Georgann; Lee, Brian R; Thurm, Cary; Hersh, Adam L

    2017-04-04

    Although many children's hospitals have established antimicrobial stewardship programs (ASPs), data-driven benchmarks for optimizing antimicrobial use across centers are lacking. We developed a multicenter quality improvement collaborative focused on sharing data reports and benchmarking antimicrobial use to improve antimicrobial prescribing among hospitalized children. A national antimicrobial stewardship collaborative among children's hospitals, Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS), was established in 2013. Characteristics of the hospitals and their ASPs were obtained through a standardized survey. Antimicrobial-use data reports were developed on the basis of input from the participating hospitals. Collaborative learning opportunities were provided through monthly webinars and annual meetings. Since 2013, 36 US hospitals have participated in the SHARPS collaborative. The median full-time equivalent (pharmacist and physician) dedicated to 30 of these ASPs was 0.75 (interquartile range, 0.45-1.4). To date, the collaborative has developed 26 data reports that include benchmarking reports according to specific antimicrobial agents, indications, and clinical service lines. The collaborative has conducted 27 webinars and 3 in-person meetings to highlight the stewardship work being conducted in the hospitals. The data reports and learning opportunities have resulted in approximately 36 distinct stewardship interventions. A pediatric antimicrobial stewardship collaborative has been successful in promoting the development of and innovation among pediatric ASPs. Additional research is needed to determine the impact of these efforts.

  3. Antibiotic Stewardship Ward Rounds and a Dedicated Prescription Chart Reduce Antibiotic Consumption and Pharmacy Costs without Affecting Inpatient Mortality or Re-Admission Rates

    PubMed Central

    Boyles, Tom H.; Whitelaw, Andrew; Bamford, Colleen; Moodley, Mischka; Bonorchis, Kim; Morris, Vida; Rawoot, Naazneen; Naicker, Vanishree; Lusakiewicz, Irena; Black, John; Stead, David; Lesosky, Maia; Raubenheimer, Peter; Dlamini, Sipho; Mendelson, Marc

    2013-01-01

    Background Antibiotic consumption is a major driver of bacterial resistance. To address the increasing burden of multi-drug resistant bacterial infections, antibiotic stewardship programmes are promoted worldwide to rationalize antibiotic prescribing and conserve remaining antibiotics. Few studies have been reported from developing countries and none from Africa that report on an intervention based approach with outcomes that include morbidity and mortality. Methods An antibiotic prescription chart and weekly antibiotic stewardship ward round was introduced into two medical wards of an academic teaching hospital in South Africa between January-December 2012. Electronic pharmacy records were used to collect the volume and cost of antibiotics used, the patient database was analysed to determine inpatient mortality and 30-day re-admission rates, and laboratory records to determine use of infection-related tests. Outcomes were compared to a control period, January-December 2011. Results During the intervention period, 475.8 defined daily doses were prescribed per 1000 inpatient days compared to 592.0 defined daily doses/1000 inpatient days during the control period. This represents a 19.6% decrease in volume with a cost reduction of 35% of the pharmacy’s antibiotic budget. There was a concomitant increase in laboratory tests driven by requests for procalcitonin. There was no difference in inpatient mortality or 30-day readmission rate during the control and intervention periods. Conclusions Introduction of antibiotic stewardship ward rounds and a dedicated prescription chart in a developing country setting can achieve reduction in antibiotic consumption without harm to patients. Increased laboratory costs should be anticipated when introducing an antibiotic stewardship program. PMID:24348995

  4. Taking an Antibiotic Time-out: Utilization and Usability of a Self-Stewardship Time-out Program for Renewal of Vancomycin and Piperacillin-Tazobactam

    PubMed Central

    Jones, Makoto M.; Glassman, Peter A.; Weir, Charlene; Butler, Jorie; Nechodom, Kevin; Kay, Chad L.; Furman, Amy E.; Tran, Thuong T.; Foltz, Christopher; Pollack, Lori A.; Samore, Matthew H.; Goetz, Matthew Bidwell

    2015-01-01

    Background: Antibiotic time-outs can promote critical thinking and greater attention to reviewing indications for continuation. Objective: We pilot tested an antibiotic time-out program at a tertiary care teaching hospital where vancomycin and piperacillin-tazobactam continuation past day 3 had previously required infectious diseases service approval. Methods: The time-out program consisted of 3 components: (1) an electronic antimicrobial dashboard that aggregated infection-relevant clinical data; (2) a templated note in the electronic medical record that included a structured review of antibiotic indications and that provided automatic approval of continuation of therapy when indicated; and (3) an educational and social marketing campaign. Results: In the first 6 months of program implementation, vancomycin was discontinued by day 5 in 93/145 (64%) courses where a time-out was performed on day 4 versus in 96/199 (48%) 1 year prior (P = .04). Seven vancomycin continuations via template (5% of time-outs) were guideline-discordant by retrospective chart review versus none 1 year prior (P = .002). Piperacillin-tazobactam was discontinued by day 5 in 70/105 (67%) courses versus 58/93 (62%) 1 year prior (P = .55); 9 continuations (9% of time-outs) were guideline-discordant versus two 1 year prior (P = .06). A usability survey completed by 32 physicians demonstrated modest satisfaction with the overall program, antimicrobial dashboard, and renewal templates. Conclusions: By providing practitioners with clinical informatics support and guidance, the intervention increased provider confidence in making decisions to de-escalate antimicrobial therapy in ambiguous circumstances wherein they previously sought authorization for continuation from an antimicrobial steward. PMID:27621509

  5. U.S. Air Force Hearing Conservation Program, Baseline Audiogram Errors

    DTIC Science & Technology

    2013-09-01

    Influence on HCP Reporting .................................. 1 4.0 CONCLUSION...Service, Hearing Conservation Program ( HCP ) section uses the Defense Occupational and Environmental Health Readiness System Hearing Conservation/Data...Influence on HCP Reporting The data used to monitor the USAF HCP should primarily come from the DOEHRS-DR, as it is the system of record for

  6. 77 FR 49701 - Energy Conservation Program for Consumer Products and Certain Commercial and Industrial Equipment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-17

    ... to estimating the FFC energy and emission impacts of alternative energy conservation standards levels... / Friday, August 17, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF ENERGY 10 CFR Parts 430 and 431 RIN 1904-AC24 Energy Conservation Program for Consumer Products and Certain Commercial and Industrial...

  7. 78 FR 62472 - Energy Conservation Program: Alternative Efficiency Determination Methods, Basic Model Definition...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ...; ] DEPARTMENT OF ENERGY 10 CFR Parts 429 and 431 RIN 1904-AC46 Energy Conservation Program: Alternative... alternatives to testing for the purposes of certifying compliance with the applicable energy conservation..., U.S. Department of Energy, Building Technologies Office, Mailstop EE-2J, Alternative Efficiency...

  8. Motivations of Adults for Non-Formal Conservation Education and Volunteerism: Implications for Programming

    ERIC Educational Resources Information Center

    Van Den Berg, Heather A.; Dann, Shari L.; Dirkx, John M.

    2009-01-01

    Adult conservation education is growing nationally. We investigated adults' motivations to take part in Michigan's Conservation Stewards education and volunteerism program. We used three theoretical frames (adult education orientations, volunteerism motivations, and leisure benefits sought) to understand learners' involvement. Adults' education…

  9. Opportunities and goals of the Neotropical Migratory Bird Conservation Program - Partners in Flight

    Treesearch

    Deborah M. Finch

    1992-01-01

    In the fall of 1990, a major program for the conservation of migratory landbirds that breed in North America and winter in Latin America and the Caribbean Basin was initiated. Numerous federal, state. and private organizations in the United States endorsed the initiative by signing an official agreement to cooperatively conserve populations of neotropical migratory...

  10. 78 FR 44895 - Energy Conservation Program for Consumer Products: First Co. Petition for Reconsideration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-25

    ...; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AD05 Energy Conservation Program for Consumer Products: First... rulemaking on this matter. DATES: Any comments must be received by DOE not later than August 26, 2013... energy conservation standard. Under existing regulations, the annual reporting requirements include...

  11. Energy conservation: Policies, programs, and general studies. Citations from the NTIS data base

    NASA Astrophysics Data System (ADS)

    Hundemann, A. S.

    1980-08-01

    National policies, programs, and general studies or ways to conserve energy are presented. Topic areas cover such subjects as electric load management, effects of price and taxation on energy conservation, public attitudes and behavior toward energy saving, energy savings through reduction in hot water consumption, and telecommunications substitutability for travel.

  12. Energy conservation: Policies, programs, and general studies. Citations from the NTIS data base

    NASA Astrophysics Data System (ADS)

    Hundemann, A. S.

    1980-08-01

    National policies, programs, and general studies of ways to conserve energy are presented. Topic areas cover such subjects as electric load management, effects of price and taxation on energy conservation, public attitudes and behavior toward energy saving, energy savings through reduction in hot water consumption, and telecommunications substitutability for travel.

  13. 78 FR 16443 - Energy Efficiency Program for Consumer Products: Energy Conservation Standards for Ceiling Fans...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ...; ] DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC87 Energy Efficiency Program for Consumer Products: Energy Conservation Standards for Ceiling Fans and Ceiling Fan Light Kits AGENCY: Office of Energy Efficiency and... process to consider amending the energy conservation standards for ceiling fans and ceiling fan light...

  14. Assessing the effects of USDA conservation programs on ecosystem services provided by wetlands

    USDA-ARS?s Scientific Manuscript database

    The Conservation Effects Assessment Project (CEAP) is led by the U.S. Department of Agriculture (USDA) in an effort to quantify the environmental effects of conservation programs and practices on privately owned agricultural landscapes across the United States. CEAP’s approach includes application ...

  15. Energy Conservation Investment Program (ECIP), FY93 Limited Energy Study, Milan Army Ammunition Plant, Milan, Tennessee.

    DTIC Science & Technology

    1994-11-11

    alternative Energy Conservation Opportunities (ECO’s). To develop the field data into various alternative ECO concepts or models, we utilized an ’Excel...ECO’s were then analyzed for suitability for the Energy Conservation lnvestment Program (ECIP) using the govemmenrs software package called Life Cycle Cost in Design (LCCID).

  16. 76 FR 30186 - Proposed Information Collection; Migratory Birds and Wetlands Conservation Grant Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-24

    ... Fish and Wildlife Service Proposed Information Collection; Migratory Birds and Wetlands Conservation... administers grant programs associated with the North American Wetlands Conservation Act (NAWCA), Public Law... OMB approves this request, we will discontinue OMB Control Number 1018- 0113. North American Wetlands...

  17. Water Conservation and Reuse. Instructor Guide. Working for Clean Water: An Information Program for Advisory Committees.

    ERIC Educational Resources Information Center

    Pennsylvania State Univ., Middletown. Inst. of State and Regional Affairs.

    Described is a learning session on water conservation intended for citizen advisory groups interested in water quality planning. Topics addressed in this instructor's manual include water conservation needs, benefits, programs, technology, and problems. These materials are components of the Working for Clean Water Project. (Author/WB)

  18. Water Conservation and Reuse. Instructor Guide. Working for Clean Water: An Information Program for Advisory Committees.

    ERIC Educational Resources Information Center

    Pennsylvania State Univ., Middletown. Inst. of State and Regional Affairs.

    Described is a learning session on water conservation intended for citizen advisory groups interested in water quality planning. Topics addressed in this instructor's manual include water conservation needs, benefits, programs, technology, and problems. These materials are components of the Working for Clean Water Project. (Author/WB)

  19. Motivations of Adults for Non-Formal Conservation Education and Volunteerism: Implications for Programming

    ERIC Educational Resources Information Center

    Van Den Berg, Heather A.; Dann, Shari L.; Dirkx, John M.

    2009-01-01

    Adult conservation education is growing nationally. We investigated adults' motivations to take part in Michigan's Conservation Stewards education and volunteerism program. We used three theoretical frames (adult education orientations, volunteerism motivations, and leisure benefits sought) to understand learners' involvement. Adults' education…

  20. What happens to soil ecological properties when conservation reserve program land is disturbed

    USDA-ARS?s Scientific Manuscript database

    Each year, expiring Conservation Reserve Program (CRP) contracts results in the conversion of restored CRP land back to croplands, potentially reversing multiple ecological benefits including C sequestration potential and microbial biodiversity. We evaluated microbial community composition (fatty ac...

  1. 75 FR 9380 - Cooperative Conservation Partners Initiative; Wetlands Reserve Enhancement Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ...; ] DEPARTMENT OF AGRICULTURE Commodity Credit Corporation Cooperative Conservation Partners Initiative; Wetlands... Partnership Initiative (CCPI) and $25 million in the Wetlands Reserve Enhancement Program (WREP) through the... runoff; protect, restore, and enhance wetlands; maintain agricultural productivity; ] improve...

  2. 78 FR 52900 - Request for Applications: The Community Forest and Open Space Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Request for Applications: The Community Forest and Open Space Conservation Program AGENCY... of Agriculture, Forest Service, requests applications for the Community Forest and Open...

  3. 77 FR 13261 - Request for Applications: The Community Forest and Open Space Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Request for Applications: The Community Forest and Open Space Conservation Program AGENCY... February 15, 2011, concerning requests for applications for the Community Forest and Open...

  4. Notification: EPA Oversight of Delegated State Resource Conservation and Recovery Act Programs

    EPA Pesticide Factsheets

    Project #OPE-FY16-0033, September 19, 2016. The EPA OIG plans to begin preliminary research on the EPA's oversight of authorized state hazardous waste programs that fall under the Resource Conservation and Recovery Act.

  5. Combining Landscape-Level Conservation Planning and Biodiversity Offset Programs: A Case Study

    NASA Astrophysics Data System (ADS)

    Underwood, Jared G.

    2011-01-01

    Habitat loss is major factor in the endangerment and extinction of species around the world. One promising strategy to balance continued habitat loss and biodiversity conservation is that of biodiversity offsets. However, a major concern with offset programs is their consistency with landscape-level conservation goals. While merging offset polices and landscape-level conservation planning is thought to provide advantages over a traditional disconnected approach, few such landscape-level conservation-offset plans have been designed and implemented, so the effectiveness of such a strategy remains uncertain. In this study, we quantitatively assess the conservation impact of combining landscape-level conservation planning and biodiversity offset programs by comparing regions of San Diego County, USA with the combined approach to regions with only an offset program. This comparison is generally very difficult due to a variety of complicating factors. We overcome these complications and quantify the benefits to rare and threatened species of implementing a combined approach by assessing the amount of each species' predicted distribution, and the number of documented locations, conserved in comparison to the same metric for areas with an offset policy alone. We found that adoption of the combined approach has increased conservation for many rare species, often 5-10 times more than in the comparison area, and that conservation has been focused in the areas most important for these species. The level of conservation achieved reduces uncertainty that these species will persist in the region into the future. This San Diego County example demonstrates the potential benefits of combining landscape-level conservation planning and biodiversity offset programs.

  6. Combining landscape-level conservation planning and biodiversity offset programs: a case study.

    PubMed

    Underwood, Jared G

    2011-01-01

    Habitat loss is a major factor in the endangerment and extinction of species around the world. One promising strategy to balance continued habitat loss and biodiversity conservation is that of biodiversity offsets. However, a major concern with offset programs is their consistency with landscape-level conservation goals. While merging offset policies and landscape-level conservation planning is thought to provide advantages over a traditional disconnected approach, few such landscape-level conservation-offset plans have been designed and implemented, so the effectiveness of such a strategy remains uncertain. In this study, we quantitatively assess the conservation impact of combining landscape-level conservation planning and biodiversity offset programs by comparing regions of San Diego County, USA with the combined approach to regions with only an offset program. This comparison is generally very difficult due to a variety of complicating factors. We overcome these complications and quantify the benefits to rare and threatened species of implementing a combined approach by assessing the amount of each species' predicted distribution, and the number of documented locations, conserved in comparison to the same metric for areas with an offset policy alone. We found that adoption of the combined approach has increased conservation for many rare species, often 5-10 times more than in the comparison area, and that conservation has been focused in the areas most important for these species. The level of conservation achieved reduces uncertainty that these species will persist in the region into the future. This San Diego County example demonstrates the potential benefits of combining landscape-level conservation planning and biodiversity offset programs.

  7. Are we making the grade? Practices and reported efficacy measures of primate conservation education programs.

    PubMed

    Kling, Katherine J; Hopkins, Mariah E

    2015-04-01

    Conservation education is often employed alongside primate conservation efforts with the aim of changing knowledge, attitudes, and behaviors toward non-human primates. Recommended best-use practices include longevity, use of program incentives, collaboration among educators, and adaptive program assessment, among others. This study surveys primate conservation education programs (PCEPs) to assess the frequency of suggested best-use practices, and to investigate impacts on program efficacy. Online surveys were collected from PCEPs in 2013-2014 (N = 43). The majority of programs reported lengths of 5-10 years, with participant involvement ranging widely from a day to several years. Non-economic and economic incentives were distributed by approximately half of all programs, with programs that provided economic incentives reporting positive participant attitude changes more frequently than those that did not (P = 0.03). While >70% of PCEPs consulted with community leaders, local teachers, and research scientists, only 45.9% collaborated with other conservation educators and only 27% collaborated with cultural experts such as cultural anthropologists. Programs that collaborated with other conservation educators were more likely to report reductions in threats to primates, specifically to bushmeat hunting and capture of primates for the pet trade (P = 0.07). Formal program evaluations were employed by 72.1% of all programs, with the majority of programs using surveys to assess changes to participant attitudes and knowledge. Formal evaluations of participant behavior, community attitudes and behaviors, and threats to primate populations were less common. While results indicate that PCEPs follow many suggested best-use practices, program impacts may be enhanced by greater discussion of economic incentivization, increased collaboration between conservation educators, and improved commitment to adaptive evaluation of changes to behaviors in addition to attitudes and

  8. The concept of stewardship in health policy.

    PubMed Central

    Saltman, R. B.; Ferroussier-Davis, O.

    2000-01-01

    There is widespread agreement that both the configuration and the application of state authority in the health sector should be realigned in the interest of achieving agreed policy objectives. The desired outcome is frequently characterized as a search for good governance serving the public interest. The present paper examines the proposal in The World Health Report 2000 that the concept of stewardship offers the appropriate basis for reconfiguration. We trace the development of stewardship from its initial religious formulation to more recent ecological and sociological permutations. Consideration is given to the potential of stewardship for encouraging state decision-making that is both normatively based and economically efficient. Various dilemmas that could impede or preclude such a shift in state behaviour are examined. We conclude that the concept of stewardship holds substantial promise if adequately developed and effectively implemented. PMID:10916910

  9. FY 2015 - Stockpile Stewardship and Management Plan

    SciTech Connect

    2014-04-01

    This Department of Energy’s (DOE) National Nuclear Security Administration (NNSA) Fiscal Year Stockpile Stewardship and Management Plan (SSMP) is a key planning document for the nuclear security enterprise.

  10. FY 2016 - Stockpile Stewardship and Management Plan

    SciTech Connect

    2015-03-01

    This Department of Energy’s (DOE) National Nuclear Security Administration (NNSA) Fiscal Year Stockpile Stewardship and Management Plan (SSMP) is a key planning document for the nuclear security enterprise.

  11. Pediatrician perceptions of an outpatient antimicrobial stewardship intervention.

    PubMed

    Szymczak, Julia E; Feemster, Kristen A; Zaoutis, Theoklis E; Gerber, Jeffrey S

    2014-10-01

    Inappropriate antibiotic prescribing commonly occurs in pediatric outpatients with acute respiratory tract infections. Antimicrobial stewardship programs are recommended for use in the hospital, but less is known about whether and how they will work in the ambulatory setting. Following a successful cluster-randomized trial to improve prescribing for common acute respiratory tract infections using education plus audit and feedback in a large, pediatric primary care network, we sought to explore the perceptions of the intervention and antibiotic overuse among participating clinicians. We conducted a qualitative study using semistructured interviews with 24 pediatricians from 6 primary care practices who participated in an outpatient antimicrobial stewardship intervention. All interviews were transcribed and analyzed using a modified grounded theory approach. Deep skepticism of the audit and feedback reports emerged. Respondents ignored reports or expressed distrust about them. One respondent admitted to gaming behavior. When asked about antibiotic overuse, respondents recognized it as a problem, but they believed it was driven by the behaviors of nonpediatric physicians. Parent pressure for antibiotics was identified by all respondents as a major barrier to the more judicious use of antibiotics. Respondents reported that they sometimes "caved" to parent pressure for social reasons. To improve the effectiveness and sustainability of outpatient antimicrobial stewardship, it is critical to boost the credibility of audit data, engage primary care pediatricians in recognizing that their behavior contributes to antibiotic overuse, and address parent pressure to prescribe antibiotics.

  12. Synthesis of economic criteria in the design of electric utility industrial conservation programs in Costa Rica

    SciTech Connect

    Fisher, S.C.

    1995-12-31

    This paper lays out a set of economic criteria to guide the development of electricity conservation programs for industrial customers of the Costa Rican utilities. It puts the problem of utility and other public policy formulation in the industrial conservation field into the context of ongoing economic and trade liberalization in Costa Rica, as well as the financial and political pressures with which the country`s utilities must contend. The need to bolster utility financial performance and the perennial political difficulty of adjusting power rates for inflation and devaluation, not to mention maintaining efficient real levels, puts a premium on controlling the costs of utility conservation programs and increasing the degree of cost recovery over time. Industrial conservation programs in Costa Rica must adopt a certain degree of activation to help overcome serious market failures and imperfections while at the same time avoiding significant distortion of the price signals guiding the ongoing industrial rationalization process and the reactivation of growth.

  13. Perceptions and Practices of Community Pharmacists towards Antimicrobial Stewardship in the State of Selangor, Malaysia

    PubMed Central

    Khan, Muhammad Umair; Hassali, Mohamed Azmi Ahmad; Ahmad, Akram; Elkalmi, Ramadan Mohamed; Zaidi, Syed Tabish Razi; Dhingra, Sameer

    2016-01-01

    Background Increasing antimicrobial resistance is one of the pressing concerns globally. Injudicious use of antibiotics is one of the modifiable factors responsible for antimicrobial resistance. Given the widespread use of antimicrobials in community settings, pharmacists have an important role in ensuring appropriate use of antibiotics. The objective of this study was to assess the perception and self-reported practices of community pharmacists towards antimicrobial stewardship. Methods A cross-sectional study was conducted among community pharmacists between March–April, 2015, using a self-administered, pre-tested questionnaire in the State of Selangor, Malaysia. A simple random sampling approach was used to select pharmacy sites. Descriptive and inferential statistical methods were used to analyse the data. Results A total of 188 pharmacists responded to the survey, giving a response rate of 83.5%. The majority of participants (n = 182, 96.8%) believed that antimicrobial stewardship program helps healthcare professionals to improve the quality of patient care. However, more than half of pharmacists were neutral in their opinion about the incorporation of antimicrobial stewardship programs in community pharmacies (n = 102, 54.2%). Though collaboration was often done by pharmacists with other health professionals over the use of antibiotics (n = 104, 55.3%), a significant proportion of participants (n = 102, 54.2%) rarely/occasionally participate in antimicrobial awareness campaigns. Pharmacists having postgraduate qualification were more likely to held positive perceptions of, and were engaged in, antimicrobial stewardship than their non-postgraduate counterpart (p<0.05). Similarly, more experienced pharmacists (> 10 years) held positive perceptions towards antimicrobial stewardship (p<0.05). Conclusion The study highlighted some gaps in the perception and practices of community pharmacist towards antimicrobial stewardship. Development of customized

  14. Perceptions and Practices of Community Pharmacists towards Antimicrobial Stewardship in the State of Selangor, Malaysia.

    PubMed

    Khan, Muhammad Umair; Hassali, Mohamed Azmi Ahmad; Ahmad, Akram; Elkalmi, Ramadan Mohamed; Zaidi, Syed Tabish Razi; Dhingra, Sameer

    2016-01-01

    Increasing antimicrobial resistance is one of the pressing concerns globally. Injudicious use of antibiotics is one of the modifiable factors responsible for antimicrobial resistance. Given the widespread use of antimicrobials in community settings, pharmacists have an important role in ensuring appropriate use of antibiotics. The objective of this study was to assess the perception and self-reported practices of community pharmacists towards antimicrobial stewardship. A cross-sectional study was conducted among community pharmacists between March-April, 2015, using a self-administered, pre-tested questionnaire in the State of Selangor, Malaysia. A simple random sampling approach was used to select pharmacy sites. Descriptive and inferential statistical methods were used to analyse the data. A total of 188 pharmacists responded to the survey, giving a response rate of 83.5%. The majority of participants (n = 182, 96.8%) believed that antimicrobial stewardship program helps healthcare professionals to improve the quality of patient care. However, more than half of pharmacists were neutral in their opinion about the incorporation of antimicrobial stewardship programs in community pharmacies (n = 102, 54.2%). Though collaboration was often done by pharmacists with other health professionals over the use of antibiotics (n = 104, 55.3%), a significant proportion of participants (n = 102, 54.2%) rarely/occasionally participate in antimicrobial awareness campaigns. Pharmacists having postgraduate qualification were more likely to held positive perceptions of, and were engaged in, antimicrobial stewardship than their non-postgraduate counterpart (p<0.05). Similarly, more experienced pharmacists (> 10 years) held positive perceptions towards antimicrobial stewardship (p<0.05). The study highlighted some gaps in the perception and practices of community pharmacist towards antimicrobial stewardship. Development of customized interventions would be critical to bridging these

  15. 76 FR 31795 - Energy Conservation Program: Energy Conservation Standards for Walk-In Coolers and Freezers...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... Energy, Building Technologies Program, EE-2J, 1000 Independence Avenue, SW., Washington, DC 20585-0121... temperature testing condition and the actual temperatures at which the tested products operate, and the fact... for Energy Efficiency, Office of Technology Development, Energy Efficiency and Renewable Energy. For...

  16. 77 FR 22472 - Energy Conservation Program: Energy Conservation Standards for Certain External Power Supplies...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-16

    .... Department of Energy, Office of Energy Efficiency and Renewable Energy, Building Technologies Program, EE-2J...)) Those standards consisted of minimum efficiency levels that these products must meet during active mode... April 9, 2012. Kathleen B. Hogan, Deputy Assistant Secretary for Energy Efficiency, Energy...

  17. 7 CFR 1469.22 - Conservation practice operation and maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... life span of the conservation treatment, as identified in the contract or conservation stewardship plan... procedures as specified in § 1469.25. If an existing practice is part of a system that meets the quality...

  18. Multi-faceted energy-conservation program. Final technical report

    SciTech Connect

    Not Available

    1981-01-01

    The purpose of this project was to design and build 19 solar thermosiphoning air panels, insulate walls, generally tighten up the library building, and install other energy conserving devices. Another purpose of the project was to serve as a model to other libraries in Kentucky, to commercial buildings in this area, and to homeowners in the area. After much discussion with architects and among ourselves, we chose a type of solar installation that would be visible to the public and easily replicated. We also carried out a number of procedures to make the library building more energy efficient: installed a 7-day programmable setback thermostat; insulated the walls; improved weatherstripping around the doors; added an economizer control to our air-handling system; and put an electric damper controlling supply air to a large but intermittently usedmeeting room. These changes resulted in approximately $700 in savings from December 1981, through February 1982. Thus far, we have carried out public education with a sign, brochures, press releases, and the purchase of appropriate books; librarians have received our brochure, and some have attended a workshop given here on energy conservation and solar energy.

  19. Keepers of Our Digital Future: An Assessment of the National Digital Stewardship Residencies, 2013-2016

    ERIC Educational Resources Information Center

    Mink, Meridith Beck

    2016-01-01

    In September 2015, the Institute of Museum and Library Services (IMLS) awarded the Council on Library and Information Resources (CLIR) a grant to investigate the early impacts of the National Digital Stewardship Residency (NDSR) programs, in order to inform subsequent development of similar programs by others with a vested interest in building…

  20. Recommendations for Best Professional Practices in Fishing, Boating and Stewardship Education.

    ERIC Educational Resources Information Center

    Fedler, Anthony J.; Matthews, Bruce E.

    2001-01-01

    To implement its mission of increasing participation in fishing and boating and the stewardship of related resources, the Recreational Boating and Fishing Foundation solicited input from 11 experts in related fields. They identified 10 principles for education programs and recommended best practices in four educational areas: program planning,…

  1. NASA'S Earth Science Data Stewardship Activities

    NASA Technical Reports Server (NTRS)

    Lowe, Dawn R.; Murphy, Kevin J.; Ramapriyan, Hampapuram

    2015-01-01

    NASA has been collecting Earth observation data for over 50 years using instruments on board satellites, aircraft and ground-based systems. With the inception of the Earth Observing System (EOS) Program in 1990, NASA established the Earth Science Data and Information System (ESDIS) Project and initiated development of the Earth Observing System Data and Information System (EOSDIS). A set of Distributed Active Archive Centers (DAACs) was established at locations based on science discipline expertise. Today, EOSDIS consists of 12 DAACs and 12 Science Investigator-led Processing Systems (SIPS), processing data from the EOS missions, as well as the Suomi National Polar Orbiting Partnership mission, and other satellite and airborne missions. The DAACs archive and distribute the vast majority of data from NASA’s Earth science missions, with data holdings exceeding 12 petabytes The data held by EOSDIS are available to all users consistent with NASA’s free and open data policy, which has been in effect since 1990. The EOSDIS archives consist of raw instrument data counts (level 0 data), as well as higher level standard products (e.g., geophysical parameters, products mapped to standard spatio-temporal grids, results of Earth system models using multi-instrument observations, and long time series of Earth System Data Records resulting from multiple satellite observations of a given type of phenomenon). EOSDIS data stewardship responsibilities include ensuring that the data and information content are reliable, of high quality, easily accessible, and usable for as long as they are considered to be of value.

  2. Antimicrobial use metrics and benchmarking to improve stewardship outcomes: methodology, opportunities, and challenges.

    PubMed

    Ibrahim, Omar M; Polk, Ron E

    2014-06-01

    Measurement of antimicrobial use before and after an intervention and the associated outcomes are key activities of antimicrobial stewardship programs. In the United States, the recommended metric for aggregate antibiotic use is days of therapy/1000 patient-days. Clinical outcomes, including response to therapy and bacterial resistance, are critical measures but are more difficult to document than economic outcomes. Interhospital benchmarking of risk adjusted antimicrobial use is possible, although several obstacles remain before it can have an impact on patient care. Many challenges for stewardship programs remain, but the methods and science to support their efforts are rapidly evolving.

  3. Evaluation model for developing, implementing, and assessing conservation education programs: Examples from Belize and Costa Rica

    NASA Astrophysics Data System (ADS)

    Jacobson, Susan K.

    1991-03-01

    Evaluation of conservation education programs can: (1) provide accountability in demonstrating a program's worth, (2) offer an opportunity for receiving feedback and improving programs, (3) further our understanding of the process of program development, and (4) promote conservation education by substantiating claims about its benefits. The Planning-Process-Product systems evaluation model provides feedback needed for making decisions about the development, implementation, and outcome of a program. Planning evaluation was useful in assessing the needs, goals, opportunities, and constraints of a number of programs in Costa Rica and Belize, such as a forestry education project and a zoo outreach program. It provided a basis for making planning decisions incorporating specific objectives, such as the reforestation of a region or a change in knowledge and attitudes in program participants. Process evaluation provided a Costa Rican sustainable development program with feedback during its implementation and enabled it to modify and improve its newsletter for local farmers and its ecology classes for school children. Product evaluation assessed project accomplishments, such as the 700,000 raised by the Children's Rainforest group and the 20 miles of riparian land under conservation management as part of the Belize Community Baboon Sanctuary project. Outcomes are compared with the programs original monetary or land management objectives to determine the success of the programs and to provide feedback for improvement.

  4. Institutional conservation program: Energy use data base demonstration: Final report

    SciTech Connect

    Not Available

    1987-04-01

    An attempt was made to motivate implementation of energy accounting programs in seven states. None of the seven states initiated a systematic statewide accounting program. The principal reason was lack of personnel. The project strategy was reformed to disseminate information to all states and territories and to other interested organizations. Recipients of the reports greeted them positively and expressed interest in energy accounting. However, there is no evidence that any state or local government instituted an energy accounting program because of the reports. The project was again reformed to attempt to demonstrate the initiation of an energy accounting service. Prison inmates who were students in computer classes could provide data processing and handling. Officials in New York State explored the possibility of starting, at Attica Correctional Facility, an energy accounting service to serve public buildings in New York.

  5. Evaluation of stable isotopes of water to determine rainwater infilitration in soils under conservation reserve program

    USDA-ARS?s Scientific Manuscript database

    The Conservation Reserve Program (CRP) is a USDA program introduced in 1985 to reduce soil erosion by increasing vegetative cover of highly erodible land. Participation in the CRP is done via contracts (10-15 years in length) and currently the total area of land under contract is set to decline as p...

  6. Impacts of the Conservation Education Program in Serra Malagueta Natural Park, Cape Verde

    ERIC Educational Resources Information Center

    Burnett, Edmund; Sills, Erin; Peterson, M. Nils; DePerno, Christopher

    2016-01-01

    Environmental and conservation education programs are commonly offered in the rapidly expanding network of protected areas in developing countries. There have been few evaluations of these programs and their impacts on participants. At Serra Malagueta Natural Park in Cape Verde, we assessed changes in environmental knowledge, opinions, and…

  7. Forest and farmland conservation effects of Oregon's (USA) land-use planning program.

    Treesearch

    Jeffrey D. Kline

    2005-01-01

    Oregon's land-use planning program is often cited as an exemplary approach to forest and farmland conservation, but analyses of its effectiveness are limited. This article examines Oregon's land-use planning program using detailed spatial data describing building densities in western Oregon. An empirical model describes changes in building densities on forest...

  8. Empirical Evidence in Support of a Research-Informed Water Conservation Education Program

    ERIC Educational Resources Information Center

    Thompson, Ruthanne; Serna, Victoria Faubion

    2016-01-01

    Based on results from a 2008 research study of regional citizen knowledge concerning watershed issues, a water conservation education program was designed and implemented. Findings from the initial study demonstrated program success as evidenced by knowledge gain and willingness to "commit" to water saving behaviors in 94% of students. A…

  9. Empirical Evidence in Support of a Research-Informed Water Conservation Education Program

    ERIC Educational Resources Information Center

    Thompson, Ruthanne; Serna, Victoria Faubion

    2016-01-01

    Based on results from a 2008 research study of regional citizen knowledge concerning watershed issues, a water conservation education program was designed and implemented. Findings from the initial study demonstrated program success as evidenced by knowledge gain and willingness to "commit" to water saving behaviors in 94% of students. A…

  10. 77 FR 73 - Cooperative Conservation Partnership Initiative and Wetlands Reserve Enhancement Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-03

    ... Conservation Partnership Initiative and Wetlands Reserve Enhancement Program AGENCY: Natural Resources... Partnership Initiative (CCPI) and up to $25 million in the Wetlands Reserve Enhancement Program (WREP) through... wetlands. The designated 8-digit HUC focus areas are listed below. A complete list of the smaller-scale,...

  11. Programmed Instruction Manual for a New Solar and Energy Conservation Laboratory. Final Evaluation Report.

    ERIC Educational Resources Information Center

    State Univ. of New York, Farmingdale. Agricultural and Technical Coll.

    A programmed instruction course was developed, consisting of fifteen experiments encompassing eleven separate pieces of equipment operational in a solar and energy conservation lab. The programmed instruction manual for the lab was evaluated and revised during a workshop. This evaluation indicated that both the lab and manual are valuable tools…

  12. Nature Conservancy of Canada (NCC)--Manitoba Region's Environmental Education Program

    ERIC Educational Resources Information Center

    Shaluk, Cathy

    2007-01-01

    The Nature Conservancy of Canada (NCC) is excited and proud to offer its first ever in-class education programs on the Tall Grass Prairie Ecosystem. These curriculum-based programs are offered to students from Kindergarten through to Grade 12. This experience gives many students who may never have the opportunity to visit a real live prairie to…

  13. Impacts of the Conservation Education Program in Serra Malagueta Natural Park, Cape Verde

    ERIC Educational Resources Information Center

    Burnett, Edmund; Sills, Erin; Peterson, M. Nils; DePerno, Christopher

    2016-01-01

    Environmental and conservation education programs are commonly offered in the rapidly expanding network of protected areas in developing countries. There have been few evaluations of these programs and their impacts on participants. At Serra Malagueta Natural Park in Cape Verde, we assessed changes in environmental knowledge, opinions, and…

  14. The DOE industrial energy conservation program: Research and development in the iron and steel industry

    SciTech Connect

    Not Available

    1987-02-01

    In an effort to maintain a strong and productive industrial base and to reduce reliance on imported energy sources, the US Department of Energy, Office of Industrial Programs, conducts industrial energy conservation research and development activities. To date, the Office of Industrial Programs has supported over two hundred research and development projects covering a wide spectrum of industrial applications. This brochure presents a summary of the Office of Industrial Programs' research and development activities to date for the steel industry. It was prepared to serve as a tool to aid in the transfer of the results of these activities to those interested in Federal Industrial energy conservation activities.

  15. Surplus Facilities and Resource Conservation and Recovery Act Closure program plan, fiscal year 1992

    SciTech Connect

    Hughes, M.C.; Wahlen, R.K.; Winship, R.A.

    1991-10-01

    The Surplus Facilities and Resource Conservation and Recovery Act Closure program is responsible to US Department of Energy Field Office, Richland for the safe, cost-effective surveillance, maintenance, and decommissioning of surplus facilities at the Hanford Site. The Surplus Facilities and Resource Conservation and Recovery Act Closure program is also responsible to US Department of Energy Field Office, Richland for the program management of specific Resource Conservation and Recovery Act closures at the Hanford Site. This program plan addresses only the surplus facilities. The criteria used to evaluate each factor relative to decommissioning are based on the guidelines presented by the US Department of Energy Field Office, Richland, Environmental Restoration Division. The guidelines are consistent with the Westinghouse Hanford Company commitment to decommission Hanford Site retired facilities in the safest and most cost-effective way achievable. This document outlines the plan for managing these facilities until disposal.

  16. Energy efficient engine program contributions to aircraft fuel conservation

    SciTech Connect

    Batterton, P.G.

    1984-01-01

    Significant advances in high bypass turbofan technologies that enhance fuel efficiency have been demonstrated in the NASA Energy Efficient Engine Program. This highly successful second propulsion element of the NASA Aircraft Energy Efficiency Program included major contract efforts with both General Electric and Pratt Whitney. Major results of these efforts will be presented including highlights from the NASA/General Electric E3 research turbofan engine test. Direct application of all the E3 technologies could result in fuel savings of over 18% compared to the CF6-50 and JT9D-7. Application of the E3 technologies to new and derivative engines such as the CF6-80C and PW 2037, as well as others, will be discussed. Significant portions of the fuel savings benefit for these new products can be directly related to the E3 technology program. Finally, results of a study looking at far term advanced turbofan engines will be briefly described. The study shows that substantial additional fuel savings over E3 are possible with additional turbofan technology programs.

  17. Energy efficient engine program contributions to aircraft fuel conservation

    NASA Technical Reports Server (NTRS)

    Batterton, P. G.

    1984-01-01

    Significant advances in high bypass turbofan technologies that enhance fuel efficiency have been demonstrated in the NASA Energy Efficient Engine Program. This highly successful second propulsion element of the NASA Aircraft Energy Efficiency Program included major contract efforts with both General Electric and Pratt & Whitney. Major results of these efforts will be presented including highlights from the NASA/General Electric E3 research turbofan engine test. Direct application of all the E3 technologies could result in fuel savings of over 18% compared to the CF6-50 and JT9D-7. Application of the E3 technologies to new and derivative engines such as the CF6-80C and PW 2037, as well as others, will be discussed. Significant portions of the fuel savings benefit for these new products can be directly related to the E3 technology program. Finally, results of a study looking at far term advanced turbofan engines will be briefly described. The study shows that substantial additional fuel savings over E3 are possible with additional turbofan technology programs.

  18. Your Maintenance Staff--Untapped Assistants for Energy Conservation Programs.

    ERIC Educational Resources Information Center

    Rossdeutscher, Neal

    1983-01-01

    An inservice training program for school maintenance employees in a suburban Chicago elementary school district has motivated the staff to feel an ownership of their jobs and to suggest ideas of their own. Both factors have helped the district save thousands of dollars. (MLF)

  19. 76 FR 744 - Community Forest and Open Space Conservation Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-06

    ... private use of land or the conduct of business. It is a grant program to local governments, Tribal... regarding property considerations of small entities and the Small Business Regulatory Enforcement Fairness... products resulting from sustainable forest management and tourism; (2) Environmental benefits,...

  20. Conservation Compromises: The MAB and the Legacy of the International Biological Program, 1964-1974.

    PubMed

    Schleper, Simone

    2017-02-01

    This article looks at the International Biological Program (IBP) as the predecessor of UNESCO's well-known and highly successful Man and the Biosphere Programme (MAB). It argues that international conservation efforts of the 1970s, such as the MAB, must in fact be understood as a compound of two opposing attempts to reform international conservation in the 1960s. The scientific framework of the MAB has its origins in disputes between high-level conservationists affiliated with the International Union for the Conservation of Nature and Natural Resources (IUCN) about what the IBP meant for the future of conservation. Their respective visions entailed different ecological philosophies as much as diverging sets of political ideologies regarding the global implementation of conservation. Within the IBP's Conservation Section, one group propagated a universal systems approach to conservation with a centralized, technocratic management of nature and society by an elite group of independent scientific experts. Within IUCN, a second group based their notion of environmental expert roles on a more descriptive and local ecology of resource mapping as practiced by UNESCO. When the IBP came to an end in 1974, both groups' ecological philosophies played into the scientific framework underlying the MAB's World Network or Biosphere Reserves. The article argues that it is impossible to understand the course of conservation within the MAB without studying the dynamics and discourses between the two underlying expert groups and their respective visions for reforming conservation.