Science.gov

Sample records for criteria technical review

  1. Technical criteria for an Area-Of-Review variance methodology. Appendix B

    SciTech Connect

    1994-01-01

    This guidance was developed by the Underground Injection Practices Research Foundation to assist Underground Injection Control Directors in implementing proposed changes to EPA`s Class 2 Injection Well Regulations that will apply the Area-Of-Review (AOR) requirement to previously exempt wells. EPA plans to propose amendments this year consistent with the recommendations in the March 23, 1992, Final Document developed by the Class 2 Injection Well Advisory Committee, that will require AORs to be performed on all Class 2 injection wells except those covered by previously conducted AORs and those located in areas that have been granted a variance. Variances may be granted if the Director determines that there is a sufficiently low risk of upward fluid movement from the injection zone that could endanger underground sources of drinking water. This guidance contains suggested technical criteria for identifying areas eligible for an AOR variance. The suggested criteria were developed in consultation with interested States and representatives from EPA, industry and the academic community. Directors will have six months from the promulgation of the new regulations to provide EPA with either a schedule for performing AOR`s within five years on all wells not covered by previously conducted AORs, or notice of their intent to establish a variance program. It is believed this document will provide valuable assistance to Directors who are considering whether to establish a variance program or have begun early preparations to develop such a program.

  2. Solid waste disposal facility criteria. Technical manual

    SciTech Connect

    Not Available

    1993-11-01

    The technical manual has been developed to assist municipal solid waste landfill (MSWLF) owners and operators in achieving compliance with the revised MSWLF Criteria, promulgated on October 9, 1991 in Title 40, Part 258, of the Code of Federal Regulations (CFR). The manual is not a regulatory document, and does not provide mandatory technical guidance, but does provide assistance for coming into compliance with the technical aspects of the revised landfill Criteria. The document is intended for use by landfill owners/operators and their consultants and contractors who provide advice on demonstrating compliance with the Part 258 standards.

  3. NRC nuclear waste management technical support in the development of nuclear waste form criteria. Task 4. Test development review

    SciTech Connect

    Czyscinski, K.S.; Swyler, K.J.; Klamut, C.J.

    1980-05-01

    This interim report concerns the development of testing procedures to assess the performance of waste packages to be used for high-level waste disposal in geologic repositories. Single component testing of the waste package is determined to be a workable strategy for testing and evaluation in terms of NRC release rate criteria. An initial literature review has identified key tests and those variables which must be included in testing procedures to simulate repository conditions. The range of these conditions remains to be determined precisely. Methods for leach, corrosion, and sorption testing are reviewed and initial recommendations made for preferred procedures. A combination of static and dynamic tests is needed to evaluate waste package component performance. Additional research is necessary in certain areas both to establish reliable testing methods and to define the range of testing variables. Research recommendations are included in the report. Ancillary measurements will be required to ensure that key tests rigorously assess the durability of waste package components under anticipated repository conditions. In particular, radiation effects in the repository environment must be considered and, where necessary, simulated during critical testing. Research is recommended to aid in determining when and how this should be done.

  4. 47 CFR 22.813 - Technical channel pair assignment criteria.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Technical channel pair assignment criteria. 22....813 Technical channel pair assignment criteria. The rules in this section establish technical assignment criteria for the channel pairs listed in § 22.805. These criteria are intended to...

  5. Crew Transportation Technical Standards and Design Evaluation Criteria

    NASA Technical Reports Server (NTRS)

    Lueders, Kathryn L.; Thomas, Rayelle E. (Compiler)

    2015-01-01

    Crew Transportation Technical Standards and Design Evaluation Criteria contains descriptions of technical, safety, and crew health medical processes and specifications, and the criteria which will be used to evaluate the acceptability of the Commercial Providers' proposed processes and specifications.

  6. 47 CFR 68.608 - Publication of technical criteria.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Publication of technical criteria. 68.608... Attachments § 68.608 Publication of technical criteria. The Administrative Council for Terminal Attachments shall place technical criteria proposed for publication on public notice for 30 days. At the end of...

  7. 47 CFR 68.608 - Publication of technical criteria.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Publication of technical criteria. 68.608... Attachments § 68.608 Publication of technical criteria. The Administrative Council for Terminal Attachments shall place technical criteria proposed for publication on public notice for 30 days. At the end of...

  8. 47 CFR 68.608 - Publication of technical criteria.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Publication of technical criteria. 68.608... Attachments § 68.608 Publication of technical criteria. The Administrative Council for Terminal Attachments shall place technical criteria proposed for publication on public notice for 30 days. At the end of the...

  9. 47 CFR 22.537 - Technical channel assignment criteria.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Technical channel assignment criteria. 22.537... assignment criteria. The rules in this section establish technical assignment criteria for the channels listed in § 22.531. These criteria permit channel assignments to be made in a manner such that reception...

  10. Technical guidance for siting criteria development

    SciTech Connect

    Aldrich, D.C.; Sprung, J.L.; Alpert, D.J.; Diegert, K.; Ostmeyer, R.M.; Ritchie, L.T.; Strip, D.R.; Johnson, J.D.; Hansen, K.; Robinson, J.

    1982-12-01

    Technical guidance to support the formulation and comparison of possible siting criteria for nuclear power plants has been developed in four areas: (1) consequences of hypothetical severe nuclear-power-plant accidents, (2) characteristics of population distributions about current reactor sites, (3) site availability within the continental United States, and (4) socioeconomic impacts of reactor siting. The impact on consequences of source-term magnitude, meteorology, population distribution, and emergency response have been analyzed. Population distributions about current sites were analyzed to identify statistical characteristics, time trends, and regional differences. A site-availability data bank was constructed for the continential United States. The data bank contains information about population densities, seismicity, topography, water availability, and land-use restrictions. Finally, the socioeconomic impacts of rural-industrialization projects, energy boomtowns, and nuclear power plants were examined to determine their nature, magnitude, and dependence on site demography and remoteness.

  11. Independent technical review, handbook

    SciTech Connect

    Not Available

    1994-02-01

    Purpose Provide an independent engineering review of the major projects being funded by the Department of Energy, Office of Environmental Restoration and Waste Management. The independent engineering review will address questions of whether the engineering practice is sufficiently developed to a point where a major project can be executed without significant technical problems. The independent review will focus on questions related to: (1) Adequacy of development of the technical base of understanding; (2) Status of development and availability of technology among the various alternatives; (3) Status and availability of the industrial infrastructure to support project design, equipment fabrication, facility construction, and process and program/project operation; (4) Adequacy of the design effort to provide a sound foundation to support execution of project; (5) Ability of the organization to fully integrate the system, and direct, manage, and control the execution of a complex major project.

  12. 47 CFR 68.7 - Technical criteria for terminal equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.7 Technical criteria for... switched telephone network. (b) Technical criteria published by the Administrative Council for Terminal... network from harms caused by the connection of terminal equipment, subject to the appeal procedures in...

  13. 47 CFR 68.7 - Technical criteria for terminal equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.7 Technical criteria for... switched telephone network. (b) Technical criteria published by the Administrative Council for Terminal... network from harms caused by the connection of terminal equipment, subject to the appeal procedures in...

  14. 47 CFR 68.7 - Technical criteria for terminal equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.7 Technical criteria for... switched telephone network. (b) Technical criteria published by the Administrative Council for Terminal... network from harms caused by the connection of terminal equipment, subject to the appeal procedures in...

  15. 47 CFR 68.7 - Technical criteria for terminal equipment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.7 Technical criteria for... switched telephone network. (b) Technical criteria published by the Administrative Council for Terminal... network from harms caused by the connection of terminal equipment, subject to the appeal procedures in...

  16. 47 CFR 68.7 - Technical criteria for terminal equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Technical criteria for terminal equipment. 68.7... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.7 Technical criteria for terminal equipment. (a) Terminal equipment shall not cause harm, as defined in § 68.3, to the public...

  17. 7 CFR 653.2 - Technical standards and criteria.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Technical standards and criteria. 653.2 Section 653.2 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE SUPPORT ACTIVITIES TECHNICAL STANDARDS § 653.2 Technical standards and...

  18. Common criteria for usability review.

    PubMed

    Nassar, Victor

    2012-01-01

    The propose of this paper is to present a literature review, in a grouping of common criteria for usability approaches of Bastien and Scapin (1993), Nielsen (1994), Shnneiderman(1998), Dix et al (1998), Preece et al (2005) and ISO 9241-110 (2006). After establishment of prerequisites for knowledge of the general characteristics of the users who will use the system, are defined and explained the criteria in common: consistency, user control, ease of learning, flexibility, errors management, reduction of excess and visibility system status. Although there is no determination as to which criteria should be considered when developing an interface and each author presents some specificity in their approach, it is observed that there is equivalence in the measures adopted usability.

  19. Technical literature review.

    PubMed

    Nußbeck, Gunnar; Gök, Murat

    2013-01-01

    This review gives a comprehensive overview on the technical perspective of personal health monitoring. It is designed to build a mutual basis for the project partners of the PHM-Ethics project. A literature search was conducted to screen pertinent literature databases for relevant publications. All review papers that were retrieved were analyzed. The increasing number of publications that are published per year shows that the field of personal health monitoring is of growing interest in the research community. Most publications deal with telemonitoring, thus forming the core technology of personal health monitoring. Measured parameters, fields of application, participants and stakeholders are described. Moreover an outlook on information and communication technology that foster the integration possibilities of personal health monitoring into decision making and remote monitoring of individual people's health is provided. The removal of the technological barriers opens new perspectives in health and health care delivery using home monitoring applications.

  20. Engineering Technical Review Planning Briefing

    NASA Technical Reports Server (NTRS)

    Gardner, Terrie

    2012-01-01

    The general topics covered in the engineering technical planning briefing are 1) overviews of NASA, Marshall Space Flight Center (MSFC), and Engineering, 2) the NASA Systems Engineering(SE) Engine and its implementation , 3) the NASA Project Life Cycle, 4) MSFC Technical Management Branch Services in relation to the SE Engine and the Project Life Cycle , 5) Technical Reviews, 6) NASA Human Factor Design Guidance , and 7) the MSFC Human Factors Team. The engineering technical review portion of the presentation is the primary focus of the overall presentation and will address the definition of a design review, execution guidance, the essential stages of a technical review, and the overall review planning life cycle. Examples of a technical review plan content, review approaches, review schedules, and the review process will be provided and discussed. The human factors portion of the presentation will focus on the NASA guidance for human factors. Human factors definition, categories, design guidance, and human factor specialist roles will be addressed. In addition, the NASA Systems Engineering Engine description, definition, and application will be reviewed as background leading into the NASA Project Life Cycle Overview and technical review planning discussion.

  1. [Technical criteria of central venous catheters: Anaesthesiologist/intensivist and pharmacist opinions].

    PubMed

    Novais, T; Cabelguenne, D; Jolivet, F; Nouvel, M; Wallet, F; Piriou, V

    2015-11-01

    The lack of technical information from suppliers and from the literature, a wide variety of features and the absence of medical device reference document explain the difficulty for medical and pharmaceutical staffs to choose a central venous catheter (CVC). The aim of this study was to establish the specifications to choose a CVC according to the clinician needs. An analysis of suppliers' technical documentation and a literature review was performed to identify criteria and to collect them in a questionnaire to conduct semi-structured interviews between 1 pharmacist and 5 anaesthesiologists/intensivists. With these interviews, the technical criteria were classified according to their importance in 3 levels. Thirteen technical criteria were identified after reading the technical documents and the literature. Among them, 8 were classified as "essential criteria" (level I) by the physicians: J-shaped guide, one clamp on each way, identified lumen, radiopacity, graduation every centimeter by 5 to 20 cm from the distal extremity, a length of 15 to 25 cm, a single-lumen catheter with a 14 to 16G way and a three-lumen catheter with 14 to 18G way. Finally, three criteria were classified as "intermediate criteria" (level II) and two as "optional criteria" (level III). This collaborative approach allowed to reference new medical devices according to the clinicians needs. These CVC are a mean to respect guidelines for physicians and nurses and to secure the patient's care. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  2. 7 CFR 3430.708 - Review criteria.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ADMINISTRATIVE PROVISIONS Biomass Research and Development Initiative § 3430.708 Review criteria. (a) General. BRDI peer reviews of applications are conducted in accordance with requirements found in section 9008... 7 Agriculture 15 2014-01-01 2014-01-01 false Review criteria. 3430.708 Section 3430.708...

  3. 7 CFR 3430.708 - Review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ADMINISTRATIVE PROVISIONS Biomass Research and Development Initiative § 3430.708 Review criteria. (a) General. BRDI peer reviews of applications are conducted in accordance with requirements found in section 9008... 7 Agriculture 15 2012-01-01 2012-01-01 false Review criteria. 3430.708 Section 3430.708...

  4. 7 CFR 3430.708 - Review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ADMINISTRATIVE PROVISIONS Biomass Research and Development Initiative § 3430.708 Review criteria. (a) General. BRDI peer reviews of applications are conducted in accordance with requirements found in section 9008... 7 Agriculture 15 2013-01-01 2013-01-01 false Review criteria. 3430.708 Section 3430.708...

  5. Mechanical engineering department technical review

    SciTech Connect

    Carr, R.B. Denney, R.M.

    1981-01-01

    The Mechanical Engineering Department Technical Review is published to: (1) inform the readers of various technical activities within the department, (2) promote exchange of ideas, and (3) give credit to the personnel who are achieving the results. The report is formatted into two parts: technical acievements and publication abstracts. The first is divided into eight sections, one for each division in the department providing the reader with the names of the personnel and the division accomplishing the work.

  6. Mechanical Engineering Department. Technical review

    SciTech Connect

    Simecka, W.B.; Condouris, R.A.; Talaber, C.

    1980-01-01

    The Mechanical Engineering Department Technical Review is published to (1) inform the readers of various technical activities within the Department, (2) promote exchange of ideas, and (3) give credit to the personnel who are achieving the results. The report is formatted into two parts: technical achievements and publication abstracts. The first is divided into eight sections, one for each Division in the Department providing the reader with the names of the personnel and the Division accomplishing the work.

  7. Mechanical Engineering Department Technical Review

    SciTech Connect

    Carr, R.B.; Denney, R.M.

    1981-07-01

    The Mechanical Engineering Department Technical Review is published to inform readers of various technical activities within the Department, promote exchange of ideas, and give credit to personnel who are achieving the results. The report is presented in two parts: technical achievements and publication abstracts. The first is divided into seven sections, each of which reports on an engineering division and its specific activities related to nuclear tests, nuclear explosives, weapons, energy systems, engineering sciences, magnetic fusion, and materials fabrication.

  8. Do PICU patients meet technical criteria for performing indirect calorimetry?

    PubMed

    Beggs, Megan R; Garcia Guerra, Gonzalo; Larsen, Bodil M K

    2016-10-01

    Indirect calorimetry (IC) is considered gold standard for assessing energy needs of critically ill children as predictive equations and clinical status indicators are often unreliable. Accurate assessment of energy requirements in this vulnerable population is essential given the high risk of over or underfeeding and the consequences thereof. The proportion of patients and patient days in pediatric intensive care (PICU) for which energy expenditure (EE) can be measured using IC is currently unknown. In the current study, we aimed to quantify the daily proportion of consecutive PICU patients who met technical criteria to perform indirect calorimetry and describe the technical contraindications when criteria were not met. Prospective, observational, single-centre study conducted in a cardiac and general PICU. All consecutive patients admitted for at least 96 h were included in the study. Variables collected for each patient included age at admission, admission diagnosis, and if technical criteria for indirect calorimetry were met. Technical criteria variables were collected within the same 2 h each morning and include: provision of supplemental oxygen, ventilator settings, endotracheal tube (ETT) leak, diagnosis of chest tube air leak, provision of external gas support (i.e. nitric oxide), and provision of extracorporeal membrane oxygenation (ECMO). 288 patients were included for a total of 3590 patient days between June 2014 and February 2015. The main reasons for admission were: surgery (cardiac and non-cardiac), respiratory distress, trauma, oncology and medicine/other. The median (interquartile range) patient age was 0.7 (0.3-4.6) years. The median length of PICU stay was 7 (5-14) days. Only 34% (95% CI, 32.4-35.5%) of patient days met technical criteria for IC. For patients less than 6 months of age, technical criteria were met on significantly fewer patient days (29%, p < 0.01). Moreover, 27% of patients did not meet technical criteria for IC on any day

  9. A Study of the Admissions Criteria of Connecticut's Regional Vocational Technical Schools. Phase III. Final Report.

    ERIC Educational Resources Information Center

    Whinfield, R.W.

    A 4-year study was conducted to determine whether the selection criteria for entrance into the 17 Regional Vocational Technical Schools of Connecticut were fair to all applicants of various races and both sexes and predictive of students' success in school programs. The evaluation process consisted of reviewing and applying students' grades and…

  10. 49 CFR 552.6 - Technical review.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... § 552.6 Technical review. The appropriate Associate Administrator conducts a technical review of the petition. The technical review may consist of an analysis of the material submitted, together with... 49 Transportation 6 2010-10-01 2010-10-01 false Technical review. 552.6 Section 552.6...

  11. The Software Technical Review Process

    DTIC Science & Technology

    1988-06-01

    section differentiates between formal and informal sistent manner in which every developer has their reviews. These terms are ill-defined and must be...cited. SEI-CM-3-1.5 13 The Software Technical Review Process Remus79 Eng. SE-JO, 1 (Jan. 1984), 68-72. Remus, H., and S. Zilles . "Prediction and Manage...34 Fourth International Conference on Software equation in a project management system. There Engineering. Silver Spring, MD: IEEE Computer are several

  12. Mechanical Engineering Department technical review

    SciTech Connect

    Carr, R.B.; Abrahamson, L.; Denney, R.M.; Dubois, B.E

    1982-01-01

    Technical achievements and publication abstracts related to research in the following Divisions of Lawrence Livermore Laboratory are reported in this biannual review: Nuclear Fuel Engineering; Nuclear Explosives Engineering; Weapons Engineering; Energy Systems Engineering; Engineering Sciences; Magnetic Fusion Engineering; and Material Fabrication. (LCL)

  13. Texas State Technical College Review.

    ERIC Educational Resources Information Center

    Aumack, Bruce; Blake, Larry J.

    Texas educational legislation for 1991 required the Texas Higher Education Coordinating Board (THECB) to review the operations of, and the continuing need for, each of the four main campuses and five extension centers of the Texas State Technical College System (TSTCS), and to make recommendations concerning the facilities' continuation and/or…

  14. 7 CFR 3400.15 - Review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.15 Review criteria. (a) Subject to the varying conditions and needs of States, Federal funded agricultural research supported... citizens, and society as a whole; (4) Improve the productivity of the American agricultural system...

  15. 7 CFR 3400.15 - Review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Grant Applications § 3400.15 Review criteria. (a) Subject to the varying conditions and needs of States, Federal funded agricultural research supported... citizens, and society as a whole; (4) Improve the productivity of the American agricultural system...

  16. An evaluation of technical review of federal laboratory research: Findings from a US Department of Energy technical review pilot

    SciTech Connect

    Jordan, G.; Kuswa, G.; Mortensen, J.

    1998-06-01

    Recommendations for improving the process for expert panel reviews of technical and programmatic aspects of science and technology programs are provided based on an evaluation study of pilot reviews for two programs at Sandia National Laboratories. These reviews were part of a larger Technical Review Pilot for the US Department of Energy (DOE). Both the Sandia Pulse Power program and Solar Thermal Electric program (a virtual lab with NREL) reviews used the recommended four DOE review criteria, but motivation for the review and the review process differed. These differences provide insight into recommendations for ways to improve the review of DOE`s multifaceted technical programs. Recommendations are: (1) Review when the program has specific need for information or validation. There is no one size fits all correct time or reason to review technical programs. (2) Tailor the four DOE criteria to the program and its need for information and explain them to the Review Panel. (3) Pay attention to the review process. Spend more time in preparation and pre-review and on briefings on the review outcomes. (4) Evaluate reviews to determine how to do them better. The survey instrument is provided for those who wish to modify it for their own use.

  17. Diagnosing antiphospholipid syndrome: 'extra-criteria' manifestations and technical advances.

    PubMed

    Sciascia, Savino; Amigo, Mary-Carmen; Roccatello, Dario; Khamashta, Munther

    2017-09-01

    First described in the early 1980s, antiphospholipid syndrome (APS) is a unique form of acquired autoimmune thrombophilia in which patients present with clinical features of recurrent thrombosis and pregnancy morbidity and persistently test positive for the presence of antiphospholipid antibodies (aPL). At least one clinical (vascular thrombosis or pregnancy morbidity) and one lab-based (positive test result for lupus anticoagulant, anticardiolipin antibodies and/or anti-β2-glycoprotein 1 antibodies) criterion have to be met for a patient to be classified as having APS. However, the clinical spectrum of APS encompasses additional manifestations that can affect many organs and cannot be explained exclusively by patients being in a prothrombotic state; clinical manifestations not listed in the classification criteria (known as extra-criteria manifestations) include neurologic manifestations (chorea, myelitis and migraine), haematologic manifestations (thrombocytopenia and haemolytic anaemia), livedo reticularis, nephropathy and valvular heart disease. Increasingly, research interest has focused on the development of novel assays that might be more specific for APS than the current aPL tests. This Review focuses on the current classification criteria for APS, presenting the role of extra-criteria manifestations and lab-based tests. Diagnostic approaches to difficult cases, including so-called seronegative APS, are also discussed.

  18. 7 CFR 3430.608 - Review criteria.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Review criteria. 3430.608 Section 3430.608 Agriculture Regulations of the Department of Agriculture (Continued) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE COMPETITIVE AND NONCOMPETITIVE NON-FORMULA FEDERAL...

  19. 7 CFR 3430.908 - Review criteria.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.908 Review criteria...) Potential for Advancing Quality of Technology Development, Applied Research, and/or Training/Significance of...

  20. 7 CFR 3430.908 - Review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.908 Review criteria... for Advancing Quality of Technology Development, Applied Research, and/or Training/Significance of...

  1. 7 CFR 3430.908 - Review criteria.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.908 Review criteria... for Advancing Quality of Technology Development, Applied Research, and/or Training/Significance of...

  2. 7 CFR 3430.908 - Review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND... ADMINISTRATIVE PROVISIONS New Era Rural Technology Competitive Grants Program § 3430.908 Review criteria... for Advancing Quality of Technology Development, Applied Research, and/or Training/Significance of...

  3. Humanitarian Assistance in Syria Analysis Technical Review

    DTIC Science & Technology

    2014-12-01

    TRAC-M-TM-15-012 December 2014 Humanitarian Assistance in Syria Analysis Technical Review TRADOC Analysis...INTENTIONALLY LEFT BLANK TRAC-M-TM-14- December 2014 Humanitarian Assistance in Syria Analysis Technical Review Author Mr...2014 3. REPORT TYPE AND DATES COVERED Technical Memorandum, July 2014 to October 2014 4. TITLE AND SUBTITLE Humanitarian Assistance in Syria Analysis

  4. Assessing Non-Technical Site Suitability Criteria for Stormwater Capture, Treatment and Recharge

    NASA Astrophysics Data System (ADS)

    Eisenstein, W.

    2016-12-01

    This presentation will describe a new method for assessing non-technical site suitability criteria for the siting of stormwater capture, treatment and recharge (or stormwater CTR) facilities in Sonoma County, California, USA. "Non-technical site suitability criteria" include issues such as community acceptance, aesthetics, nuisances and hazards, and compatibility with neighboring land uses, and are distinguished from "technical criteria" such as hydrology and soil characteristics that are the traditional subject of suitability analyses. Non-technical criteria are rarely, if ever, considered in formal siting suitability studies conducted by agencies and municipalities, yet can be fatal to the prospects of a given project's construction if not identified and mitigated. The researchers developed a new method for identifying and spatially characterizing relevant non-technical criteria through interviews and questionnaires with community stakeholders, and introducing those criteria into a spatial multi-criteria decision analysis framework that assesses site suitabilty across a study watershed (the Upper Petaluma River watershed in Sonoma County).

  5. 47 CFR 22.715 - Technical channel assignment criteria for rural radiotelephone stations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Technical channel assignment criteria for rural...) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Rural Radiotelephone Service § 22.715 Technical channel assignment criteria for rural radiotelephone stations. Channels are assigned in the Rural...

  6. Guidelines for technical reviews of software products

    SciTech Connect

    Wilburn, N.P.

    1982-03-01

    A guideline is given for technical review of products developed during a software life cycle. Purposes and benefits of reviews are given. Varieties of reviews, when they should take place, roles of the reviewers and products of the review are described.

  7. 38 CFR 61.53 - Rating criteria for technical assistance grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... technical assistance grant applications. 61.53 Section 61.53 Pensions, Bonuses, and Veterans' Relief... criteria for technical assistance grant applications. (a) Applicants that meet the threshold requirements... (c) of this section. To be eligible for a technical assistance grant, an applicant must receive at...

  8. 42 CFR 456.122 - Evaluation criteria for admission review.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Evaluation criteria for admission review. 456.122...: Review of Need for Admission 1 § 456.122 Evaluation criteria for admission review. The UR plan must provide that— (a) The committee develops written medical care criteria to assess the need for...

  9. Book Reviewing Media for Technical Libraries

    ERIC Educational Resources Information Center

    Sadow, Arnold

    1970-01-01

    Publications which publish reviews of new technical books are compared and evaluated. The ideal reviewing journal provides critical reviews of all books--good, bad and indifferent--written by subject specialists, and publishes these reviews at the same time as the books are published. A proposal for producing such a journal is presented for…

  10. Book Reviewing Media for Technical Libraries

    ERIC Educational Resources Information Center

    Sadow, Arnold

    1970-01-01

    Publications which publish reviews of new technical books are compared and evaluated. The ideal reviewing journal provides critical reviews of all books--good, bad and indifferent--written by subject specialists, and publishes these reviews at the same time as the books are published. A proposal for producing such a journal is presented for…

  11. Review and Synthesis of Research and Development in Technical Education in Community Colleges, 1978-1981.

    ERIC Educational Resources Information Center

    Doty, Charles R.

    This literature review covers research and developments in community college technical education for the years 1978 to 1981. The source for the review was Resources in Education, and materials were selected for inclusion based on the following criteria: (1) the study pertains to technical education, defined to include not only engineering…

  12. 7 CFR 653.2 - Technical standards and criteria.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... guidance and direction needed to assure that the practices meet the intended purpose and are of the quality needed to assure lasting for the design life. Standards and criteria are developed in consultation with...

  13. 7 CFR 653.2 - Technical standards and criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... guidance and direction needed to assure that the practices meet the intended purpose and are of the quality needed to assure lasting for the design life. Standards and criteria are developed in consultation with...

  14. NUTRIENT CRITERIA TECHNICAL GUIDANCE MANUAL - ESTUARINE AND COASTAL MARINE WATERS, OCTOBER 2001

    EPA Science Inventory

    Nutrient overenrichment is a major cause of water pollution in the United States. The purpose of this manual is to provide scientifically defensible technical guidance to assist States, authorized Tribes, and other governmental entities in developing numeric nutrient criteria fo...

  15. NUTRIENT CRITERIA TECHNICAL GUIDANCE MANUAL - ESTUARINE AND COASTAL MARINE WATERS, OCTOBER 2001

    EPA Science Inventory

    Nutrient overenrichment is a major cause of water pollution in the United States. The purpose of this manual is to provide scientifically defensible technical guidance to assist States, authorized Tribes, and other governmental entities in developing numeric nutrient criteria fo...

  16. Learning Objects and Virtual Learning Environments Technical Evaluation Criteria

    ERIC Educational Resources Information Center

    Kurilovas, Eugenijus; Dagiene, Valentina

    2009-01-01

    The main scientific problems investigated in this article deal with technical evaluation of quality attributes of the main components of e-Learning systems (referred here as DLEs--Digital Libraries of Educational Resources and Services), i.e., Learning Objects (LOs) and Virtual Learning Environments (VLEs). The main research object of the work is…

  17. CRITERIA FOR EVALUATION OF VOCATIONAL TECHNICAL SCHOOLS OF CONNECTICUT. (TITLE SUPPLIED).

    ERIC Educational Resources Information Center

    Connecticut State Dept. of Education, Hartford. Bureau of Vocational-Technical Schools.

    GUIDELINES AND CRITERIA FOR THE EVALUATION OF THE OVERALL PROGRAM OF THE VOCATIONAL-TECHNICAL SCHOOL ARE PROVIDED. PHILOSOPHY, OBJECTIVES, AND CHECK LISTS CONSISTING OF PROVISIONS, CONDITIONS, OR CHARACTERISTICS FOUND IN GOOD VOCATIONAL-TECHNICAL SCHOOLS ARE PRESENTED FOR EVALUATING THE FOLLOWING AREAS--ADMINISTRATION, PROFESSIONAL STAFF, TRADE…

  18. Electronics Engineering Department EE technical review

    SciTech Connect

    Not Available

    1984-04-01

    This is a technical review of work done by the Electronics Engineering Department of the Lawrence Livermore National Laboratory. Titles of papers included in this review are as follows: Motion-Control System for the Large Optics Diamond Turning Machine; A New Rotating Turbine Camera Controller that Extends Capability and Improves Reliability; The Ring Seating System and The LGF Data Acquisition System.

  19. Monitoring and Technical Assistance Review System Notebook

    ERIC Educational Resources Information Center

    Administration for Children & Families, 2008

    2008-01-01

    This notebook provides guidance on the Monitoring and Technical Assistance Review System (MTARS). The manual is intended for use by Administration on Developmental Disabilities (ADD) staff who manage MTARS and by MTARS reviewers who conduct site visit activities. The notebook is also designed to help Councils, Protection and Advocacy Systems, and…

  20. 7 CFR 3401.17 - Review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.17 Review... parameters associated with rangelands. (b) In carrying out its review under § 3401.16, the peer review panel... satisfactorily meeting the guidelines will be evaluated and scored by the peer review panel for each criterion...

  1. 7 CFR 3401.17 - Review criteria.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.17 Review... parameters associated with rangelands. (b) In carrying out its review under § 3401.16, the peer review panel... satisfactorily meeting the guidelines will be evaluated and scored by the peer review panel for each criterion...

  2. 7 CFR 3401.17 - Review criteria.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.17 Review... parameters associated with rangelands. (b) In carrying out its review under § 3401.16, the peer review panel... satisfactorily meeting the guidelines will be evaluated and scored by the peer review panel for each criterion...

  3. 7 CFR 3401.17 - Review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... RESEARCH GRANTS PROGRAM Scientific Peer Review of Research Applications for Funding § 3401.17 Review... parameters associated with rangelands. (b) In carrying out its review under § 3401.16, the peer review panel... satisfactorily meeting the guidelines will be evaluated and scored by the peer review panel for each criterion...

  4. Assessing Technical Competence in Surgical Trainees: A Systematic Review.

    PubMed

    Szasz, Peter; Louridas, Marisa; Harris, Kenneth A; Aggarwal, Rajesh; Grantcharov, Teodor P

    2015-06-01

    To systematically examine the literature describing the methods by which technical competence is assessed in surgical trainees. The last decade has witnessed an evolution away from time-based surgical education. In response, governing bodies worldwide have implemented competency-based education paradigms. The definition of competence, however, remains elusive, and the impact of these education initiatives in terms of assessment methods remains unclear. A systematic review examining the methods by which technical competence is assessed was conducted by searching MEDLINE, EMBASE, PsychINFO, and the Cochrane database of systematic reviews. Abstracts of retrieved studies were reviewed and those meeting inclusion criteria were selected for full review. Data were retrieved in a systematic manner, the validity and reliability of the assessment methods was evaluated, and quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation classification. Of the 6814 studies identified, 85 studies involving 2369 surgical residents were included in this review. The methods used to assess technical competence were categorized into 5 groups; Likert scales (37), benchmarks (31), binary outcomes (11), novel tools (4), and surrogate outcomes (2). Their validity and reliability were mostly previously established. The overall Grading of Recommendations Assessment, Development and Evaluation for randomized controlled trials was high and low for the observational studies. The definition of technical competence continues to be debated within the medical literature. The methods used to evaluate technical competence predominantly include instruments that were originally created to assess technical skill. Very few studies identify standard setting approaches that differentiate competent versus noncompetent performers; subsequently, this has been identified as an area with great research potential.

  5. AIR QUALITY CRITERIA FOR LEAD (SECOND EXTERNAL REVIEW DRAFT)

    EPA Science Inventory

    The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including lead. Under the review process, EPA's Office of Research and Development develops a criteria docu...

  6. AIR QUALITY CRITERIA FOR LEAD (SECOND EXTERNAL REVIEW DRAFT)

    EPA Science Inventory

    The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including lead. Under the review process, EPA's Office of Research and Development develops a criteria docu...

  7. 60% Review technical specifications, Deaf Smith Site

    SciTech Connect

    Gast, R.A.

    1987-08-01

    The enclosed documentation for the 60% Review Technical Specifications, Deaf Smith Site includes: Solicitation Documents which represent the eventual Federal Acquisition Regulations (FARs) and Department of Energy Acquisition Regulations (DEARs) that will comprise a segment of the contractual documents for bidders attention; Contract Clauses that will become integral parts for the Fixed Price Construction Contracts applicable to the Exploratory Shaft Facility; Special Contract Requirements that will become contract provisions requiring specific contractor attention; Technical Specifications which have been completed for 60% submission, and the current list of 241 Contract Drawings that have been separately forwarded for review and comment.

  8. DCS (Defense Communications System) Technical Control Engineering Criteria. Revision 1

    DTIC Science & Technology

    1981-05-01

    Block 20, It dXlerent from Report) Same IS. SUPPLEMENTARY NOTES Review Relevance 5 Years from Submission Date 1S. KEY WORDS (Continue on rveree side If...sample, is transmitted. DEM See Demodulatiun. When used as an abbreviation, signifies the receive side of a carrier circuit. DEMODULATION The act of...internal failures, scheduled shut down, or servicing. DRAMA - Digital Radio and Multiplex "Acquisition DROP SIDE - That portion of patch bay that looks

  9. 7 CFR 3400.15 - Review criteria.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... systems to enhance the environment and the natural resource base upon which a sustainable agricultural... why proposal does not meet guidelines under comment section of this form. II. Selection Criteria... considered high for each selection criterion. A weighted factor is used for each criterion....

  10. 7 CFR 3400.15 - Review criteria.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... systems to enhance the environment and the natural resource base upon which a sustainable agricultural... why proposal does not meet guidelines under comment section of this form. II. Selection Criteria... considered high for each selection criterion. A weighted factor is used for each criterion....

  11. Independent technical review of the Pinellas Plant

    SciTech Connect

    Not Available

    1994-07-01

    This report documents an Independent Technical Review (ITR) of facilities, organizations, plans, activities and various other elements required to successfully transition the Pinellas Plant from Defense Program (DP) funded operation to either community developed reuse or safe deactivation leading to decontamination and decommissioning (D&D). The review was conducted at the request of the Department of Energy (DOE) Deputy Assistant Secretary for Facility Transition and Management (EM-60) and is a consensus of the nine member ITR Team.

  12. Navigated bronchoscopy: a technical review.

    PubMed

    Reynisson, Pall J; Leira, Håkon O; Hernes, Toril N; Hofstad, Erlend F; Scali, Marta; Sorger, Hanne; Amundsen, Tore; Lindseth, Frank; Langø, Thomas

    2014-07-01

    Navigated bronchoscopy uses virtual 3-dimensional lung model visualizations created from preoperative computed tomography images often in synchronization with the video bronchoscope to guide a tool to peripheral lesions. Navigated bronchoscopy has developed fast since the introduction of virtual bronchoscopy with integrated electromagnetic sensors in the late 1990s. The purposes of the review are to give an overview and update of the technological components of navigated bronchoscopy, an assessment of its clinical usefulness, and a brief assessment of the commercial platforms for navigated bronchoscopy. We performed a literature search with relevant keywords to navigation and bronchoscopy and iterated on the reference lists of relevant papers, with emphasis on the last 5 years. The paper presents an overview of the components necessary for performing navigated bronchoscopy, assessment of the diagnostic accuracy of different approaches, and an analysis of the commercial systems. We were able to identify 4 commercial platforms and 9 research and development groups with considerable activity in the field. Finally, on the basis of our findings and our own experience, we provide a discussion on navigated bronchoscopy with focus on the next steps of development. The literature review showed that the peripheral diagnostic accuracy has improved using navigated bronchoscopy compared with traditional bronchoscopy. We believe that there is room for improvement in the diagnostic success rate by further refinement of methods, approaches, and tools used in navigated bronchoscopy.

  13. Book Review: New Perspectives on Technical Editing

    NASA Astrophysics Data System (ADS)

    Murphy, A. J. (Ed.); Sterken, Christiaan

    2012-08-01

    New Perspectives on Technical Editing by Avon J. Murphy (ed.) ISBN : 978-0895033949 (2010) Baywood Publishing Company Inc, Hardcover, 210 pages, 35.5 GBP This book presents a collection of 10 chapters dealing with diverse aspects of technical editing (ie, editorial planning, and analysis and structural changes made to other people's technological documents): research in technical editing, trends and teaching of technical editing, copyediting, and technical journal editing. The role and function of the modern journal and book editor is also dealt with in detail. Each chapter is written by an expert in the field: senior editors, university professors in technical communication, technical writers and linguists. The ever-evolving role of the editor is clearly elucidated in several historical reviews, and in the descriptions of the expectations for the future. A very striking aspect of this book is its extensive collection of bibliographic resources: every chapter lists dozens of very useful references, and the closing chapter, and annotated bibliography, contain many not so well known references, and are most useful. All in all, the book is a treasure trove listing more than 400 references, in addition to numerous webpage URLs embedded in the texts. The book is designed to help the reader to understand current practices and norms in technical editing, and to help to take action in editing as well as in teaching and educating would-be editors. The audience for this book thus includes editors and teachers, but also writers, researchers and students. A deep reading of this book will result in a better understanding of the difference between full technical editing and its much narrower component so well known as copyediting, and will convince any prospective editor that editing should not be undertaken if the people involved do not master the art of precision and accuracy in technical (as well as in human) communication, do not possess the technical know how and computer

  14. Defining technical errors in laparoscopic surgery: a systematic review.

    PubMed

    Bonrath, Esther M; Dedy, Nicolas J; Zevin, Boris; Grantcharov, Teodor P

    2013-08-01

    Technical errors, a distinct subcomponent of surgical proficiency, have a significant impact on patient safety and clinical outcomes. To date, only a few studies have been designed to describe and evaluate these errors. This review was performed to assess technical errors described in laparoscopic surgery. A literature search of Medline, Cochrane, EMBASE, and OVID databases (1946-2012, week 14) using the terms "technical/medical error," "technical skill," and "adverse event" in combination with the terms "laparoscopy/laparoscopic surgery" was conducted. English language peer review articles with a description of technical errors were included. Opinion papers, reviews, and articles not addressing laparoscopic surgery were excluded. The search returned 2,282 articles. Application of the inclusion criteria reduced the number of articles to 21. Of these 21 articles, 14 (67 %) were observational studies, 3 (14 %) were randomized trials, 2 (10 %) were prospective interventional studies, and 2 (10 %) were retrospective analyses. Eight articles (38 %) applied error analysis as an approach to determine error rates within routine procedures. The remaining 13 articles (62 %) used the assessment of errors to describe and quantify surgical skill in an educational setting. A number of approaches for the assessment of surgical technical errors exist. The error definitions vary greatly, making a comparison of error rates between groups impossible. Complexity of scale design and subjectivity in ratings have resulted in limited use of these scores outside the experimental setting. To facilitate error analysis as a self-assessment method of continuous learning and quality control, further research and better tools are required.

  15. Technical Communication, Engineering, and ABET's Engineering Criteria 2000: What Lies Ahead?

    ERIC Educational Resources Information Center

    Williams, Julia M.

    2002-01-01

    Explains that communication skills have become a focus of engineering curricula as the result of the ABET (Accreditation Board of Engineering and Technology) Engineering Criteria 2000. Stresses that professional technical communicators can play a significant role in the development of engineering communication. Suggests that professional…

  16. Water Quality Criteria, Report of the National Technical Advisory Committee to the Secretary of the Interior.

    ERIC Educational Resources Information Center

    Department of the Interior, Washington, DC. Federal Water Pollution Control Administration.

    Contained are reports of five subcommittees of the National Technical Advisory Committee on Water Quality Criteria. Subcommittees were recreation and aesthetics; public water supplies; fish, other aquatic life, and wildlife; agricultural uses; and industrial water supplies. Each committee report contains discussion of the problem area, criteria…

  17. A review of macroscopic ductile failure criteria.

    SciTech Connect

    Corona, Edmundo; Reedlunn, Benjamin

    2013-09-01

    The objective of this work was to describe several of the ductile failure criteria com- monly used to solve practical problems. The following failure models were considered: equivalent plastic strain, equivalent plastic strain in tension, maximum shear, Mohr- Coulomb, Wellman's tearing parameter, Johnson-Cook and BCJ MEM. The document presents the main characteristics of each failure model as well as sample failure predic- tions for simple proportional loading stress histories in three dimensions and in plane stress. Plasticity calculations prior to failure were conducted with a simple, linear hardening, J2 plasticity model. The resulting failure envelopes were plotted in prin- cipal stress space and plastic strain space, where the dependence on stress triaxiality and Lode angle are clearly visible. This information may help analysts select a ductile fracture model for a practical problem and help interpret analysis results.

  18. Combating Terrorism Technical Support Office. 2008 Review

    DTIC Science & Technology

    2009-01-15

    Department of Justice’s Bureau of Alcohol, Tobacco , Firearms, and Explosives chairs the subgroup. Focus Areas The BX subgroup focus areas refl ect the...organophosphate compounds, botulinum toxin, cyanide compounds, and carbon monoxide. The system is a portable, lightweight hand-held device and requires...DEPARTMENT OF JUSTICE • Bureau of Alcohol, Tobacco , Firearms, and Explosives Combating Terrorism Technical Support Office 2008 Review Appendix 89

  19. 7 CFR 3400.15 - Review criteria.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE SPECIAL RESEARCH GRANTS PROGRAM Scientific Peer Review of Research... system of the United States within the global economy; (3) Expand economic opportunities in rural...

  20. Aircraft digital flight control technical review

    NASA Technical Reports Server (NTRS)

    Davenport, Otha B.; Leggett, David B.

    1993-01-01

    The Aircraft Digital Flight Control Technical Review was initiated by two pilot induced oscillation (PIO) incidents in the spring and summer of 1992. Maj. Gen. Franklin (PEO) wondered why the Air Force development process for digital flight control systems was not preventing PIO problems. Consequently, a technical review team was formed to examine the development process and determine why PIO problems continued to occur. The team was also to identify the 'best practices' used in the various programs. The charter of the team was to focus on the PIO problem, assess the current development process, and document the 'best practices.' The team reviewed all major USAF aircraft programs with digital flight controls, specifically, the F-15E, F-16C/D, F-22, F-111, C-17, and B-2. The team interviewed contractor, System Program Office (SPO), and Combined Test Force (CTF) personnel on these programs. The team also went to NAS Patuxent River to interview USN personnel about the F/A-18 program. The team also reviewed experimental USAF and NASA systems with digital flight control systems: X-29, X-31, F-15 STOL and Maneuver Technology Demonstrator (SMTD), and the Variable In-Flight Stability Test Aircraft (VISTA). The team also discussed the problem with other experts in the field including Ralph Smith and personnel from Calspan. The major conclusions and recommendations from the review are presented.

  1. Air Quality Criteria for Lead (First External Review Draft)

    EPA Science Inventory

    Background:

    The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including lead. Under the review process, EPA's Office of Research and Development d...

  2. Air Quality Criteria for Lead (First External Review Draft)

    EPA Science Inventory

    Background:

    The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including lead. Under the review process, EPA's Office of Research and Development d...

  3. Technical Review Board Chairperson Guidelines for Conducting Technical Review Boards for Rocket Testing

    DTIC Science & Technology

    2011-08-17

    Drawing SRB – Safety Review Board TOP – Test Operating Procedure TRB – Technical Review Board TQM – Total Quality Management VPP – Voluntary...including Total Quality Management ( TQM ). The final section is on meeting management, and was included to find more efficient and effective ways to...includes a review of quality process with an emphasis on total quality management ( TQM ). Total Quality Management ( TQM ) is a quality assurance

  4. Technical review of externalities issues. Final report

    SciTech Connect

    Niemeyer, V.

    1994-12-01

    Externalities has become the catchword for a major experiment in electric utility regulation. Together with increased competition as a means for economic regulation, this experiment represents a potential revolution in how electric utilities are regulated. It is very important for utilities and policy makers to understand the technical issues and arguments driving the externality experiment. This Technical Review presents four papers covering topics in economics that may play important roles in this revolution. The four papers are: Economic Issues in the Application of Externalities to Electricity Resource Selection; Climate Change, the Marginal Cost of Carbon Dioxide Emissions and the Implications for Carbon Dioxide Emissions Adders; Positive Externalities and Benefits from Electricity; and Socioeconomic Effects of Externality Adders for Electric Utility Emissions.

  5. Platinum-induced ototoxicity: a review of prevailing ototoxicity criteria.

    PubMed

    Waissbluth, Sofia; Peleva, Emilia; Daniel, Sam J

    2017-03-01

    The antineoplastic agent's cisplatin and carboplatin are widely used as they are highly effective. Unfortunately, ototoxicity is a frequently encountered side effect of platinum-based chemotherapy. Clinically, patients generally develop a progressive, bilateral, and irreversible sensorineural hearing loss. With rising cancer survival rates, a greater proportion of patients are living with the side effects of their chemotherapy treatments. Consequently, the quality of life of cancer survivors has now become a major concern for clinicians. Various classification systems are currently available to grade side effects and provide a guideline for subsequent treatments. An extensive review of the literature revealed that a variety of criteria are used worldwide for grading platinum-induced hearing loss in children and adults, including the National Cancer Institute criteria, Brock's grading system, the American Speech-Hearing-Language Association criteria, the World Health Organization criteria, the Pediatric Oncology Group criteria, and the Muenster classification. Less commonly used criteria include the Chang classification, the Functional Hearing Loss scale, the HIT system (German Hirntumor study grading system), and most recently, the International Society of Pediatric Oncology Boston ototoxicity grading scale. The objective of this review is to evaluate the commonly used ototoxicity criteria and discuss their benefits and limitations.

  6. Criteria for reflex peripheral smear review in infants.

    PubMed

    Froom, Paul; Isakov, Elada; Barak, Mira

    2014-06-01

    Criteria for peripheral smear review are designed to include those samples with results outside the reference interval and can be more extreme based on what is considered to have clinical utility. However, we are unaware of previous studies that reported the distributions of various complete blood cell count (CBC) parameters in infants. In the following study we reviewed screening CBC results of 692 infants aged 9-15 months in order to determine the proportion of peripheral smear reviews recommended according to consensus criteria and that after adjusting for the observed distributions of the various parameters. According to consensus criteria the recommended reflex peripheral smear review rate was 39.7% (95% CI 36.1-43.4) whereas after adjustment for the observed distributions, the rate fell to 5.6% (95% CI 3.9-7.3) (p < 0.001). The major reasons for the difference in rates were the high proportion of infants with an absolute lymphocyte count > 7 × 10(9)/L (17.5%), the presence of a plus one blast flag (4.3%), and a large unstained cell count of ≥ 5% (26.2%) (equivalent to + 1 atypical flag). We found that international consensus criteria for reflex peripheral smear review results in a very high peripheral smear review rate in well infants, and might be inappropriate.

  7. Independent technical review of the Mound Plant

    SciTech Connect

    Not Available

    1994-06-01

    This report documents an Independent Technical Review (ITR) of the facilities, organizations, plans, and activities required to transition particular elements of the Mound Plant from Defense Program (DP) funded operation as appropriate either to community developed reuse or safe deactivation leading to decontamination and decommissioning (D&D). The review was conducted at the request of the Dr. Willis Bixby, Deputy Assistant Secretary, U.S. Department of Energy EM-60, Office of Facility Transition and Management and is a consensus of the nine member ITR Team. Information for the review was drawn from documents provided to the ITR Team by the Miamisburg Area Office (MB) of the DOE, EG&G, the City of Miamisburg, and others; and from presentations, discussions, interviews, and facility inspections at the Mound Plant during the weeks of March 14 and March 28, 1994. During the week of April 25, 1994, the ITR Team met at Los Alamos, New Mexico to develop consensus recommendations. A presentation of the core recommendations was made at the Mound Plant on May 5, 1994. This is an independent assessment of information available to, and used by, the Mound Plant personnel. Repetition of the information is not meant to imply discovery by the ITR Team. Team members, however, acting as independent reviewers, frequently assess the information from a perspective that differs significantly from that of the Mound Plant personnel. The report is based on information obtained and conditions observed during the March 1994 review interval. The ITR process and normal site work often initiate rapid, beneficial changes in understanding and organization immediately following the review. These changes frequently alter conditions observed during the review, but the report does not address changes subsequent to the review interval.

  8. PET/MRI – Technical Review

    PubMed Central

    Muzic, Raymond F.; DiFilippo, Frank P.

    2015-01-01

    PET/MR is a hybrid imaging technology with the potential to combine the molecular and functional information of PET with the soft-tissue contrast of MR. Herein we review the technical features and challenges of putting these different technologies together. We emphasize the conceptual to make the material accessible to a wide audience. We begin by reviewing PET/CT, a more mature multi-modality imaging technology, to provide a basis for comparison to the history of PET/MR development. We discuss the motivation and challenges of PET/MR and different approaches that have been used to meet the challenges. We conclude with a speculation about the future of this exciting imaging method. PMID:25497909

  9. Site Selection Criteria for Sheltering after Earthquakes: A Systematic Review

    PubMed Central

    Soltani, Ahmad; Ardalan, Ali; Darvishi Boloorani, Ali; Haghdoost, AliAkbar; Hosseinzadeh-Attar, Mohammad Javad

    2014-01-01

    Objective: Proper shelter site selection is necessary for long-term welfare of earthquake affected people. This study aims to explore the criteria that need to be considered after earthquakes. Methods: Through a systematic review, 273 articles found that were published till April 2014. Among these, seven articles have been selected and analyzed for the criteria that they introduced for sheltering site selection after earthquakes. Results: Out of 27 proposed criteria, accessibility and proximity to homes of affected people were stressed in all the papers. Moreover, seven other criteria were the same in most of the papers including suitable size, suitable distance from hazardous areas, geological hazards and land slope, suitable distance from medical centers, water supply and Security. We categorized all the mentioned criteria in six main categories. Size and location, disaster risk reduction, relief and rescue facilities, feasibility of the site, environmental and social aspects are the main categories. Conclusion: Selection and applying proper criteria for shelter site selection after earthquakes is a multi-disciplinary task. The decision needs relevant models and/or tools. Geographic Information System (GIS) is a useful tool for this purpose. Key words: Disaster, earthquake, shelter, site selection, systematic review PMID:25642367

  10. Site selection criteria for sheltering after earthquakes: a systematic review.

    PubMed

    Soltani, Ahmad; Ardalan, Ali; Darvishi Boloorani, Ali; Haghdoost, AliAkbar; Hosseinzadeh-Attar, Mohammad Javad

    2014-08-29

    Proper shelter site selection is necessary for long-term welfare of earthquake affected people. This study aims to explore the criteria that need to be considered after earthquakes. Through a systematic review, 273 articles found that were published till April 2014. Among these, seven articles have been selected and analyzed for the criteria that they introduced for sheltering site selection after earthquakes. Out of 27 proposed criteria, accessibility and proximity to homes of affected people were stressed in all the papers. Moreover, seven other criteria were the same in most of the papers including suitable size, suitable distance from hazardous areas, geological hazards and land slope, suitable distance from medical centers, water supply and Security. We categorized all the mentioned criteria in six main categories. Size and location, disaster risk reduction, relief and rescue facilities, feasibility of the site, environmental and social aspects are the main categories. Selection and applying proper criteria for shelter site selection after earthquakes is a multi-disciplinary task. The decision needs relevant models and/or tools. Geographic Information System (GIS) is a useful tool for this purpose. Key words: Disaster, earthquake, shelter, site selection, systematic review.

  11. 40 CFR 35.1640-1 - Application review criteria.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Application review criteria. 35.1640-1 Section 35.1640-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL... improvement in fish and wildlife habitat and associated beneficial effects on specific fish populations...

  12. 44 CFR 152.5 - Review process and evaluation criteria.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Review process and evaluation criteria. 152.5 Section 152.5 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY FIRE PREVENTION AND CONTROL ASSISTANCE TO FIREFIGHTERS GRANT PROGRAM §...

  13. 40 CFR 35.1640-1 - Application review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the pollution control measures and/or in-lake restorative techniques supported under the project will... Freshwater Lakes § 35.1640-1 Application review criteria. (a) When evaluating applications, EPA will consider... the project, and where appropriate, the estimated improvement in lake water quality. (2) The...

  14. 40 CFR 35.1640-1 - Application review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the pollution control measures and/or in-lake restorative techniques supported under the project will... Freshwater Lakes § 35.1640-1 Application review criteria. (a) When evaluating applications, EPA will consider... the project, and where appropriate, the estimated improvement in lake water quality. (2) The...

  15. GIS modelling for new landfill sites: critical review of employed criteria and methods of selection criteria

    NASA Astrophysics Data System (ADS)

    Abujayyab, Sohaib K. M.; Ahamad, Mohd Sanusi S.; Shukri Yahya, Ahmad; Bashir, Mohammed J. K.; Aziz, Hamidi Abdul

    2016-06-01

    Policy makers and the public are increasingly concerned with the determination of landfill-siting input criteria (DLSIC) in landfill modelling procedures as an area of research. Thus, its procedures are complicated and decision makers are increasingly pressured. These procedures can be considerably develop in order to reduce the negative effect of landfill locations on the environment, economy, and society. In this review article, literature related to the developments of 64 models and their procedures in the past 18 years (from 1997 to 2014) were comprehensively survey. DLSIC are determined through a conventional method. The frequency of criterion usage reflects the limitation of Conventional method for DLSIC. Moreover, some of these studies utilize unrelated criteria that are time-consuming, costly, arduous, and fruitless. Potential improvement in Geographic information systems GIS modelling parameter for landfill sites via utilizing multivariate analysis (MVA) instead of Conventional method (CM) through for DLSIC (e.g., Input variables, Accuracy, objectivity, reliability of criteria, time consumption, cost and comprehensiveness) were emphasize. It can be conclude that expenses can be reduce by implementing MVA in DLSIC for landfill modelling using geographic information systems (GIS) based on the corresponding significant level. Moreover, the determined criteria can be accurate, satisfying, sufficient, and free of bias from experts and human error.

  16. NIH Peer Review: Scored Review Criteria and Overall Impact

    ERIC Educational Resources Information Center

    Lindner, Mark D.; Vancea, Adrian; Chen, Mei-Ching; Chacko, George

    2016-01-01

    The National Institutes of Health (NIH) is the largest source of funding for biomedical research in the world. Funding decisions are made largely based on the outcome of a peer review process that is intended to provide a fair, equitable, timely, and unbiased review of the quality, scientific merit, and potential impact of the research. There have…

  17. NIH Peer Review: Scored Review Criteria and Overall Impact

    ERIC Educational Resources Information Center

    Lindner, Mark D.; Vancea, Adrian; Chen, Mei-Ching; Chacko, George

    2016-01-01

    The National Institutes of Health (NIH) is the largest source of funding for biomedical research in the world. Funding decisions are made largely based on the outcome of a peer review process that is intended to provide a fair, equitable, timely, and unbiased review of the quality, scientific merit, and potential impact of the research. There have…

  18. Spatial abilities and technical skills performance in health care: a systematic review.

    PubMed

    Langlois, Jean; Bellemare, Christian; Toulouse, Josée; Wells, George A

    2015-11-01

    The aim of this study was to conduct a systematic review and meta-analysis of the relationship between spatial abilities and technical skills performance in health care in beginners and to compare this relationship with those in intermediate and autonomous learners. Search criteria included 'spatial abilities' and 'technical skills'. Keywords related to these criteria were defined. A literature search was conducted to 20 December, 2013 in Scopus (including MEDLINE) and in several databases on EBSCOhost platforms (CINAHL Plus with Full Text, ERIC, Education Source and PsycINFO). Citations were obtained and reviewed by two independent reviewers. Articles related to retained citations were reviewed and a final list of eligible articles was determined. Articles were assessed for quality using the Scottish Intercollegiate Guidelines Network-50 assessment instrument. Data were extracted from articles in a systematic way. Correlations between spatial abilities test scores and technical skills performance were identified. A series of 8289 citations was obtained. Eighty articles were retained and fully reviewed, yielding 36 eligible articles. The systematic review found a tendency for spatial abilities to be negatively correlated with the duration of technical skills and positively correlated with the quality of technical skills performance in beginners and intermediate learners. Pooled correlations of studies were -0.46 (p = 0.03) and -0.38 (95% confidence interval [CI] -0.53 to -0.21) for duration and 0.33 (95% CI 0.20-0.44) and 0.41 (95% CI 0.26-0.54) for quality of technical skills performance in beginners and intermediate learners, respectively. However, correlations between spatial abilities test scores and technical skills performance were not statistically significant in autonomous learners. Spatial abilities are an important factor to consider in selecting and training individuals in technical skills in health care. © 2015 John Wiley & Sons Ltd.

  19. Success criteria for electronic medical record implementations in low-resource settings: a systematic review.

    PubMed

    Fritz, Fleur; Tilahun, Binyam; Dugas, Martin

    2015-03-01

    Electronic medical record (EMR) systems have the potential of supporting clinical work by providing the right information at the right time to the right people and thus make efficient use of resources. This is especially important in low-resource settings where reliable data are also needed to support public health and local supporting organizations. In this systematic literature review, our objectives are to identify and collect literature about success criteria of EMR implementations in low-resource settings and to summarize them into recommendations. Our search strategy relied on PubMed queries and manual bibliography reviews. Studies were included if EMR implementations in low-resource settings were described. The extracted success criteria and measurements were summarized into 7 categories: ethical, financial, functionality, organizational, political, technical, and training. We collected 381 success criteria with 229 measurements from 47 articles out of 223 articles. Most papers were evaluations or lessons learned from African countries, published from 1999 to 2013. Almost half of the EMR systems served a specific disease area like human immunodeficiency virus (HIV). The majority of criteria that were reported dealt with the functionality, followed by organizational issues, and technical infrastructures. Sufficient training and skilled personnel were mentioned in roughly 10%. Political, ethical, and financial considerations did not play a predominant role. More evaluations based on reliable frameworks are needed. Highly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. An investigation of model selection criteria for technical analysis of moving average

    NASA Astrophysics Data System (ADS)

    Jasemi, Milad; Kimiagari, Ali M.

    2012-05-01

    Moving averages are one of the most popular and easy-to-use tools available to a technical analyst, and they also form the building blocks for many other technical indicators and overlays. Building a moving average (MA) model needs determining four factors of (1) approach of issuing signals, (2) technique of calculating MA, (3) length of MA, and (4) band. After a literature review of technical analysis (TA) from the perspective of MA and some discussions about MA as a TA, this paper is structured to highlight the effects that each of the first three factors has on performance of MA as a TA. The results that based on some experiments with real data support the fact that deciding about the first and second factors is not much critical, and more attention should be paid to other factors.

  1. Can We Predict Technical Aptitude?: A Systematic Review.

    PubMed

    Louridas, Marisa; Szasz, Peter; de Montbrun, Sandra; Harris, Kenneth A; Grantcharov, Teodor P

    2016-04-01

    To identify background characteristics and cognitive tests that may predict surgical trainees' future technical performance, and therefore be used to supplement existing surgical residency selection criteria. Assessment of technical skills is not commonly incorporated as part of the selection process for surgical trainees in North America. Emerging evidence, however, suggests that not all trainees are capable of reaching technical competence. Therefore, incorporating technical aptitude into selection processes may prove useful. A systematic search was carried out of the MEDLINE, PsycINFO, and Embase online databases to identify all studies that assessed associations between surrogate markers of innate technical abilities in surgical trainees, and whether these abilities correlate with technical performance. The quality of each study was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation system. A total of 8035 records were identified. After screening by title, abstract, and full text, 52 studies were included. Very few surrogate markers were found to predict technical performance. Significant associations with technical performance were seen for 1 of 23 participant-reported surrogate markers, 2 of 25 visual spatial tests, and 2 of 19 dexterity tests. The assessment of trainee Basic Performance Resources predicted technical performance in 62% and 75% of participants. To date, no single test has been shown to reliably predict the technical performance of surgical trainees. Strategies that rely on assessing multiple innate abilities, their interaction, and their relationship with technical skill may ultimately be more likely to serve as reliable predictors of future surgical performance.

  2. Integrating Multiple Criteria Evaluation and GIS in Ecotourism: a Review

    NASA Astrophysics Data System (ADS)

    Mohd, Z. H.; Ujang, U.

    2016-09-01

    The concept of 'Eco-tourism' is increasingly heard in recent decades. Ecotourism is one adventure that environmentally responsible intended to appreciate the nature experiences and cultures. Ecotourism should have low impact on environment and must contribute to the prosperity of local residents. This article reviews the use of Multiple Criteria Evaluation (MCE) and Geographic Information System (GIS) in ecotourism. Multiple criteria evaluation mostly used to land suitability analysis or fulfill specific objectives based on various attributes that exist in the selected area. To support the process of environmental decision making, the application of GIS is used to display and analysis the data through Analytic Hierarchy Process (AHP). Integration between MCE and GIS tool is important to determine the relative weight for the criteria used objectively. With the MCE method, it can resolve the conflict between recreation and conservation which is to minimize the environmental and human impact. Most studies evidences that the GIS-based AHP as a multi criteria evaluation is a strong and effective in tourism planning which can aid in the development of ecotourism industry effectively.

  3. Quality criteria for simulator images - A literature review

    NASA Astrophysics Data System (ADS)

    Padmos, Pieter; Milders, Maarten V.

    1992-12-01

    Quality criteria are presented for each of about 30 different outside-world image features of computer-generated image systems on vehicle simulators (e.g., airplane, tank, ship). Criteria derived are based on a literature review. In addition to purely physical properties related to image presentation (e.g., field size, contrast ratio, update frequency), attention is paid to image content (e.g., number of polygons, surface treatments, moving objects) and various other features (e.g., electro-optical aids, vehicle-terrain interactions, modeling tools, instruction tools). Included in this paper are an introduction on visual perception, separate discussions of each image feature including terminology definitions, and suggestions for further research.

  4. Assessing scrub practitioner non-technical skills: a literature review.

    PubMed

    McClelland, Guy

    2015-01-01

    A review by Catchpole et al (2009) into the causes and types of harm experienced by the surgical patient emphasised the high risk nature of the perioperative period. Investigations into recent failures at NHS organisations have emphasised the relevance of non-technical skills education in improving clinical performance and patient outcomes. However, scrub practitioner non-technical skills are often developed on a tacit basis, making assessment of performance difficult. This literature review identifies strategies that facilitate assessment of non-technical skills during surgery. Recommendations are made that will assist scrub practitioners in using a validated scrub practitioner non-technical skills assessment framework reliably.

  5. Peer review of grant applications: criteria used and qualitative study of reviewer practices.

    PubMed

    Abdoul, Hendy; Perrey, Christophe; Amiel, Philippe; Tubach, Florence; Gottot, Serge; Durand-Zaleski, Isabelle; Alberti, Corinne

    2012-01-01

    Peer review of grant applications has been criticized as lacking reliability. Studies showing poor agreement among reviewers supported this possibility but usually focused on reviewers' scores and failed to investigate reasons for disagreement. Here, our goal was to determine how reviewers rate applications, by investigating reviewer practices and grant assessment criteria. We first collected and analyzed a convenience sample of French and international calls for proposals and assessment guidelines, from which we created an overall typology of assessment criteria comprising nine domains relevance to the call for proposals, usefulness, originality, innovativeness, methodology, feasibility, funding, ethical aspects, and writing of the grant application. We then performed a qualitative study of reviewer practices, particularly regarding the use of assessment criteria, among reviewers of the French Academic Hospital Research Grant Agencies (Programmes Hospitaliers de Recherche Clinique, PHRCs). Semi-structured interviews and observation sessions were conducted. Both the time spent assessing each grant application and the assessment methods varied across reviewers. The assessment criteria recommended by the PHRCs were listed by all reviewers as frequently evaluated and useful. However, use of the PHRC criteria was subjective and varied across reviewers. Some reviewers gave the same weight to each assessment criterion, whereas others considered originality to be the most important criterion (12/34), followed by methodology (10/34) and feasibility (4/34). Conceivably, this variability might adversely affect the reliability of the review process, and studies evaluating this hypothesis would be of interest. Variability across reviewers may result in mistrust among grant applicants about the review process. Consequently, ensuring transparency is of the utmost importance. Consistency in the review process could also be improved by providing common definitions for each

  6. ACR Appropriateness Criteria Review ACR Appropriateness Criteria® Occupational Lung Diseases.

    PubMed

    Bacchus, Leon; Shah, Rakesh D; Chung, Jonathan H; Crabtree, Traves P; Heitkamp, Darel E; Iannettoni, Mark D; Johnson, Geoffrey B; Jokerst, Clinton; McComb, Barbara L; Saleh, Anthony G; Steiner, Robert M; Mohammed, Tan-Lucien H; Ravenel, James G

    2016-01-01

    Occupational lung disease is a category of disease entities characterized by a reaction of the lung parenchyma to inhaled aerosolized particles found in the environment. This document summarizes the imaging appropriateness data for silicosis, coal worker pneumoconiosis, and asbestosis. The main points of the document are that computed tomography is more sensitive than radiography, computed tomography without contrast generally suffices for evaluation, and fluorodeoxyglucose-positron emission tomography may have utility in patients with mesothelioma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review includes an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

  7. Peer Review of Grant Applications: Criteria Used and Qualitative Study of Reviewer Practices

    PubMed Central

    Abdoul, Hendy; Perrey, Christophe; Amiel, Philippe; Tubach, Florence; Gottot, Serge; Durand-Zaleski, Isabelle; Alberti, Corinne

    2012-01-01

    Background Peer review of grant applications has been criticized as lacking reliability. Studies showing poor agreement among reviewers supported this possibility but usually focused on reviewers’ scores and failed to investigate reasons for disagreement. Here, our goal was to determine how reviewers rate applications, by investigating reviewer practices and grant assessment criteria. Methods and Findings We first collected and analyzed a convenience sample of French and international calls for proposals and assessment guidelines, from which we created an overall typology of assessment criteria comprising nine domains relevance to the call for proposals, usefulness, originality, innovativeness, methodology, feasibility, funding, ethical aspects, and writing of the grant application. We then performed a qualitative study of reviewer practices, particularly regarding the use of assessment criteria, among reviewers of the French Academic Hospital Research Grant Agencies (Programmes Hospitaliers de Recherche Clinique, PHRCs). Semi-structured interviews and observation sessions were conducted. Both the time spent assessing each grant application and the assessment methods varied across reviewers. The assessment criteria recommended by the PHRCs were listed by all reviewers as frequently evaluated and useful. However, use of the PHRC criteria was subjective and varied across reviewers. Some reviewers gave the same weight to each assessment criterion, whereas others considered originality to be the most important criterion (12/34), followed by methodology (10/34) and feasibility (4/34). Conceivably, this variability might adversely affect the reliability of the review process, and studies evaluating this hypothesis would be of interest. Conclusions Variability across reviewers may result in mistrust among grant applicants about the review process. Consequently, ensuring transparency is of the utmost importance. Consistency in the review process could also be improved by

  8. Failure criteria for blast loads structures. A review

    SciTech Connect

    Longinow, A.; Guralnick, S.A.; Mohammadi, J.

    1982-01-01

    The reliable rating of protective structures in a blast environment depends to a large extent on the ability to predict the magnitude and duration of the blast load required to produce incipient collapse. Such ability is best developed on the basis of experimental data on the failure of structures. At the present time experimental data on this subject is very limited. Also, the field of predicting incipient collapse of structures is mostly in its infancy. This paper briefly reviews the state-of-the-art of predicting the incipient collapse of structures subjected to blast loads and presents a suggested experimental and analytic, probability based program capable of producing the required data and criteria by the use of full-scale tests and model studies. The emphasis of this review is on reinforced concrete structures.

  9. Technical Change in the North American Forestry Sector: A Review

    Treesearch

    Jeffery C. Stier; David N. Bengston

    1992-01-01

    Economists have examined the impact of technical change on the forest products sector using the historical, index number, and econometric approaches. This paper reviews econometric analyses of the rate and bias of technical change, examining functional form, factors included, and empirical results. Studies are classified as first- second-, or third-generation...

  10. Tanks Focus Area FY98 midyear technical review

    SciTech Connect

    Schlahta, S.N.; Brouns, T.M.

    1998-06-01

    The Tanks Focus Area (TFA) serves as the DOE`s Office of Environmental Management`s national technology and solution development program for radioactive waste tank remediation. Its technical scope covers the major functions that comprise a complete tank remediation system: waste retrieval, waste pretreatment, waste immobilization, tank closure, and characterization of both the waste and tank with safety integrated into all the functions. In total, 17 technologies and technical solutions were selected for review. The purpose of each review was to understand the state of development of each technology selected for review and to identify issues to be resolved before the technology or technical solution progressed to the next level of maturity. The reviewers provided detailed technical and programmatic recommendations and comments. The disposition of these recommendations and comments and their impact on the program is documented in this report.

  11. IMPLEMENTING THE NFPA 805 PROCESS: Observations of a Technical Reviewer

    SciTech Connect

    Short, Steven M.; Coles, Garill A.; Bohlander, Karl L.; Layton, Robert F.; Ivans, William J.; dePeralta, Fleurdeliza A.; Lowry, Peter P.

    2015-04-26

    In June 2004 the U.S. Nuclear Regulatory Commission (NRC) amended its fire protection requirements to permit existing nuclear power reactor licensees to voluntarily adopt fire protection requirements contained in National Fire Protection Association (NFPA) Standard 805. NFPA 805 is a performance-based standard for nuclear power plant fire protection that is an alternative to the deterministic, prescriptive fire protection requirements, such as 10 CFR 50 Appendix R, that was issued in 1980. One aspect of implementing NFPA 805 is that the licensee adopts the performance goals, objectives, and criteria for nuclear safety specified in the Standard. These goals, objectives, and criteria can be met through the implementation of deterministic approaches or performance-based approaches, including engineering analyses, probabilistic risk assessment, and fire modeling. Licensees voluntarily adopting the fire protection requirements in NFPA 805 must submit a license amendment request (LAR) to the NRC. The LAR provides the new proposed fire protection licensing basis, including the methodology and results of required evaluations and analyses that show how the NFPA 805 performance criteria are met. As of August 2014, licensees have submitted LARs for 26 nuclear power plants, representing 42 nuclear reactor units. Of these, 7 nuclear power plants, representing 10 nuclear reactor units, have been issued a safety evaluation (SE) by the NRC approving transition of their fire protection licensing basis to one that complies with NFPA 805. Pacific Northwest National Laboratory (PNNL) supports the NRC staff’s technical review of the LARs in the areas of fundamental fire protection, safe shutdown analysis, and Probabilistic Risk Assessment (PRA). PNNL, of course, cannot speak for the nuclear industry and its choice of implementation strategies or the NRC staff’s assessment of the approaches being taken to adopt NFPA 805. However, as a reviewer of the technical details of these

  12. Eligibility criteria in systematic reviews published in prominent medical journals: a methodological review.

    PubMed

    McCrae, Niall; Purssell, Edward

    2015-12-01

    Clear and logical eligibility criteria are fundamental to the design and conduct of a systematic review. This methodological review examined the quality of reporting and application of eligibility criteria in systematic reviews published in three leading medical journals. All systematic reviews in the BMJ, JAMA and The Lancet in the years 2013 and 2014 were extracted. These were assessed using a refined version of a checklist previously designed by the authors. A total of 113 papers were eligible, of which 65 were in BMJ, 17 in The Lancet and 31 in JAMA. Although a generally high level of reporting was found, eligibility criteria were often problematic. In 67% of papers, eligibility was specified after the search sources or terms. Unjustified time restrictions were used in 21% of reviews, and unpublished or unspecified data in 27%. Inconsistency between journals was apparent in the requirements for systematic reviews. The quality of reviews in these leading medical journals was high; however, there were issues that reduce the clarity and replicability of the review process. As well as providing a useful checklist, this methodological review informs the continued development of standards for systematic reviews. © 2015 John Wiley & Sons, Ltd.

  13. 24 CFR 902.68 - Technical review of results of PHAS physical condition indicator.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... review of results of PHAS physical condition indicator. (a) Request for technical reviews. This section describes the process for requesting and granting technical reviews of physical inspection results. (1) For... technical review of physical inspection results. (2) A PHA's request for a technical review must be...

  14. 24 CFR 902.68 - Technical review of results of PHAS physical condition indicator.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... review of results of PHAS physical condition indicator. (a) Request for technical reviews. This section describes the process for requesting and granting technical reviews of physical inspection results. (1) For... technical review of physical inspection results. (2) A PHA's request for a technical review must be...

  15. 24 CFR 902.68 - Technical review of results of PHAS physical condition indicator.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... review of results of PHAS physical condition indicator. (a) Request for technical reviews. This section describes the process for requesting and granting technical reviews of physical inspection results. (1) For... technical review of physical inspection results. (2) A PHA's request for a technical review must be...

  16. Review of the acrylamide health criteria document. Final report

    SciTech Connect

    Not Available

    1988-07-19

    The Drinking Water Subcommittee of the Science Advisory Board's Environmental Health Committee completed its review of the Drinking Water Health Criteria Document for Acrylamide. The Subcommittee made the following conclusions and recommendations: because it was performed for two full years, the Johnson Study should be used in setting the standard; the final assessment of the carcinogenic potential should await the results of the current bioassay, the ability of acrylamide to produce heritable germ-cell mutations should be given emphasis in the risk-assessment process; the health implications of products formed from acrylamide as a result of chlorination and oxidation processes are potentially serious and must be considered in the document; and the potential effects of pH and metal ions in water should be addressed.

  17. Psoriatic Arthritis Mutilans: Clinical and Radiographic Criteria. A Systematic Review.

    PubMed

    Haddad, Amir; Johnson, Sindhu R; Somaily, Mansour; Fazelzad, Rouhi; Kron, Amie T; Chau, Cathy; Chandran, Vinod

    2015-08-01

    Research on psoriatic arthritis mutilans (PAM), the most severe form of psoriatic arthritis, is impeded by the lack of an accepted classification criteria. We performed a systematic review of the literature to identify and synthesize clinical and radiographic features associated with the definition of PAM. A systematic literature search limited to human studies was conducted without language restriction. Abstracts were independently screened by 2 investigators and studies that reported information on patients with PAM were included. A standardized form was used to independently collect clinical and radiographic items defining PAM, patient's demographics, disease characteristics, and outcomes. There were 8570 citations searched to identify 112 articles for full review and 58 articles for data abstraction. We identified 8 definitions of PAM that were used in 283 subjects with a mean age ± SD at diagnosis of PsA of 33.9 ± 8.2 years. Disease manifestations (prevalence) included dactylitis (29-64%), enthesitis (29-32%), axial disease (14-27%), and nail lesions (47%). PAM definitions include 1 (n = 2 studies) or more (n = 14 studies) joints involving interphalangeal, metacarpophalangeal, or metatarsophalangeal joints. The most prevalent PAM clinical features were digital telescoping (34%), digital shortening (33%), and flail joints (22%). The most prevalent PAM radiographic items were bone resorption (41%), pencil-in-cup change (16%), total joint erosions (14%), ankylosis (21%), and subluxation (7%). We have identified 8 definitions of PAM, and synthesized the clinical and radiographic items that are important for the classification of PAM. We have established the groundwork for future development classification criteria for PAM.

  18. RISK REDUCTION THROUGH USE OF EXTERNAL TECHNICAL REVIEWS, TECHNOLOGY READINESS ASSESSMENTS AND TECHNICAL RISK RATINGS - 9174

    SciTech Connect

    Cercy, M; Steven P Schneider, S; Kurt D Gerdes, K

    2008-12-12

    The U.S. Department of Energy's Office of Environmental Management (DOE-EM) was established to achieve the safe and compliant disposition of legacy wastes and facilities from defense nuclear applications. A large majority of these wastes and facilities are 'one-of-a-kind' and unique to DOE. Many of the programs to treat these wastes have been 'first-of-a-kind' and unprecedented in scope and complexity. This has meant that many of the technologies needed to successfully disposition these wastes were not yet developed or required significant re-engineering to be adapted for DOE-EM's needs. The DOE-EM program believes strongly in reducing the technical risk of its projects and has initiated several efforts to reduce those risks: (1) Technology Readiness Assessments to reduce the risks of deployment of new technologies; (2) External Technical Reviews as one of several steps to ensure the timely resolution of engineering and technology issues; and (3) Technical Risk Ratings as a means to monitor and communicate information about technical risks. This paper will present examples of how Technology Readiness Assessments, External Technical Reviews, and Technical Risk Ratings are being used by DOE-EM to reduce technical risks.

  19. RISK REDUCTION THROUGH USE OF EXTERNAL TECHNICAL REVIEWS, TECHNOLOGY READINESS ASSESSMENTS AND TECHNICAL RISK RATINGS - 9174

    SciTech Connect

    Cercy, M; Steven P Schneider, S; Kurt D Gerdes, K

    2009-01-15

    The U.S. Department of Energy's Office of Environmental Management (DOE-EM) was established to achieve the safe and compliant disposition of legacy wastes and facilities from defense nuclear applications. A large majority of these wastes and facilities are 'one-of-a-kind' and unique to DOE. Many of the programs to treat these wastes have been 'first-of-a-kind' and unprecedented in scope and complexity. This has meant that many of the technologies needed to successfully disposition these wastes were not yet developed or required significant re-engineering to be adapted for DOE-EM's needs. The DOE-EM program believes strongly in reducing the technical risk of its projects and has initiated several efforts to reduce those risks: (1) Technology Readiness Assessments to reduce the risks of deployment of new technologies; (2) External Technical Reviews as one of several steps to ensure the timely resolution of engineering and technology issues; and (3) Technical Risk Ratings as a means to monitor and communicate information about technical risks. This paper will present examples of how Technology Readiness Assessments, External Technical Reviews, and Technical Risk Ratings are being used by DOE-EM to reduce technical risks.

  20. Soft Controls: Technical Basis and Human Factors Review Guidance

    DTIC Science & Technology

    2000-03-01

    Controlling Office is (insert controlling DoD office). NUREG /CR-6635 BNL- NUREG -52565 Soft Controls: Technical Basis and Human Factors Review Guidance...DC 20555-0001 AVAILABILITY NOTICE Availability of Reference Materials Cited in NRC Publications NRC publications in the NUREG series, NRC regu...Technical Information Service Springfield, VA 22161 -0002 <http://www.ntis.gov> 1 -800-553-6847 or locally 703-605-6000 The NUREG series

  1. Role of inspectors in external review mechanisms: criteria for selection, training and appraisal.

    PubMed

    Plebani, M

    2001-07-20

    There is a wide consensus that an external review mechanism, both in the form of a peer review, accreditation and certification according to the ISO 9000 series, is more than its standards. The survey process, the role of inspectors and standard interpretation contribute to the essence of the programme itself. Above all, the criteria used for the selection, training and appraisal of inspectors are of paramount importance. While the ISO norms do not require certification bodies to employ "peer reviewers" for the healthcare sector, experience in this sector is the main criterion for recruiting inspectors in accreditation and peer review programmes. However, the ISO/IEC Guide 58, for the setting up and operation of a laboratory accreditation body, specifies that inspectors should have appropriate technical knowledge of the specific calibrations, tests or types of calibration or tests for which accreditation is sought. Training, updating and assessment of inspectors are clearly defined under ISO, but are also systematic under accreditation programmes. Part-time inspectors who are professionals currently practising in a healthcare facility and are in touch with the day-to-day work reality are preferred for accreditation programmes which have self-regulation, education and quality improvement as their main concerns, while full-time and external inspectors are used in external review mechanisms with registration and certification as their main concerns. As well as harmonising the standards for accreditation, it is important to obtain consensus on the criteria to use for the selection, training and assessment of inspectors in order to ensure that different national or international programmes gain mutual recognition.

  2. Paramedics' non-technical skills: a literature review.

    PubMed

    Shields, Allan; Flin, Rhona

    2013-05-01

    Healthcare organisations have started to examine the impact that the human worker has on patient safety. Adopting the Crew Resource Management (CRM) approach, used in aviation, the CRM or non-technical skills of anaesthetists, surgeons, scrub practitioners and emergency physicians have recently been identified to assist in their training and assessment. Paramedics are exposed to dynamic and dangerous situations where patients have to be managed, often with life-threatening injuries or illness. As in other safety-critical domains, the technical skills of paramedics are complemented by effective non-technical skills. The aim of this paper was to review the literature on the non-technical (social and cognitive) skills used by paramedics. This review was undertaken as part of a task analysis to identify the non-technical skills used by paramedics. Of the seven papers reviewed, the results have shown very little research on this topic and so reveal a gap in the understanding of paramedic non-technical skills.

  3. Interprofessional non-technical skills for surgeons in disaster response: a literature review.

    PubMed

    Willems, Anneliese; Waxman, Bruce; Bacon, Andrew K; Smith, Julian; Kitto, Simon

    2013-09-01

    Natural disasters impose a significant burden on society. Current disaster training programmes do not place an emphasis on equipping surgeons with non-technical skills for disaster response. This literature review sought to identify non-technical skills required of surgeons in disaster response through an examination of four categories of literature: "disaster"; "surgical"; "organisational management"; and "interprofessional". Literature search criteria included electronic database searches, internet searches, hand searching, ancestry searching and networking strategies. Various potential non-technical skills for surgeons in disaster response were identified including: interpersonal skills such as communication, teamwork and leadership; cognitive strategies such flexibility, adaptability, innovation, improvisation and creativity; physical and psychological self-care; conflict management, collaboration, professionalism, health advocacy and teaching. Such skills and the role of interprofessionalism should be considered for inclusion in surgical disaster response training course curricula.

  4. International Linear Collider Technical Review Committee: Second Report, 2003

    SciTech Connect

    Loew, Gregory

    2003-02-21

    As this report is being published, the international high energy physics (HEP) community finds itself confronting a set of fascinating discoveries and new questions regarding the nature of matter and its fundamental particles and forces. The observation of neutrino oscillations that indicates that neutrinos have mass, measurements of the accelerating expansion of the universe that may be due to dark energy, and evidence for a period of rapid inflation at the beginning of the Big Bang are stimulating the entire field. Looming on the horizon are the potential discoveries of a Higgs particle that may reveal the origin of mass and of a whole family of supersymmetric particles that may be part of the cosmic dark matter. For the HEP community to elucidate these mysteries, new accelerators are indispensable. At this time, after careful deliberations, all three regional organizations of the HEP community (ACFA in Asia, HEPAP in North America, and ECFA in Europe) have reached the common conclusion that the next accelerator should be an electron-positron linear collider with an initial center-of-mass energy of 500 Giga-electronvolts (GeV), later upgradable to higher energies, and that it should be built and operated in parallel with the Large Hadron Collider under construction at CERN. Hence, this second report of the International Linear Collider Technical Review Committee (ILC-TRC) comes at a very timely moment. The report was requested by the International Committee on Future Accelerators (ICFA) in February 2001 to assess the current technical status of electron-positron linear collider designs in the various regions. Note that the ILC-TRC was not asked to concern itself with either cost studies or the ultimate selection process of a machine. This Executive Summary gives a short outline of the genesis of the report, the charge given to the committee, and its organization. It then presents a brief description of four electron-positron linear collider designs at hand. The

  5. Human factors engineering design review acceptance criteria for the safety parameter display

    SciTech Connect

    McGevna, V.; Peterson, L.R.

    1981-10-02

    This report contains human factors engineering design review acceptance criteria developed by the Human Factors Engineering Branch (HFEB) of the Nuclear Regulatory Commission (NRC) to use in evaluating designs of the Safety Parameter Display System (SPDS). These criteria were developed in response to the functional design criteria for the SPDS defined in NUREG-0696, Functional Criteria for Emergency Response Facilities. The purpose of this report is to identify design review acceptance criteria for the SPDS installed in the control room of a nuclear power plant. Use of computer driven cathode ray tube (CRT) displays is anticipated. General acceptance criteria for displays of plant safety status information by the SPDS are developed. In addition, specific SPDS review criteria corresponding to the SPDS functional criteria specified in NUREG-0696 are established.

  6. Sediment quality criteria: A review with recommendations for developing criteria for the Hanford Site

    SciTech Connect

    Driver, C.J.

    1994-05-01

    Criteria for determining the quality of liver sediment are necessary to ensure that concentrations of contaminants in aquatic systems are within acceptable limits for the protection of aquatic and human life. Such criteria should facilitate decision-making about remediation, handling, and disposal of contaminants. Several approaches to the development of sediment quality criteria (SQC) have been described and include both descriptive and numerical methods. However, no single method measures all impacts at all times to all organisms (U.S. EPA 1992b). The U.S. EPA`s interest is primarily in establishing chemically based, numerical SQC that are applicable nation-wide (Shea 1988). Of the approaches proposed for SQC development, only three are being considered for numerical SQC on a national level. These approaches include an Equilibrium Partitioning Approach, a site-specific method using bioassays (the Apparent Effects Threshold Approach), and an approach similar to EPA`s water quality criteria (Pavlou and Weston 1984). Although national (or even regional) criteria address a number of political, litigative, and engineering needs, some researchers feel that protection of benthic communities require site-specific, biologically based criteria (Baudo et al. 1990). This is particularly true for areas where complex mixtures of contaminants are present in sediments. Other scientifically valid and accepted procedures for freshwater SQC include a background concentration approach, methods using field or spiked bioassays, a screening level concentration approach, the Apparent Effects Threshold Approach, the Sediment Quality Triad, the International Joint Commission Sediment Assessment Strategy, and the National Status and Trends Program Approach. The various sediment assessment approaches are evaluated for application to the Hanford Reach and recommendations for Hanford Site sediment quality criteria are discussed.

  7. Formal Representations of Eligibility Criteria: A Literature Review

    PubMed Central

    Weng, Chunhua; Tu, Samson W.; Sim, Ida; Richesson, Rachel

    2010-01-01

    Standards-based, computable knowledge representations for eligibility criteria are increasingly needed to provide computer-based decision support for automated research participant screening, clinical evidence application, and clinical research knowledge management. We surveyed the literature and identified five aspects of eligibility criteria knowledge representations that contribute to the various research and clinical applications: the intended use of computable eligibility criteria, the classification of eligibility criteria, the expression language for representing eligibility rules, the encoding of eligibility concepts, and the modeling of patient data. We consider three of them (expression language, codification of eligibility concepts, and patient data modeling), to be essential constructs of a formal knowledge representation for eligibility criteria. The requirements for each of the three knowledge constructs vary for different use cases, which therefore should inform the development and choice of the constructs toward cost-effective knowledge representation efforts. We discuss the implications of our findings for standardization efforts toward sharable knowledge representation of eligibility criteria. PMID:20034594

  8. A review of proposed Glen Canyon Dam interim operating criteria

    SciTech Connect

    LaGory, K.; Hlohowskyj, I.; Tomasko, D.; Hayse, J.; Durham, L.

    1992-04-01

    Three sets of interim operating criteria for Glen Canyon Dam on the Colorado River have been proposed for the period of November 1991, to the completion of the record of decision for the Glen Canyon Dam environmental impact statement (about 1993). These criteria set specific limits on dam releases, including maximum and minimum flows, up-ramp and down-ramp rates, and maximum daily fluctuation. Under the proposed interim criteria, all of these parameters would be reduced relative to historical operating criteria to protect downstream natural resources, including sediment deposits, threatened and endangered fishes, trout, the aquatic food base, and riparian plant communities. The scientific bases of the three sets of proposed operating criteria are evaluated in the present report:(1) criteria proposed by the Research/Scientific Group, associated with the Glen Canyon Environmental Studies (GCES); (2) criteria proposed state and federal officials charged with managing downstream resources; and (3) test criteria imposed from July 1991, to November 1991. Data from Phase 1 of the GCES and other sources established that the targeted natural resources are affected by dam operations, but the specific interim criteria chosen were not supported by any existing studies. It is unlikely that irreversible changes to any of the resources would occur over the interim period if historical operating criteria remained in place. It is likely that adoption of any of the sets of proposed interim operating criteria would reduce the levels of sediment transport and erosion below Glen Canyon Dam; however, these interim criteria could result in some adverse effects, including the accumulation of debris at tributary mouths, a shift of new high-water-zone vegetation into more flood-prone areas, and further declines in vegetation in the old high water zone.

  9. From Aldrete to PADSS: Reviewing discharge criteria after ambulatory surgery.

    PubMed

    Ead, Heather

    2006-08-01

    Nurses working in perianesthesia care areas use discharge scoring criteria to complete patient assessments and ensure patient readiness for discharge or transfer to the next phase of recovery. However, all discharge criteria have both advantages and disadvantages. Comparative studies on the reliability of the different discharge criteria in use are extremely limited. As the acuity of our aging population increases, as well as the number of annual surgeries performed on an outpatient basis, it is most timely to ensure that we are following evidence-based discharge criteria.

  10. 43 CFR 429.14 - What criteria will Reclamation consider when reviewing applications?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the following criteria when reviewing applications: (a) Compatibility with authorized project purposes, project operations, safety, and security; (b) Environmental compliance; (c) Compatibility with public...

  11. 43 CFR 429.14 - What criteria will Reclamation consider when reviewing applications?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the following criteria when reviewing applications: (a) Compatibility with authorized project purposes, project operations, safety, and security; (b) Environmental compliance; (c) Compatibility with public...

  12. 43 CFR 429.14 - What criteria will Reclamation consider when reviewing applications?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the following criteria when reviewing applications: (a) Compatibility with authorized project purposes, project operations, safety, and security; (b) Environmental compliance; (c) Compatibility with public...

  13. 43 CFR 429.14 - What criteria will Reclamation consider when reviewing applications?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the following criteria when reviewing applications: (a) Compatibility with authorized project purposes, project operations, safety, and security; (b) Environmental compliance; (c) Compatibility with public...

  14. 43 CFR 429.14 - What criteria will Reclamation consider when reviewing applications?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the following criteria when reviewing applications: (a) Compatibility with authorized project purposes, project operations, safety, and security; (b) Environmental compliance; (c) Compatibility with public...

  15. A Study of Technical Engineering Peer Reviews at NASA

    NASA Technical Reports Server (NTRS)

    Chao, Lawrence P.; Tumer, Irem Y.; Bell, David G.

    2003-01-01

    This report describes the state of practices of design reviews at NASA and research into what can be done to improve peer review practices. There are many types of reviews at NASA: required and not, formalized and informal, programmatic and technical. Standing project formal reviews such as the Preliminary Design Review and Critical Design Review are a required part of every project and mission development. However, the technical, engineering peer reviews that support teams' work on such projects are informal, some times ad hoc, and inconsistent across the organization. The goal of this work is to identify best practices and lessons learned from NASA's experience, supported by academic research and methodologies to ultimately improve the process. This research has determined that the organization, composition, scope, and approach of the reviews impact their success. Failure Modes and Effects Analysis (FMEA) can identify key areas of concern before or in the reviews. Product definition tools like the Project Priority Matrix, engineering-focused Customer Value Chain Analysis (CVCA), and project or system-based Quality Function Deployment (QFD) help prioritize resources in reviews. The use of information technology and structured design methodologies can strengthen the engineering peer review process to help NASA work towards error-proofing the design process.

  16. Room noise criteria--the S12.2-1995 standard raises serious technical and economic considerations.

    PubMed

    Pei, H S

    1997-05-01

    The key issue with the S12.2-1995 standard is not the differences in the assessment of sound quality, particularly at the low frequencies, but rather the use of octave-band data to describe low-frequency equipment misbehavior. Unfortunately, the "NCB vs RC" controversy leads research efforts and technical discussions in the wrong directions, disregarding serious economic and technical considerations. This conflict can be resolved by: (1) avoiding the use of octave-band data to rate noise with abnormal (spectral and/or temporal) characteristics, (2) addressing the widespread need for the room noise criteria as a practical design tool for general use in architectural spaces, and (3) developing adequate descriptor/procedures to qualify, quantify, and determine the impact of "rumble" on human response. A further goal should be to develop integrated criteria that would apply to both HVAC and computer noise sources.

  17. Alcohol Fuels Program technical review, Spring 1984

    SciTech Connect

    Not Available

    1984-10-01

    The alcohol fuels program consists of in-house and subcontracted research for the conversion of lignocellulosic biomass into fuel alcohols via thermoconversion and bioconversion technologies. In the thermoconversion area, the SERI gasifier has been operated on a one-ton per day scale and produces a clean, medium-Btu gas that can be used to manufacture methanol with a relatively small gas-water shift reaction requirement. Recent research has produced catalysts that make methanol and a mixture of higher alcohols from the biomass-derived synthetic gas. Three hydrolysis processes have emerged as candidates for more focused research. They are: a high-temperature, dilute-acid, plug-flow approach based on the Dartmouth reactor; steam explosion pretreatment followed by hydrolysis using the RUT-C30 fungal organism; and direct microbial conversion of the cellulose to ethanol using bacteria in a single or mixed culture. Modeling studies, including parametric and sensitivity analyses, have recently been completed. The results of these studies will lead to a better definition of the present state-of-the-art for these processes and provide a framework for establishing the research and process engineering issues that still need resolution. In addition to these modeling studies, economic feasibility studies are being carried out by commercial engineering firms. Their results will supplement and add commercial validity to the program results. The feasibility contractors will provide input at two levels: Technical and economic assessment of the current state-of-the-art in alcohol production from lignocellulosic biomass via thermoconversion to produce methanol and higher alcohol mixtures and bioconversion to produce ethanol; and identification of research areas having the potential to significantly reduce the cost of production of alcohols.

  18. AIR QUALITY CRITERIA CARBON MONOXIDE, EXTERNAL REVIEW DRAFT

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) promulgates the National Ambient Air Quality Standards (NAAQS) on the basis of scientific information contained in criteria documents. The last air quality criteria document for carbon monoxide (CO) was completed by EPA in 1991. This...

  19. AIR QUALITY CRITERIA CARBON MONOXIDE, EXTERNAL REVIEW DRAFT

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) promulgates the National Ambient Air Quality Standards (NAAQS) on the basis of scientific information contained in criteria documents. The last air quality criteria document for carbon monoxide (CO) was completed by EPA in 1991. This...

  20. A systematic literature review on security and privacy of electronic health record systems: technical perspectives.

    PubMed

    Rezaeibagha, Fatemeh; Win, Khin Than; Susilo, Willy

    2015-01-01

    Even though many safeguards and policies for electronic health record (EHR) security have been implemented, barriers to the privacy and security protection of EHR systems persist. This article presents the results of a systematic literature review regarding frequently adopted security and privacy technical features of EHR systems. Our inclusion criteria were full articles that dealt with the security and privacy of technical implementations of EHR systems published in English in peer-reviewed journals and conference proceedings between 1998 and 2013; 55 selected studies were reviewed in detail. We analysed the review results using two International Organization for Standardization (ISO) standards (29100 and 27002) in order to consolidate the study findings. Using this process, we identified 13 features that are essential to security and privacy in EHRs. These included system and application access control, compliance with security requirements, interoperability, integration and sharing, consent and choice mechanism, policies and regulation, applicability and scalability and cryptography techniques. This review highlights the importance of technical features, including mandated access control policies and consent mechanisms, to provide patients' consent, scalability through proper architecture and frameworks, and interoperability of health information systems, to EHR security and privacy requirements.

  1. Developing and Evaluating Criteria to Help Reviewers of Biomedical Informatics Manuscripts

    PubMed Central

    Ammenwerth, Elske; Wolff, Astrid C.; Knaup, Petra; Ulmer, Hanno; Skonetzki, Stefan; van Bemmel, Jan H.; McCray, Alexa T.; Haux, Reinhold; Kulikowski, Casimir

    2003-01-01

    Peer-reviewed publication of scientific research results represents the most important means of their communication. The authors have annually reviewed a large heterogeneous set of papers to produce the International Medical Informatics Association (IMIA) Yearbook of Medical Informatics. To support an objective and high-quality review process, the authors attempted to provide reviewers with a set of refined quality criteria, comprised of 80 general criteria and an additional 60 criteria for specific types of manuscripts. Authors conducted a randomized controlled trial, with 18 reviewers, to evaluate application of the refined criteria on review outcomes. Whereas the trial found that reviewers applying the criteria graded papers more strictly (lower overall scores), and that junior reviewers appreciated the availability of the criteria, there was no overall change in the interrater variability in reviewing the manuscripts. The authors describe their experience as a “case report” and provide a reference to the refined quality review criteria without claiming that the criteria represent a validated instrument for quantitative quality measurement. PMID:12807814

  2. Selected Preschool Screening and Diagnostic Instruments: A Technical Review.

    ERIC Educational Resources Information Center

    Brennan, Maurine

    This report, one of several prepared for a comprehensive policy study of early childhood education in Illinois, provides a technical review of the following twelve instruments for screening, assessing, and diagnosing young children's readiness for school: Brigance Diagnostic Inventory of Early Development; Brigance K & 1 Screen for Kindergarten…

  3. Archival Stability of Microfilm--A Technical Review.

    ERIC Educational Resources Information Center

    Materazzi, Albert R.

    The purpose of this report is to acquaint all personnel with some technical aspects of micrographics. The various film types used in the production of microfiche are discussed, including silver halide, diazo, and vesicular films. Other imaging systems used in micrographics are reviewed, and a basic introduction to sensitometry is given. The…

  4. Access routes and reported decision criteria for lumbar epidural drug injections: a systematic literature review.

    PubMed

    Andreisek, Gustav; Jenni, Maja; Klingler, Dominic; Wertli, Maria; Elliott, Marina; Ulbrich, Erika J; Winklhofer, Sebastian; Steurer, Johann

    2013-12-01

    To review lumbar epidural drug injection routes in relation to current practice and the reported criteria used for selecting a given approach. This was a HIPPA-compliant study. Employing a systematic search strategy, the MEDLINE and EMBASE databank as well as the Cochrane Library were searched for studies on epidural drug injections. The following data were noted: access route, level of injection, use of image guidance, and types and doses of injected drugs. Justifications for the use of a particular route were also noted. Data were presented using descriptive statistics. A total of 1,211 scientific studies were identified, of which 91 were finally included (7.5%). The interlaminar access route was used in 44 of 91 studies (48.4%), the transforaminal in 37 of 91 studies (40.7%), and the caudal pathway in 26 of 91 studies (28.6%). The caudal pathway was favored in the older studies whereas the transforaminal route was favored in recent studies. Decision criteria related to correct needle placement, concentration of injected drug at lesion site, technical complexity, costs, and potential complications. Injection was usually performed on the level of the lesion using local anesthetics (71 of 91 studies, 78.0%), steroids (all studies) and image guidance (71 of 91 studies, 78%). The most commonly used access routes for epidural drug injection are the interlaminar and transforaminal pathways at the level of the pathology. Transforaminal routes are being performed with increasing frequency in recent years.

  5. Objective criteria for return to athletics after anterior cruciate ligament reconstruction and subsequent reinjury rates: a systematic review.

    PubMed

    Barber-Westin, Sue D; Noyes, Frank R

    2011-09-01

    To review anterior cruciate ligament (ACL) clinical studies to assess the objective functional criteria used to determine when patients can return to athletics postoperatively, and to determine the rates of reinjury to either knee when these criteria are applied. A literature search was conducted using the Medline database. The inclusionary criteria were the English language, publication between April 2001 and April 2011, original clinical trials, all levels of evidence, primary ACL reconstruction, skeletal maturity, minimum 2 years of follow-up, and ≥1 objective test used to allow release to sports activities. The exclusionary criteria were revision ACL reconstructions or dislocated knees; studies that specifically excluded patients with ACL graft failure or reinjuries; major concomitant procedures such as high tibial osteotomy, meniscus allograft, other knee ligament reconstructions; and case reports, abstracts, review articles, and technical notes. Three objective criteria were used to allow release to sports activities. The most common were lower extremity muscle strength, followed by lower limb symmetry, and knee examination parameters of range of knee motion and effusion. Twelve studies listed 1 criterion for release to sports, 8 studies listed 2 criteria, and 1 study recommended 3 criteria. Failure rates of the ACL reconstructions ranged from 0% to 3% in 7 studies, from 4% to 6% in 6 studies, from 7% to 10% in 4 studies, and from 14% to 24% in 4 studies. There were no injuries in the contralateral ACL in 14 studies (67%); in the other 7 studies, contralateral injury was reported in 2% to 15% of patients. Few objective functional criteria are used to determine when patients return to unrestricted sports activities. Clinically feasible recommendations are made for measurement of muscle strength, lower limb symmetry, lower limb neuromuscular control, and ligament function in patients who desire to return to athletics after ACL reconstruction. Future studies

  6. Technical review of Molten Salt Oxidation

    SciTech Connect

    Not Available

    1993-12-01

    The process was reviewed for destruction of mixed low-level radioactive waste. Results: extensive development work and scaleup has been documented on coal gasification and hazardous waste which forms a strong experience base for this MSO process; it is clearly applicable to DOE wastes such as organic liquids and low-ash wastes. It also has potential for processing difficult-to-treat wastes such as nuclear grade graphite and TBP, and it may be suitable for other problem waste streams such as sodium metal. MSO operating systems may be constructed in relatively small units for small quantity generators. Public perceptions could be favorable if acceptable performance data are presented fairly; MSO will likely require compliance with regulations for incineration. Use of MSO for offgas treatment may be complicated by salt carryover. Figs, tabs, refs.

  7. The impact of nontechnical skills on technical performance in surgery: a systematic review.

    PubMed

    Hull, Louise; Arora, Sonal; Aggarwal, Rajesh; Darzi, Ara; Vincent, Charles; Sevdalis, Nick

    2012-02-01

    Failures in nontechnical and teamwork skills frequently lie at the heart of harm and near-misses in the operating room (OR). The purpose of this systematic review was to assess the impact of nontechnical skills on technical performance in surgery. MEDLINE, EMBASE, PsycINFO databases were searched, and 2,041 articles were identified. After limits were applied, 341 articles were retrieved for evaluation. Of these, 28 articles were accepted for this review. Data were extracted from the articles regarding sample population, study design and setting, measures of nontechnical skills and technical performance, study findings, and limitations. Of the 28 articles that met inclusion criteria, 21 articles assessed the impact of surgeons' nontechnical skills on their technical performance. The evidence suggests that receiving feedback and effectively coping with stressful events in the OR has a beneficial impact on certain aspects of technical performance. Conversely, increased levels of fatigue are associated with detriments to surgical skill. One article assessed the impact of anesthesiologists' nontechnical skills on anesthetic technical performance, finding a strong positive correlation between the 2 skill sets. Finally, 6 articles assessed the impact of multiple nontechnical skills of the entire OR team on surgical performance. A strong relationship between teamwork failure and technical error was empirically demonstrated in these studies. Evidence suggests that certain nontechnical aspects of performance can enhance or, if lacking, contribute to deterioration of surgeons' technical performance. The precise extent of this effect remains to be elucidated. Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  8. 77 FR 69579 - Proposed Requirements, Definitions, and Selection Criteria-Native American Career and Technical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... of study that will be approved by the appropriate accreditation agency; (b) Strengthens the rigor of... technical skills; (7) The use of student assessment and evaluation data to improve continually instruction... technical education project funded under this program; (ii) Be in regular attendance in a NACTEP project and...

  9. Format and Criteria for Analysis of State Agencies for Vocational-Technical Education.

    ERIC Educational Resources Information Center

    Oregon State System of Higher Education, Monmouth. Teaching Research Div.

    A recognition of the need for improving vocational and technical education through strengthening the state agency of vocational and technical education led to the development of this instrument for a systematic analysis of state agencies. The three phases of analysis include: (1) a self-analysis by the state agency, (2) a visiting team's reactions…

  10. Air Quality Criteria for Ozone and Related Photochemical Oxidants (First External Review Draft)

    EPA Science Inventory

    This first external review draft of the Air Quality Criteria for Ozone and Related Photochemical Oxidants (Ozone Criteria Document) is being released in January 2005 for public comment and for review by EPA's Clean A...

  11. Air Quality Criteria for Ozone and Related Photochemical Oxidants (First External Review Draft)

    EPA Science Inventory

    This first external review draft of the Air Quality Criteria for Ozone and Related Photochemical Oxidants (Ozone Criteria Document) is being released in January 2005 for public comment and for review by EPA's Clean A...

  12. Air Quality Criteria for Ozone and Related Photochemical Oxidants (Second External Review Draft)

    EPA Science Inventory

    This second external review draft of the Air Quality Criteria for Ozone and Related Photochemical Oxidants, Volumes I-III (Ozone Criteria Document) is being released for public comment and for review by EPA's Clean Air Scientific Advisory Committee (CASAC) r...

  13. Air Quality Criteria for Ozone and Related Photochemical Oxidants (Second External Review Draft)

    EPA Science Inventory

    This second external review draft of the Air Quality Criteria for Ozone and Related Photochemical Oxidants, Volumes I-III (Ozone Criteria Document) is being released for public comment and for review by EPA's Clean Air Scientific Advisory Committee (CASAC) r...

  14. Inappropriate prescribing in older persons: A systematic review of medications available in different criteria.

    PubMed

    Lucchetti, Giancarlo; Lucchetti, Alessandra L G

    The present study aims to systematically review all potentially inappropriate medications for older persons included in prescribing criteria published in the last decade. A systematic review of published studies was performed. Articles describing the development of criteria for PIM Use in Older Adults published in the last decade and which provided a list of medications that should be considered inappropriate were included. The searches were conducted on Pubmed/Medline for articles published from 1st of January 2006 to 31st of December 2015. We analyzed the medications/classes reported in all criteria, most common classes and how many indications each medication made. From 778 articles, 14 articles were included in our analysis (containing 14 different criteria). Europe was responsible for 8 criteria (57.2% of total) followed by Asia (3 criteria) and USA (2 criteria). More than 85% used a Delphi method. There were 729 different medications/classes reported in all criteria. Diazepam was included in all 14 criteria followed by amitriptyline (13 criteria) and doxepin (12 criteria). We found benzodiazepines, NSAIDs, antihistamines and antipsychotics were the most common drugs reported as potentially inappropriate for older persons. The present study systematically compiled all medications included in 14 different criteria published last decade. Benzodiazepines, NSAIDs, antihistamines and antipsychotics were the most common drugs reported as potentially inappropriate for older persons. These results could help health professionals and panel experts to plan future criteria. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  15. 29 CFR Appendix C to Subpart Cc of... - Operator Certification: Written Examination: Technical Knowledge Criteria

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... appendix contains information for employers, accredited testing organizations, auditors and government... to the operation of cranes. (a) General technical information. (1) The functions and limitations of the crane and attachments. (2) Wire rope: (i) Background information necessary to understand...

  16. 29 CFR Appendix C to Subpart Cc of... - Operator Certification: Written Examination: Technical Knowledge Criteria

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... appendix contains information for employers, accredited testing organizations, auditors and government... to the operation of cranes. (a) General technical information. (1) The functions and limitations of the crane and attachments. (2) Wire rope: (i) Background information necessary to understand...

  17. 38 CFR 61.53 - Technical assistance grant application packages-rating criteria.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM Technical... the following: (1) Ability to find grants available for addressing the needs of homeless veterans....

  18. 38 CFR 61.53 - Rating criteria for technical assistance grant applications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.53 Rating... homeless veterans; (2) Ability to find and offer technical assistance to entities eligible for...

  19. 38 CFR 61.53 - Rating criteria for technical assistance grant applications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.53 Rating... homeless veterans; (2) Ability to find and offer technical assistance to entities eligible for...

  20. 38 CFR 61.53 - Technical assistance grant application packages-rating criteria.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM Technical... the following: (1) Ability to find grants available for addressing the needs of homeless veterans....

  1. Final report of the UMTRA independent technical review of TAC audit programs

    SciTech Connect

    Not Available

    1994-10-01

    This report details the findings of an Independent Technical Review (ITR) of practices and procedures for the Uranium Mill Tailings Remedial Action (UMTRA) Project audit program. The audit program is conducted by Jacobs Engineering Group Inc., the Technical Assistance Contractor (TAC) for the UMTRA Project. The purpose of the ITR was to ensure that the TAC audit program is effective and is conducted efficiently. The ITR was conducted from May 16-20, 1994. A review team observed audit practices in the field, reviewed the TAC audit program`s documentation, and discussed the program with TAC staff and management. The format of this report has been developed around EPA guidelines; they comprise most of the major section headings. Each section begins by identifying the criteria that the TAC program is measured against, then describing the approach used by the ITR team to measure each TAC audit program against the criteria. An assessment of each type of audit is then summarized for each component in the following order: Radiological audit summary; Health and safety audit summary; Environmental audit summary; Quality assurance audit summary.

  2. Technical review of enhanced oil recovery literature. Final report

    SciTech Connect

    1980-04-01

    This report represents the work done under DOE grant No. DE-FG05-79ER10086. It reviews the chemical, miscible and thermal areas of enhanced and recovery (EOR) and has produced a comprehensive bibliography and glossary of terms. The analysis looks into several areas of interest, including: screening criteria, process design, variable interaction and reservoir applicability. In this summary section, the following are shown: (1) screening criteria for process selection; (2) screening guide summary for EOR process; and (3) representative schematics of three major process operations.

  3. Technical Basis for Certification of Seismic Design Criteria for the Waste Treatment Plant, Hanford, Washington

    SciTech Connect

    Brouns, Thomas M.; Rohay, Alan C.; Youngs, Robert R.; Costantino, Carl J.; Miller, Lewis F.

    2008-02-28

    In August 2007, Secretary of Energy Samuel W. Bodman approved the final seismic and ground motion criteria for the Waste Treatment and Immobilization Plant (WTP) at the Department of Energy’s (DOE) Hanford Site. Construction of the WTP began in 2002 based on seismic design criteria established in 1999 and a probabilistic seismic hazard analysis completed in 1996. The design criteria were re-evaluated in 2005 to address questions from the Defense Nuclear Facilities Safety Board (DNFSB), resulting in an increase by up to 40% in the seismic design basis. DOE announced in 2006 the suspension of construction on the pretreatment and high-level waste vitrification facilities within the WTP to validate the design with more stringent seismic criteria. In 2007, the U.S. Congress mandated that the Secretary of Energy certify the final seismic and ground motion criteria prior to expenditure of funds on construction of these two facilities. With the Secretary’s approval of the final seismic criteria this past summer, DOE authorized restart of construction of the pretreatment and high-level waste vitrification facilities.

  4. Study-design selection criteria in systematic reviews of effectiveness of health systems interventions and reforms: A meta-review.

    PubMed

    Rockers, Peter C; Feigl, Andrea B; Røttingen, John-Arne; Fretheim, Atle; de Ferranti, David; Lavis, John N; Melberg, Hans Olav; Bärnighausen, Till

    2012-03-01

    At present, there exists no widely agreed upon set of study-design selection criteria for systematic reviews of health systems research, except for those proposed by the Cochrane Collaboration's Effective Practice and Organisation of Care (EPOC) review group (which comprises randomized controlled trials, controlled clinical trials, controlled before-after studies, and interrupted time series). We conducted a meta-review of the study-design selection criteria used in systematic reviews available in the McMaster University's Health Systems Evidence or the EPOC database. Of 414 systematic reviews, 13% did not indicate any study-design selection criteria. Of the 359 studies that described such criteria, 50% limited their synthesis to controlled trials and 68% to some or all of the designs defined by the EPOC criteria. Seven out of eight reviews identified at least one controlled trial that was relevant for the review topic. Seven percent of the reviews included either no or only one relevant primary study. Our meta-review reveals reviewers' preferences for restricting synthesis to controlled experiments or study designs that comply with the EPOC criteria. We discuss the advantages and disadvantages of the current practices regarding study-design selection in systematic reviews of health systems research as well as alternative approaches.

  5. AIR QUALITY CRITERIA FOR PARTICULATE MATTER, VOLUMES I-III, (EXTERNAL REVIEW DRAFT, 1995)

    EPA Science Inventory

    There is no abstract available for these documents.

    If further information is requested, please refer to the bibliographic citation and contact the Technical Information Staff at the number listed above.

    • Air Quality Criteria for Particulate Matter, Volume I, Extern...

    • 78 FR 33863 - Relationship Between General Design Criteria and Technical Specification Operability

      Federal Register 2010, 2011, 2012, 2013, 2014

      2013-06-05

      ... Technical Specification Operability.'' This RIS clarifies the NRC staff's position on the relationship....gov/reading-rm/adams.html . To begin the search, select ``ADAMS Public Documents'' and then select... (PDR) reference staff at 1-800-397-4209, 301-415- 4737, or by email to pdr.resource@nrc.gov . The...

    • Hiring Technical Education Faculty: Vacancies, Criteria, and Attitudes toward Online Doctoral Degrees

      ERIC Educational Resources Information Center

      Flowers, James C.; Baltzer, Holly

      2006-01-01

      The United States Bureau of Labor Statistics reported 1.6 million post-secondary teaching jobs in 2004 and predicted this number to increase 27% or more by 2014. Hiring higher education faculty in technical education has been more problematic than in many other fields. The fields of technology education and vocational education were cited by…

    • Developing primary care review criteria from evidence-based guidelines: coronary heart disease as a model.

      PubMed Central

      Hutchinson, Allen; McIntosh, Aileen; Anderson, Jeff; Gilbert, Claire; Field, Rosemary

      2003-01-01

      BACKGROUND: National Health Service (NHS) initiatives such as Clinical Governance, National Service Frameworks and the National Institute of Clinical Excellence (NICE) clinical guidelines programme create demand for tools to enable performance review by healthcare professionals. Ideally such tools should enable clinical teams to assess quality of care and highlight areas of good practice or where improvement is needed. They should also be able to be used to demonstrate progress towards goals and promote quality, while not unnecessarily increasing demand on limited resources or weakening professional control. AIM: To formulate and evaluate a method for developing, from clinical guidelines, evidence-based review criteria that are proritised, useful and relevant to general practices assessing quality of care for the primary care management of coronary heart disease (CHD). DESIGN OF STUDY: A two-stage study comprising, first, a review of available evidence-based guidelines for CHD and, second, the definition and prioritization of associated review criteria from the most highly rated guidelines. SETTING: Primary healthcare teams in England. METHODS: Using structured methods, evidence-based clinical guidelines for CHD were identified and appraised to ensure their suitability as the basis for developing review criteria. Recommendations common to a number of guidelines were priortszid by a panel of general practitioners to develop review criteria suitable for use in primary care. RESULTS: A standardised method has been developed for constructing evidence-based review criteria from clinical guidelines. A limited, prioritized set of review criteria was developed for the primary care management of CHD. This was distributed around the NHS through the Royal College of General Practitioners for use by primary care teams across the United Kingdom. CONCLUSION: Developing useful, evidence-based review criteria is not a straightforward process, partly because of a lack of

    • Educating Nursing Students with Disabilities: Replacing Essential Functions with Technical Standards for Program Entry Criteria

      ERIC Educational Resources Information Center

      Matt, Susan B.; Maheady, Donna; Fleming, Susan E.

      2015-01-01

      Across the globe, students with disabilities have been increasing in prevalence in higher education settings. In the twenty-first century the struggle to include individuals with disabilities into nursing schools and workplaces continues in different parts of the world. Historically, entry criteria in nursing schools have been based on essential…

    • CRITERIA POLLUTANT EMISSIONS FROM INTERNAL COMBUSTION ENGINES IN THE NATURAL GAS INDUSTRY VOLUME 1. TECHNICAL REPORT

      EPA Science Inventory

      The report summarizes emission factors for criteria pollutants (NOx, CO, CH4, C2H6, THC, NMHC, and NMEHC) from stationary internal combustion engines and gas turbines used in the natural gas industry. The emission factors were calculated from test results from five test campaigns...

    • CRITERIA POLLUTANT EMISSIONS FROM INTERNAL COMBUSTION ENGINES IN THE NATURAL GAS INDUSTRY VOLUME 1. TECHNICAL REPORT

      EPA Science Inventory

      The report summarizes emission factors for criteria pollutants (NOx, CO, CH4, C2H6, THC, NMHC, and NMEHC) from stationary internal combustion engines and gas turbines used in the natural gas industry. The emission factors were calculated from test results from five test campaigns...

    • Technical Basis For Radiological Acceptance Criteria For Uranium At The Y-12 National Security Complex

      SciTech Connect

      Veinot, K. G.

      2009-07-22

      The purpose of this report is to establish radiological acceptance criteria for uranium. Other factors for acceptance not considered include criticality safety concerns, contaminants to the process stream, and impacts to the Safety Basis for the affected facilities. Three types of criteria were developed in this report. They include limits on external penetrating and non-penetrating radiation and on the internal hazard associated with inhalation of the material. These criteria are intended to alleviate the need for any special controls beyond what are normally utilized for worker protection from uranium hazards. Any proposed exceptions would require case-by-case evaluations to determine cost impacts and feasibility. Since Y-12 has set rigorous ALARA goals for worker doses, the external limits are based on assumptions of work time involved in the movement of accepted material plus the desire that external doses normally received are not exceeded, and set so that no special personnel monitoring would be required. Internal hazard controls were established so that dose contributions from non-uranium nuclides would not exceed 10% of that expected from the uranium component. This was performed using a Hazard Index (HI) previously established for work in areas contaminated with non-uranium nuclides. The radiological acceptance criteria for uranium are summarized in Table 1. Note that these limits are based on the assumption that radioactive daughter products have reached equilibrium.

    • Measuring non-technical skills in medical emergency care: a review of assessment measures

      PubMed Central

      Cooper, Simon; Endacott, Ruth; Cant, Robyn

      2010-01-01

      Aim To review the literature on non-technical skills and assessment methods relevant to emergency care. Background Non-technical skills (NTS) include leadership, teamwork, decision making and situation awareness, all of which have an impact on healthcare outcomes. Significant concerns have been raised about the rates of adverse medical events, many of which are attributed to NTS failures. Methods Ovid, Medline, ProQUEST, PsycINFO and specialty websites were searched for NTS measures using applicable access strategies, inclusion and exclusion criteria. Publications identified were assessed for relevance. Results A range of non-technical skill measures relevant to emergency care was identified: leadership (n = 5), teamwork (n = 7), personality/behavior (n = 3) and situation awareness tools (n = 1). Of these, 9 have been used with emergency care populations/clinicians. All had varying degrees of reliability and validity. In the last decade there has been some development of teamwork measures specific to emergency care with a predominantly global and collective rating of broad skills. Conclusion A variety of non-technical skill measures are available; only a few have been used in the emergency care arena. There is a need for an increase in the focused assessment of teamwork skills for a greater understanding of team performance to enhance patient safety in medical emergency care. PMID:27147832

    • Criteria and markers for protein quality assessment - a review.

      PubMed

      Tome, Daniel

      2012-08-01

      Dietary proteins are found in animal products, plant products and single-cell organisms. Proteins are present in variable proportions in these different food sources and the different proteins also differ in their amino acid composition, dietary indispensable amino acid content and physico-chemical properties. Different criteria can be used to define dietary protein requirements and different markers can be used to assess nutritional protein quality according to the criteria used for protein requirement estimation. The current approach to determining protein requirements is related to nitrogen balance and the dietary indispensable amino acid score approach relates protein quality to the capacity of protein to allow reaching nitrogen balance by providing nitrogen and indispensable amino acids. A second approach considers more directly protein nitrogen utilization by the body and includes measurement of protein digestibility and of the efficiency of dietary nitrogen retention at maintenance or for protein deposition at the whole body level or in more specific body areas. Another approach is related to protein turnover and protein synthesis in relation to maintenance and/or efficiency for deposition or development (growth) at the whole body level or for different and more specific target tissues such as muscle or bone. Lastly, protein quality can also be evaluated from different markers used as risk factors for metabolic dysfunction and disorders related for instance to insulin resistance, diabetes and obesity or cardio-vascular disease. The accuracy and relevance of these different approaches is discussed regarding the capacity of the different protein sources (i.e. animal as meat, milk or eggs, legume as soya or pea, or cereal as wheat or rice) to satisfy protein requirements according to these different criteria and markers.

    • Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria (First External Review Draft, 2007)

      EPA Science Inventory

      EPA has announced that the First External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and eva...

    • Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria (First External Review Draft, Sep 2007)

      EPA Science Inventory

      EPA has announced that the First External Review Draft of the Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluatio...

    • Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria (Second External Review Draft, 2008)

      EPA Science Inventory

      EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluation...

    • Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria (Second External Review Draft, May 2008)

      EPA Science Inventory

      EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluati...

    • Integrated Science Assessment for Oxides of Nitrogen – Health Criteria (Second External Review Draft, 2008)

      EPA Science Inventory

      EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluation...

    • Integrated Science Assessment for Oxides of Nitrogen – Health Criteria (First External Review Draft, 2007)

      EPA Science Inventory

      EPA has announced that the First External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise synthesis and eva...

  1. An Analysis of the Selection Criteria and Training for Aeronautical Systems Division Technical Order Managers

    DTIC Science & Technology

    1990-09-01

    am very appreciative of his thorough and insightful suggestions and advice on this thesis project. I am indebted to Mr. Chandler " Chuck " Weaver for his...this information where and when needed (6:15). The importance of this technical data cannot be underscored enough. Williams and Winn, in their 1980...major programs are in the $600 - $900 million range. Consequently, TO acquisition deserves full managerial attention (4:38-4). Williams and Winn, in

  2. Independent technical review of Savannah River Site Defense Waste Processing Facility technical issues

    SciTech Connect

    Not Available

    1992-07-01

    The Savannah River Site (SRS) Defense Waste Processing Facility (DWPF) will vitrify high-level radioactive waste that is presently stored as liquid, salt-cake, and sludge in 51 waste-storage tanks. Construction of the DWPF began in 1984, and the Westinghouse Savannah Company (WSRC) considers the plant to be 100% turned over from construction and 91% complete. Cold-chemical runs are scheduled to begin in November 1992, and hot start up is projected for June 1994. It is estimated that the plant lifetime must exceed 15 years to complete the vitrification of the current, high-level tank waste. In a memo to the Assistant Secretary for Defense Programs (DP-1), the Assistant Secretary for Environmental Restoration and Waste management (EM-1) established the need for an Independent Technical Review (ITR), or the Red Team, to review process technology issues preventing start up of the DWPF.'' This report documents the findings of an Independent Technical Review (ITR) conducted by the Department of Energy (DOE), Office of Environmental Restoration and Waste Management (EM), at the request of the Assistant Secretary for Environmental Restoration and Waste Management, of specified aspects of Defense Waste Process Facility (DWPF) process technology. Information for the assessment was drawn from documents provided to the ITR Team by the Westinghouse Savannah River Company (WSRC), and presentations, discussions, interviews, and tours held at the Savannah River Site (SRS) during the weeks of February and March 9, 1992.

  3. Independent technical review of Savannah River Site Defense Waste Processing Facility technical issues

    SciTech Connect

    Not Available

    1992-07-01

    The Savannah River Site (SRS) Defense Waste Processing Facility (DWPF) will vitrify high-level radioactive waste that is presently stored as liquid, salt-cake, and sludge in 51 waste-storage tanks. Construction of the DWPF began in 1984, and the Westinghouse Savannah Company (WSRC) considers the plant to be 100% turned over from construction and 91% complete. Cold-chemical runs are scheduled to begin in November 1992, and hot start up is projected for June 1994. It is estimated that the plant lifetime must exceed 15 years to complete the vitrification of the current, high-level tank waste. In a memo to the Assistant Secretary for Defense Programs (DP-1), the Assistant Secretary for Environmental Restoration and Waste management (EM-1) established the need for an Independent Technical Review (ITR), or the Red Team, to ``review process technology issues preventing start up of the DWPF.`` This report documents the findings of an Independent Technical Review (ITR) conducted by the Department of Energy (DOE), Office of Environmental Restoration and Waste Management (EM), at the request of the Assistant Secretary for Environmental Restoration and Waste Management, of specified aspects of Defense Waste Process Facility (DWPF) process technology. Information for the assessment was drawn from documents provided to the ITR Team by the Westinghouse Savannah River Company (WSRC), and presentations, discussions, interviews, and tours held at the Savannah River Site (SRS) during the weeks of February and March 9, 1992.

  4. AIR QUALITY CRITERIA FOR LEAD, VOLUMES 1-4. (1983) FIRST EXTERNAL REVIEW DRAFT

    EPA Science Inventory

    The document evaluates and assesses scientific information on the health and welfare effects associated with exposure to various concentrations of lead in ambient air. The literature through 1983 has been reviewed thoroughly for information relevant to air quality criteria, altho...

  5. AIR QUALITY CRITERIA FOR LEAD, VOLUMES 1-4. (1983) FIRST EXTERNAL REVIEW DRAFT

    EPA Science Inventory

    The document evaluates and assesses scientific information on the health and welfare effects associated with exposure to various concentrations of lead in ambient air. The literature through 1983 has been reviewed thoroughly for information relevant to air quality criteria, altho...

  6. [Neurodegenerative disorders: review of current classification and diagnostic neuropathological criteria].

    PubMed

    Matej, R; Rusina, R

    2012-04-01

    Neurodegenerative disorders are progressive diseases characterized by loss of specific neuronal populations followed by a clinical picture of a different neurodegenerative entity. Current classification of these diseases respects the names of the main pathophysiological processes involved in the groups of disorders. This is the reason why key proteins which represent neuropathological and biochemical hallmarks of diseases are found in their names. Neuropathological diagnosis is a synthesis of neurohistological changes in the brain and spinal cord and identification of pathological proteinaceous aggregates in neurons and/or glial cells. These inclusions are predominant diagnostic micromorphological and biochemical markers of disease. In the text, there is a brief summary of current knowledge about pathophysiology of neurodegenerations and diagnostic criteria for the most frequent entities.

  7. Review of Nebraska Technical Community College System: History, Financing and Services.

    ERIC Educational Resources Information Center

    Hovis, Phil; And Others

    The history, financing, and services of Nebraska's technical community college system are reviewed in this six-part report. Section I traces the history of the system, covering general background, two-year junior colleges, state vocational/technical colleges, the area system of vocational/technical schools, and the creation of technical community…

  8. Use of Ayurvedic diagnostic criteria in Ayurvedic clinical trials: a literature review focused on research methods.

    PubMed

    Brar, Bhupinder S; Chhibber, Richa; Srinivasa, Vani Murthy H; Dearing, Bianca A; McGowan, Richard; Katz, Ralph V

    2012-01-01

    The objective of this literature review is to evaluate whether Ayurvedic diagnostic criteria or Western medicine diagnostic criteria have been used in published clinical trials testing an Ayurvedic intervention/treatment. The PubMed, Embase, and Allied and Complementary Medicine databases were searched to identify Ayurvedic clinical trials published from 1980 to 2009. A total of 45 Ayurvedic clinical trials were identified and grouped into two time periods: pre- and post-2000 periods. Each article was independently reviewed by two calibrated reviewers. Analysis revealed that not 1 of these 45 studies, in either time period, reported "only-and-full" use of the 23 available Ayurvedic diagnostic criteria. In fact, 24.4% of these 45 articles never specified any diagnostic criteria at all. While the percentage of articles using Ayurvedic diagnostic criteria (either as "only use" or "combined use with Western Medicine diagnostic criteria") doubled over the two time periods (27.7% to 59%), rarely were more than 2 of the 23 Ayurvedic diagnostic criteria ever used. To improve confidence in their findings, future studies should strive to correct this observed inappropriate and gross underuse of Ayurvedic diagnostic criteria in the designing of clinical studies that aim to rigorously test the effectiveness of Ayurvedic treatments.

  9. 78 FR 42821 - Agency Information Collection (Technical Industry Standards) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... AFFAIRS Agency Information Collection (Technical Industry Standards) Activities Under OMB Review AGENCY... 852.211-75), Technical Industry Standards. OMB Control Number: 2900-0586. Type of Review: Revision of a currently approved collection. Abstract: VAAR provision 852.211-72, Technical Industry Standards...

  10. 75 FR 28857 - Agency Information Collection (Technical Industry Standards) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ... AFFAIRS Agency Information Collection (Technical Industry Standards) Activities Under OMB Review AGENCY...) Provision 852.211-75, Technical Industry Standards. OMB Control Number: 2900-0586. Type of Review: Extension of a currently approved collection. Abstract: VAAR provision 852.211-75, Technical Industry Standards...

  11. Site Guidelines for a "Making Middle Grades Work" Technical Review Visit

    ERIC Educational Resources Information Center

    Southern Regional Education Board, 2004

    2004-01-01

    The purpose of the Technical Review Visit (TRV) is to follow up on the actions taken to implement the recommendations indicated for each challenge in the most recent Technical Assistance Visit (TAV) report. This document provides the following: (1) Site Guidelines for the Making Middle Grades Work (MMGW) Technical Review Visit; (2) Site Checklist;…

  12. Technical Features of Curriculum-Based Measurement in Writing: A Literature Review

    ERIC Educational Resources Information Center

    McMaster, Kristen; Espin, Christine

    2007-01-01

    This article reviews research examining technical features of curriculum-based measurement (CBM) in written expression. Twenty-eight technical reports and published articles are included in this review. Studies examining the development and technical adequacy of measures of written expression are summarized, beginning with research conducted at…

  13. Technical papers presented at a DOE meeting on criteria for cleanup of transuranium elements in soil

    SciTech Connect

    Not Available

    1984-09-01

    Transuranium element soil contamination cleanup experience gained from nuclear weapons accidents and cleanup at Eniwetok Atoll was reviewed. Presentations have been individually abstracted for inclusion in the data base. (ACR)

  14. Technical reviews of cleanup and R and D results. Final technical progress report, March 15, 1982-December 30, 1983

    SciTech Connect

    Stopek, D.J.

    1984-01-16

    SAI reviewed for METC several reports on hot gas cleanup of flue gas, flue gas desulfurization methods and on materials and research programs on heat engines. The work done is listed here without technical discussion. (LTN)

  15. Criteria in diagnosing nocturnal leg cramps: a systematic review.

    PubMed

    Hallegraeff, Joannes; de Greef, Mathieu; Krijnen, Wim; van der Schans, Cees

    2017-02-28

    Up to 33% of the general population over 50 years of age are affected by nocturnal leg cramps. Currently there are no generally accepted clinical characteristics, which identify nocturnal leg cramps. This study aims to identify these clinical characteristics and to differentiate between them and the characteristics of restless leg syndrome and periodic limb disorder. A systematic literature study was executed from December 2015 to May 2016. This study comprised of a systematic literature review of randomized clinical trials, observational studies on nocturnal and rest cramps of legs and other muscles, and other systematic and narrative reviews. Two researchers independently extracted literature data and analyzed this using a standardized reviewing protocol. Modified versions of the Cochrane Collaboration tools assessed the risk of bias. A Delphi study was conducted to assess agreement on the characteristics of nocturnal leg cramps. After systematic and manual searches, eight randomized trials and ten observational studies were included. On the basis of these we identified seven diagnostic characteristics of nocturnal leg cramps: intense pain, period of duration from seconds to maximum 10 minutes, location in calf or foot, location seldom in thigh or hamstrings, persistent subsequent pain, sleep disruption and distress. The seven above characteristics will enhance recognition of the condition, and help clinicians make a clear distinction between NLC and other sleep-related musculoskeletal disorder among older adults.

  16. Production, review, and impact of technical quality control guidelines in a national context.

    PubMed

    Nielsen, Michelle K; Malkoske, Kyle E; Brown, Erika; Diamond, Kevin; Frenière, Normand; Grant, John; Pomerleau-Dalcourt, Natalie; Schella, Jason; Schreiner, L John; Tantôt, Laurent; Villarreal-Barajas, J Eduardo; Bissonnette, Jean-Pierre

    2016-11-01

    A close partnership between the Canadian Partnership for Quality Radiotherapy (CPQR) and the Canadian Organization of Medical Physicist's (COMP) Quality Assurance and Radiation Safety Advisory Committee (QARSAC) has resulted in the development of a suite of Technical Quality Control (TQC) guidelines for radiation treatment equipment; they outline specific performance objectives and criteria that equipment should meet in order to assure an acceptable level of radiation treatment quality. The adopted framework for the development and maintenance of the TQCs ensures the guidelines incorporate input from the medical physics community during development, measures the workload required to perform the QC tests outlined in each TQC, and remain relevant (i.e., "living documents") through subsequent planned reviews and updates. The framework includes consolidation of existing guidelines and/or literature by expert reviewers, structured stages of public review, external field-testing, and ratification by COMP. This TQC development framework is a cross-country initiative that allows for rapid development of robust, community-driven living guideline documents that are owned by the community and reviewed to keep relevant in a rapidly evolving technical environment. Community engagement and uptake survey data shows 70% of Canadian centers are part of this process and that the data in the guideline documents reflect, and are influencing, the way Canadian radiation treatment centers run their technical quality control programs. For a medium-sized center comprising six linear accelerators and a comprehensive brachytherapy program, we evaluate the physics workload to 1.5 full-time equivalent physicists per year to complete all QC tests listed in this suite. PACS number(s): 87.55.Qr, 87.56.Fc, 87.56.-v. © 2016 The Authors.

  17. Production, review, and impact of technical quality control guidelines in a national context.

    PubMed

    Nielsen, Michelle K; Malkoske, Kyle E; Brown, Erika; Diamond, Kevin; Frenière, Normand; Grant, John; Pomerleau-Dalcourt, Natalie; Schella, Jason; Schreiner, L John; Tantôt, Laurent; Villareal-Barajas, J Eduardo; Bissonnette, Jean-Pierre

    2016-11-08

    A close partnership between the Canadian Partnership for Quality Radiotherapy (CPQR) and the Canadian Organization of Medical Physicist's (COMP) Quality Assurance and Radiation Safety Advisory Committee (QARSAC) has resulted in the development of a suite of Technical Quality Control (TQC) guidelines for radiation treatment equipment; they outline specific performance objectives and criteria that equipment should meet in order to assure an acceptable level of radiation treatment quality. The adopted framework for the development and maintenance of the TQCs ensures the guidelines incorporate input from the medical physics com-munity during development, measures the workload required to perform the QC tests outlined in each TQC, and remain relevant (i.e., "living documents") through subsequent planned reviews and updates. The framework includes consolidation of existing guidelines and/or literature by expert reviewers, structured stages of public review, external field-testing, and ratification by COMP. This TQC develop-ment framework is a cross-country initiative that allows for rapid development of robust, community-driven living guideline documents that are owned by the com-munity and reviewed to keep relevant in a rapidly evolving technical environment. Community engagement and uptake survey data shows 70% of Canadian centers are part of this process and that the data in the guideline documents reflect, and are influencing, the way Canadian radiation treatment centers run their technical quality control programs. For a medium-sized center comprising six linear accelerators and a comprehensive brachytherapy program, we evaluate the physics workload to 1.5 full-time equivalent physicists per year to complete all QC tests listed in this suite.

  18. HEPA Filter Differential Pressure Fan Interlock System Functional Requirements and Technical Design Criteria

    SciTech Connect

    TUCK, J.A.

    2000-05-11

    Double-shell tanks (DSTs) and Double Contained Receiver Tanks (DCRTs) are actively ventilated, along with certain single-shell tanks (SSTs) and other RPP facilities. The exhaust air stream on a typical primary ventilation system is drawn through two stages of high-efficiency particulate air (HEPA) filtration to ensure confinement of airborne radioactive materials. Active ventilation exhaust stacks require a stack CAM interlock to detect releases from postulated accidents, and to shut down the exhaust fan when high radiation levels are detected in the stack airstream. The stack CAM interlock is credited as a mitigating control to stop continued unfiltered radiological and toxicological discharges from the stack, which may result from an accident involving failure of a HEPA filter. This document defines the initial technical design baseline for a HEPA filter AP fan interlock system.

  19. Terminology and Reporting Criteria for Radiofrequency Ablation of Tumors in the Scientific Literature: Systematic Review of Compliance with Reporting Standards

    PubMed Central

    Kang, Tae Wook; Lee, Min Woo; Kim, Young-sun; Choi, Dongil; Lim, Hyo Keun

    2014-01-01

    Objective To perform a systematic review of compliance with standardized terminology and reporting criteria for radiofrequency (RF) tumor ablation, proposed by the International Working Group on Image-Guided Tumor Ablation in 2003, in the published reports. Materials and Methods Literature search in the PubMed database was performed using index keywords, PubMed limit system, and eligibility criteria. The entire content of each article was reviewed to assess the terminology used for procedure terms, imaging findings, therapeutic efficacy, follow-up, and complications. Accuracy of the terminology and the use of alternative terms instead of standard terminology were analyzed. In addition, disparities in accuracy of terminology in articles according to the medical specialty and the type of radiology journal were evaluated. Results Among the articles (n = 308) included in this study, the accuracy of the terms 'procedure or session', 'treatment', 'index tumor', 'ablation zone', 'technical success', 'primary technique effectiveness rate', 'secondary technique effectiveness rate', 'local tumor progression', 'major complication', and 'minor complication' was 97% (298/307), 97% (291/300), 8% (25/307), 65% (103/159), 55% (52/94), 33% (42/129), 94% (17/18), 45% (88/195), 99% (79/80), and 100% (77/77), respectively. The overall accuracy of each term showed a tendency to improve over the years. The most commonly used alternative terms for 'technical success' and 'local tumor progression' were 'complete ablation' and 'local (tumor) recurrence', respectively. The accuracy of terminology in articles published in radiology journals was significantly greater than that of terminology in articles published in non-radiology journals, especially in Radiology and The Journal of Vascular and Interventional Radiology. Conclusion The proposal for standardization of terminology and reporting criteria for RF tumor ablation has been gaining support according to the recently published scientific

  20. Balancing costs and benefits at different stages of medical innovation: a systematic review of Multi-criteria decision analysis (MCDA).

    PubMed

    Wahlster, Philip; Goetghebeur, Mireille; Kriza, Christine; Niederländer, Charlotte; Kolominsky-Rabas, Peter

    2015-07-09

    The diffusion of health technologies from translational research to reimbursement depends on several factors included the results of health economic analysis. Recent research identified several flaws in health economic concepts. Additionally, the heterogeneous viewpoints of participating stakeholders are rarely systematically addressed in current decision-making. Multi-criteria Decision Analysis (MCDA) provides an opportunity to tackle these issues. The objective of this study was to review applications of MCDA methods in decisions addressing the trade-off between costs and benefits. Using basic steps of the PRISMA guidelines, a systematic review of the healthcare literature was performed to identify original research articles from January 1990 to April 2014. Medline, PubMed, Springer Link and specific journals were searched. Using predefined categories, bibliographic records were systematically extracted regarding the type of policy applications, MCDA methodology, criteria used and their definitions. 22 studies were included in the analysis. 15 studies (68 %) used direct MCDA approaches and seven studies (32 %) used preference elicitation approaches. Four studies (19 %) focused on technologies in the early innovation process. The majority (18 studies - 81 %) examined reimbursement decisions. Decision criteria used in studies were obtained from the literature research and context-specific studies, expert opinions, and group discussions. The number of criteria ranged between three up to 15. The most frequently used criteria were health outcomes (73 %), disease impact (59 %), and implementation of the intervention (40 %). Economic criteria included cost-effectiveness criteria (14 studies, 64 %), and total costs/budget impact of an intervention (eight studies, 36 %). The process of including economic aspects is very different among studies. Some studies directly compare costs with other criteria while some include economic consideration in a second step. In early

  1. Systematic review to establish absolute standards for technical performance in surgery.

    PubMed

    Goldenberg, M G; Garbens, A; Szasz, P; Hauer, T; Grantcharov, T P

    2017-01-01

    Standard setting allows educators to create benchmarks that distinguish between those who pass and those who fail an assessment. It can also be used to create standards in clinical and simulated procedural skill. The objective of this review was to perform a systematic review of the literature using absolute standard-setting methodology to create benchmarks in technical performance. A systematic review was conducted by searching MEDLINE, Embase, PsycINFO and the Cochrane Database of Systematic Reviews. Abstracts of retrieved studies were reviewed and those meeting the inclusion criteria were selected for full-text review. The quality of evidence presented in the included studies was assessed using the Medical Education Research Study Quality Instrument (MERSQI), where a score of 14 or more of 18 indicates high-quality evidence. Of 1809 studies identified, 37 used standard-setting methodology for assessment of procedural skill. Of these, 24 used participant-centred and 13 employed item-centred methods. Thirty studies took place in a simulated environment, and seven in a clinical setting. The included studies assessed residents (26 of 37), fellows (6 of 37) and staff physicians (17 of 37). Seventeen articles achieved a MERSQI score of 14 or more of 18, whereas 20 did not meet this mark. Absolute standard-setting methodologies can be used to establish cut-offs for procedural skill assessments. © 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.

  2. Return to Play After Hamstring Injuries: A Qualitative Systematic Review of Definitions and Criteria.

    PubMed

    van der Horst, Nick; van de Hoef, Sander; Reurink, Gustaaf; Huisstede, Bionka; Backx, Frank

    2016-06-01

    More than half of the recurrent hamstring injuries occur within the first month after return-to-play (RTP). Although there are numerous studies on RTP, comparisons are hampered by the numerous definitions of RTP used. Moreover, there is no consensus on the criteria used to determine when a person can start playing again. These criteria need to be critically evaluated, in an attempt to reduce recurrence rates and optimize RTP. To carry out a systematic review of the literature on (1) definitions of RTP used in hamstring research and (2) criteria for RTP after hamstring injuries. Systematic review. Seven databases (PubMed, EMBASE/MEDLINE, CINAHL, PEDro, Cochrane, SPORTDiscus, Scopus) were searched for articles that provided a definition of, or criteria for, RTP after hamstring injury. There were no limitations on the methodological design or quality of articles. Content analysis was used to record and analyze definitions and criteria for RTP after hamstring injury. Twenty-five papers fulfilled inclusion criteria, of which 13 provided a definition of RTP and 23 described criteria to support the RTP decision. "Reaching the athlete's pre-injury level" and "being able to perform full sport activities" were the primary content categories used to define RTP. "Absence of pain", "similar strength", "similar flexibility", "medical staff clearance", and "functional performance" were core themes to describe criteria to support the RTP decision after hamstring injury. Only half of the included studies provided some definition of RTP after hamstring injury, of which reaching the athlete's pre-injury level and being able to perform full sport activities were the most important. A wide variety of criteria are used to support the RTP decision, none of which have been validated. More research is needed to reach a consensus on the definition of RTP and to provide validated RTP criteria to facilitate hamstring injury management and reduce hamstring injury recurrence. PROSPERO

  3. Ground Water Technical Considerations during the Five-Year Review Process

    EPA Pesticide Factsheets

    This issue paper has been developed to highlight technical considerations as well as technical resources available to Remedial Project Managers (RPMs) in conducting Five-Year Reviews (FYRs) at CERCLA1 sites with contaminated groundwater.

  4. Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria (First External Review Draft, 2013)

    EPA Science Inventory

    EPA is announcing the availability of the First External Review Draft of the Integrated Science Assessment for Oxides of Nitrogen – Health Criteria for public comment and independent peer review. This draft document provides EPA’s evaluation and synthesis of the most polic...

  5. Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria (External Review Draft, Nov 2015)

    EPA Science Inventory

    EPA announced the availability of the external review draft of the Integrated Science Assessment for Sulfur Oxides– Health Criteria for public comment and independent peer review in a November 24, 2015 Federal Register Notice. This draft document provides EPA’s evaluati...

  6. Integrated Science Assessment for Oxides of Nitrogen – Health Criteria (First External Review Draft, 2013)

    EPA Science Inventory

    EPA is announcing the availability of the First External Review Draft of the Integrated Science Assessment for Oxides of Nitrogen – Health Criteria for public comment and independent peer review. This draft document provides EPA’s evaluation and synthesis of the most polic...

  7. 24 CFR 570.904 - Equal opportunity and fair housing review criteria.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Equal opportunity and fair housing... Performance Reviews § 570.904 Equal opportunity and fair housing review criteria. (a) General. (1) Where the... affirmatively furthering fair housing unless: (i) There is evidence which shows, or from which it is reasonable...

  8. 24 CFR 570.904 - Equal opportunity and fair housing review criteria.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Equal opportunity and fair housing... Performance Reviews § 570.904 Equal opportunity and fair housing review criteria. (a) General. (1) Where the... affirmatively furthering fair housing unless: (i) There is evidence which shows, or from which it is reasonable...

  9. Integrated Science Assessment (ISA) for Oxides of Nitrogen – Health Criteria (First External Review Draft, 2013)

    EPA Science Inventory

    EPA is announcing the availability of the First External Review Draft of the Integrated Science Assessment for Oxides of Nitrogen – Health Criteria for public comment and independent peer review. This draft document provides EPA’s evaluation and synthesis of the most polic...

  10. Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria (External Review Draft, Nov 2015)

    EPA Science Inventory

    EPA announced the availability of the external review draft of the Integrated Science Assessment for Sulfur Oxides– Health Criteria for public comment and independent peer review in a November 24, 2015 Federal Register Notice. This draft document provides EPA’s evaluati...

  11. Comparison of the EORTC criteria and PERCIST in solid tumors: a pooled analysis and review

    PubMed Central

    Kim, Jung Han

    2016-01-01

    Two sets of response criteria using PET are currently available to monitor metabolic changes in solid tumors: the criteria developed by the European Organization for Research and Treatment of Cancer (EORTC criteria) and the PET Response Criteria in Solid Tumors (PERCIST). We conducted this pooled study to investigate the strength of agreement between the EORTC criteria and PERCIST in the assessment of tumor response. We surveyed MEDLINE, EMBASE and PUBMED for articles with terms of the EORTC criteria and PERCIST between 2009 and January 2016. We searched for all the references of relevant articles and reviews using the ‘related articles’ feature in the PUBMED. There were six articles with the data on the comparison of the EORTC criteria and PERCIST. A total of 348 patients were collected; 190 (54.6%) with breast cancer, 81 with colorectal cancer, 45 with lung cancer, 14 with basal cell carcinoma in the skin, 12 with stomach cancer, and 6 with head and neck cancer. The agreement of tumor response between the EORTC criteria and PERCIST was excellent (k = 0.946). Of 348 patients, only 12 (3.4%) showed disagreement between the two criteria in the assessment of tumor response. The shift of tumor response between the EORTC criteria and PERCIST occurred mostly in patients with PMR and SMD. The estimated overall response rates were not significantly different between the two criteria (72.7% by EORTC vs. 73.6% by PERCIST). In conclusion, this pooled analysis demonstrates that the EORTC criteria and PERCIST showed almost perfect agreement in the assessment of tumor response. PMID:27517621

  12. Comparison of the EORTC criteria and PERCIST in solid tumors: a pooled analysis and review.

    PubMed

    Kim, Jung Han

    2016-09-06

    Two sets of response criteria using PET are currently available to monitor metabolic changes in solid tumors: the criteria developed by the European Organization for Research and Treatment of Cancer (EORTC criteria) and the PET Response Criteria in Solid Tumors (PERCIST). We conducted this pooled study to investigate the strength of agreement between the EORTC criteria and PERCIST in the assessment of tumor response. We surveyed MEDLINE, EMBASE and PUBMED for articles with terms of the EORTC criteria and PERCIST between 2009 and January 2016. We searched for all the references of relevant articles and reviews using the 'related articles' feature in the PUBMED. There were six articles with the data on the comparison of the EORTC criteria and PERCIST. A total of 348 patients were collected; 190 (54.6%) with breast cancer, 81 with colorectal cancer, 45 with lung cancer, 14 with basal cell carcinoma in the skin, 12 with stomach cancer, and 6 with head and neck cancer. The agreement of tumor response between the EORTC criteria and PERCIST was excellent (k = 0.946). Of 348 patients, only 12 (3.4%) showed disagreement between the two criteria in the assessment of tumor response. The shift of tumor response between the EORTC criteria and PERCIST occurred mostly in patients with PMR and SMD. The estimated overall response rates were not significantly different between the two criteria (72.7% by EORTC vs. 73.6% by PERCIST). In conclusion, this pooled analysis demonstrates that the EORTC criteria and PERCIST showed almost perfect agreement in the assessment of tumor response.

  13. Technical basis and proposal for deriving sediment quality criteria for metals

    SciTech Connect

    Ankley, G.T.; Toro, D.M. di |; Hansen, D.J.; Berry, W.J.

    1996-12-01

    In developing sediment quality criteria (SQC) for metals, it is essential that bioavailability be a prime consideration. Different studies have shown that while dry weight metal concentrations in sediments are not predictive of bioavailability, metal concentrations in interstitial (pore) water are correlated with observed biological effects. A key partitioning phase controlling cationic metal activity and toxicity in the sediment-interstitial water system is acid-volatile sulfide (AVS). Acid-volatile sulfide binds, on a mole-to-mole basis, a number of cationic metals of environmental concern (cadmium, copper, nickel, lead, zinc) forming insoluble sulfide complexes with minimal biological availability. Short-term (10-d) laboratory studies with a variety of marine and freshwater benthic organisms have demonstrated that when AVS concentrations in spiked or field-collected sediments exceed those of metals simultaneously extracted with the AVS, interstitial water metal concentrations remain below those predicted to cause effects, and toxicity does not occur. Similar observations have been made in life-cycle laboratory toxicity tests with amphipods and chironomids in marine and freshwater sediments spiked with cadmium and zinc, respectively. In addition, field colonization experiments, varying in length from several months to more than 1 year, with cadmium- or zinc-spiked freshwater and marine sediments, have demonstrated a lack of biological effects when there is sufficient AVS to limit interstitial water metal concentrations. These studies on metal bioavailability and toxicity in sediments serve as the basis for proposed SQC for the metals cadmium, copper, nickel, lead, and zinc.

  14. [Infant Mortality in Argentina: reducibility criteria, 3rd review].

    PubMed

    Finkelstein, Juliana Zoe; Duhau, Mariana; Abeyá Gilardon, Enrique; Ferrario, Claudia; Speranza, Ana; Asciutto, Carolina; Marconi, Élida; Guevel, Carlos; Fernández, María de las Mercedes; Martínez, María Laura; Santoro, Adrián; Loiacono, Karina; Lomuto, Celia

    2015-08-01

    The infant mortality rate is an indicator of quality of life, development, and quality and accessibility of health care. Improvements in science, technology and better access to health care have contributed to a major decrease in the infant mortality rate in Argentina. Since the 1980s, infant deaths have been classified based on the opportunities for reducibility yielded by scientific knowledge and available technologies, in order to obtain a basis for the monitoring and implementation of health policies. The last review of this classification was in 2011. In 2012, a total of 5,541 neonatal deaths (less than 28 days of life) were registered and, under this new classification, over 61% were reducible mainly by the improvement of perinatal health care and adequate and timely treatment of the at-risk newborn. In 2012, a total of 2,686 post-neonatal deaths (from 28 days of life to a year) were registered and, under this new classification, over 66.8% were reducible by improving prevention strategies and providing adequate and timely treatment. This new analysis demonstrates the need to improve the opportunity, accessibility and quality of perinatal care starting at pregnancy, guaranteeing quality care at delivery and reinforcing prevention and timely treatment of common diseases in childhood over the first year of life.

  15. Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review

    PubMed Central

    Kim, Ha-Young; Shin, Sang-Wan

    2014-01-01

    PURPOSE The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria. MATERIALS AND METHODS A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected. RESULTS Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies. CONCLUSION For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva

  16. Extended criteria donors in liver transplantation Part I: reviewing the impact of determining factors.

    PubMed

    Nemes, Balázs; Gámán, György; Polak, Wojciech G; Gelley, Fanni; Hara, Takanobu; Ono, Shinichiro; Baimakhanov, Zhassulan; Piros, Laszlo; Eguchi, Susumu

    2016-07-01

    The definition and factors of extended criteria donors have already been set; however, details of the various opinions still differ in many respects. In this review, we summarize the impact of these factors and their clinical relevance. Elderly livers must not be allocated for hepatitis C virus (HCV) positives, or patients with acute liver failure. In cases of markedly increased serum transaminases, donor hemodynamics is an essential consideration. A prolonged hypotension of the donor does not always lead to an increase in post-transplantation graft loss if post-OLT care is proper. Hypernatremia of less than 160 mEq/L is not an absolute contraindication to accept a liver graft per se. The presence of steatosis is an independent and determinant risk factor for the outcome. The gold standard of the diagnosis is the biopsy. This is recommended in all doubtful cases. The use of HCV+ grafts for HCV+ recipients is comparable in outcome. The leading risk factor for HCV recurrence is the actual RNA positivity of the donor. The presence of a proper anti-HBs level seems to protect from de novo HBV infection. A favourable outcome can be expected if a donation after cardiac death liver is transplanted in a favourable condition, meaning, a warm ischemia time < 30 minutes, cold ischemia time < 8-10 hours, and donor age 50-60 years. The pathway of organ quality assessment is to obtain the most relevant information (e.g. biopsy), consider the co-existing donor risk factors and the reserve capacity of the recipient, and avoid further technical issues.

  17. Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review

    PubMed Central

    2011-01-01

    Background Beside symptoms and clinical signs radiological findings are crucial in the diagnosis of lumbar spinal stenosis (LSS). We investigate which quantitative radiological signs are described in the literature and which radilogical criteria are used to establish inclusion criteria in clincical studies evaluating different treatments in patients with lumbar spinal stenosis. Methods A literature search was performed in Medline, Embase and the Cochrane library to identify papers reporting on radiological criteria to describe LSS and systematic reviews investigating the effects of different treatment modalities. Results 25 studies reporting on radiological signs of LSS and four systematic reviews related to the evaluation of different treatments were found. Ten different parameters were identified to quantify lumbar spinal stenosis. Most often reported measures for central stenosis were antero-posterior diameter (< 10 mm) and cross-sectional area (< 70 mm2) of spinal canal. For lateral stenosis height and depth of the lateral recess, and for foraminal stenosis the foraminal diameter were typically used. Only four of 63 primary studies included in the systematic reviews reported on quantitative measures for defining inclusion criteria of patients in prognostic studies. Conclusions There is a need for consensus on well-defined, unambiguous radiological criteria to define lumbar spinal stenosis in order to improve diagnostic accuracy and to formulate reliable inclusion criteria for clinical studies. PMID:21798008

  18. Evolution of thrombectomy approaches and devices for acute stroke: a technical review.

    PubMed

    Spiotta, Alejandro M; Chaudry, M Imran; Hui, Ferdinand K; Turner, Raymond D; Kellogg, Ryan T; Turk, Aquilla S

    2015-01-01

    While intravenous administration of tissue plasminogen activator (tPA) remains the only FDA-approved treatment modality for acute ischemic stroke, many patients do not meet the criteria for intravenous tPA and are offered intra-arterial therapy. Rapid advances in devices and approaches have marked the evolution of thrombectomy over the past decade from rudimentary mechanical disruption, followed by intra-arterial thrombolytic infusions to increasingly effective thrombectomy devices. We review the critical advancements in thrombectomy technique that have evolved and the key anatomic and technical challenges they address, from first-generation Merci retrieval systems to second-generation Penumbra aspiration systems and third-generation stent retrievers, as well as nuances of their uses to maximize their effectiveness. We also highlight more recent advances that offer patients hope for more expedient vessel recanalization.

  19. Innovative tools for quality assessment: integrated quality criteria for review of multiple study designs (ICROMS).

    PubMed

    Zingg, W; Castro-Sanchez, E; Secci, F V; Edwards, R; Drumright, L N; Sevdalis, N; Holmes, A H

    2016-04-01

    With the aim to facilitate a more comprehensive review process in public health including patient safety, we established a tool that we have termed ICROMS (Integrated quality Criteria for the Review Of Multiple Study designs), which unifies, integrates and refines current quality criteria for a large range of study designs including qualitative research. Review, pilot testing and expert consensus. The tool is the result of an iterative four phase process over two years: 1) gathering of established criteria for assessing controlled, non-controlled and qualitative study designs; 2) pilot testing of a first version in two systematic reviews on behavioural change in infection prevention and control and in antibiotic prescribing; 3) further refinement and adding of additional study designs in the context of the European Centre for Disease Prevention and Control funded project 'Systematic review and evidence-based guidance on organisation of hospital infection control programmes' (SIGHT); 4) scrutiny by the pan-European expert panel of the SIGHT project, which had the objective of ensuring robustness of the systematic review. ICROMS includes established quality criteria for randomised studies, controlled before-and-after studies and interrupted time series, and incorporates criteria for non-controlled before-and-after studies, cohort studies and qualitative studies. The tool consists of two parts: 1) a list of quality criteria specific for each study design, as well as criteria applicable across all study designs by using a scoring system; 2) a 'decision matrix', which specifies the robustness of the study by identifying minimum requirements according to the study type and the relevance of the study to the review question. The decision matrix directly determines inclusion or exclusion of a study in the review. ICROMS was applied to a series of systematic reviews to test its feasibility and usefulness in the appraisal of multiple study designs. The tool was applicable

  20. Effects and effectiveness of dynamic arm supports: a technical review.

    PubMed

    van der Heide, Loek A; Gelderblom, Gert Jan; de Witte, Luc P

    2015-01-01

    Numerous dynamic arm supports have been developed in recent decades to increase independence in the performance of activities of daily living. Much effort and money have been spent on their development and prescription, yet insight into their effects and effectiveness is lacking. This article is a systematic review of evaluations of dynamic arm supports. The 8 technical evaluations, 12 usability evaluations, and 27 outcome studies together make 47 evaluations. Technical evaluations were often used as input for new developments and directed at balancing quality, forces and torques, and range of motion of prototypes. Usability studies were mostly single-measure designs that had varying results as to whether devices were usable for potential users. An increased ability to perform activities of daily living and user satisfaction were reported in outcome studies. However, the use of dynamic arm supports in the home situation was reported to be low. Gaining insight into why devices are not used when their developers believe them to be effective seems crucial for every new dynamic arm support developed. The methodological quality of the outcome studies was often low, so it is important that this is improved in the future.

  1. Terahertz planar antennas for future wireless communication: A technical review

    NASA Astrophysics Data System (ADS)

    Jha, Kumud Ranjan; Singh, G.

    2013-09-01

    With the monotonic increasing demand of the higher bandwidth for the next generation wireless communication system, the extension of the operating frequency of the communication system to the millimeter/Terahertz wave regime of the electromagnetic spectrum where several low-attenuation windows exist is inevitable. However, before the commercial implementation of the wireless communication in these low-attenuation windows, there are various obstacles which need to be addressed by the scientists and researchers. The atmospheric path loss is the main obstacle to the full-fledged implementation of the terahertz wireless communication. The remedy to this problem is the use of high-power sources, efficient detectors and high gain antenna systems. This paper reviews these technical issues with the special attention to the planar antennas which might contribute to the compact, inexpensive, and low profile future terahertz wireless communication system design.

  2. Deep brain stimulation devices: a brief technical history and review.

    PubMed

    Coffey, Robert J

    2009-03-01

    Deep brain stimulation (DBS)--a broadly accepted therapeutic modality with tens of thousands of patients currently implanted--is the application of implantable electrical stimulation devices to treat neurological disorders. Approved indications include involuntary movement disorders; investigational applications include epilepsy, selected psychiatric disorders, and other conditions. DBS differs fundamentally from functional electrical stimulation and sensory prosthetics in that DBS therapies do not substitute for or replace injured tissues, organs, or body functions. DBS--targeted to particular brain nuclei or pathways that are specific for the disorder under treatment--influences brain function and behavioral output in ways that can relieve symptoms and improve the overall functioning of the patient. We will briefly review the history and present status of DBS from a technical and device-oriented perspective, with an eye toward future advances.

  3. Biological Water Quality Criteria

    EPA Pesticide Factsheets

    Page contains links to Technical Documents pertaining to Biological Water Quality Criteria, including, technical assistance documents for states, tribes and territories, program overviews, and case studies.

  4. Evaluation models and criteria of the quality of hospital websites: a systematic review study

    PubMed Central

    Jeddi, Fatemeh Rangraz; Gilasi, Hamidreza; Khademi, Sahar

    2017-01-01

    Introduction Hospital websites are important tools in establishing communication and exchanging information between patients and staff, and thus should enjoy an acceptable level of quality. The aim of this study was to identify proper models and criteria to evaluate the quality of hospital websites. Methods This research was a systematic review study. The international databases such as Science Direct, Google Scholar, PubMed, Proquest, Ovid, Elsevier, Springer, and EBSCO together with regional database such as Magiran, Scientific Information Database, Persian Journal Citation Report (PJCR) and IranMedex were searched. Suitable keywords including website, evaluation, and quality of website were used. Full text papers related to the research were included. The criteria and sub criteria of the evaluation of website quality were extracted and classified. Results To evaluate the quality of the websites, various models and criteria were presented. The WEB-Q-IM, Mile, Minerva, Seruni Luci, and Web-Qual models were the designed models. The criteria of accessibility, content and apparent features of the websites, the design procedure, the graphics applied in the website, and the page’s attractions have been mentioned in the majority of studies. Conclusion The criteria of accessibility, content, design method, security, and confidentiality of personal information are the essential criteria in the evaluation of all websites. It is suggested that the ease of use, graphics, attractiveness and other apparent properties of websites are considered as the user-friendliness sub criteria. Further, the criteria of speed and accessibility of the website should be considered as sub criterion of efficiency. When determining the evaluation criteria of the quality of websites, attention to major differences in the specific features of any website is essential. PMID:28465807

  5. Evaluation models and criteria of the quality of hospital websites: a systematic review study.

    PubMed

    Jeddi, Fatemeh Rangraz; Gilasi, Hamidreza; Khademi, Sahar

    2017-02-01

    Hospital websites are important tools in establishing communication and exchanging information between patients and staff, and thus should enjoy an acceptable level of quality. The aim of this study was to identify proper models and criteria to evaluate the quality of hospital websites. This research was a systematic review study. The international databases such as Science Direct, Google Scholar, PubMed, Proquest, Ovid, Elsevier, Springer, and EBSCO together with regional database such as Magiran, Scientific Information Database, Persian Journal Citation Report (PJCR) and IranMedex were searched. Suitable keywords including website, evaluation, and quality of website were used. Full text papers related to the research were included. The criteria and sub criteria of the evaluation of website quality were extracted and classified. To evaluate the quality of the websites, various models and criteria were presented. The WEB-Q-IM, Mile, Minerva, Seruni Luci, and Web-Qual models were the designed models. The criteria of accessibility, content and apparent features of the websites, the design procedure, the graphics applied in the website, and the page's attractions have been mentioned in the majority of studies. The criteria of accessibility, content, design method, security, and confidentiality of personal information are the essential criteria in the evaluation of all websites. It is suggested that the ease of use, graphics, attractiveness and other apparent properties of websites are considered as the user-friendliness sub criteria. Further, the criteria of speed and accessibility of the website should be considered as sub criterion of efficiency. When determining the evaluation criteria of the quality of websites, attention to major differences in the specific features of any website is essential.

  6. INDEPENDENT REVIEW OF THE X-701B GROUNDWATER REMEDY, PORTSMOUTH, OHIO: TECHNICAL EVALUATION AND RECOMMENDATIONS

    SciTech Connect

    Looney, B.; Eddy-Dilek, C.; Costanza, J.; Rossabi, J.; Early, T.; Skubal, K.; Magnuson, C.

    2008-12-15

    The Department of Energy Portsmouth Paducah Project Office requested assistance from Department of Energy Office of Environmental Management (EM-22) to provide independent technical experts to evaluate past and ongoing remedial activities at the Portsmouth facility that were completed to address TCE contamination associated with the X-701B groundwater plume and to make recommendations for future efforts. The Independent Technical Review team was provided with a detailed and specific charter. The charter requested that the technical team first review the past and current activities completed for the X-701B groundwater remedy for trichloroethene (TCE) in accordance with a Decision Document that was issued by Ohio EPA on December 8, 2003 and a Work Plan that was approved by Ohio EPA on September 22, 2006. The remedy for X-701B divides the activities into four phases: Phase I - Initial Source Area Treatment, Phase II - Expanded Source Area Treatment, Phase III - Evaluation and Reporting, and Phase IV - Downgradient Remediation and Confirmation of Source Area Treatment. Phase I of the remedy was completed during FY2006, and DOE has now completed six oxidant injection events within Phase II. The Independent Technical Review team was asked to evaluate Phase II activities, including soil and groundwater results, and to determine whether or not the criteria that were defined in the Work Plan for the Phase II end point had been met. The following criteria are defined in the Work Plan as an acceptable Phase II end point: (1) Groundwater samples from the identified source area monitoring wells have concentrations below the Preliminary Remediation Goal (PRG) for TCE in groundwater, or (2) The remedy is no longer effective in removing TCE mass from the source area. In addition, the charter specifies that if the Review Team determines that the Phase II endpoint has not been reached, then the team should address the following issues: (1) If additional injection events are

  7. 42 CFR 52h.8 - What are the review criteria for grants?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT CONTRACT PROJECTS § 52h.8... research, from a scientific or technical standpoint; (b) The adequacy of the approach and methodology... proposed research; and (h) The adequacy of the proposed protection for humans, animals, and the environment...

  8. The use of multi-criteria decision analysis to tackle waste management problems: a literature review.

    PubMed

    Achillas, Charisios; Moussiopoulos, Nicolas; Karagiannidis, Avraam; Banias, Georgias; Perkoulidis, George

    2013-02-01

    Problems in waste management have become more and more complex during recent decades. The increasing volumes of waste produced and social environmental consciousness present prominent drivers for environmental managers towards the achievement of a sustainable waste management scheme. However, in practice, there are many factors and influences - often mutually conflicting - criteria for finding solutions in real-life applications. This paper presents a review of the literature on multi-criteria decision aiding in waste management problems for all reported waste streams. Despite limitations, which are clearly stated, most of the work published in this field is reviewed. The present review aims to provide environmental managers and decision-makers with a thorough list of practical applications of the multi-criteria decision analysis techniques that are used to solve real-life waste management problems, as well as the criteria that are mostly employed in such applications according to the nature of the problem under study. Moreover, the paper explores the advantages and disadvantages of using multi-criteria decision analysis techniques in waste management problems in comparison to other available alternatives.

  9. Referral for cancer genetics consultation: a review and compilation of risk assessment criteria

    PubMed Central

    Hampel, H; Sweet, K; Westman, J; Offit, K; Eng, C

    2004-01-01

    Methods: The criteria were based on a comprehensive review of publications describing diagnostic criteria for hereditary cancer syndromes and risk to first degree relatives of cancer patients. Priority was given to diagnostic criteria from consensus statements (for example, those from the National Comprehensive Cancer Network). Expert opinion from study personnel was then used to adopt a single set of criteria from other publications whenever guidelines differed. Results: Based on family history, a set of criteria was developed to identify patients at risk for a hereditary cancer susceptibility syndrome, patients with moderate risk who might benefit from increased cancer surveillance, and patients who are at average risk. The criteria were applied to 4360 individuals who provided their cancer family history between July 1999 and April 2002, using a touch screen computer system in the lobby of a comprehensive cancer centre. They categorised an acceptable number of users into each risk level: 14.9% high risk, 13.7% moderate risk, and 59.6% average risk; 11.8% provided insufficient information for risk assessment. Conclusions: These criteria should improve ease of referral and promote consistency across centres when evaluating patients for referral to cancer genetics specialists. PMID:14757853

  10. A review of stream nutrient criteria development in the United States.

    PubMed

    Evans-White, M A; Haggard, B E; Scott, J T

    2013-07-01

    Elevated nutrients and sediments are the main factors contributing to the poor biological condition measured in over 40% of US waters, highlighting the need for criteria that can aid management efforts to protect or restore the quality of US waters. A large amount of literature on nutrient criteria has been generated since the USEPA called for their development in 1998. Our objective was to examine this peer-reviewed literature to evaluate two main approaches for criteria development in lotic ecosystems: percentile rank and bivariate predictive statistical analyses. The 25th percentile approach has been examined broadly across USEPA-aggregate nutrient ecoregions, and we found that USEPA-suggested criteria for these aggregate ecoregions were often more conservative than criteria estimated using more current regionally focused data based on our compiled data set. Furthermore, 25th percentile estimates were often less than 75th percentile estimates based on reference sites, suggesting that 75th percentile estimates were not more conservative than 25th percentile estimates. Predictive approaches have focused on establishing linear and nonlinear relationships between water quality and algae, macroinvertebrate, and fish communities; attributing causation; and determining whether threshold points exist that can aid in nutrient criteria development. Most of the predictive approaches have occurred at the state or watershed level and may not be directly comparable to USEPA aggregate ecoregions. However, percentile method estimates often fell within the confidence interval of biological threshold criteria estimates, suggesting overlap and some consensus between the two main approaches.

  11. [Pharmacological treatment of the irritable bowel syndrome: a technical review].

    PubMed

    Remes-Troche, J M; Gómez-Escudero, O; Nogueira-de Rojas, J R; Carmona-Sánchez, R; Pérez-Manauta, J; López-Colombo, A; Sanjurjo-García, J L; Noble-Lugo, A; Chávez-Barrera, J A; González-Martínez, M

    2010-01-01

    The goal of a comprehensive treatment in irritable bowel syndrome (IBS) patients should be the improvement of symptoms and improve the quality of life. To review the drugs recommended in IBS, their mechanisms of action, side effects, risks and benefits, contraindications, availability in our country and the evidence supporting their use. A technical and narrative review which evaluated the articles published in national and world literature regarding the pharmacological treatment of IBS was performed. PubMed and IMBIOMED electronic databases were searched (until September 2009) using all descriptors regarding IBS and drug therapy. There is enough clinical evidence to recommend the use of antispasmodics (alone orin combination) and tricyclic antidepressants for pain treatment in IBS. Laxatives are useful in the management of chronic constipation, but there is little evidence in the management of IBS. Although, antiflatulents and antidiarrheals are widely used there is little information supporting its use. The use of a nonabsorbable antibiotic (rifaximin) is effective in a subgroup of IBS patients. Serotoninergics drugs have proven effective in relieving symptoms of IBS; however, these drugs require caution in their use. There are studies have shown that probiotics improve some symptoms of IBS. There are many effective treatment options in the symptomatic management of IBS. The choice of treatment should be based on the predominant symptoms of each patient.

  12. Review of proposed EPA ambient lead criteria standard document. Final report. Task assignment No. 10

    SciTech Connect

    Not Available

    1984-03-04

    The proposed October 1983 EPA ambient lead criteria document, Air Quality Criteria for Lead is reviewed from the perspective of DOE's policies and programs and addresses potential impacts on energy production and energy-intensive industries. Following an introduction, the study is organized in five subsequent sections. Section 2.0 addresses environmental and health effects of exposure to lead. Section 3.0 reviews sources of lead emissions. Section 4.0 presents information on lead concentrations in ambient air. Section 5.0 examines dose-effect relationships among lead emissions, ambient air concentrations and blood lead levels. Section 6.0 presents Radian's evaluation of the regulatory implications of the criteria document and the information it provides. 10 figures, 11 tables.

  13. Cost and schedule control systems criteria for contract performance measurement. Systems review/surveillance guide

    SciTech Connect

    1986-06-01

    When the Department of Energy (DOE) Cost and Schedule Control Systems Criteria (CSCSC) are applied to a contract in accordance with DOE 2250.1B, the contractor's management control systems are reviewed by DOE to determine their initial and continuing compliance with the CSCSC. This document provides guidance to DOE personnel responsible for applying the CSCSC requirements on contracts, reviewing contractor implementation of the requirements, and surveillance to assure continuing compliance with the CSCSC.

  14. 42 CFR 52h.8 - What are the review criteria for grants?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... proposed research; and (h) The adequacy of the proposed protection for humans, animals, and the environment... 42 Public Health 1 2014-10-01 2014-10-01 false What are the review criteria for grants? 52h.8 Section 52h.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  15. 42 CFR 52h.8 - What are the review criteria for grants?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... proposed research; and (h) The adequacy of the proposed protection for humans, animals, and the environment... 42 Public Health 1 2011-10-01 2011-10-01 false What are the review criteria for grants? 52h.8 Section 52h.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  16. 42 CFR 52h.8 - What are the review criteria for grants?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... proposed research; and (h) The adequacy of the proposed protection for humans, animals, and the environment... 42 Public Health 1 2012-10-01 2012-10-01 false What are the review criteria for grants? 52h.8 Section 52h.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  17. 42 CFR 52h.8 - What are the review criteria for grants?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... proposed research; and (h) The adequacy of the proposed protection for humans, animals, and the environment... 42 Public Health 1 2013-10-01 2013-10-01 false What are the review criteria for grants? 52h.8 Section 52h.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  18. Functional Nausea in Children: A Review of the Literature and Need for Diagnostic Criteria

    PubMed Central

    Russell, Alexandra C.; Stone, Amanda L.; Walker, Lynn S.

    2016-01-01

    Nausea is common amongst children with functional gastrointestinal disorders and is associated with a high burden of somatic and psychosocial comorbidities in both the short and long-term. Current treatments including medications, phytotherapy, stress-reduction techniques, and gastric electrical stimulation for recalcitrant cases, are reviewed. Functional nausea merits its own diagnostic criteria as a pediatric functional gastrointestinal disorder. PMID:27417243

  19. 42 CFR 456.435 - Description of methods and criteria: Continued stay review dates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Description of methods and criteria: Continued stay review dates. 456.435 Section 456.435 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL Utilization Control: Intermediate Care Facilities...

  20. Classification of maxillectomy defects: a systematic review and criteria necessary for a universal description.

    PubMed

    Bidra, Avinash S; Jacob, Rhonda F; Taylor, Thomas D

    2012-04-01

    Maxillectomy defects are complex and involve a number of anatomic structures. Several maxillectomy defect classifications have been proposed with no universal acceptance among surgeons and prosthodontists. Established criteria for describing the maxillectomy defect are lacking. This systematic review aimed to evaluate classification systems in the available literature, to provide a critical appraisal, and to identify the criteria necessary for a universal description of maxillectomy and midfacial defects. An electronic search of the English language literature between the periods of 1974 and June 2011 was performed by using PubMed, Scopus, and Cochrane databases with predetermined inclusion criteria. Key terms included in the search were maxillectomy classification, maxillary resection classification, maxillary removal classification, maxillary reconstruction classification, midfacial defect classification, and midfacial reconstruction classification. This was supplemented by a manual search of selected journals. After application of predetermined exclusion criteria, the final list of articles was reviewed in-depth to provide a critical appraisal and identify criteria for a universal description of a maxillectomy defect. The electronic database search yielded 261 titles. Systematic application of inclusion and exclusion criteria resulted in identification of 14 maxillectomy and midfacial defect classification systems. From these articles, 6 different criteria were identified as necessary for a universal description of a maxillectomy defect. Multiple deficiencies were noted in each classification system. Though most articles described the superior-inferior extent of the defect, only a small number of articles described the anterior-posterior and medial-lateral extent of the defect. Few articles listed dental status and soft palate involvement when describing maxillectomy defects. No classification system has accurately described the maxillectomy defect, based on

  1. 24 CFR 902.68 - Technical review of results of PHAS Indicators #1 or #4.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Technical review of results of PHAS Indicators #1 or #4. 902.68 Section 902.68 Housing and Urban Development Regulations Relating to Housing and... results of PHAS Indicators #1 or #4. (a) Request for technical reviews. This section describes the...

  2. Performance Review of USOE's ESEA Title I Evaluation Technical Assistance Program.

    ERIC Educational Resources Information Center

    Hope Associates, Inc., Washington, DC.

    The major focus of this review is on the performance of the United States Office of Education's (USOE) 10 Technical Assistance Centers (TACs). Information concerning the Technical Assistance Program, the Title I Evaluation and Reporting System (TIERS) and the methodology used for the review is also provided. Topics addressed include the selection…

  3. 77 FR 13318 - Meeting of the Mobile Sources Technical Review Subcommittee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-06

    ... AGENCY Meeting of the Mobile Sources Technical Review Subcommittee AGENCY: Environmental Protection... Law 92- 463, notice is hereby given that the Mobile Sources Technical Review Subcommittee (MSTRS) will... open meeting. The meeting will include discussion of current topics and presentations about activities...

  4. 77 FR 60430 - Meeting of the Mobile Sources Technical Review Subcommittee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... AGENCY Meeting of the Mobile Sources Technical Review Subcommittee AGENCY: Environmental Protection..., notice is hereby given that the Mobile Sources Technical Review Subcommittee (MSTRS) will meet on December 13, 2012. The MSTRS is a subcommittee under the Clean Air Act Advisory Committee. This is an open...

  5. Independent Technical Review of the X-740 Groundwater Remedy, Portsmouth, Ohio: Technical Evaluation and Recommendations

    SciTech Connect

    Looney, B.; Rhia, B.; Jackson, D.; Eddy-Dilek, C.

    2010-04-30

    Environmental Management (EM-32) to provide an independent technical panel to review previous and ongoing remedial activities designed to address TCE contamination in groundwater at X-740. In 1999, a corrective action was implemented at X-740 to address contamination in the groundwater. The DOE planted poplar trees over 2.6 acres of the groundwater plume. After several years of groundwater monitoring, the results indicated that the benefits of phytoremediation were limited and insufficient to meet remedial objectives. In 2007, an alternative remedial strategy based on in situ oxidative treatment was negotiated with Ohio EPA. During FY2008, three treatment phases of chemical oxidation were completed. The general charter for the independent technical review team is to review the results of s previous and ongoing remedial actions to determine whether the current strategy will be effective in meeting the end points specified in the regulatory work plan.

  6. Glucose Meters: A Review of Technical Challenges to Obtaining Accurate Results

    PubMed Central

    Tonyushkina, Ksenia; Nichols, James H.

    2009-01-01

    Glucose meters are universally utilized in the management of hypoglycemic and hyperglycemic disorders in a variety of healthcare settings. Establishing the accuracy of glucose meters, however, is challenging. Glucose meters can only analyze whole blood, and glucose is unstable in whole blood. Technical accuracy is defined as the closeness of agreement between a test result and the true value of that analyte. Truth for glucose is analysis by isotope dilution mass spectrometry, and frozen serum standards analyzed by this method are available from the National Institute of Standards and Technology. Truth for whole blood has not been established, and cells must be separated from the whole blood matrix before analysis by a method like isotope dilution mass spectrometry. Serum cannot be analyzed by glucose meters, and isotope dilution mass spectrometry is not commonly available in most hospitals and diabetes clinics to evaluate glucose meter accuracy. Consensus standards recommend comparing whole blood analysis on a glucose meter against plasma/serum centrifuged from a capillary specimen and analyzed by a clinical laboratory comparative method. Yet capillary samples may not provide sufficient volume to test by both methods, and venous samples may be used as an alternative when differences between venous and capillary blood are considered. There are thus multiple complexities involved in defining technical accuracy and no clear consensus among standards agencies and professional societies on accuracy criteria. Clinicians, however, are more concerned with clinical agreement of the glucose meter with a serum/plasma laboratory result. Acceptance criteria for clinical agreement vary across the range of glucose concentrations and depend on how the result will be used in screening or management of the patient. A variety of factors can affect glucose meter results, including operator technique, environmental exposure, and patient factors, such as medication, oxygen therapy

  7. Glucose meters: a review of technical challenges to obtaining accurate results.

    PubMed

    Tonyushkina, Ksenia; Nichols, James H

    2009-07-01

    Glucose meters are universally utilized in the management of hypoglycemic and hyperglycemic disorders in a variety of healthcare settings. Establishing the accuracy of glucose meters, however, is challenging. Glucose meters can only analyze whole blood, and glucose is unstable in whole blood. Technical accuracy is defined as the closeness of agreement between a test result and the true value of that analyte. Truth for glucose is analysis by isotope dilution mass spectrometry, and frozen serum standards analyzed by this method are available from the National Institute of Standards and Technology. Truth for whole blood has not been established, and cells must be separated from the whole blood matrix before analysis by a method like isotope dilution mass spectrometry. Serum cannot be analyzed by glucose meters, and isotope dilution mass spectrometry is not commonly available in most hospitals and diabetes clinics to evaluate glucose meter accuracy. Consensus standards recommend comparing whole blood analysis on a glucose meter against plasma/serum centrifuged from a capillary specimen and analyzed by a clinical laboratory comparative method. Yet capillary samples may not provide sufficient volume to test by both methods, and venous samples may be used as an alternative when differences between venous and capillary blood are considered. There are thus multiple complexities involved in defining technical accuracy and no clear consensus among standards agencies and professional societies on accuracy criteria. Clinicians, however, are more concerned with clinical agreement of the glucose meter with a serum/plasma laboratory result. Acceptance criteria for clinical agreement vary across the range of glucose concentrations and depend on how the result will be used in screening or management of the patient. A variety of factors can affect glucose meter results, including operator technique, environmental exposure, and patient factors, such as medication, oxygen therapy

  8. A critical review of "Internet addiction" criteria with suggestions for the future.

    PubMed

    Van Rooij, Antonius J; Prause, Nicole

    2014-12-01

    In the last 5 years a deluge of articles on the topic of Internet addiction (IA) has proposed many candidate symptoms as evidence of this proposed disease. We critically reviewed the current approach to the measurement and identification of this new excessive behavior syndrome. Three popular models of IA were discussed: Griffith’s components model; Young’s Internet Addiction Test (IAT); and the criteria by Tao et al. (2010). We selected these models because they are widely cited and propose specific criteria for IA disorder. Our approach is not meant to provide an exhaustive review, but to discuss and critique the most salient trends in the field. The models of Internet addiction share some criteria, including feeling a loss of control over Internet use; ensuing psychological, social, or professional conflict or problems; and preoccupation when not using the Internet. Other criteria inconsistently mentioned include: mood management, tolerance, withdrawal, and craving/anticipation. The models studied here share the assumption that the Internet can produce a qualitative shift to a diseased state in humans. We critically discussed the above criteria and concluded that the evidence base is currently not strong enough to provide support for an Internet addiction disorder. Future research areas are suggested: (1) Focusing on common impaired dimensions, (2) exploring neuroimaging as a model building tool, and (3) identifying shifts in the rewarding aspects of Internet use. Given the lack of consensus on the subject of Internet addiction, a focus on problem behaviors appears warranted.

  9. A critical review of “Internet addiction” criteria with suggestions for the future

    PubMed Central

    VAN ROOIJ, ANTONIUS J.; PRAUSE, NICOLE

    2014-01-01

    Aims: In the last 5 years a deluge of articles on the topic of Internet addiction (IA) has proposed many candidate symptoms as evidence of this proposed disease. We critically reviewed the current approach to the measurement and identification of this new excessive behavior syndrome. Methods: Three popular models of IA were discussed: Griffith’s components model; Young’s Internet Addiction Test (IAT); and the criteria by Tao et al. (2010). We selected these models because they are widely cited and propose specific criteria for IA disorder. Our approach is not meant to provide an exhaustive review, but to discuss and critique the most salient trends in the field. Results: The models of Internet addiction share some criteria, including feeling a loss of control over Internet use; ensuing psychological, social, or professional conflict or problems; and preoccupation when not using the Internet. Other criteria inconsistently mentioned include: mood management, tolerance, withdrawal, and craving/anticipation. The models studied here share the assumption that the Internet can produce a qualitative shift to a diseased state in humans. Conclusions: We critically discussed the above criteria and concluded that the evidence base is currently not strong enough to provide support for an Internet addiction disorder. Future research areas are suggested: (1) Focusing on common impaired dimensions, (2) exploring neuroimaging as a model building tool, and (3) identifying shifts in the rewarding aspects of Internet use. Given the lack of consensus on the subject of Internet addiction, a focus on problem behaviors appears warranted. PMID:25592305

  10. A Review on influencing criteria for selecting supplier of information technology services in the hospital

    PubMed Central

    Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

    2014-01-01

    Organizations try to outsource their activities as much as possible in order to prevent the problems and use organizational capabilities in Information Technology (IT) field. The purpose of this paper was first, to express the effective criteria for selecting suppliers of IT services, second, to explain the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative review, which search was conducted with the help of libraries, books, conference proceedings, and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations: Outsourcing, information technology, hospital, decision making, and criteria. The preliminary search resulted in 120 articles, which were published between 2000 and 2013 during July 2013. After a careful analysis of the content of each paper, a total of 46 papers were selected based on their relevancy. The criteria and sub-criteria influencing outsourcing decisions in Iranian hospitals were identified in six major categories including administrative issues, issues related to the service/product, technology factors, environmental factors, risks, and economic factors associated with 15 sub-criteria containing business integration, dependence on suppliers, human resources, focus on core competencies, facilities and physical capital, innovation, quality, speed of service delivery, flexibility, market capabilities, geographical location, security, management control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing and effective criteria in IT services supplier selection causes the managers be able to take the most appropriate decision to select supplier of IT services. This is a general review on influencing criteria for electing of supplier of information technology services in hospitals. PMID:25540781

  11. A Review on influencing criteria for selecting supplier of information technology services in the hospital.

    PubMed

    Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

    2014-01-01

    Organizations try to outsource their activities as much as possible in order to prevent the problems and use organizational capabilities in Information Technology (IT) field. The purpose of this paper was first, to express the effective criteria for selecting suppliers of IT services, second, to explain the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative review, which search was conducted with the help of libraries, books, conference proceedings, and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations: Outsourcing, information technology, hospital, decision making, and criteria. The preliminary search resulted in 120 articles, which were published between 2000 and 2013 during July 2013. After a careful analysis of the content of each paper, a total of 46 papers were selected based on their relevancy. The criteria and sub-criteria influencing outsourcing decisions in Iranian hospitals were identified in six major categories including administrative issues, issues related to the service/product, technology factors, environmental factors, risks, and economic factors associated with 15 sub-criteria containing business integration, dependence on suppliers, human resources, focus on core competencies, facilities and physical capital, innovation, quality, speed of service delivery, flexibility, market capabilities, geographical location, security, management control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing and effective criteria in IT services supplier selection causes the managers be able to take the most appropriate decision to select supplier of IT services. This is a general review on influencing criteria for electing of supplier of information technology services in hospitals.

  12. Recurrent Instability After Arthroscopic Bankart Reconstruction, a Systematic Review of Surgical Technical Factors.

    PubMed

    Brown, Landon; Rothermel, Shane; Joshi, Rajat; Dhawan, Aman

    2017-08-30

    Recurrent instability remains of concern after arthroscopic Bankart reconstruction. We evaluated various technical factors including anchor design, anchor material, number of anchors used, and interval closure on risk of recurrent instability after arthroscopic Bankart reconstruction. A systematic review of MEDLINE and Cochrane databases was conducted, following PRISMA guidelines. Extracted data were recorded on a standardized form. Methodological index for non-randomized studies (MINORS) and Newcastle-Ottawa Scale (NOS) were used to assess study quality and risk bias. Because of study heterogeneity and low levels of evidence, meta-analysis was not possible. Pooled weighted means were calculated and individual study evaluation and comparisons (qualitative analysis) were performed for systematic review. Of 2097 studies identified, 26 met criteria for systematic review. Pooled weighted means revealed 11.4% versus 15% recurrent instability with 3 or more suture anchors versus fewer than 3 anchors, 10.1% versus 7.8% with absorbable versus nonabsorbable suture anchors, respectively, and 8.0% versus 9.4% with knotless versus standard anchors, respectively. Interval closure did not qualitatively decrease recurrent instability or decrease range of motion. Our systematic review reveals that despite individual study, and previous systematic reviews pointing to the contrary, the composite contemporary published literature would support no difference in the risk of recurrent instability after arthroscopic Bankart reconstruction with rotator interval closure, differing numbers of anchors used for the repair, use of knotless versus standard anchors, or use of bioabsorbable versus nonabsorbable anchors. We recommend surgeons focus on factors that have been shown to modify the risk factors after arthroscopic Bankart reconstruction, such as patient selection. Level IV, systematic review of Level III and IV studies. Copyright © 2017 Arthroscopy Association of North America

  13. A COMPREHENSIVE TECHNICAL REVIEW OF THE DEMONSTRATION BULK VITRIFICATION SYSTEM

    SciTech Connect

    SCHAUS, P.S.

    2006-09-29

    In May 2006, CH2M Hill Hanford Group, Inc. chartered an Expert Review Panel (ERP) to review the current status of the Demonstration Bulk Vitrification System (DBVS). It is the consensus of the ERP that bulk vitrification is a technology that requires further development and evaluation to determine its potential for meeting the Hanford waste stabilization mission. No fatal flaws (issues that would jeopardize the overall DBVS mission that cannot be mitigated) were found, given the current state of the project. However, a number of technical issues were found that could significantly affect the project's ability to meet its overall mission as stated in the project ''Justification of Mission Need'' document, if not satisfactorily resolved. The ERP recognizes that the project has changed from an accelerated schedule demonstration project to a formally chartered project that must be in full compliance with DOE 413.3 requirements. The perspective of the ERP presented herein, is measured against the formally chartered project as stated in the approved Justification of Mission Need document. A justification of Mission Need document was approved in July 2006 which defined the objectives for the DBVS Project. In this document, DOE concluded that bulk vitrification is a viable technology that requires additional development to determine its potential applicability to treatment of a portion of the Hanford low activity waste. The DBVS mission need statement now includes the following primary objectives: (1) process approximately 190,000 gallons of Tank S-109 waste into fifty 100 metric ton boxes of vitrified product; (2) store and dispose of these boxes at Hanford's Integrated Disposal Facility (IDF); (3) evaluate the waste form characteristics; (4) gather pilot plant operability data, and (5) develop the overall life cycle system performance of bulk vitrification and produce a comparison of the bulk vitrification process to building a second LAW Immobilization facility or other

  14. Robotic liver surgery: technical aspects and review of the literature

    PubMed Central

    Bianco, Francesco Maria; Daskalaki, Despoina; Gonzalez-Ciccarelli, Luis Fernando; Kim, Jihun; Benedetti, Enrico

    2016-01-01

    Minimally invasive surgery for liver resections has a defined role and represents an accepted alternative to open techniques for selected cases. Robotic technology can overcome some of the disadvantages of the laparoscopic technique, mainly in the most complex cases. Precise dissection and microsuturing is possible, even in narrow operative fields, allowing for a better dissection of the hepatic hilum, fine lymphadenectomy, and biliary reconstruction even with small bile ducts and easier bleeding control. This technique has the potential to allow for a greater number of major resections and difficult segmentectomies to be performed in a minimally invasive fashion. The implementation of near-infrared fluorescence with indocyanine green (ICG) also allows for a more accurate recognition of vascular and biliary anatomy. The perspectives of this kind of virtually implemented imaging are very promising and may be reflected in better outcomes. The overall data present in current literature suggests that robotic liver resections are at least comparable to both open and laparoscopic surgery in terms of perioperative and postoperative outcomes. This article provides technical details of robotic liver resections and a review of the current literature. PMID:27500143

  15. International Linear Collider Technical Review Committee Report, 1995

    SciTech Connect

    1995-12-01

    This 1995 report of the International Linear Collider Technical Review Committee is the first attempt to gather in one document the current status of all major e{sup +}e{sup {minus}} linear collider projects in the world. The report is the result of a collaborative effort of scientists from many laboratories working together over a period of about one year. A short description of the organization, origins and history of the report is given below. To get an idea of the organization, the reader should first refer to the Table of Contents. Chapter 1 is an introduction and general overview of the respective 500 GeV c.m. energy machines. In contrast, Chapter 2, cutting across individual machine boundaries, gives a comparative description and discussion of all the major machine sub-systems as well as particle physics experimentation, showing where these subjects stand today and what additional work needs to be done in the next few years to reach the point where complete design reports can be prepared. Chapter 3 describes the various paths to energy upgrades, and other experimental options ({gamma}{gamma}, e{sup {minus}}e{sup {minus}}, etc.). Chapter 4 gives a short status report of the machine experiments and test facilities being built in the world. Chapter 5 outlines current and other possible areas of collaboration and finally., Chapter 6 summarizes our principal conclusions.

  16. Commercial Crew Program and the Safety Technical Review Board

    NASA Technical Reports Server (NTRS)

    Mullen, Macy

    2016-01-01

    The Commercial Crew Program (CCP) is unique to any other program office at NASA. After the agency suffered devastating budget cuts and the Shuttle Program retired, the U.S. gave up its human spaceflight capabilities. Since 2011 the U.S. has been dependent on Russia to transport American astronauts and cargo to the International Space Station (ISS) and back. NASA adapted and formed CCP, which gives private, domestic, aerospace companies unprecedented reign over America's next ride to space. The program began back in 2010 with 5 companies and is now in the final phase of certification with 2 commercial partners. The Commercial Crew Program is made up of 7 divisions, each working rigorously with the commercial providers to complete the certification phase. One of these 7 divisions is Systems Engineering and Integration (SE&I) which is partly comprised of the Safety Technical Review Board (STRB). The STRB is primarily concerned with mitigating improbable, but catastrophic hazards. It does this by identifying, managing, and tracking these hazards in reports. With the STRB being in SE&I, it significantly contributes to the overall certification of the partners' vehicles. After the partners receive agency certification approval, they will have the capability to provide the U.S. with a reliable, safe, and cost-effective means of human spaceflight and cargo transport to the ISS and back.

  17. A systematic review of technical evaluation in telemedicine systems.

    PubMed

    Thiyagarajan, C A; Clarke, M

    2006-01-01

    We conducted a systematic review of the literature to critically analyse the evaluation and assessment frameworks that have been applied to telemedicine systems. Subjective methods were predominantly used for technical evaluation (59 %), e.g. Likert scale. Those including objective measurements (41%) were restricted to simple metrics such as network time delays. Only three papers included a rigorous standards based objective approach. Our investigation has been unable to determine a definitive standards-based telemedicine evaluation framework that exists in the literature that may be applied systematically to assess and compare telemedicine systems. We conclude that work needs to be done to address this deficiency. We have therefore developed a framework that has been used to evaluate videoconferencing systems telemedicine applications. Our method seeks to be simple to allow relatively inexperienced users to make measurements, is objective and repeatable, is standards based, is inexpensive and requires little specialist equipment. We use the EIA 1956 broadcast test card to assess resolution, grey scale and for astigmatism. Colour discrimination is assessed with the TE 106 and Ishihara 24 colour scale chart. Network protocol analysis software is used to assess network performance (throughput, delay, jitter, packet loss).

  18. Robotic liver surgery: technical aspects and review of the literature.

    PubMed

    Giulianotti, Pier Cristoforo; Bianco, Francesco Maria; Daskalaki, Despoina; Gonzalez-Ciccarelli, Luis Fernando; Kim, Jihun; Benedetti, Enrico

    2016-08-01

    Minimally invasive surgery for liver resections has a defined role and represents an accepted alternative to open techniques for selected cases. Robotic technology can overcome some of the disadvantages of the laparoscopic technique, mainly in the most complex cases. Precise dissection and microsuturing is possible, even in narrow operative fields, allowing for a better dissection of the hepatic hilum, fine lymphadenectomy, and biliary reconstruction even with small bile ducts and easier bleeding control. This technique has the potential to allow for a greater number of major resections and difficult segmentectomies to be performed in a minimally invasive fashion. The implementation of near-infrared fluorescence with indocyanine green (ICG) also allows for a more accurate recognition of vascular and biliary anatomy. The perspectives of this kind of virtually implemented imaging are very promising and may be reflected in better outcomes. The overall data present in current literature suggests that robotic liver resections are at least comparable to both open and laparoscopic surgery in terms of perioperative and postoperative outcomes. This article provides technical details of robotic liver resections and a review of the current literature.

  19. PNL technical review of pressurized thermal-shock issues. [PWR

    SciTech Connect

    Pedersen, L.T.; Apley, W.J.; Bian, S.H.; Defferding, L.J.; Morgenstern, M.H.; Pelto, P.J.; Simonen, E.P.; Simonen, F.A.; Stevens, D.L.; Taylor, T.T.

    1982-07-01

    Pacific Northwest Laboratory (PNL) was asked to develop and recommend a regulatory position that the Nuclear Regulatory Commission (NRC) should adopt regarding the ability of reactor pressure vessels to withstand the effects of pressurized thermal shock (PTS). Licensees of eight pressurized water reactors provided NRC with estimates of remaining effective full power years before corrective actions would be required to prevent an unsafe operating condition. PNL reviewed these responses and the results of supporting research and concluded that none of the eight reactors would undergo vessel failure from a PTS event before several more years of operation. Operator actions, however, were often required to terminate a PTS event before it deteriorated to the point where failure could occur. Therefore, the near-term (less than one year) recommendation is to upgrade, on a site-specific basis, operational procedures, training, and control room instrumentation. Also, uniform criteria should be developed by NRC for use during future licensee analyses. Finally, it was recommended that NRC upgrade nondestructive inspection techniques used during vessel examinations and become more involved in the evaluation of annealing requirements.

  20. TECHNICAL BASIS DOCUMENT FOR CRITERIA AND PROCESSES FOR THE CERTIFICATION OF NON-RADIOACTIVE HAZARDOUS AND NON-HAZARDOUS WASTES

    SciTech Connect

    Dominick, J; Gaylord, R

    2007-02-13

    This Technical Basis Document (TBD) identifies how the values presented in the ''Criteria and Processes for the Certification of Non-Radioactive Hazardous and Non-Hazardous Wastes'' were derived. The original moratorium document (UCRL-AR-109662) applied only to hazardous wastes generated in Radioactive Materials Management Areas (RMMAs) that were destined for off-site Treatment, Storage, and Disposal Facilities (TSDFs) that did not possess a radioactive materials license. Since its inception, the original moratorium document has become the de facto free-release procedure for potentially volumetrically contaminated materials of all varieties. This was promulgated in a February 4, 1992 memo from Jyle Lytle, Deputy Assistant Secretary for Waste Management, entitled ''Update: Moratorium on Shipment of Potentially Radioactive Hazardous and Toxic Wastes''. In this memo, Ms. Lytle states, ''While the moratorium does not apply to non-hazardous/non-TSCA solid wastes and non-waste materials, the same release criteria apply''. Over the past few years, a considerable quantity of data and operating experience has been developed, which has shown the limitations of UCRL-AR-109662. The original Moratorium is out of date, and many of the organizations and procedures that it references are no longer in existence. In addition, the original document lacked sufficient detail to be used as an LLNL-wide procedure for free release, as it only addressed hazardous wastes. The original moratorium document also used highly optimistic ''action limits'', which were based on theoretically achievable minimum detectable activity (MDA) levels for various matrices. Years of operating experience has shown that these action limits are simply not achievable for certain analyses in certain matrices, either due to limitations in sample size, or underestimates of the contribution of naturally-occurring radioactive materials, resulting in the mis-characterization of samples of these matrices as radioactive

  1. Independent review of Oak Ridge HCTW test program and development of seismic evaluation criteria

    SciTech Connect

    1995-05-01

    Many of the existing buildings at the Oak Ridge Y-12 Plant are steel frame construction with unreinforced hollow clay tile infill walls (HCTW). The HCTW infill provides some lateral seismic resistance to the design/evaluation basis earthquake; however acceptance criteria for this construction must be developed. The basis for the development of seismic criteria is the Oak Ridge HCTW testing and analysis program and the target performance goals of DOE 5480.28 and DOE-STD-1020-94. This report documents and independent review of the testing and analysis program and development of recommended acceptance criteria for Oak Ridge HCTW construction. The HCTW test program included ``macro`` wall in-plane and out-of-plane tests, full-scale wall in-plane and out-of-plane tests, in-situ out-of-plane test, shake table tests, and masonry component tests.

  2. [Systematic review of diagnosis criteria on drug induced liver injury in China from 2005 to 2012].

    PubMed

    Wang, Lei; Wang, Zhong; Zhan, Si-Yan

    2013-02-01

    To summarize the application of diagnosis criteria on drug induced liver injury in China from 2005 to 2012 in China. We systematically searched the journals included in four commonly accepted Chinese electronic databases for medical research, i.e. CNKI, CBM, VIP and Wanfang database, for articles published from 2005 to 2012. The articles meeting the inclusion criteria were considered eligible for our analysis. Relevant information was extracted using a standardized form in Excel 2007. Overall,273 studies were included for the present review. 199 Case Series and 74 Case Report. There are 15 various standard of diagnosis using in 199 Case Series for DILI. Chinese general standard, 1997 Maria Criteria, and Medical records are generally used. The use of the three standard has no trend with time and various journals in 199 Case Series. 74 Case Report all use medical records as criteria on DILI diagnosis. We don't have the consolidate criteria on DILI diagnosis at present, so when we choose the standard of diagnosis, we should consider many factors in order to avoid missed diagnosis and misdiagnosis.

  3. Optimal criteria for microscopic review of urinalysis following use of automated urine analyzer.

    PubMed

    Khejonnit, Varanya; Pratumvinit, Busadee; Reesukumal, Kanit; Meepanya, Suriya; Pattanavin, Chanutchaya; Wongkrajang, Preechaya

    2015-01-15

    The Sysmex UX-2000 is a new, fully automated integrated urine analyzer. This device analyzes all physical and chemical characteristics of urine and sediments in urine on single platform. Because sediment analysis by fluorescent flow cytometry has limited ability to classify some formed elements present in urine (e.g., casts), laboratories should develop criteria for manual microscopic examination of urinalysis following the use of the automated urine analyzer. 399 urine samples were collected from routine workload. All samples were analyzed on the automated analyzer and were then compared to the results of the manual microscopic method to establish optimal criteria. Another set of 599 samples was then used to validate the optimized criteria. The efficiency of criteria and review rate were calculated. The false-positive and false-negative cases were enumerated and clarified. We can set 11 rules which are related to the parameters categorized by the UX-2000, including cells, casts, crystals, organisms, sperm, and flags. After optimizing the rules, the review rate was 54.1% and the false-negative rate was 2.8%. The combination of both UX-2000 and manual microscopic method obtain the best results. The UX-2000 improves efficiency by reducing the time and labor associated with the specimen analysis process. Copyright © 2014 Elsevier B.V. All rights reserved.

  4. 75 FR 47306 - Office of the Assistant Secretary for Planning and Evaluation; Technical Review Panel on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-05

    ...; Technical Review Panel on the Medicare Trustees Reports AGENCY: Department of Health and Human Services... Register (FR) on July 30, 2010, entitled ``Technical Review Panel on the Medicare Trustees Reports''....

  5. Criteria for solid recovered fuels as a substitute for fossil fuels--a review.

    PubMed

    Beckmann, Michael; Pohl, Martin; Bernhardt, Daniel; Gebauer, Kathrin

    2012-04-01

    The waste treatment, particularly the thermal treatment of waste has changed fundamentally in the last 20 years, i.e. from facilities solely dedicated to the thermal treatment of waste to facilities, which in addition to that ensure the safe plant operation and fulfill very ambitious criteria regarding emission reduction, resource recovery and energy efficiency as well. Therefore this contributes to the economic use of raw materials and due to the energy recovered from waste also to the energy provision. The development described had the consequence that waste and solid recovered fuels (SRF) has to be evaluated based on fuel criteria as well. Fossil fuels - coal, crude oil, natural gas etc. have been extensively investigated due to their application in plants for energy conversion and also due to their use in the primary industry. Thereby depending on the respective processes, criteria on fuel technical properties can be derived. The methods for engineering analysis of regular fuels (fossil fuels) can be transferred only partially to SRF. For this reason methods are being developed or adapted to current analytical methods for the characterization of SRF. In this paper the possibilities of the energetic utilization of SRF and the characterization of SRF before and during the energetic utilization will be discussed.

  6. Validation and optimization of criteria for manual smear review following automated blood cell analysis in a large university hospital.

    PubMed

    Pratumvinit, Busadee; Wongkrajang, Preechaya; Reesukumal, Kanit; Klinbua, Cherdsak; Niamjoy, Patama

    2013-03-01

    Each laboratory should have criteria for manual smear review that limit workload without affecting patient care. The International Consensus Group for Hematology Review established guidelines for action after automated blood cell analysis in 2005. To compare the consensus group criteria with our laboratory criteria and optimize them for better efficiency. A total of 2114 first-time samples were collected consecutively from daily workload and were used to compare 2 criteria as well as establish the optimized criteria. Another set of 891 samples was used to validate the optimized criteria. All samples were run on either Sysmex XE-5000 or Coulter LH750 hematology analyzers and were investigated by manual smear review. The efficiency of each set of criteria was compared and optimized to obtain better efficiency, an acceptable review rate, and a low false-negative rate. From 2114 samples, 368 (17.40%) had positive smear results. Compared with that of our laboratory criteria, the efficiency of the consensus group criteria was higher (83.63% versus 78.86%, P < .001), the review rate was higher (29.33% versus 22.37%, P < .001), and the false-negative rate was lower (2.22% versus 8.09%, P < .001). After optimizing the rules, we obtained an efficiency of 87.13%, a review rate of 24.22%, and a false-negative rate of 2.98%. We validated the optimized criteria with another set of samples, and the efficiency, review rate, and false-negative rate were 87.32%, 25.25%, and 1.12%, respectively. Each laboratory should verify the criteria for smear review, based on the International Consensus Group for Hematology Review, and optimize them to maximize efficiency.

  7. Rheumatic fever: update on the Jones criteria according to the American Heart Association review - 2015.

    PubMed

    Pereira, Breno Álvares de Faria; Belo, Alinne Rodrigues; Silva, Nilzio Antônio da

    Rheumatic fever is still currently a prevalent disease, especially in developing countries. Triggered by a Group A β-hemolytic Streptococcus infection, the disease may affect genetically predisposed patients. Rheumatic carditis is the most important of its clinical manifestations, which can generate incapacitating sequelae of great impact for the individual and for society. Currently, its diagnosis is made based on the Jones criteria, established in 1992 by the American Heart Association. In 2015, the AHA carried out a significant review of these criteria, with new diagnostic parameters and recommendations. In the present study, the authors perform a critical analysis of this new review, emphasizing the most relevant points for clinical practice. Copyright © 2017. Published by Elsevier Editora Ltda.

  8. Rheumatic fever: update on the Jones criteria according to the American Heart Association review - 2015.

    PubMed

    Pereira, Breno Álvares de Faria; Belo, Alinne Rodrigues; Silva, Nilzio Antônio da

    2017-03-06

    Rheumatic fever is still currently a prevalent disease, especially in developing countries. Triggered by a Group A β-hemolytic Streptococcus infection, the disease may affect genetically predisposed patients. Rheumatic carditis is the most important of its clinical manifestations, which can generate incapacitating sequelae of great impact for the individual and for society. Currently, its diagnosis is made based on the Jones Criteria, established in 1992 by the American Heart Association (AHA). In 2015, the AHA carried out a significant review of these criteria, with new diagnostic parameters and recommendations. In the present study, the authors perform a critical analysis of this new review, emphasizing the most relevant points for clinical practice. Copyright © 2017. Published by Elsevier Editora Ltda.

  9. SU-E-CAMPUS-J-04: Image Guided Radiation Therapy (IGRT): Review of Technical Standards and Credentialing in Radiotherapy Clinical Trials

    SciTech Connect

    Giaddui, T; Chen, W; Yu, J; Gong, Y; Galvin, J; Xiao, Y; Cui, Y; Yin, F; Craig, T; Dawson, L; Al-Hallaq, H; Chmura, S

    2014-06-15

    Purpose: To review IGRT credentialing experience and unexpected technical issues encountered in connection with advanced radiotherapy technologies as implemented in RTOG clinical trials. To update IGRT credentialing procedures with the aim of improving the quality of the process, and to increase the proportion of IGRT credentialing compliance. To develop a living disease site-specific IGRT encyclopedia. Methods: Numerous technical issues were encountered during the IGRT credentialing process. The criteria used for credentialing review were based on: image quality; anatomy included in fused data sets and shift results. Credentialing requirements have been updated according to the AAPM task group reports for IGRT to ensure that all required technical items are included in the quality review process. Implementation instructions have been updated and expanded for recent protocols. Results: Technical issues observed during the credentialing review process include, but are not limited to: poor quality images; inadequate image acquisition region; poor data quality; shifts larger than acceptable; no soft tissue surrogate. The updated IGRT credentialing process will address these issues and will also include the technical items required from AAPM: TG 104; TG 142 and TG 179 reports. An instruction manual has been developed describing a remote credentialing method for reviewers. Submission requirements are updated, including images/documents as well as facility questionnaire. The review report now includes summary of the review process and the parameters that reviewers check. We have reached consensus on the minimum IGRT technical requirement for a number of disease sites. RTOG 1311(NRG-BR002A Phase 1 Study of Stereotactic Body Radiotherapy (SBRT) for the Treatment of Multiple Metastases) is an example, here; the protocol specified the minimum requirement for each anatomical sites (with/without fiducials). Conclusion: Technical issues are identified and reported. IGRT

  10. [Priority setting of health interventions. Review of criteria, approaches and role of assessment agencies].

    PubMed

    Varela-Lema, Leonor; Atienza-Merino, Gerardo; López-García, Marisa

    This study was carried out to develop an explicit health priority setting methodology to support decision-making regarding the technologies to be assessed for inclusion in the National Health Service service portfolio. The primary objective is to identify and analyse the criteria, approaches and conceptual frameworks used for national/international priority setting. An exhaustive review of the literature was carried out. For this purpose, a search of the main biomedical databases was performed and assessment agency websites were reviewed, among other sources. In general terms, it was found that there are no standardised criteria for priority setting, although some consensus and common trends have been identified regarding key elements (criteria, models and strategies, key actors, etc.). Globally, 8 key domains were identified: 1) need for intervention; 2) health outcomes; 3) type of benefit of the intervention; 4) economic consequences; 5) existing knowledge on the intervention/quality of and uncertainties regarding the evidence; 6) implementation and complexity of the intervention/feasibility; 7) priority, justice and ethics; and 8) overall context. The review provides a thorough analysis of the relevant issues and offers key recommendations regarding considerations for developing a national prioritisation framework. Findings are envisioned to be useful for different public organisations that are aiming to establish healthcare priorities. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Non-technical skills assessment for prelicensure nursing students: An integrative review.

    PubMed

    Pires, Sara; Monteiro, Sara; Pereira, Anabela; Chaló, Daniela; Melo, Elsa; Rodrigues, Alexandre

    2017-11-01

    In nursing, non-technical skills are recognized as playing an important role to increase patient safety and successful clinical outcomes (Pearson and McLafferty, 2011). Non-technical skills are cognitive and social resource skills that complement technical skills and contribute to safe and efficient task performance (Flin et al., 2008). In order to effectively provide non-technical skills training, it is essential to have an instrument to measure these skills. An online search was conducted. Articles were selected if they referred to and/or described instruments assessing non-technical skills for nurses and/or prelicensure nursing students in educational, clinical and/or simulated settings with validation evidence (inclusion criteria). Of the 53 articles located, 26 met the inclusion criteria. Those referred to and/or described 16 instruments with validation evidence developed to assess non-technical skills in multidisciplinary teams including nurses. Although articles have shown 16 valid and reliable instruments, to our knowledge, no instrument has been published or developed and validated for the assessment of non-technical skills of only nurses in general, relevant for use in high-fidelity simulation-based training for prelicensure nursing students. Therefore, there is a need for the development of such an instrument. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Invited review--neuroimaging response assessment criteria for brain tumors in veterinary patients.

    PubMed

    Rossmeisl, John H; Garcia, Paulo A; Daniel, Gregory B; Bourland, John Daniel; Debinski, Waldemar; Dervisis, Nikolaos; Klahn, Shawna

    2014-01-01

    The evaluation of therapeutic response using cross-sectional imaging techniques, particularly gadolinium-enhanced MRI, is an integral part of the clinical management of brain tumors in veterinary patients. Spontaneous canine brain tumors are increasingly recognized and utilized as a translational model for the study of human brain tumors. However, no standardized neuroimaging response assessment criteria have been formulated for use in veterinary clinical trials. Previous studies have found that the pathophysiologic features inherent to brain tumors and the surrounding brain complicate the use of the response evaluation criteria in solid tumors (RECIST) assessment system. Objectives of this review are to describe strengths and limitations of published imaging-based brain tumor response criteria and propose a system for use in veterinary patients. The widely used human Macdonald and response assessment in neuro-oncology (RANO) criteria are reviewed and described as to how they can be applied to veterinary brain tumors. Discussion points will include current challenges associated with the interpretation of brain tumor therapeutic responses such as imaging pseudophenomena and treatment-induced necrosis, and how advancements in perfusion imaging, positron emission tomography, and magnetic resonance spectroscopy have shown promise in differentiating tumor progression from therapy-induced changes. Finally, although objective endpoints such as MR imaging and survival estimates will likely continue to comprise the foundations for outcome measures in veterinary brain tumor clinical trials, we propose that in order to provide a more relevant therapeutic response metric for veterinary patients, composite response systems should be formulated and validated that combine imaging and clinical assessment criteria.

  13. INVITED REVIEW – NEUROIMAGING RESPONSE ASSESSMENT CRITERIA FOR BRAIN TUMORS IN VETERINARY PATIENTS

    PubMed Central

    Rossmeisl, John H.; Garcia, Paulo A.; Daniel, Gregory B.; Bourland, John Daniel; Debinski, Waldemar; Dervisis, Nikolaos; Klahn, Shawna

    2013-01-01

    The evaluation of therapeutic response using cross-sectional imaging techniques, particularly gadolinium-enhanced MRI, is an integral part of the clinical management of brain tumors in veterinary patients. Spontaneous canine brain tumors are increasingly recognized and utilized as a translational model for the study of human brain tumors. However, no standardized neuroimaging response assessment criteria have been formulated for use in veterinary clinical trials. Previous studies have found that the pathophysiologic features inherent to brain tumors and the surrounding brain complicate the use of the Response Evaluation Criteria in Solid Tumors (RECIST) assessment system. Objectives of this review are to describe strengths and limitations of published imaging-based brain tumor response criteria and propose a system for use in veterinary patients. The widely used human Macdonald and Response Assessment in Neuro-oncology (RANO) criteria are reviewed and described as to how they can be applied to veterinary brain tumors. Discussion points will include current challenges associated with the interpretation of brain tumor therapeutic responses such as imaging pseudophenomena and treatment-induced necrosis, and how advancements in perfusion imaging, positron emission tomography, and magnetic resonance spectroscopy have shown promise in differentiating tumor progression from therapy-induced changes. Finally, although objective endpoints such as MR-imaging and survival estimates will likely continue to comprise the foundations for outcome measures in veterinary brain tumor clinical trials, we propose that in order to provide a more relevant therapeutic response metric for veterinary patients, composite response systems should be formulated and validated that combine imaging and clinical assessment criteria. PMID:24219161

  14. Outcomes of an Independent Review and Guidelines for the Implementation of a Program Review Model. Volume II. Technical Report.

    ERIC Educational Resources Information Center

    Carvell Education Managment Planning, Inc., Los Angeles, CA.

    The second part of a report on a comprehensive review of the credit instructional programs offered by Pasadena City College (PCC), this volume contains a technical description of the data collection and assembly procedures used in the program review and provides guidelines for the implementation of the program review model. The first section…

  15. ABC3 Part II: a review of the new criteria for evaluating cervical cytology in England.

    PubMed

    Blanks, R G

    2012-12-01

    The new Achievable Standards, Benchmarks for Reporting, and Criteria for Evaluating Cervical Cytopathology, 3rd edn (ABC3) includes radical changes in the criteria for evaluating cervical cytology. First, they include a new mission statement 'the objective of cervical screening is to reduce cervical cancer incidence and mortality by screening with a high sensitivity for the detection of CIN2 or worse, whilst maintaining a high specificity'. Second, the original four performance measurement criteria where laboratories were examined further if they were below the 10th or above the 90th percentile has been changed to three and laboratories are only mandatorily examined if they fall below the 5th or above the 95th percentile. The old criteria related to the percentage of samples that were inadequate, the percentage of all adequate samples reported as moderate dyskaryosis or worse (equivalent to high-grade squamous intraepithelial lesion or cancer), the percentage of adequate samples reported as mild dyskaryosis or borderline (equivalent to low-grade squamous intraepithelial lesion or atypical squamous/glandular cells) and the positive predictive value. The new criteria are percentage of inadequate samples, positive predictive value and a new measure termed referral value. These changes mean that far fewer laboratories will require mandatory examination. Third, a raft of optional performance measures have been introduced to help laboratories examine their annual statistical return to the Department of Health in comparison with other laboratories. These measures have been designed to produce a more uniform national programme, and to help laboratories decide whether they are maximizing the benefit of screening while minimizing the harm, which is the goal of all screening programmes. This review examines in detail the new criteria and explains in more detail some of the thinking behind them. © 2012 Blackwell Publishing Ltd.

  16. 78 FR 77673 - Notification of a Public Meeting of the Environmental Justice Technical Guidance Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-24

    ... AGENCY Notification of a Public Meeting of the Environmental Justice Technical Guidance Review Panel... (SAB) Staff Office announces a public meeting of the SAB Environmental Justice Technical Guidance... Assessing Environmental Justice in Regulatory Analysis (May 1, 2013). DATES: The Environmental Justice...

  17. Review of PREPA Technical Requirements for Interconnecting Wind and Solar Generation

    SciTech Connect

    Gevorgian, Vahan; Booth, Sarah

    2013-11-01

    The Puerto Rico Electric Power Authority developed the minimum technical requirements for interconnection of wind turbine generation and photovoltaic power plants. NREL has conducted a review of these requirements based on generic technical aspects and electrical characteristics of wind and photovoltaic power plants, and on existing requirements from other utilities (both U.S. and European).

  18. Industry Review and Validation of Model Curriculum for Programmer/Analyst, Network Administration, and Technical Support.

    ERIC Educational Resources Information Center

    Schwager, Mahna; Lee, June

    Industry representatives reviewed the curricula for computer programmer-analyst, network administrator, and technical support courses at 10 community colleges in California. Thirty-eight reviewers participated in the focus groups, and several other reviewers participated via e-mail. The focus groups discussed each of the three degree programs…

  19. Surgical treatment of acromegaly according to the 2010 remission criteria: systematic review and meta-analysis.

    PubMed

    Starnoni, Daniele; Daniel, Roy Thomas; Marino, Laura; Pitteloud, Nelly; Levivier, Marc; Messerer, Mahmoud

    2016-11-01

    In 2010, the Acromegaly Consensus Group revised the criteria for cure of acromegaly and thus rates of surgical remission need to be revised in light of these new thresholds. Two subgroups consisted of patients with discordant GH and IGF-1 levels and patients in remission according to the 2000 criteria, but not to the 2010 criteria, have been reported after adenomectomy and for these subgroups the precise incidence and management has not been established. The objective of the study was to update rates of surgical remission and complications and to evaluate the incidence, management, and long-term outcome of the two previously described subgroups of patients. Systematic review and meta-analysis of surgical series that defined remission according to the 2010 biochemical criteria. We included 13 studies (1105 patients). The pooled rate of overall surgical remission was 54.8 % (95 % CI 44.4-65.2 %), and 72.2 % with previous criteria. Remission was achieved in 77.9 % (95 % CI 68.1-87.6 %) of microadenomas; 52.7 % (95 % CI 41-64.4 %) of macroadenomas; 29 % (95 % CI 20.1-37.8 %) of invasive and 68.8 % (95 % CI 60-77.6 %) of non-invasive adenomas. Complication rates were 1.2 % (95 % CI 0.6-1.9 %) for CSF leak, 1.3 % (95 % CI 0.6-2.1 %) for permanent diabetes insipidus, 8.7 % (95 % CI 4.8-12.5 %) for new anterior pituitary dysfunction and 0.6 % (95 % CI 0.1-1.1 %) for severe intraoperative hemorrhage. We identified an intermediate group of patients, defined as: (1) Remission according to one, but not the other biochemical criteria (GH or IGF-1) or 2010 criteria (14.3 % and 47.1 % cases), (2) Remission according to 2000, but not 2010 criteria (13.2-58.8 % cases). Two studies reported a remission rate of 56.5 % and 100 %, in the two subgroups respectively, in a long-term outcome without adjuvant therapy. Overall remission with transsphenoidal surgery is achieved in ∼55 % of patients. For the intermediate group of patients

  20. Technical Review Guidelines for Environmental Impact Assessments in the Tourism, Energy and Mining Sectors

    EPA Pesticide Factsheets

    EPA coordinated a regional collaborative process with Central America and Dominican Republic Free Trade Agreement (CAFTA-DR) partners to develop Environmental Impact Assessment (EIA) Technical Review Guidelines for three sectors.

  1. Emergency water supply: a review of potential technologies and selection criteria.

    PubMed

    Loo, Siew-Leng; Fane, Anthony G; Krantz, William B; Lim, Teik-Thye

    2012-06-15

    Access to safe drinking water is one of the first priorities following a disaster. However, providing drinking water to the affected population (AP) is challenging due to severe contamination and lack of access to infrastructure. An onsite treatment system for the AP is a more sustainable solution than transporting bottled water. Emergency water technologies (WTs) that are modular, mobile or portable are suitable for emergency relief. This paper reviews WTs including membrane technologies that are suitable for use in emergencies. Physical, chemical, thermal- and light-based treatment methods, and membrane technologies driven by different driving forces such as pressure, temperature and osmotic gradients are reviewed. Each WT is evaluated by ten mutually independent criteria: costs, ease of deployment, ease of use, maintenance, performance, potential acceptance, energy requirements, supply chain requirements, throughput and environmental impact. A scoring system based on these criteria is presented. A methodology for emergency WT selection based on compensatory multi-criteria analysis is developed and discussed. Finally, critical research needs are identified. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Book Review: Space Research at the Technical University of Moldova.

    NASA Astrophysics Data System (ADS)

    Gaina, Alex

    Recently the historian of the Technical University of Moldova Aurel Marinchuk (Marinciuc) in a collaboration with the editorial team from the same University has published a Jubiliary Album "50 Years of the Technical University of Moldova". The Album is published at the Technical University in Chisinau (The Republic of Moldova). Two chapters of this album present major interest: 1) Space research at the Technical University of Moldova 2) The Foucault Pendulum manufactured at the same University under the supervision of the Rector of University, Dr. Hab. of Technical Sciences and Member of the Academy of Sciences of the Republic of Moldova Ion Bostan. The parameters of the Pendulums are: m=102 kg L=17,24 m T=8.35 sec. >From the first chapter We learn that 3 astronauts: Frank Lee Culbertson, Vladimir Dezhurov and Dumitru Dorin Prunariu are Doctors Honoris Causa of this University. As well we can found in the album informations about the Microsatellit "Republic of Moldova" built also by a team from the same University. It is ready to fly, but many depends on the funds for launch the Satellite. The Foucault Pendulum presents also interest in view of its possible applications to detect the influence of the relative position of the Sun and the Moon on Earthquakes. As is well known the tidal gravitational Force varies, depending on the relative position of the Sun and the Moon.

  3. Non-technical skills training to enhance patient safety: a systematic review.

    PubMed

    Gordon, Morris; Darbyshire, Daniel; Baker, Paul

    2012-11-01

    Many quality improvement education programmes have been introduced over the last decade with the purpose of enhancing patient safety. The importance of non-technical skills training is becoming increasingly prominent, but the extent to which educational interventions have been used and the theoretical underpinnings of such interventions remain unclear. These issues were investigated through a systematic review of the literature. Any studies involving an educational intervention to improve non-technical skills amongst undergraduate or postgraduate staff in an acute health care environment were considered. A standardised search of online databases was carried out independently by two authors and consensus reached on the inclusion of studies. Data extraction and multimodal quality assessment were completed independently, followed by a content analysis of interventions and the extraction of key themes. A total of 22 studies met the inclusion criteria. Measured outcomes were variable, as was the strength of conclusions. Theoretical underpinning of interventions was not described in any studies. Content analysis revealed reasonable consistency with the emergence of five key themes: error; communication; teamwork and leadership; systems, and situational awareness. Teaching was often multidisciplinary and methods used included simulation and role-play exercises, and observation. The methodological quality of published studies is reasonable, although the reporting of specific interventions is poor. Although a recognised model to support the design of patient safety education is lacking, a number of theories have been applied to guide educators in future instructional design. Further published work should clearly describe interventions and their theoretical underpinnings, and should aim to further explore which specific aspects of interventions are effective and why. Such research should also try to assess whether such interventions can impact patient outcomes. © Blackwell

  4. Independent technical ({open_quotes}Red Team{close_quotes}) reviews

    SciTech Connect

    Thullen, P.; Bennett, D.R.; Kosiewicz, S.T.; Weaver, D.

    1994-12-31

    The Independent Technical Review Program Office performs independent technical reviews (ITRs) of major projects, major system acquisitions, and major programs. The customers for these reviews have been the U.S. Department of Energy (DOE), Office of Environmental Restoration and Waste Management, and the Office of Facility Transition and Management. The ITRs focus on five areas: phenomenology, process engineering, facility engineering, regulatory requirements, and project management and control. A portion of the review is typically devoted to recommending new paths forward for the organization(s) under review. A team of technical experts performs each review consistent with the tasks negotiated in a charter with the DOE customer. We emphasize that the ITRs are not audits.

  5. Disparity implications of the Medicare medication therapy management eligibility criteria: a literature review.

    PubMed

    Munshi, Kiraat D; Shih, Ya-Chen T; Brown, Lawrence M; Dagogo-Jack, Samuel; Wan, Jim Y; Wang, Junling

    2013-04-01

    The emphasis on eliminating racial and ethnic disparities in healthcare has received national attention, with various policy initiatives addressing this problem and proposing solutions. However, in the current economic era requiring tight monetary constraints, emphasis is increasingly being placed on economic efficiency, which often conflicts with the equality doctrine upon which many policies have been framed. The authors' review aims to highlight the disparity implications of one such policy provision - the predominantly utilization-based eligibility criteria for medication therapy management services under Medicare Part D - by identifying studies that have documented racial and ethnic disparities in health status and the use of and spending on prescription medications. Future design and evaluation of various regulations and legislations employing utilization-based eligibility criteria must use caution in order to strike an equity-efficiency balance.

  6. Disparity Implications of the Medicare MTM Eligibility Criteria: A Literature Review

    PubMed Central

    Munshi, Kiraat D.; Shih, Ya-Chen Tina; Brown, Lawrence M.; Dagogo-Jack, Samuel; Wan, Jim Y.; Wang, Junling

    2013-01-01

    Summary The emphasis on eliminating racial and ethnic disparities in health care has received national attention, with various policy initiatives addressing this problem and proposing solutions. However, in the current economic era requiring tight monetary constraints, emphasis is increasingly being placed on economic efficiency, which often conflicts with the equality doctrine upon which many policies have been framed. Our review aims to highlight the disparity implications of one such policy provision—the predominantly utilization-based eligibility criteria for medication therapy management (MTM) services under Medicare Part D—by identifying studies that have documented racial and ethnic disparities in health status and the use of and spending on prescription medications. Future design and evaluation of various regulations and legislations employing utilization-based eligibility criteria must use caution in order to strike an equity-efficiency balance. PMID:23570431

  7. A review of the impact of exclusion criteria on the generalizability of schizophrenia treatment research.

    PubMed

    Humphreys, Keith

    2014-06-20

    Treatment research studies employ criteria that determine which patients are eligible to participate and which are not. When such exclusion criteria produce a treatment research sample that is a small and unrepresentative subset of all patients with a particular disease, clinicians may be hesitant to apply the research results in front-line clinical practice. Accordingly, the present paper reviews the English-language literature on exclusion criteria in schizophrenia treatment research and draws initial conclusions about their impact.Empirically-derived estimates of the rate of exclusion vary widely (31.0-98.2%), but the best available evidence suggests that about 4 in 5 patients with schizophrenia would be ineligible to enroll in a typical treatment research study. Women are particularly likely to be excluded from schizophrenia treatment research, which is problematic from both a clinical and social justice viewpoint. Excluded patients also tend to be older than eligible patients, and, though it has been examined in only a few studies, they also tend to have more severe problems at baseline and different outcomes over time than patients who are allowed to participate in research.More limited use of exclusion criteria in schizophrenia treatment research would be beneficial in terms of increasing generalizability, but would also potentially involve costs, particularly a need for larger samples. More modest steps that would improve treatment outcome research reports include requiring a full description of the rationale for and nature of any exclusion criteria, and, having a designated place in the discussion section which draws attention to the proper scope of generalization.

  8. A Review of the Impact of Exclusion Criteria on the Generalizability of Schizophrenia Treatment Research.

    PubMed

    Humphreys, Keith

    Treatment research studies employ criteria that determine which patients are eligible to participate and which are not. When such exclusion criteria produce a treatment research sample that is a small and unrepresentative subset of all patients with a particular disease, clinicians may be hesitant to apply the research results in front-line clinical practice. Accordingly, the present paper reviews the English-language literature on exclusion criteria in schizophrenia treatment research and draws initial conclusions about their impact. Empirically derived estimates of the rate of exclusion vary widely (31.0-98.2%), but the best available evidence suggests that about 4 in 5 patients with schizophrenia would be ineligible to enroll in a typical treatment research study. Women are particularly likely to be excluded from schizophrenia treatment research, which is problematic from both a clinical and social justice viewpoint. Excluded patients also tend to be older than eligible patients, and, though it has been examined in only a few studies, they also tend to have more severe problems at baseline and different outcomes over time than patients who are allowed to participate in research. More limited use of exclusion criteria in schizophrenia treatment research would be beneficial in terms of increasing generalizability, but would also potentially involve costs, particularly a need for larger samples. More modest steps that would improve treatment outcome research reports include requiring a full description of the rationale for, and nature of, any exclusion criteria, and, having a designated place in the discussion section which draws attention to the proper scope of generalization.

  9. Health-related aerosol measurement: a review of existing sampling criteria and proposals for new ones.

    PubMed

    Vincent, James H

    2005-11-01

    Interest in particle size-selective sampling for aerosols in working and ambient living environments began in the early 1900s when it became apparent that the penetration into-and deposition in-the respiratory tract of aerosol-exposed humans of inhaled particles was dependent on particle size. Coarse particles tended to be filtered out during inhalation and in the upper parts of the respiratory tract, so only progressively smaller particles penetrated down to the deep regions of the lung. Over time, following experimental studies with 'breathing' mannequins in wind tunnels and with human volunteer subjects in the laboratory, a clear picture has emerged of the physical, physiological and anatomical factors that control the extent to which particles may or may not reach certain parts of the respiratory tract. Such understanding has increasingly been the subject of discussions about aerosol standards, in particular the criteria by which exposure might be defined in relation to given classes of aerosol-related health effect-and in to turn aerosol monitoring. The ultimate goal has been to develop a set of criteria by which exposure standards are scientifically relevant to the health effects in question. This paper reviews the scientific basis for such criteria. It discusses the criteria that have already been widely discussed and so are either being applied or are on the threshold of practical application in standards. It also discusses how new advanced knowledge may allow us to extend the list of particle size-selective criteria to fractions that have not yet been widely discussed but which may be of importance in the future.

  10. Are take-home naloxone programmes effective? Systematic review utilizing application of the Bradford Hill criteria.

    PubMed

    McDonald, Rebecca; Strang, John

    2016-07-01

    Fatal outcome of opioid overdose, once detected, is preventable through timely administration of the antidote naloxone. Take-home naloxone provision directly to opioid users for emergency use has been implemented recently in more than 15 countries worldwide, albeit mainly as pilot schemes and without formal evaluation. This systematic review assesses the effectiveness of take-home naloxone, with two specific aims: (1) to study the impact of take-home naloxone distribution on overdose-related mortality; and (2) to assess the safety of take-home naloxone in terms of adverse events. PubMed, MEDLINE and PsychINFO were searched for English-language peer-reviewed publications (randomized or observational trials) using the Boolean search query: (opioid OR opiate) AND overdose AND prevention. Evidence was evaluated using the nine Bradford Hill criteria for causation, devised to assess a potential causal relationship between public health interventions and clinical outcomes when only observational data are available. A total of 1397 records (1164 after removal of duplicates) were retrieved, with 22 observational studies meeting eligibility criteria. Due to variability in size and quality of the included studies, meta-analysis was dismissed in favour of narrative synthesis. From eligible studies, we found take-home naloxone met all nine Bradford Hill criteria. The additional five World Health Organization criteria were all either met partially (two) or fully (three). Even with take-home naloxone administration, fatal outcome was reported in one in 123 overdose cases (0.8%; 95% confidence interval = 0.4, 1.2). Take-home naloxone programmes are found to reduce overdose mortality among programme participants and in the community and have a low rate of adverse events. © 2016 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

  11. Are take‐home naloxone programmes effective? Systematic review utilizing application of the Bradford Hill criteria

    PubMed Central

    McDonald, Rebecca

    2016-01-01

    Abstract Background and Aims Fatal outcome of opioid overdose, once detected, is preventable through timely administration of the antidote naloxone. Take‐home naloxone provision directly to opioid users for emergency use has been implemented recently in more than 15 countries worldwide, albeit mainly as pilot schemes and without formal evaluation. This systematic review assesses the effectiveness of take‐home naloxone, with two specific aims: (1) to study the impact of take‐home naloxone distribution on overdose‐related mortality; and (2) to assess the safety of take‐home naloxone in terms of adverse events. Methods PubMed, MEDLINE and PsychINFO were searched for English‐language peer‐reviewed publications (randomized or observational trials) using the Boolean search query: (opioid OR opiate) AND overdose AND prevention. Evidence was evaluated using the nine Bradford Hill criteria for causation, devised to assess a potential causal relationship between public health interventions and clinical outcomes when only observational data are available. Results A total of 1397 records (1164 after removal of duplicates) were retrieved, with 22 observational studies meeting eligibility criteria. Due to variability in size and quality of the included studies, meta‐analysis was dismissed in favour of narrative synthesis. From eligible studies, we found take‐home naloxone met all nine Bradford Hill criteria. The additional five World Health Organization criteria were all either met partially (two) or fully (three). Even with take‐home naloxone administration, fatal outcome was reported in one in 123 overdose cases (0.8%; 95% confidence interval = 0.4, 1.2). Conclusions Take‐home naloxone programmes are found to reduce overdose mortality among programme participants and in the community and have a low rate of adverse events. PMID:27028542

  12. State Special Education Criteria for Identifying Intellectual Disability: A Review Following Revised Diagnostic Criteria and Rosa's Law.

    PubMed

    McNicholas, Patrick J; Floyd, Randy G; Woods, Isaac L; Singh, Leah J; Manguno, Meredith S; Maki, Kathrin E

    2017-05-25

    Across the last century, the condition known as intellectual disability (ID) has been labeled by assorted terms, its key features have varied, and recommendations for its identification have been divided. In light of recent changes to the diagnostic criteria for ID and to federal legislation, this study was designed to compile and summarize information about the state special education criteria for this condition and its associated assessment process, as they guide school-based and associated practices. Authors independently double-coded components of all ID regulations and guidelines from the 50 United States and the District of Columbia in pairs, which was then checked and corrected for inconsistencies. A total of 10% of states provided only the federal definition of ID. Intellectual disability was the most common term used across states, but it was used by only 63% of them. To meet the intellectual deficit criterion, 37% of states referenced a fixed IQ cutoff, and 49% referred to a flexible IQ cutoff. In contrast, most states did not refer to what score types or criteria should be referenced when identifying adaptive behavior deficits. The influence of the recently updated diagnostic criteria for ID and federal legislation was evident, as several patterns of changes were apparent since the last studies of this type. The assessment in intellectual functioning was more well defined than the assessment of adaptive behavior. Health-related features associated with ID were not commonly referenced. These results can inform school psychology practice, training, and related research. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  13. Shifting paradigms in eligibility criteria for live kidney donation: a systematic review.

    PubMed

    Ahmadi, Ali R; Lafranca, Jeffrey A; Claessens, Laura A; Imamdi, Raoul M S; IJzermans, Jan N M; Betjes, Michiel G H; Dor, Frank J M F

    2015-01-01

    As the organ shortage increases, inherently the demand for donor kidneys continues to rise. Thus, live kidney donation is essential for increasing the donor pool. In order to create successful expansion, extended criteria live kidney donors should be considered. This review combines current guidelines with all available literature in this field, trying to seek and establish the optimal extended criteria. Comprehensive searches were carried out in major databases until November 2013 to search for articles regarding older age, overweight and obesity, hypertension, vascular anomalies/multiplicity, nulliparous women, and minors as donors. Of the 2079 articles found, 152 fell within the scope of the review. Five major guidelines were included and reviewed. Based on the literature search, live kidney donation in older donors (up to 70 years of age) seems to be safe as outcome is comparable to younger donors. Obese donors have comparable outcome to lean donors, in short- and mid-term follow-up. Since little literature is available proving the safety of donation of hypertensive donors, caution is advised. Vascular multiplicity poses no direct danger to the donor and women of childbearing age can be safely included as donors. Although outcome after donation in minors is shown to be comparable to adult donors, they should only be considered if no other options exist. We conclude that the analyzed factors above should not be considered as absolute contraindications for donation.

  14. Review of Scientific & Technical Numeric Data Base Activities.

    ERIC Educational Resources Information Center

    Wood, Barbara L.

    This examination of numeric data base activities grew out of a continuing effort to develop a system of statistical indicators of scientific and technical communication. A broad mix of directories, listing by subject field, reports, mail inquiries and telephone and face-to-face interviews was used to collect information. Scientific and technical…

  15. [Classification and review of technical devices for hypoxia therapy].

    PubMed

    Lopata, V O; Berezovs'kyĭ, V Ia; Levashov, M I; Kyienko, V M

    2003-01-01

    In the report there considered and compared the functional and constructive features of hipoxicators, divided in classification groups. The complex of medico-technical requirements to hipoxicators is formulated; prospects of perfection of therapeutic and diagnostic methods for hypoxitherapy and their hardware are estimated.

  16. [Tactical and technical notes for decompression craniotomy--a review].

    PubMed

    Mracek, J; Mracek, Z; Choc, M

    2007-05-01

    The authors present the tactics and technique of the decompression craniotomy (DC). DC is one of the principal neurosurgical procedures in the treatment of intracranial hypertension. Early indication and perfect technical completion of the procedure are the prerequisites for achieving the anticipated decompressive effect. While indications of DC are frequently discussed in the scientific literature, the procedure's tactics and techinque is usually overlooked. The report mentions the DC development and significance from its historical perspective. Decompression craniotomy should be performed as a preventive procedure to prevent secondary brain damage. Four types of craniotomy are used in order to perform decompression: subtemporal, circular, bifrontal and hemispheral. The hemispheral DC best fulfills the essential requirement regarding the brain stem direct compression release. The technical aspect of the hemispheral decompression procedure is described further in the report. The authors discuss some technical aspects, which, provided they are followed, should prevent the surgical method from failure. Incorrect technical performance, especially insufficient extent of the decompression, along with its late indication, is the principal factor discrediting the idea of decompression craniotomy.

  17. 'Real-world' health care priority setting using explicit decision criteria: a systematic review of the literature.

    PubMed

    Cromwell, Ian; Peacock, Stuart J; Mitton, Craig

    2015-04-17

    Health care decision making requires making resource allocation decisions among programs, services, and technologies that all compete for a finite resource pool. Methods of priority setting that use explicitly defined criteria can aid health care decision makers in arriving at funding decisions in a transparent and systematic way. The purpose of this paper is to review the published literature and examine the use of criteria-based methods in 'real-world' health care allocation decisions. A systematic review of the published literature was conducted to find examples of 'real-world' priority setting exercises that used explicit criteria to guide decision-making. We found thirty-three examples in the peer-reviewed and grey literature, using a variety of methods and criteria. Program effectiveness, equity, affordability, cost-effectiveness, and the number of beneficiaries emerged as the most frequently-used decision criteria. The relative importance of criteria in the 'real-world' trials differed from the frequency in preference elicitation exercises. Neither the decision-making method used, nor the relative economic strength of the country in which the exercise took place, appeared to have a strong effect on the type of criteria chosen. Health care decisions are made based on criteria related both to the health need of the population and the organizational context of the decision. Following issues related to effectiveness and affordability, ethical issues such as equity and accessibility are commonly identified as important criteria in health care resource allocation decisions.

  18. AIR QUALITY CRITERIA FOR PARTICULATE MATTER (FOURTH EXTERNAL REVIEW DRAFT) [REVISED CHAPTERS 7, 8, AND 9, JUNE 2004

    EPA Science Inventory

    EPA is in the process of updating and revising, where appropriate, its Air Quality Criteria for Particulate Matter as issued in 1996 (usually referred to as the Criteria Document). Sections 108 and 109 of the Clean Air Act require that EPA carry out a periodic review and revisio...

  19. Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria (Second External Review Draft, Aug 2008)

    EPA Science Inventory

    EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria has been made available for independent peer review and public review. This draft ISA document represents a conci...

  20. 30 CFR 250.1917 - What criteria for pre-startup review must be in my SEMS program?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false What criteria for pre-startup review must be in... pre-startup review must be in my SEMS program? Your SEMS program must require that the commissioning process include a pre-startup safety and environmental review for new and significantly...

  1. Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria (First External Review Draft, Dec 2007)

    EPA Science Inventory

    EPA is announcing that the First External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur – Environmental Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise ...

  2. Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria (First External Review Draft, Dec 2007)

    EPA Science Inventory

    EPA is announcing that the First External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur – Environmental Criteria has been made available for independent peer review and public review. This draft ISA document represents a concise ...

  3. Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria (Second External Review Draft, Aug 2008)

    EPA Science Inventory

    EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria has been made available for independent peer review and public review. This draft ISA document represents a conci...

  4. Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur Environmental Criteria (Second External Review Draft, Aug 2008)

    EPA Science Inventory

    EPA has announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Oxides of Nitrogen and Sulfur - Environmental Criteria has been made available for independent peer review and public review. This draft ISA document represents a conci...

  5. Criteria and methods used for the assessment of fitness for work: a systematic review

    PubMed Central

    Serra, Consol; Rodriguez, Mari Cruz; Delclos, George L; Plana, Manel; López, Luis I Gómez; Benavides, Fernando G

    2007-01-01

    The main findings from reports published in scientific journals on the criteria and methods used to assess fitness for work were reviewed. Systematic searches were made using internet engine searches (1966–2005) with related keywords. 39 reports were identified, mostly from the US and western Europe. Assessment of fitness for work is defined by most as the evaluation of a worker's capacity to work without risk to their own or others' health and safety. It is mainly assessed at recruitment (pre‐offer or post‐offer), and when changes of work or health conditions occur. Five main criteria used by occupational doctors to evaluate fitness for work were identified: the determination of worker's capacity and worker's risk in relation to his or her workplace, as well as ethical, economic and legal criteria. Most authors agreed that assessment tools used need to be specific and cost‐effective, and probably none gives unequivocal answers. Outcomes from fitness for work assessments range from “fit” to “unfit”, with other possible intermediate categories such as “fit subject to work modifications”, “fit with restrictions” or “conditionally fit (temporarily, permanently)”. Workplace modifications to improve or adjust working conditions must always be considered. There is confusion about the decision‐making process to be used to judge about fitness for work. There is very scarce scientific evidence based on empirical data, probably because there are no standard or valid methodologies for all professions and circumstances. PMID:17095547

  6. Review of the technical bases of 40 CFR Part 190.

    SciTech Connect

    Kelly, John E.; McMahon, Kevin A.; Siegel, Malcolm Dean; Weiner, Ruth F.; Bixler, Nathan E.; Klein, Keith A.

    2010-07-01

    The dose limits for emissions from the nuclear fuel cycle were established by the Environmental Protection Agency in 40 CFR Part 190 in 1977. These limits were based on assumptions regarding the growth of nuclear power and the technical capabilities of decontamination systems as well as the then-current knowledge of atmospheric dispersion and the biological effects of ionizing radiation. In the more than thirty years since the adoption of the limits, much has changed with respect to the scale of nuclear energy deployment in the United States and the scientific knowledge associated with modeling health effects from radioactivity release. Sandia National Laboratories conducted a study to examine and understand the methodologies and technical bases of 40 CFR 190 and also to determine if the conclusions of the earlier work would be different today given the current projected growth of nuclear power and the advances in scientific understanding. This report documents the results of that work.

  7. Support Materials for the Software Technical Review Process

    DTIC Science & Technology

    1988-04-01

    it is frequently categorized as a "static testing " approach to software quality assurance. The most notable feature of popular techniques for software...is a major goal of any quality assura-ce technique.) * Enhancing the effectiveness of testing by detecting errors prior to testing . Varied...subsequent development needs, and pos- sibly specialized skill in testing or technical writing. Since students are unlikely to have all of this

  8. On orthorexia nervosa: A review of the literature and proposed diagnostic criteria.

    PubMed

    Dunn, Thomas M; Bratman, Steven

    2016-04-01

    There has been a growing interest among clinicians and researchers about a condition where people restrict their diet based not on quantity of food they consume, but based on its quality. Bratman (1997) coined the term "orthorexia nervosa" to describe people whose extreme diets - intended for health reasons - are in fact leading to malnutrition and/or impairment of daily functioning. There has also recently been intense media interest in people whose highly restrictive "healthy" diet leads to disordered eating. Despite this condition being first described in the U.S., and receiving recent media interest here, orthorexia has largely gone unnoticed in the North American literature. This review article details the literature of orthorexia nervosa, describing its emergence as a condition first described by a physician in a yoga magazine, to its being discussed in the scientific literature. It also reviews prevalence studies and discusses marked shortcomings in the literature. Finally, diagnostic criteria are proposed, as are future directions for research.

  9. Evaluation of Research Ethics Committees: Criteria for the Ethical Quality of the Review Process.

    PubMed

    Scherzinger, Gregor; Bobbert, Monika

    2017-01-01

    Repeatedly, adequacy, performance and quality of Ethics Committees that oversee medical research trials are being discussed. Although they play a crucial role in reviewing medical research and protecting human subjects, it is far from clear to what degree they fulfill the task they have been assigned to. This eventuates in the call for an evaluation of their activity and, in some places, led to the establishment of accreditation schemes. At the same time, IRBs have become subject of detailed legislation in the process of the ongoing global juridification of medical research. Unsurprisingly, there is a tendency to understand the evaluation of RECs as a question of controlling their legal compliance. This paper discusses the need for a quality evaluation of IRBs from an ethical point of view and, by systematically reviewing the major ethical guidelines for IRBs, proposes a system of criteria that should orientate any evaluation of IRBs.

  10. Effective audit in general practice: a method for systematically developing audit protocols containing evidence-based review criteria.

    PubMed Central

    Fraser, R C; Khunti, K; Baker, R; Lakhani, M

    1997-01-01

    Though many general practitioners (GPs) now take part in audit, there is still concern about the extent to which participation in audit leads to improvements in practice. Improved methods are needed for the incorporation of research evidence into criteria for use in audit. In this paper, a six-stage systematic method is described for developing audit protocols containing prioritized evidence-based criteria. The stages are: selection of a topic, identification of key elements of care, focused literature reviews, prioritization of the criteria on the strength of the evidence and impact on outcome, preparation of full documentation, and peer review. PMID:9519525

  11. Executive Summary; Performance Review of USOE's ESEA Title I Evaluation Technical Assistance Program.

    ERIC Educational Resources Information Center

    Hope Associates, Inc., Washington, DC.

    This report summarizes the opinions, conclusions, and recommendations expressed by a review panel with regard to the performance of the United States Office of Education's 10 Technical Assistance Centers (TACs). Background information concerning the functions and major components of the TAC system and the methodology of the review is provided.…

  12. Independent Technical ({open_quotes}Red Team{close_quotes}) Reviews

    SciTech Connect

    Thullen, P.; Bennett, D.R.; Kosiewicz, S.T.; Weaver, D.L.

    1995-12-31

    Offices under the Assistant Secretary for Environmental Restoration and Waste Management (EM) in the Department of Energy (DOE) and some National Laboratories are using Independent Technical or {open_quotes}Red Team{close_quotes} Reviews to understand and improve the performance of major projects, major system acquisitions, programs and organizations. A core group formed in 1991 by Los Alamos National Laboratory and Sandia National Laboratories, has organized teams of commercial and private consultants to perform over fifteen Independent Technical Reviews (ITRs) throughout the DOE Complex. This paper discusses: review initiation, team formation, methodology, site response, and observations gathered over the past three years.

  13. Control of autonomous ground vehicles: a brief technical review

    NASA Astrophysics Data System (ADS)

    Babak, Shahian-Jahromi; Hussain, Syed A.; Karakas, Burak; Cetin, Sabri

    2017-07-01

    This paper presents a brief review of the developments achieved in autonomous vehicle systems technology. A concise history of autonomous driver assistance systems is presented, followed by a review of current state of the art sensor technology used in autonomous vehicles. Standard sensor fusion method that has been recently explored is discussed. Finally, advances in embedded software methodologies that define the logic between sensory information and actuation decisions are reviewed.

  14. 14 CFR 414.19 - Technical criteria for reviewing a safety approval application.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... determine whether a safety element is eligible for and may be issued a safety approval. We will base our... regulations. (2) Government-developed or adopted standards. (3) Industry consensus performance-based...

  15. Distributed Item Review: Administrator User Guide. Technical Report #1603

    ERIC Educational Resources Information Center

    Irvin, P. Shawn

    2016-01-01

    The Distributed Item Review (DIR) is a secure and flexible, web-based system designed to present test items to expert reviewers across a broad geographic area for evaluation of important dimensions of quality (e.g., alignment with standards, bias, sensitivity, and student accessibility). The DIR is comprised of essential features that allow system…

  16. Lung transplantation in patients with scleroderma: case series, review of the literature, and criteria for transplantation.

    PubMed

    Shitrit, David; Amital, Anat; Peled, Nir; Raviv, Yael; Medalion, Benjamin; Saute, Milton; Kramer, Mordechai R

    2009-01-01

    The use of lung transplantation (LTX) to treat respiratory failure because of scleroderma is controversial. We present our experience, review the current literature, and suggest specific criteria for LTX in scleroderma. Of the 174 patients who underwent LTX at our center, seven (4%) had scleroderma-associated respiratory failure. A MEDLINE search of the English literature was performed for studies of LTX in patients with scleroderma between 1986 and 2006. A Kaplan-Meier survival curve was calculated over the time of the studies. The MEDLINE search yielded one large review and four small case series. The small case series were included in the review. The review and our series yield a total of 54 patients. Mean patient age was 47.1 yr; 59.3% were female. Pre-operative lung data were available for 24 patients: 22 (92%) had pulmonary fibrosis and 17 (71%) had pulmonary hypertension. Most patients (69%) underwent single-lung transplantation. Mean forced expiratory volume at one s after LTX was 67% (range 56-87%). There was no difference in infection and rejection rates between the patients with scleroderma and other LTX recipients. The two- and five-yr survival rates were 72% and 55%, respectively. LTX is a valid option in well-selected patients with scleroderma and pulmonary fibrosis, yielding good pulmonary function and acceptable morbidity and mortality.

  17. Accreditation system for technical education programmes in India: A critical review

    NASA Astrophysics Data System (ADS)

    Prasad, G.; Bhar, C.

    2010-05-01

    This paper gives an overview of the Indian technical education system with regard to both its quantitative and qualitative scenario and upholds the value of accreditation in quality improvement and quality assurance of educational programmes. The paper presents a comparison of accreditation systems being followed in some important countries, including India, that are signatories or provisional members of Washington Accord. It also looks into the reasons of the sparse level of accreditation work completed by the National Board of Accreditation (NBA) since its inception. While mentioning strengths of the NBA accreditation system, the paper points out some shortcomings in the policy, self-assessment questionnaire, criteria, weightage assigned to criteria and rating scheme followed by NBA. Some important recommendations have also been made to render the accreditation system more effective and acceptable to various stakeholders of the technical education sector in India.

  18. General Electric ATS Program technical review Phase 2 activities

    SciTech Connect

    Chance, T.; Smith, D.

    1995-12-31

    The Advanced Turbine Systems (ATS) Program Phase 2 objectives are to select a cycle, and to identify and resolve technical issues required to realize the ATS Program goals of 60% net combined cycle efficiency, single digit NOx, and a 10% electric power cost reduction, compared to current technology. The Phase 2 efforts have showns that the ATS Program goals are achievable. The GE Power Generation advanced gas turbine will use closed-loop steam cooling in the first two turbine stages and advanced coatings, seals and cooling designs to meet ATS performance and cost of electricity goals.

  19. Technical Note: Relationships between gamma criteria and action levels: Results of a multicenter audit of gamma agreement index results.

    PubMed

    Crowe, Scott B; Sutherland, Bess; Wilks, Rachael; Seshadri, Venkatakrishnan; Sylvander, Steven; Trapp, Jamie V; Kairn, Tanya

    2016-03-01

    The aim of this work was to use a multicenter audit of modulated radiotherapy quality assurance (QA) data to provide a practical examination of gamma evaluation criteria and action level selection. The use of the gamma evaluation method for patient-specific pretreatment QA is widespread, with most commercial solutions implementing the method. Gamma agreement indices were calculated using the criteria 1%/1 mm, 2%/2 mm, 2%/3 mm, 3%/2 mm, 3%/3 mm, and 5%/3 mm for 1265 pretreatment QA measurements, planned at seven treatment centers, using four different treatment planning systems, delivered using three different delivery systems (intensity-modulated radiation therapy, volumetric-modulated arc therapy, and helical tomotherapy) and measured using three different dose measurement systems. The sensitivity of each pair of gamma criteria was evaluated relative to the gamma agreement indices calculated using 3%/3 mm. A linear relationship was observed for 2%/2 mm, 2%/3 mm, and 3%/2 mm. This result implies that most beams failing at 3%/3 mm would also fail for those criteria, if the action level was adjusted appropriately. Some borderline plans might be passed or failed depending on the relative priority (tighter tolerance) used for dose difference or distance to agreement evaluation. Dosimeter resolution and treatment modality were found to have a smaller effect on the results of QA measurements than the number of dimensions (2D or 3D) over which the gamma evaluation was calculated. This work provides a method (and a large sample of results) for calculating equivalent action levels for different gamma evaluation criteria. This work constitutes a valuable guide for clinical decision making and a means to compare published gamma evaluation results from studies using different evaluation criteria. More generally, the data provided by this work support the recommendation that gamma criteria that specifically prioritize the property of greatest clinical importance for each

  20. Technical bases and guidance for the use of composite soil sampling for demonstrating compliance with radiological release criteria

    SciTech Connect

    Vitkus, Timothy J.

    2012-04-24

    This guidance provides information on methodologies and the technical bases that licensees should consider for incorporating composite sampling strategies into final status survey (FSS) plans. In addition, this guidance also includes appropriate uses of composite sampling for generating the data for other decommissioning site investigations such as characterization or other preliminary site investigations.

  1. MAAG Job Position: Rolebooks and Technical Vocabulary (Iberian Spanish). Methods for Determining Language Objectives and Criteria, Volume VII.

    ERIC Educational Resources Information Center

    Setzler, Hubert H., Jr.; And Others

    Rolebooks and technical Iberian Spanish vocabulary for the job position of military advisory and assistance group (MAAG) officer of the Air Force are presented. The materials are part of the communication/language objectives-based system (C/LOBS), which supports the front-end analysis efforts of the Defense Language Institute Foreign Language…

  2. A Review of Legal Decisions Relevant to Technical Standards Used in Pharmacy School Admissions

    PubMed Central

    2017-01-01

    The implementation of an effective and legally sound technical standards procedure for pharmacy schools requires a proactive approach by admissions officers. Applicants with disabilities are accorded significant rights that must not be infringed during the admissions process in order to ensure compliance with applicable law. This article provides a review of applicable state cases, federal cases, and OCR decisions and guidance to help pharmacy schools identify procedures and implement technical standards into their admissions processes as required by ACPE Standards 2016. PMID:28381897

  3. Development of Conventional Transarterial Chemoembolization for Hepatocellular Carcinomas in Japan: Historical, Strategic, and Technical Review.

    PubMed

    Horikawa, Masahiro; Miyayama, Shiro; Irie, Toshiyuki; Kaji, Tatsumi; Arai, Yasuaki

    2015-10-01

    This article reviews the development of transarterial chemoembolization (TACE) in Japan, particularly ethiodized oil-based conventional TACE, from historical, strategic, and technical points of view. We also present the current status of standardized conventional TACE. Conventional TACE has been developed toward a more-selective and hemodynamic-conscious method, along with technical innovation and knowledge accumulation. Standardization of this method is necessary for further scientific evaluation.

  4. Robotic surgery for gastric cancer: a technical review.

    PubMed

    Hyung, Woo Jin; Woo, Yanghee; Noh, Sung Hoon

    2011-12-01

    Minimally invasive gastric cancer surgery is gaining acceptance, especially in the treatment of patients with early gastric cancer. While offering patients the benefits of minimally invasive surgery, laparoscopic surgery is limited by several disadvantages such as altered operating view and lack of versatility in surgical instrumentation. Robotic surgery offers the surgeon the benefit of superior 3D visualization, the freedom of the EndoWrist function, and the tremble-filtered control of the four robotic arms. Due to the technical advantages of the robotic surgical system, robotic surgery may facilitate the expansion of minimally invasive surgery over laparoscopy. The application of robotic surgery for gastric cancer is increasing in experienced centers. Most reports of the robotic operating methods are only slightly modified from the laparoscopic technique. Robotic gastric cancer surgery including radical subtotal gastrectomy with D2 lymph node dissection is technically feasible and safe and results in similar short-term postoperative outcomes when compared to laparoscopic surgery. The role of robotic surgery in gastric cancer is promising but awaits further comparative studies of long-term results and cost-effectiveness.

  5. 77 FR 8926 - Board Meeting: March 7, 2012-Albuquerque, NM; The U.S. Nuclear Waste Technical Review Board Will...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... discuss technical site-selection criteria for a deep geologic repository. A representative of the U.S... its evaluation of technical issues related to deep borehole disposal. A representative of the Blue... http://www.starwoodmeeting.com/Star ;GroupsWeb/res?id=1201240950&key=A0B7A. A detailed agenda will be...

  6. [Establishment and evaluation of review criteria for ADVIA 120/2120 and different series of hematology analyzers].

    PubMed

    Xing, Ying; Wang, Jian-Zhong; Pu, Cheng-Wei; Shang, Ke; Yan, Zhen-Lin; Bai, Yu-Zhu; Yang, Wen-Shuang; Li, Tao; Zhang, Shi-Min

    2010-06-08

    To establish the suitable review criteria for ADVIA 120/2120 and those for different series of hematology analyzers. A total of 2400 samples, including 6 blood neoplasms, were detected with ADVIA 120/2120 hematology analyzer, in which 1200 samples were detected by Sysmex XE-2100 and Beckman-Coulter LH750 hematology analyzers. In the meantime, blood smears were reviewed, and the results were analyzed statistically. The new review criteria were established by consulting and modifying the one as recommended by an international consensus group. Finally 300 samples were selected to validate the new review criteria. The results of 2400 samples detected by ADVIA 120/2120 hematology analyzer were analyzed statistically according to the international consensus review rules and blood smear positive criteria formulated by Chinese experts. The true positive rate was 22.1% (n = 530), false positive rate 28.1% (n = 675), true negative rate 44.3% (n = 1063), false negative rate 5.5% (n = 132), and the smear review rate 50.2% (n = 1205). The false negative rate was over the acceptable limit of 5%. The new review criteria were established by amending the blood smear positive criteria, i. e. increasing the percentage of band neutrophils, eosinophils, basophils and monocytes and adjusting the international consensus review rules. Then the results were re-analyzed. The true positive rate, false positive rate, true negative rate and false negative rate were 15.5% (n = 371), 18.7% (n = 449), 61.6% (n = 1479) and 4.2% (n = 101) respectively. The smear review rate was 34.2% (n = 821) and no specimen of blood neoplasms was missed. On that basis, the current review criteria for ADVIA 120/2120, XE-2100 and LH750 hematology analyzer were proposed by adding some specific parameters. The results of 1200 samples with three instruments were analyzed according to the current criteria. And the false negative rates were 4.3%, 4.6% and 4.6%, and false positive rate 14.7%, 17.5% and 12.7% respectively

  7. Criteria for evaluation of low light level intensifiervidicon detectors for microscopy and spectroscopy. Technical report No. 24

    SciTech Connect

    Reynolds, G.T.

    1980-08-01

    The growing use and commercial availability of intensified TV detectors for biological research makes it important to have meaningful criteria for system evaluation and comparison. Several methods that are readily achieved in laboratory practice have been described for such evaluations. These procedures are equally applicable to image intensified spectroscopic.

  8. Amplifying Each Patient's Voice: A Systematic Review of Multi-criteria Decision Analyses Involving Patients.

    PubMed

    Marsh, Kevin; Caro, J Jaime; Hamed, Alaa; Zaiser, Erica

    2017-04-01

    Qualitative methods tend to be used to incorporate patient preferences into healthcare decision making. However, for patient preferences to be given adequate consideration by decision makers they need to be quantified. Multi-criteria decision analysis (MCDA) is one way to quantify and capture the patient voice. The objective of this review was to report on existing MCDAs involving patients to support the future use of MCDA to capture the patient voice. MEDLINE and EMBASE were searched in June 2014 for English-language papers with no date restriction. The following search terms were used: 'multi-criteria decision*', 'multiple criteria decision*', 'MCDA', 'benefit risk assessment*', 'risk benefit assessment*', 'multicriteri* decision*', 'MCDM', 'multi-criteri* decision*'. Abstracts were included if they reported the application of MCDA to assess healthcare interventions where patients were the source of weights. Abstracts were excluded if they did not apply MCDA, such as discussions of how MCDA could be used; or did not evaluate healthcare interventions, such as MCDAs to assess the level of health need in a locality. Data were extracted on weighting method, variation in patient and expert preferences, and discussion on different weighting techniques. The review identified ten English-language studies that reported an MCDA to assess healthcare interventions and involved patients as a source of weights. These studies reported 12 applications of MCDA. Different methods of preference elicitation were employed: direct weighting in workshops; discrete choice experiment surveys; and the analytical hierarchy process using both workshops and surveys. There was significant heterogeneity in patient responses and differences between patients, who put greater weight on disease characteristics and treatment convenience, and experts, who put more weight on efficacy. The studies highlighted cognitive challenges associated with some weighting methods, though patients' views on their

  9. Variability of criteria used to diagnose myofascial trigger point pain syndrome--evidence from a review of the literature.

    PubMed

    Tough, Elizabeth A; White, Adrian R; Richards, Suzanne; Campbell, John

    2007-01-01

    The aim of the literature review was to investigate the criteria adopted by "experts" to diagnose myofascial trigger point (MTrP) pain syndrome. Experts were defined as being either researchers investigating MTrP pain syndrome or the "authority" the researchers cited as a source of reference for MTrP pain syndrome diagnosis. We searched electronic databases to identify relevant empirical research (excluding studies not in English and those relating to dental pathology). Of 607 possibly relevant publications 93 met our inclusion criteria. We recorded (1) the individual criterion and criteria combinations used to diagnose MTrP pain syndrome; (2) the cited "authoritative" publications and (3) the criteria recommended by the authoritative publications as being essential for MTrP pain syndrome diagnosis. The review identified 19 different diagnostic criteria. The 4 most commonly applied criteria were: "tender spot in a taut band" of skeletal muscle, "patient pain recognition," "predicted pain referral pattern," and "local twitch response." There was no consistent pattern to the choice of specific diagnostic criteria or their combinations. However, one pair of criteria "tender point in a taut band" and "predicted or recognized pain referral" were used by over half the studies. The great majority of studies cited publications by Travell and more recently Simons as a principal authoritative source for MTrP pain syndrome diagnosis, yet most of these studies failed to apply the diagnostic criteria as described by these authorities. We conclude that there is as yet limited consensus on case definition in respect of MTrP pain syndrome. Further research is needed to test the reliability and validity of diagnostic criteria. Until reliable diagnostic criteria have been established, there is a need for greater transparency in research papers on how a case of MTrP pain syndrome is defined, and claims for effective interventions in treating the condition should be viewed with

  10. A Review and Evaluation of the Langley Research Center's Scientific and Technical Information Program. Results of Phase VI-The Technical Report: A Survey and Analysis.

    ERIC Educational Resources Information Center

    McCullough, Robert A.; And Others

    This report presents the results of a review and evaluation of the Langley Research Center's scientific and technical information program, which examined technical reports from various institutions and organizations to determine the organization of reports, the language used to convey information, and the methods used to present information.…

  11. A Review and Evaluation of the Langley Research Center's Scientific and Technical Information Program. Results of Phase VI-The Technical Report: A Survey and Analysis.

    ERIC Educational Resources Information Center

    McCullough, Robert A.; And Others

    This report presents the results of a review and evaluation of the Langley Research Center's scientific and technical information program, which examined technical reports from various institutions and organizations to determine the organization of reports, the language used to convey information, and the methods used to present information.…

  12. Technical Review of SRS Dose Reconstrruction Methods Used By CDC

    SciTech Connect

    Simpkins, Ali, A

    2005-07-20

    At the request of the Centers for Disease Control and Prevention (CDC), a subcontractor Advanced Technologies and Laboratories International, Inc.(ATL) issued a draft report estimating offsite dose as a result of Savannah River Site operations for the period 1954-1992 in support of Phase III of the SRS Dose Reconstruction Project. The doses reported by ATL differed than those previously estimated by Savannah River Site SRS dose modelers for a variety of reasons, but primarily because (1) ATL used different source terms, (2) ATL considered trespasser/poacher scenarios and (3) ATL did not consistently use site-specific parameters or correct usage parameters. The receptors with the highest dose from atmospheric and liquid pathways were within about a factor of four greater than dose values previously reported by SRS. A complete set of technical comments have also been included.

  13. Extracorporeal machine perfusion of the pancreas: technical aspects and its clinical implications--a systematic review of experimental models.

    PubMed

    Kuan, Kean Guan; Wee, Mau Nam; Chung, Wen Yuan; Kumar, Rohan; Mees, Soeren Torge; Dennison, Ashley; Maddern, Guy; Trochsler, Markus

    2016-01-01

    Pancreas or pancreatic islet transplantation is an important treatment option for insulin-dependent diabetes and its complications. However, as the pancreas is particularly susceptible to ischaemic-reperfusion injury, the criteria for pancreas and islet donation are especially strict. With a chronic shortage of donors, one critical challenge is to maximise organ availability and expand the donor pool. To achieve that, continuous improvement in organ preservation is required, with the aims of reducing ischaemia-reperfusion injury, prolong preservation time and improve graft function. Static cold storage, the only method used in clinical pancreas and islet cell transplant currently, has likely reached its plateau. Machine perfusion, hypothermic or normothermic, could hold the key to improving donor pancreas quality as well as quantity available for transplant. This article reviews the literature on experimental models of pancreas machine perfusion, examines the benefits of machine perfusion, the technical aspects and their clinical implications. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools

    PubMed Central

    Misailidou, Victoria; Malliou, Paraskevi; Beneka, Anastasia; Karagiannidis, Alexandros; Godolias, Georgios

    2010-01-01

    Objective The purpose of this literature review was to synthesize the existing literature on various definitions, classifications, selection criteria, and outcome measures used in different studies in patients with neck pain. Methods A literature search of MEDLINE and CINAHL through September 2008 was performed to gather articles on the reliability, validity, and utility of a wide variety of outcome measurements for neck pain. Results Different types of definitions appear in the literature based on anatomical location, etiology, severity, and duration of symptoms. Classifications according to severity and duration of pain and the establishment of selection criteria seem to play a crucial role in study designs and in clinical settings to ensure homogeneous groups and effective interventions. A series of objective tests and subjective self-report measures are useful in assessing physical abilities, pain, functional ability, psychosocial well-being, general health status, and quality of life in patients with neck pain. Self-administered questionnaires are commonly used in clinical practice and research projects. Conclusions Because of multidimensionality of chronic neck pain, more than just one index may be needed to gain a complete health profile of the patient with neck pain. The instruments chosen should be reliable, valid, and able to evaluate the effects of treatment. PMID:21629550

  15. Liver transplantation for hepatocellular carcinoma beyond the Milan criteria: A review

    PubMed Central

    Xu, Dong-Wei; Wan, Ping; Xia, Qiang

    2016-01-01

    Liver transplantation (LT) has been accepted as an effective therapy for hepatocellular carcinoma (HCC). The Milan criteria (MC) are widely used across the world to select LT candidates in HCC patients. However, the MC may be too strict because a substantial subset of patients who have HCC exceed the MC and who would benefit from LT may be unnecessarily excluded from the waiting list. In recent years, many extended criteria beyond the MC were raised, which were proved to be able to yield similar outcomes compared with those patients meeting the MC. Because the simple use of tumor size and number was insufficient to indicate HCC biological features and to predict the risk of tumor recurrence, some biological markers such as Alpha-fetoprotein, Des-Gamma-carboxy prothrombin and the neutrophil-to-lymphocyte ratio were useful in selecting LT candidates in HCC patients beyond the MC. For patients with advanced HCC, downstaging therapy is an effective way to reduce the tumor stage to fulfill the MC by using liver-directed therapy such as transarterial chemoembolization, radiofrequency ablation and percutaneous ethanol injection. This article reviews the recent advances in LT for HCC beyond the MC. PMID:27022214

  16. BPA-Solicited Technical Review of "Echo Meadows Project Winter Artificial Recharge: Final Report for 2001 Baseline", Technical Report 2004.

    SciTech Connect

    Morgan, David

    2004-02-01

    The purpose of this report was to provide, at BPA's request, a technical review of interim products received for Project 2001-015-00 under contract 6925. BPA sometimes solicits technical reviews for Fish and Wildlife products or issues where outside expertise is required. External review of complex project deliverables assures BPA as a funding agency that the contractor is continuing with scientifically-credible experimental techniques envisioned in the original proposal. If the project's methodology proves feasible, there could be potential applications beyond the project area to similar situations in the Columbia Basin. The Experiment involves artificial flooding during high flow periods and a determination of the portion of the return flows that end up in the Umatilla River during low flow months and within acceptable water quality parameters (e.g., low temperature, few contaminants). Flooding could be a critical water source for aquatic organisms at times of the year when flows in the lower reaches of the Umatilla River are low and water is warmer than would be desired. The experiment was proposed to test whether 'this process, recharges the shallow aquifers of the old flood plain, for natural filtration through the alluvial soils as it returns to the Umatilla River, cleaner and cooler (about 50 degree Fahrenheit) five to six month later (about July and August) substantially cooling the river and [making it] more beneficial to anadromous [fish]'. A substantial amount of preliminary data had been collected and preliminary results were submitted in an interim report 'Echo Meadows Project Winter Artificial Recharge: Final Report for 2001 Baseline (December 2002)'. A substantial amount of addition funding was provided for the last cycle of flooding (Phases II) and final analyses of the full compliment of data collected over the life of the contract (Phase III). Third party scientific review may assist the contractor in producing a higher quality Final Report with

  17. How Do I Review Thee? Let Me Count the Ways: A Comparison of Research Grant Proposal Review Criteria Across US Federal Funding Agencies

    PubMed Central

    Falk-Krzesinski, Holly J.; Tobin, Stacey C.

    2016-01-01

    While Elizabeth Barrett Browning counted 25 ways in which she loves her husband in her poem, “How Do I Love Thee? Let me Count the Ways,” we identified only eight ways to evaluate the potential for success of a federal research grant proposal. This may be surprising, as it seems upon initial glance of the review criteria used by various federal funding agencies that each has its own distinct set of “rules” regarding the review of grant proposals for research and scholarship. Much of the grantsmanship process is dependent upon the review criteria, which represent the funders’ desired impact of the research. But since most funders that offer research grants share the overarching goals of supporting research that (1) fits within its mission and (2) will bring a strong return on its financial investment, the review criteria used to evaluate research grant proposals are based on a similar set of fundamental questions. In this article, we compare the review criteria of 10 US federal agencies that support research through grant programs, and demonstrate that there are actually only a small and finite number of ways that a grant proposal can be evaluated. Though each funding agency may use slightly different wording, we found that the majority of the agencies’ criteria address eight key questions. Within the highly competitive landscape of research grant funding, new researchers must find support for their research agendas and established investigators and research development offices must consider ways to diversify their funding portfolios, yet all may be discouraged by the apparent myriad of differences in review criteria used by various funding agencies. Guided by research administrators and research development professionals, recognizing that grant proposal review criteria are similar across funding agencies may help lower the barrier to applying for federal funding for new and early career researchers, or facilitate funding portfolio diversification for

  18. How Do I Review Thee? Let Me Count the Ways: A Comparison of Research Grant Proposal Review Criteria Across US Federal Funding Agencies.

    PubMed

    Falk-Krzesinski, Holly J; Tobin, Stacey C

    While Elizabeth Barrett Browning counted 25 ways in which she loves her husband in her poem, "How Do I Love Thee? Let me Count the Ways," we identified only eight ways to evaluate the potential for success of a federal research grant proposal. This may be surprising, as it seems upon initial glance of the review criteria used by various federal funding agencies that each has its own distinct set of "rules" regarding the review of grant proposals for research and scholarship. Much of the grantsmanship process is dependent upon the review criteria, which represent the funders' desired impact of the research. But since most funders that offer research grants share the overarching goals of supporting research that (1) fits within its mission and (2) will bring a strong return on its financial investment, the review criteria used to evaluate research grant proposals are based on a similar set of fundamental questions. In this article, we compare the review criteria of 10 US federal agencies that support research through grant programs, and demonstrate that there are actually only a small and finite number of ways that a grant proposal can be evaluated. Though each funding agency may use slightly different wording, we found that the majority of the agencies' criteria address eight key questions. Within the highly competitive landscape of research grant funding, new researchers must find support for their research agendas and established investigators and research development offices must consider ways to diversify their funding portfolios, yet all may be discouraged by the apparent myriad of differences in review criteria used by various funding agencies. Guided by research administrators and research development professionals, recognizing that grant proposal review criteria are similar across funding agencies may help lower the barrier to applying for federal funding for new and early career researchers, or facilitate funding portfolio diversification for experienced

  19. Proposed Diagnostic Criteria, Classification Schema, and Review of Literature of Notochord-Derived Ecchordosis Physaliphora.

    PubMed

    Lagman, Carlito; Varshneya, Kunal; Sarmiento, J Manuel; Turtz, Alan R; Chitale, Rohan V

    2016-03-30

    Ecchordosis physaliphora (EP) is a benign notochordal remnant derived from ectopic nests found along the craniospinal axis. It typically presents asymptomatically and is diagnosed using classic radiologic features, particularly location, T1-hypointensity, T2-hyperintensity, and lack of enhancement following gadolinium (Gd) contrast administration. Distinguishing EP from its malignant counterpart, chordoma, is of paramount importance, given the aggressive nature of the latter. Advances in imaging and immunohistochemistry have aided in diagnosis to an extent but, to our knowledge, identification of the genetic fingerprint of EP has yet to take place. Further cytological analysis of these lesions in search of a genetic link is warranted. We propose here a set of diagnostic criteria based on features consistently cited in the literature. In this literature review, 23 case reports were identified and collated into a summary of symptomatic cases of ecchordosis physaliphora. An illustrative case report of two patients was also included.

  20. Purpose and Criteria for Blood Smear Scan, Blood Smear Examination, and Blood Smear Review

    PubMed Central

    Song, Jinming; Florea, Alina Dulau; Gong, Jerald

    2013-01-01

    A microscopic examination of an appropriately prepared and well-stained blood smear by a knowledgeable laboratory professional is necessary and clinically useful in a number of circumstances and for a variety of reasons. In this article, an attempt is made to delineate the purpose and criteria for blood smear examination in a variety of circumstances that are encountered in everyday laboratory hematology practice. A blood smear scan serves to at least (a) verify the flagged automated hematology results and (b) determine if a manual differential leukocyte count needs to be performed. Blood smear examination/manual differential leukocyte count with complete blood count (CBC) provides the complete hematologic picture of the case, at least from the morphologic standpoint. Blood smear review with or without interpretation serves to ensure that no clinically significant finding is missed, besides providing diagnosis or diagnostic clue(s), particularly if and when interpreted by a physician. PMID:23301216

  1. Purpose and criteria for blood smear scan, blood smear examination, and blood smear review.

    PubMed

    Gulati, Gene; Song, Jinming; Florea, Alina Dulau; Gong, Jerald

    2013-01-01

    A microscopic examination of an appropriately prepared and well-stained blood smear by a knowledgeable laboratory professional is necessary and clinically useful in a number of circumstances and for a variety of reasons. In this article, an attempt is made to delineate the purpose and criteria for blood smear examination in a variety of circumstances that are encountered in everyday laboratory hematology practice. A blood smear scan serves to at least (a) verify the flagged automated hematology results and (b) determine if a manual differential leukocyte count needs to be performed. Blood smear examination/manual differential leukocyte count with complete blood count (CBC) provides the complete hematologic picture of the case, at least from the morphologic standpoint. Blood smear review with or without interpretation serves to ensure that no clinically significant finding is missed, besides providing diagnosis or diagnostic clue(s), particularly if and when interpreted by a physician.

  2. Proposed Diagnostic Criteria, Classification Schema, and Review of Literature of Notochord-Derived Ecchordosis Physaliphora

    PubMed Central

    Lagman, Carlito; Sarmiento, J. Manuel; Turtz, Alan R; Chitale, Rohan V

    2016-01-01

    Ecchordosis physaliphora (EP) is a benign notochordal remnant derived from ectopic nests found along the craniospinal axis. It typically presents asymptomatically and is diagnosed using classic radiologic features, particularly location, T1-hypointensity, T2-hyperintensity, and lack of enhancement following gadolinium (Gd) contrast administration. Distinguishing EP from its malignant counterpart, chordoma, is of paramount importance, given the aggressive nature of the latter. Advances in imaging and immunohistochemistry have aided in diagnosis to an extent but, to our knowledge, identification of the genetic fingerprint of EP has yet to take place. Further cytological analysis of these lesions in search of a genetic link is warranted. We propose here a set of diagnostic criteria based on features consistently cited in the literature. In this literature review, 23 case reports were identified and collated into a summary of symptomatic cases of ecchordosis physaliphora. An illustrative case report of two patients was also included.  PMID:27158576

  3. 23 CFR 636.305 - Can price information be provided to analysts who are reviewing technical proposals?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Proposal Evaluation...? Normally, technical and price proposals are reviewed independently by separate evaluation teams....

  4. 23 CFR 636.305 - Can price information be provided to analysts who are reviewing technical proposals?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Proposal Evaluation...? Normally, technical and price proposals are reviewed independently by separate evaluation teams....

  5. Independent Technical Review of In-Tank Precipitation (ITP) at the Savannah River Site

    SciTech Connect

    Not Available

    1993-06-01

    An Independent Technical Review of In-Tank Precipitation (ITP) and Extended Sludge Processing (ESP) at the Savannah River Site (SRS) was carried out in March, 1993. The review focused on ITP/ESP equipment and chemical processes, integration of ITP/ESP within the High Level Waste (HLW) and Defense Waste Processing Facility (DWPF) systems, and management and regulatory concerns. Following the ITR executive summary, this report includes: Chapter I--summary assessment; Chapter II--recommendations; and Chapter III--technical evaluations.

  6. Non-technical skills of the operating theatre scrub nurse: literature review.

    PubMed

    Mitchell, Lucy; Flin, Rhona

    2008-07-01

    This paper is a report of a review to identify the non-technical (cognitive and social) skills used by scrub nurses. Recognition that failures in non-technical skills contributed to accidents in high-risk industries led to the development of research programmes to study the role of cognition and social interactions in operational safety. Recently, psychological research in operating theatres has revealed the importance of non-technical skills in safe and efficient performance. Most of the studies to date have focused on anaesthetists and surgeons. On-line sources and university library catalogues, publications of the Association for Perioperative Practice, National Association of Theatre Nurses and Association of Peri-Operative Registered Nurses were searched in 2007. Studies were included in the review if they presented data from scrub nurses on one or more of their non-technical skills. These findings were examined in relation to an existing medical non-technical skills framework with categories of communication, teamwork, leadership, situation awareness and decision-making. Of 424 publications retrieved, 13 were reviewed in detail. Ten concerned communication and eight of those also had data on teamwork. In 11 papers teamwork was examined, and one focused on nurses' situation awareness, teamwork and communication. None of the papers we reviewed examined leadership or decision-making by scrub nurses. Further work is needed to identify formally the non-technical skills which are important to the role of scrub nurse and then to design training in the identified non-technical skills during the education and development of scrub nurses.

  7. RESIDENTIAL WOOD COMBUSTION TECHNOLOGY REVIEW VOLUME 1. TECHNICAL REPORT

    EPA Science Inventory

    This report gives results of a review of the current state-of-the-art of residential wood combustion (RWC). The key environmental parameter of concern was the air emission of particles. The technological status of all major RWC categories -- cordwood stoves, fireplaces, masonry h...

  8. RESIDENTIAL WOOD COMBUSTION TECHNOLOGY REVIEW VOLUME 1. TECHNICAL REPORT

    EPA Science Inventory

    This report gives results of a review of the current state-of-the-art of residential wood combustion (RWC). The key environmental parameter of concern was the air emission of particles. The technological status of all major RWC categories -- cordwood stoves, fireplaces, masonry h...

  9. 33 CFR 148.707 - What type of criteria will be used in an environmental review and how will they be applied?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... used in an environmental review and how will they be applied? 148.707 Section 148.707 Navigation and...: GENERAL Environmental Review Criteria for Deepwater Ports § 148.707 What type of criteria will be used in an environmental review and how will they be applied? (a) The license application will be reviewed...

  10. Palliative Surgery for Advanced Cancer: Identifying Evidence-Based Criteria for Patient Selection: Case Report and Review of Literature.

    PubMed

    Foster, Deshka; Shaikh, Mohammad F; Gleeson, Elizabeth; Babcock, Blake D; Ringold, Daniel; Bowne, Wilbur B

    2016-01-01

    Criteria for selecting patients with advanced cancer for palliative surgery (PS) remains poorly defined. Decision making for PS requires realistic treatment goals with well-defined criteria. Here we discuss a 71-year-old Jehovah's Witness with advanced stage renal cell carcinoma (RCC) who presented with profound anemia due to intractable bleeding from gastric metastasis. After repeated attempts with endoscopic and angiographic management, she underwent surgical palliation. Through this case, we developed 10-item evidence-based criteria for selecting patients for PS. The study objective was to provide a review of pertinent literature for PS and identify evidence-based criteria for patient selection. These criteria were relevant for selecting this patient with metastatic RCC and may prove beneficial for selecting advanced cancer patients for PS. A MEDLINE search revealed 175 publications relevant to PS. Among these, 17 articles defining patient selection criteria (PSC) were reviewed. A frequency-based analysis of each criterion was performed. Another search returned 30 cases of RCC gastric metastases from 25 published reports. Outcome analysis was determined by the Kaplan-Meier actuarial method. Ten criteria were identified: symptom control, prognosis, preoperative performance status, quality of life (QoL), tumor burden amenable to palliation, procedure-related morbidity and mortality, feasibility of nonsurgical therapies, anticipated hospitalization, requirement for additional palliation, and cost. This patient met all inclusion criteria and underwent a successful gastrectomy. Median survival for patients with RCC gastric metastasis was 20 months. This report illustrates an example of implementation of evidence-based criteria for selecting advanced cancer patients for PS. Validation of these criteria is warranted.

  11. Methodological criteria for the assessment of moderators in systematic reviews of randomised controlled trials: a consensus study

    PubMed Central

    2011-01-01

    Background Current methodological guidelines provide advice about the assessment of sub-group analysis within RCTs, but do not specify explicit criteria for assessment. Our objective was to provide researchers with a set of criteria that will facilitate the grading of evidence for moderators, in systematic reviews. Method We developed a set of criteria from methodological manuscripts (n = 18) using snowballing technique, and electronic database searches. Criteria were reviewed by an international Delphi panel (n = 21), comprising authors who have published methodological papers in this area, and researchers who have been active in the study of sub-group analysis in RCTs. We used the Research ANd Development/University of California Los Angeles appropriateness method to assess consensus on the quantitative data. Free responses were coded for consensus and disagreement. In a subsequent round additional criteria were extracted from the Cochrane Reviewers' Handbook, and the process was repeated. Results The recommendations are that meta-analysts report both confirmatory and exploratory findings for sub-groups analysis. Confirmatory findings must only come from studies in which a specific theory/evidence based a-priori statement is made. Exploratory findings may be used to inform future/subsequent trials. However, for inclusion in the meta-analysis of moderators, the following additional criteria should be applied to each study: Baseline factors should be measured prior to randomisation, measurement of baseline factors should be of adequate reliability and validity, and a specific test of the interaction between baseline factors and interventions must be presented. Conclusions There is consensus from a group of 21 international experts that methodological criteria to assess moderators within systematic reviews of RCTs is both timely and necessary. The consensus from the experts resulted in five criteria divided into two groups when synthesising evidence: confirmatory

  12. Technical Packages in Injury and Violence Prevention to Move Evidence Into Practice: Systematic Reviews and Beyond.

    PubMed

    Haegerich, Tamara M; David-Ferdon, Corinne; Noonan, Rita K; Manns, Brian J; Billie, Holly C

    2016-09-07

    Injury and violence prevention strategies have greater potential for impact when they are based on scientific evidence. Systematic reviews of the scientific evidence can contribute key information about which policies and programs might have the greatest impact when implemented. However, systematic reviews have limitations, such as lack of implementation guidance and contextual information, that can limit the application of knowledge. "Technical packages," developed by knowledge brokers such as the federal government, nonprofit agencies, and academic institutions, have the potential to be an efficient mechanism for making information from systematic reviews actionable. Technical packages provide information about specific evidence-based prevention strategies, along with the estimated costs and impacts, and include accompanying implementation and evaluation guidance to facilitate adoption, implementation, and performance measurement. We describe how systematic reviews can inform the development of technical packages for practitioners, provide examples of technical packages in injury and violence prevention, and explain how enhancing review methods and reporting could facilitate the use and applicability of scientific evidence. © The Author(s) 2016.

  13. General Electric ATS program technical review: Phase 2 activities

    SciTech Connect

    Chance, T.; Smith, D.

    1995-10-01

    In response to the industrial and utility objectives specified for the ATS, the GE Power Generation ATS Phase 2 Program consisted of a dual approach. These were (1) development of an Industrial ATS (aircraft engine based) led by GE Aircraft Engines, and (2) development of a Utility ATS which was already underway at GEPG. Both programs required the identification and resolution of critical technical issues. Both systems were studied in Tasks 3-7, and both have resulted in designs that meet all ATS goals. The Industrial ATS as defined (130 MW) did not meet projected market power size requirements, and emphasis has remained on the Utility ATS development. The design and testing effort has been focused on the MS7001H combined cycle gas turbine, as the next product evolution in GE Power Generation`s product line. Common technology derived from the ATS Program is also being incorporated into the 50 Hz version of the ATS utility machine designated as the MS9001H.

  14. Multi-criteria decision making to support waste management: A critical review of current practices and methods.

    PubMed

    Goulart Coelho, Lineker M; Lange, Liséte C; Coelho, Hosmanny Mg

    2017-01-01

    Solid waste management is a complex domain involving the interaction of several dimensions; thus, its analysis and control impose continuous challenges for decision makers. In this context, multi-criteria decision-making models have become important and convenient supporting tools for solid waste management because they can handle problems involving multiple dimensions and conflicting criteria. However, the selection of the multi-criteria decision-making method is a hard task since there are several multi-criteria decision-making approaches, each one with a large number of variants whose applicability depends on information availability and the aim of the study. Therefore, to support researchers and decision makers, the objectives of this article are to present a literature review of multi-criteria decision-making applications used in solid waste management, offer a critical assessment of the current practices, and provide suggestions for future works. A brief review of fundamental concepts on this topic is first provided, followed by the analysis of 260 articles related to the application of multi-criteria decision making in solid waste management. These studies were investigated in terms of the methodology, including specific steps such as normalisation, weighting, and sensitivity analysis. In addition, information related to waste type, the study objective, and aspects considered was recorded. From the articles analysed it is noted that studies using multi-criteria decision making in solid waste management are predominantly addressed to problems related to municipal solid waste involving facility location or management strategy.

  15. Nuclear Safety: Technical progress review, January--March 1989

    SciTech Connect

    Silver, E. G.

    1989-01-01

    This review journal covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated.

  16. A Comprehensive Review of Selected Business Programs in Community Colleges and Area Vocational-Technical Centers. Program Review Report.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Vocational, Adult, and Community Education.

    In 1988, a review was conducted of the business component of associate in arts and associate in science (AS) degree programs, and of the certificate programs in business in Florida community colleges and area vocational-technical centers. Focusing primarily on business programs in marketing, general business management, and small business…

  17. The KRISP 90 seismic experiment—a technical review

    NASA Astrophysics Data System (ADS)

    Prodehl, C.; Mechie, J.; Achauer, U.; Keller, G. R.; Khan, M. A.; Mooney, W. D.; Gaciri, S. J.; Obel, J. D.

    1994-09-01

    On the basis of a preliminary experiment in 1985 (KRISP 85), a seismic refraction/wide-angle reflection survey and a teleseismic tomography experiment were jointly undertaken to study the lithospheric structure of the Kenya rift down to depths of greater than 200 km. This report serves as an introduction to a series of subsequent papers and will focus on the technical description of the seismic surveys of the main KRISP 90 effort. The seismic refraction/wide-angle reflection survey was carried out in a 4-week period in January and February 1990. It consisted of three profiles: one extending along the rift valley from Lake Turkana to Lake Magadi, one crossing the rift at Lake Baringo, and one located on the eastern flank of the rift proper. A total of 206 mobile vertical-component seismographs, with an average station interval of about 2 km, recorded the energy of underwater and borehole explosions to distances of up to about 550 km. During the teleseismic survey an array of 65 seismographs was deployed to record teleseismic, regional and local events for a period of about 7 months from October 1989 to April 1990. The elliptical array spanned the central portion of the rift, with Nakuru at its center, and covered an area about 300 × 200 km, with an average station spacing of 10-30 km. Major scientific goals of the project were to reveal the detailed crustal and upper-mantle structure under the Kenya rift, to study the relationship between deep crustal and mantle structure and the development of sedimentary basins and volcanic features within the rift, to understand the role of the Kenya rift within the Afro-Arabian rift system, and to answer fundamental questions such as the mode and mechanism of continental rifting.

  18. The KRISP 90 seismic experiment-a technical review

    USGS Publications Warehouse

    Prodehl, C.; Mechie, J.; Achauer, U.; Keller, Gordon R.; Khan, M.A.; Mooney, W.D.; Gaciri, S.J.; Obel, J.D.

    1994-01-01

    On the basis of a preliminary experiment in 1985 (KRISP 85), a seismic refraction/wide-angle reflection survey and a teleseismic tomography experiment were jointly undertaken to study the lithospheric structure of the Kenya rift down to depths of greater than 200 km. This report serves as an introduction to a series of subsequent papers and will focus on the technical description of the seismic surveys of the main KRISP 90 effort. The seismic refraction/wide-angle reflection survey was carried out in a 4-week period in January and February 1990. It consisted of three profiles: one extending along the rift valley from Lake Turkana to Lake Magadi, one crossing the rift at Lake Baringo, and one located on the eastern flank of the rift proper. A total of 206 mobile vertical-component seismographs, with an average station interval of about 2 km, recorded the energy of underwater and borehole explosions to distances of up to about 550 km. During the teleseismic survey an array of 65 seismographs was deployed to record teleseismic, regional and local events for a period of about 7 months from October 1989 to April 1990. The elliptical array spanned the central portion of the rift, with Nakuru at its center, and covered an area about 300 ?? 200 km, with an average station spacing of 10-30 km. Major scientific goals of the project were to reveal the detailed crustal and upper-mantle structure under the Kenya rift, to study the relationship between deep crustal and mantle structure and the development of sedimentary basins and volcanic features within the rift, to understand the role of the Kenya rift within the Afro-Arabian rift system, and to answer fundamental questions such as the mode and mechanism of continental rifting. ?? 1994.

  19. Technical Review of the Laboratory Biosphere Closed Ecological System Facility

    NASA Astrophysics Data System (ADS)

    Dempster, W.; van Thillo, M.; Alling, A.; Allen, J.; Silverstone, S.; Nelson, M.

    The "Laboratory Biosphere", a new closed ecological system facility in Santa Fe, New Mexico (USA) has been constructed and became operational in May 2002. Built and operated by the Global Ecotechnics consortium (Biosphere Technologies and Biosphere Foundation with Biospheric Design Inc., and the Institute of Ecotechnics), the research apparatus for intensive crop growth, biogeochemical cycle dynamics and recycling of inedible crop biomass comprises a sealed cylindrical steel chamber and attached variable volume chamber (lung) to prevent pressures caused by the expansion and contraction of the contained air. The cylindrical growing chamber is 3.7m (12 feet) long and 3.7m (12 foot) diameter, giving an internal volume of 34 m3 (1200 ft 3 ). The two crop growth beds cover 5.5 m2, with a soil depth of 0.3m (12 inches), with 12 x 1000 watt high-pressure sodium lights capable of variable lighting of 40-70 mol per m2 per day. A small soil bed reactor in the chamber can be activated to help with metabolism of chamber trace gases. The volume of the attached variable volume chamber (lung) can range between 0-11 m3 (0-400 ft 3 ). Evapotranspired and soil leachate water are collected, combined and recycled to water the planting beds. Sampling ports enable testing of water quality of leachate, condensate and irrigation water. Visual inspection windows provide views of the entire interior and growing beds. The chamber is also outfitted with an airlock to minimize air exchange when people enter and work in the chamber. Continuous sensors include atmospheric CO2 and oxygen, temperature, humidity, soil moisture, light level and water levels in reservoirs. Both "sniffer" (air ports) and "sipper" (water ports) will enable collection of water or air samples for detailed analysis. This paper reports on the development of this new soil-based bioregenerative life support closed system apparatus and its technical challenges and capabilities.

  20. Technical issues related to NUREG 0800, Chapter 18: Human Factors Engineering/Standard Review Plan

    SciTech Connect

    Savage, J.W.

    1982-11-05

    The revision of Chapter 18 of NUREG 0800, Human Factors Engineering Standard Review Plan (SRP) will be based on SECY 82-111 and guidance contained in NUREG 0700, NUREG 0801 and NUREG 0835, plus other references. In conducting field reviews of control rooms, the NRC has identified technical issues which can be used to enhance the development of the revised version of NUREG 0800, and to establish priorities among the list of possible Branch Technical Positions (BTP) in NUREG 0800, Rev. 0, Table 18.0-2. This report is a compilation of comments and suggestions from the people who used NUREG 0700 in the Control Room field reviews. This information was used to establish possible BTP topic priorities so that the most important BTPs could be issued first. The comments and suggestions are included for HFEB review in conjunction with the table of priorities.

  1. Nuclear Safety: Volume 29, No. 3: Technical progress review

    SciTech Connect

    Silver, E G

    1988-07-01

    Nuclear Safety is a review journal that covers significant development in the field of nuclear safety. Its scope included the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated. Individual papers have been cataloged separately.

  2. Nulcear Safety: Technical progress review, October--December 1988

    SciTech Connect

    Silver, E G

    1988-01-01

    Nuclear Safety is a review journal that covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated.

  3. The Effect of Technical Performance on Patient Outcomes in Surgery: A Systematic Review.

    PubMed

    Fecso, Andras B; Szasz, Peter; Kerezov, Georgi; Grantcharov, Teodor P

    2017-03-01

    Systematic review of the effect of intraoperative technical performance on patient outcomes. The operating room is a high-stakes, high-risk environment. As a result, the quality of surgical interventions affecting patient outcomes has been the subject of discussion and research for years. MEDLINE, EMBASE, PsycINFO, and Cochrane databases were searched. All surgical specialties were eligible for inclusion. Data were reviewed in regards to the methods by which technical performance was measured, what patient outcomes were assessed, and how intraoperative technical performance affected patient outcomes. Quality of evidence was assessed using the Medical Education Research Study Quality Instrument (MERSQI). Of the 12,758 studies initially identified, 24 articles (7775 total participants) were ultimately included in this review. Seventeen studies assessed the performance of the faculty alone, 2 assessed both the faculty and trainees, 1 assessed trainees alone, and in 4 studies, the level of the operating surgeon was not specified. In 18 studies, a performance assessment tool was used. Patient outcomes were evaluated using intraoperative complications, short-term morbidity, long-term morbidity, short-term mortality, and long-term mortality. The average MERSQI score was 11.67 (range 9.5-14.5). Twenty-one studies demonstrated that superior technical performance was related to improved patient outcomes. The results of this systematic review demonstrated that superior technical performance positively affects patient outcomes. Despite this initial evidence, more robust research is needed to directly assess intraoperative technical performance and its effect on postoperative patient outcomes using meaningful assessment instruments and reliable processes.

  4. 77 FR 22844 - Agency Information Collection Activity Under OMB Review: Uniform Criteria for State Observational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ...: Uniform Criteria for State Observational Surveys of Seat Belt Use AGENCY: National Highway Traffic Safety.... SUPPLEMENTARY INFORMATION: ] Title: Uniform Criteria for State Observational Surveys of Seat Belt Use. OMB... implement an annual statewide seat belt use survey in accordance with criteria established by the...

  5. A review of odour impact criteria in selected countries around the world.

    PubMed

    Brancher, Marlon; Griffiths, K David; Franco, Davide; de Melo Lisboa, Henrique

    2017-02-01

    Exposure to environmental odour can result in annoyance, health effects and depreciation of property values. Therefore, many jurisdictions classify odour as an atmospheric pollutant and regulate emissions and/or impacts from odour generating activities at a national, state or municipal level. In this work, a critical review of odour regulations in selected jurisdictions of 28 countries is presented. Individual approaches were identified as: comparing ambient air odour concentration and individual chemicals statistics against impact criteria (maximum impact standard); using fixed and variable separation distances (separation distance standard); maximum emission rate for mixtures of odorants and individual chemical species (maximum emission standard); number of complaints received or annoyance level determined via community surveys (maximum annoyance standard); and requiring use of best available technologies (BAT) to minimize odour emissions (technology standard). The comparison of model-predicted odour concentration statistics against odour impact criteria (OIC) is identified as one of the most common tools used by regulators to evaluate the risk of odour impacts in planning stage assessments and is also used to inform assessment of odour impacts of existing facilities. Special emphasis is given to summarizing OIC (concentration percentile and threshold) and the manner in which they are applied. The way short term odour peak to model time-step mean (peak-to-mean) effects is also captured. Furthermore, the fundamentals of odorant properties, dimensions of nuisance odour, odour sampling and analysis methods and dispersion modelling guidance are provided. Common elements of mature and effective odour regulation frameworks are identified and an integrated multi-tool strategy is recommended.

  6. Dynamics of large-scale electrophysiological networks: A technical review.

    PubMed

    O'Neill, George C; Tewarie, Prejaas; Vidaurre, Diego; Liuzzi, Lucrezia; Woolrich, Mark W; Brookes, Matthew J

    2017-10-04

    For several years it has been argued that neural synchronisation is crucial for cognition. The idea that synchronised temporal patterns between different neural groups carries information above and beyond the isolated activity of these groups has inspired a shift in focus in the field of functional neuroimaging. Specifically, investigation into the activation elicited within certain regions by some stimulus or task has, in part, given way to analysis of patterns of co-activation or functional connectivity between distal regions. Recently, the functional connectivity community has been looking beyond the assumptions of stationarity that earlier work was based on, and has introduced methods to incorporate temporal dynamics into the analysis of connectivity. In particular, non-invasive electrophysiological data (magnetoencephalography/electroencephalography (MEG/EEG)), which provides direct measurement of whole-brain activity and rich temporal information, offers an exceptional window into such (potentially fast) brain dynamics. In this review, we discuss challenges, solutions, and a collection of analysis tools that have been developed in recent years to facilitate the investigation of dynamic functional connectivity using these imaging modalities. Further, we discuss the applications of these approaches in the study of cognition and neuropsychiatric disorders. Finally, we review some existing developments that, by using realistic computational models, pursue a deeper understanding of the underlying causes of non-stationary connectivity. Copyright © 2017. Published by Elsevier Inc.

  7. Instruments for Assessing Risk of Bias and Other Methodological Criteria of Published Animal Studies: A Systematic Review

    PubMed Central

    Krauth, David; Woodruff, Tracey J.

    2013-01-01

    Background: Results from animal toxicology studies are critical to evaluating the potential harm from exposure to environmental chemicals or the safety of drugs prior to human testing. However, there is significant debate about how to evaluate the methodology and potential biases of the animal studies. There is no agreed-upon approach, and a systematic evaluation of current best practices is lacking. Objective: We performed a systematic review to identify and evaluate instruments for assessing the risk of bias and/or other methodological criteria of animal studies. Method: We searched Medline (January 1966–November 2011) to identify all relevant articles. We extracted data on risk of bias criteria (e.g., randomization, blinding, allocation concealment) and other study design features included in each assessment instrument. Discussion: Thirty distinct instruments were identified, with the total number of assessed risk of bias, methodological, and/or reporting criteria ranging from 2 to 25. The most common criteria assessed were randomization (25/30, 83%), investigator blinding (23/30, 77%), and sample size calculation (18/30, 60%). In general, authors failed to empirically justify why these or other criteria were included. Nearly all (28/30, 93%) of the instruments have not been rigorously tested for validity or reliability. Conclusion: Our review highlights a number of risk of bias assessment criteria that have been empirically tested for animal research, including randomization, concealment of allocation, blinding, and accounting for all animals. In addition, there is a need for empirically testing additional methodological criteria and assessing the validity and reliability of a standard risk of bias assessment instrument. Citation: Krauth D, Woodruff TJ, Bero L. 2013. Instruments for assessing risk of bias and other methodological criteria of published animal studies: a systematic review. Environ Health Perspect 121:985–992 (2013); http://dx.doi.org/10

  8. 24 CFR 902.68 - Technical review of results of PHAS physical condition indicator.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 4 2013-04-01 2013-04-01 false Technical review of results of PHAS physical condition indicator. 902.68 Section 902.68 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN...

  9. A Critical Review of the Technical Characteristics of Current Preschool Screening Batteries

    ERIC Educational Resources Information Center

    Emmons, Michael R.; Alfonso, Vincent C.

    2005-01-01

    The current review provides a summary and evaluation of the technical characteristics of five preschool screening batteries, including the Brigance Screens, DIAL-3, ESI-R, ESP, and FirstSTEP. These norm-referenced instruments were selected on the basis of their commercial availability, description as a screening instrument, and ability to assess…

  10. Ozone (O3) Standards - Other Technical Documents from the Current Review

    EPA Pesticide Factsheets

    These memoranda were each sent in to the Ozone NAAQS Review Docket, EPA-HQ-OAR-2008-0699, after the proposed rule was published. They present technical data on the methods, monitoring stations, and metrics used to estimate ozone concentrations.

  11. Robotic Arm-Assisted Sonography: Review of Technical Developments and Potential Clinical Applications.

    PubMed

    Swerdlow, Daniel R; Cleary, Kevin; Wilson, Emmanuel; Azizi-Koutenaei, Bamshad; Monfaredi, Reza

    2017-04-01

    Ultrasound imaging requires trained personnel. Advances in robotics and data transmission create the possibility of telesonography. This review introduces clinicians to current technical work in and potential applications of this developing capability. Telesonography offers advantages in hazardous or remote environments. Robotically assisted ultrasound can reduce stress injuries in sonographers and has potential utility during robotic surgery and interventional procedures.

  12. 78 FR 59017 - Meeting of the Mobile Sources Technical Review Subcommittee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... activities being conducted by EPA's Office of Transportation and Air Quality. The preliminary agenda for the... Transportation and Air Quality. BILLING CODE 6560-50-P ..., Public Law 92- 463, notice is hereby given that the Mobile Sources Technical Review Subcommittee...

  13. 48 CFR 801.602-82 - Documents to submit for legal or technical review-general.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Documents to submit for legal or technical review-general. 801.602-82 Section 801.602-82 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS GENERAL DEPARTMENT OF VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career...

  14. A Critical Review of the Technical Characteristics of Current Preschool Screening Batteries

    ERIC Educational Resources Information Center

    Emmons, Michael R.; Alfonso, Vincent C.

    2005-01-01

    The current review provides a summary and evaluation of the technical characteristics of five preschool screening batteries, including the Brigance Screens, DIAL-3, ESI-R, ESP, and FirstSTEP. These norm-referenced instruments were selected on the basis of their commercial availability, description as a screening instrument, and ability to assess…

  15. Measuring the Value Added by Technical Documentation: A Review of Research and Practice.

    ERIC Educational Resources Information Center

    Mead, Jay

    1998-01-01

    Reviews existing work on establishing value of technical documentation to determine its principles. States that value can be returned by reducing internal investment, increasing sales, and reducing after-sales costs. Argues that further research will improve the understanding of information as the product itself, rather than simply a supporting…

  16. Vocational, Technical, and Practical Arts Education. Review of Educational Research, Volume 32, Number 4.

    ERIC Educational Resources Information Center

    American Educational Research Association, Washington, DC.

    The major research findings for the 6-year period following October 1956 are reported in the categories: (1) Vocational, Technical, and Practical Arts Education which discusses the current status of research in vocational education and the practical arts and reviews significant research which cuts across or is relevant to two or more of the…

  17. A Systematic Review of Apps using Mobile Criteria for Adolescent Pregnancy Prevention (mCAPP).

    PubMed

    Chen, Elizabeth; Mangone, Emily Rose

    2016-11-10

    Adolescents in the United States and globally represent a high-risk population for unintended pregnancy, which leads to high social, economic, and health costs. Access to smartphone apps is rapidly increasing among youth, but little is known about the strategies that apps employ to prevent pregnancy among adolescents and young adults. Further, there are no guidelines on best practices for adolescent and young adult pregnancy prevention through mobile apps. This review developed a preliminary evaluation framework for the assessment of mobile apps for adolescent and young adult pregnancy prevention and used this framework to assess available apps in the Apple App Store and Google Play that targeted adolescents and young adults with family planning and pregnancy prevention support. We developed an assessment rubric called Mobile Criteria for Adolescent Pregnancy Prevention (mCAPP) for data extraction using evidence-based and promising best practices from the literature. mCAPP comprises 4 domains: (1) app characteristics, (2) user interface features, (3) adolescent pregnancy prevention best practices, and (4) general sexual and reproductive health (SRH) features. For inclusion in the review, apps that advertised pregnancy prevention services and explicitly mentioned youth, were in English, and were free were systematically identified in the Apple App Store and Google Play in 2015. Screening, data extraction, and 4 interrater reliability checks were conducted by 2 reviewers. Each app was assessed for 92 facets of the mCAPP checklist. Our search returned 4043 app descriptions in the Apple App Store (462) and Google Play (3581). After screening for inclusion criteria, 22 unique apps were included in our analysis. Included apps targeted teens in primarily developed countries, and the most common user interface features were clinic and health service locators. While app strengths included provision of SRH education, description of modern contraceptives, and some use of

  18. A Systematic Review of Apps using Mobile Criteria for Adolescent Pregnancy Prevention (mCAPP)

    PubMed Central

    2016-01-01

    Background Adolescents in the United States and globally represent a high-risk population for unintended pregnancy, which leads to high social, economic, and health costs. Access to smartphone apps is rapidly increasing among youth, but little is known about the strategies that apps employ to prevent pregnancy among adolescents and young adults. Further, there are no guidelines on best practices for adolescent and young adult pregnancy prevention through mobile apps. Objective This review developed a preliminary evaluation framework for the assessment of mobile apps for adolescent and young adult pregnancy prevention and used this framework to assess available apps in the Apple App Store and Google Play that targeted adolescents and young adults with family planning and pregnancy prevention support. Methods We developed an assessment rubric called Mobile Criteria for Adolescent Pregnancy Prevention (mCAPP) for data extraction using evidence-based and promising best practices from the literature. mCAPP comprises 4 domains: (1) app characteristics, (2) user interface features, (3) adolescent pregnancy prevention best practices, and (4) general sexual and reproductive health (SRH) features. For inclusion in the review, apps that advertised pregnancy prevention services and explicitly mentioned youth, were in English, and were free were systematically identified in the Apple App Store and Google Play in 2015. Screening, data extraction, and 4 interrater reliability checks were conducted by 2 reviewers. Each app was assessed for 92 facets of the mCAPP checklist. Results Our search returned 4043 app descriptions in the Apple App Store (462) and Google Play (3581). After screening for inclusion criteria, 22 unique apps were included in our analysis. Included apps targeted teens in primarily developed countries, and the most common user interface features were clinic and health service locators. While app strengths included provision of SRH education, description of modern

  19. Technical Review of the UNET2D Hydraulic Model

    SciTech Connect

    Perkins, William A.; Richmond, Marshall C.

    2009-05-18

    The Kansas City District of the US Army Corps of Engineers is engaged in a broad range of river management projects that require knowledge of spatially-varied hydraulic conditions such as velocities and water surface elevations. This information is needed to design new structures, improve existing operations, and assess aquatic habitat. Two-dimensional (2D) depth-averaged numerical hydraulic models are a common tool that can be used to provide velocity and depth information. Kansas City District is currently using a specific 2D model, UNET2D, that has been developed to meet the needs of their river engineering applications. This report documents a tech- nical review of UNET2D.

  20. 76 FR 17970 - Board Meeting: April 27, 2011-Amherst, New York; the U.S. Nuclear Waste Technical Review Board...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... From the Federal Register Online via the Government Publishing Office NUCLEAR WASTE TECHNICAL REVIEW BOARD Board Meeting: April 27, 2011--Amherst, New York; the U.S. Nuclear Waste Technical Review... 5051 of Public Law 100-203, Nuclear Waste Policy Amendments Act of 1987, the U.S. Nuclear...

  1. 23 CFR 636.305 - Can price information be provided to analysts who are reviewing technical proposals?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Factors § 636.305 Can price information be provided to analysts who are reviewing technical proposals... 23 Highways 1 2014-04-01 2014-04-01 false Can price information be provided to analysts who are reviewing technical proposals? 636.305 Section 636.305 Highways FEDERAL HIGHWAY ADMINISTRATION,...

  2. 23 CFR 636.305 - Can price information be provided to analysts who are reviewing technical proposals?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Factors § 636.305 Can price information be provided to analysts who are reviewing technical proposals... 23 Highways 1 2012-04-01 2012-04-01 false Can price information be provided to analysts who are reviewing technical proposals? 636.305 Section 636.305 Highways FEDERAL HIGHWAY ADMINISTRATION,...

  3. 23 CFR 636.305 - Can price information be provided to analysts who are reviewing technical proposals?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Factors § 636.305 Can price information be provided to analysts who are reviewing technical proposals... 23 Highways 1 2013-04-01 2013-04-01 false Can price information be provided to analysts who are reviewing technical proposals? 636.305 Section 636.305 Highways FEDERAL HIGHWAY ADMINISTRATION,...

  4. Debriefing after simulation-based non-technical skill training in healthcare: a systematic review of effective practice.

    PubMed

    Garden, A L; Le Fevre, D M; Waddington, H L; Weller, J M

    2015-05-01

    Non-technical skills training in healthcare frequently uses high-fidelity simulation followed by a facilitated discussion known as debriefing. This type of training is mandatory for anaesthesia training in Australia and New Zealand. Debriefing by a skilled facilitator is thought to be essential for new learning through feedback and reflective processes. Key elements of effective debriefing need to be clearly identified to ensure that the training is evidence-based. We undertook a systematic review of empirical studies where elements of debriefing have been systematically manipulated during non-technical skills training. Eight publications met the inclusion criteria, but seven of these were of limited generalisability. The only study that was generalisable found that debriefing by novice instructors using a script improved team leader performance in paediatric resuscitation. The remaining seven publications were limited by the small number of debriefers included in each study and these reports were thus analogous to case reports. Generally, performance improved after debriefing by a skilled facilitator. However, the debriefer provided no specific advantage over other post-experience educational interventions. Acknowledging their limitations, these studies found that performance improved after self-led debrief, no debrief (with experienced practitioners), standardised multimedia debrief or after reviewing a DVD of the participants' own eye-tracking. There was no added performance improvement when review of a video recording was added to facilitator-led debriefing. One study reported no performance improvement after debriefing. Without empirical evidence that is specific to the healthcare domain, theories of learning from education and psychology should continue to inform practices and teaching for effective debriefing.

  5. The relevance of "non-criteria" clinical manifestations of antiphospholipid syndrome: 14th International Congress on Antiphospholipid Antibodies Technical Task Force Report on Antiphospholipid Syndrome Clinical Features.

    PubMed

    Abreu, Mirhelen M; Danowski, Adriana; Wahl, Denis G; Amigo, Mary-Carmen; Tektonidou, Maria; Pacheco, Marcelo S; Fleming, Norma; Domingues, Vinicius; Sciascia, Savino; Lyra, Julia O; Petri, Michelle; Khamashta, Munther; Levy, Roger A

    2015-05-01

    The purpose of this task force was to critically analyze nine non-criteria manifestations of APS to support their inclusion as APS classification criteria. The Task Force Members selected the non-criteria clinical manifestations according to their clinical relevance, that is, the patient-important outcome from clinician perspective. They included superficial vein thrombosis, thrombocytopenia, renal microangiopathy, heart valve disease, livedo reticularis, migraine, chorea, seizures and myelitis, which were reviewed by this International Task Force collaboration, in addition to the seronegative APS (SN-APS). GRADE system was used to evaluate the quality of evidence of medical literature of each selected item. This critical appraisal exercise aimed to support the debate regarding the clinical picture of APS. We found that the overall GRADE analysis was very low for migraine and seizures, low for superficial venous thrombosis, thrombocytopenia, chorea, longitudinal myelitis and the so-called seronegative APS and moderate for APS nephropathy, heart valve lesions and livedo reticularis. The next step can be a critical redefinition of an APS gold standard, for instance derived from the APS ACTION registry that will include not only current APS patients but also those with antiphospholipid antibodies not meeting current classification criteria.

  6. Lip adhesion revisited: A technical note with review of literature.

    PubMed

    Nagy, Krisztián; Mommaerts, Maurice Y

    2009-07-01

    CONTEXT (BACKGROUND): Lip adhesion is a direct edge approximation without changing lip landmarks or disturbing tissue required for definitive closure. This converts a complete cleft into an incomplete cleft, facilitating and enhancing subsequent definitive lip and nose repair. The study aims to describe our technique of lip adhesion and its morbidity, and discuss the rationale for its use. Retrospective follow-up study of complete clefts operated upon in the Bruges Cleft and Craniofacial Centre, at the supra regional teaching hospital AZ St. Jan, Bruges, between June 1, 1991 and May 1, 2009. The group comprised 33 unilateral and 24 bilateral lip adhesion procedures. The medical files were reviewed for changes in surgical technique, morbidity, and complications and their treatment. The lip adhesion procedure was performed at the age of two to eight weeks postnatal, and definitive lip closure, at the age of four to six months. In all cases, segment repositioning was further controlled by a palatal guidance plate. Wound dehiscence occurred in eight patients (14.0%), and three patients (5.3%) required reoperation. Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications.

  7. Lip adhesion revisited: A technical note with review of literature

    PubMed Central

    Nagy, Krisztián; Mommaerts, Maurice Y.

    2009-01-01

    Context (Background): Lip adhesion is a direct edge approximation without changing lip landmarks or disturbing tissue required for definitive closure. This converts a complete cleft into an incomplete cleft, facilitating and enhancing subsequent definitive lip and nose repair. Aim: The study aims to describe our technique of lip adhesion and its morbidity, and discuss the rationale for its use. Settings and Design: Retrospective follow-up study of complete clefts operated upon in the Bruges Cleft and Craniofacial Centre, at the supra regional teaching hospital AZ St. Jan, Bruges, between June 1, 1991 and May 1, 2009. Methods and Material: The group comprised 33 unilateral and 24 bilateral lip adhesion procedures. The medical files were reviewed for changes in surgical technique, morbidity, and complications and their treatment. Results: The lip adhesion procedure was performed at the age of two to eight weeks postnatal, and definitive lip closure, at the age of four to six months. In all cases, segment repositioning was further controlled by a palatal guidance plate. Wound dehiscence occurred in eight patients (14.0%), and three patients (5.3%) required reoperation. Conclusions: Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications. PMID:20368859

  8. GIS-based multicriteria municipal solid waste landfill suitability analysis: a review of the methodologies performed and criteria implemented.

    PubMed

    Demesouka, O E; Vavatsikos, A P; Anagnostopoulos, K P

    2014-04-01

    Multicriteria spatial decision support systems (MC-SDSS) have emerged as an integration of the geographical information systems (GIS) and multiple criteria decision analysis (MCDA) methods. GIS-based MCDA allows the incorporation of conflicting objectives and decision maker (DM) preferences into spatial decision models. During recent decades, a variety of research articles have been published regarding the implementation of methods and/or tools in a variety of real-world case studies. The article discusses, in detail, the criteria and methods that are implemented in GIS-based landfill siting suitability analysis and especially the exclusionary and non-exclusionary criteria that can be considered when selecting sites for municipal solid waste (MSW) landfills. This paper reviews 36 seminal articles in which the evaluation of candidate landfill sites is conducted using MCDA methods. After a brief description of the main components of a MC-SDSS and the applied decision rules, the review focuses on the criteria incorporated into the decision models. The review provides a comprehensive guide to the landfill siting analysis criteria, providing details regarding the utilization methods, their decision or exclusionary nature and their monotonicity.

  9. A Review on Technical and Clinical Impact of Microsoft Kinect on Physical Therapy and Rehabilitation

    PubMed Central

    Mousavi Hondori, Hossein; Khademi, Maryam

    2014-01-01

    This paper reviews technical and clinical impact of the Microsoft Kinect in physical therapy and rehabilitation. It covers the studies on patients with neurological disorders including stroke, Parkinson's, cerebral palsy, and MS as well as the elderly patients. Search results in Pubmed and Google scholar reveal increasing interest in using Kinect in medical application. Relevant papers are reviewed and divided into three groups: (1) papers which evaluated Kinect's accuracy and reliability, (2) papers which used Kinect for a rehabilitation system and provided clinical evaluation involving patients, and (3) papers which proposed a Kinect-based system for rehabilitation but fell short of providing clinical validation. At last, to serve as technical comparison to help future rehabilitation design other sensors similar to Kinect are reviewed. PMID:27006935

  10. A Review on Technical and Clinical Impact of Microsoft Kinect on Physical Therapy and Rehabilitation.

    PubMed

    Mousavi Hondori, Hossein; Khademi, Maryam

    2014-01-01

    This paper reviews technical and clinical impact of the Microsoft Kinect in physical therapy and rehabilitation. It covers the studies on patients with neurological disorders including stroke, Parkinson's, cerebral palsy, and MS as well as the elderly patients. Search results in Pubmed and Google scholar reveal increasing interest in using Kinect in medical application. Relevant papers are reviewed and divided into three groups: (1) papers which evaluated Kinect's accuracy and reliability, (2) papers which used Kinect for a rehabilitation system and provided clinical evaluation involving patients, and (3) papers which proposed a Kinect-based system for rehabilitation but fell short of providing clinical validation. At last, to serve as technical comparison to help future rehabilitation design other sensors similar to Kinect are reviewed.

  11. Criteria for the identification of ventifacts in the geological record: A review and new insights

    NASA Astrophysics Data System (ADS)

    Durand, Marc; Bourquin, Sylvie

    2013-03-01

    Ventifacts (wind-worn stones) are typical of terrestrial environments remained very long without any vegetation, under hot or cold climates. Therefore, within the sedimentary record, they can allow recognizing desert conditions, even where no aeolian dune deposits are preserved. There seems that, in the recent literature, pebbles and cobbles from various palaeoenvironments were mistaken for ventifacts. This may partly be explained by the scatter and relative scarcity of illustrations to which refer. The aim of this paper is to help recognizing ventifacts in the sedimentary record, based on a critical review of the diagnostic properties generally used, and on new studies permitting to suggest additional criteria. After an evaluation of the sedimentary contexts favourable to preserving ventifacts, the distinctive characters that could be seen on each one are treated in order of increasing alteration of the original appearance: surface features, medium-scale features (new types of pit especially), and general shape. Finally, the problem of distinguishing between ventifacts and aquafacts is approached.

  12. Composting of animal manures and chemical criteria for compost maturity assessment. A review.

    PubMed

    Bernal, M P; Alburquerque, J A; Moral, R

    2009-11-01

    New livestock production systems, based on intensification in large farms, produce huge amount of manures and slurries without enough agricultural land for their direct application as fertilisers. Composting is increasingly considered a good way for recycling the surplus of manure as a stabilised and sanitised end-product for agriculture, and much research work has been carried out in the last decade. However, high quality compost should be produced to overcome the cost of composting. In order to provide and review the information found in the literature about manure composting, the first part of this paper explains the basic concepts of the composting process and how manure characteristics can influence its performance. Then, a summary of those factors such as nitrogen losses (which directly reduce the nutrient content), organic matter humification and compost maturity which affect the quality of composts produced by manure composting is presented. Special attention has been paid to the relevance of using an adequate bulking agent for reducing N-losses and the necessity of standardising the maturity indices due to their great importance amongst compost quality criteria.

  13. Reviewing the diagnostic criteria for acute-on-chronic liver failure.

    PubMed

    Jindal, Ankur; Rastogi, Archana; Sarin, Shiv Kumar

    2016-12-01

    For over 20 years, acute-on-chronic liver failure (ACLF) has taken multiple definitions and/or classifications. The definition outlines the acute and chronic insults to include a homogenous patient group with liver failure and an expected outcome in a specific time frame. Early and accurate diagnosis is essential as this inflammation of the liver may tilt the balance of liver destruction and regeneration adversely. Various factors such as superadded systemic sepsis, liver reserve, cause of primary chronic liver disease, state of immune system or the state of gut microbial flora might determine the ultimate prognosis. Areas covered: To date, there has been no universally accepted definition of ACLF. In this review, we discuss the strengths and weaknesses, controversies and basis for early identification and accurate diagnosis of ACLF. PubMed and Google scholar database searches were conducted, search terms included 'acute on chronic liver failure,' 'ACLF,' and 'diagnostic criteria.' Expert commentary: With recent advances in the management of advanced cirrhosis, research will gradually shift towards ACLF in the near future, focusing on the pathogenesis, new treatment options and improving survival. Once we improve understanding of this syndrome, newer definitions will evolve, thereby enabling earlier diagnosis and novel therapeutic avenues.

  14. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations.

    PubMed

    Migueles, Jairo H; Cadenas-Sanchez, Cristina; Ekelund, Ulf; Delisle Nyström, Christine; Mora-Gonzalez, Jose; Löf, Marie; Labayen, Idoia; Ruiz, Jonatan R; Ortega, Francisco B

    2017-03-16

    Accelerometers are widely used to measure sedentary time, physical activity, physical activity energy expenditure (PAEE), and sleep-related behaviors, with the ActiGraph being the most frequently used brand by researchers. However, data collection and processing criteria have evolved in a myriad of ways out of the need to answer unique research questions; as a result there is no consensus. The purpose of this review was to: (1) compile and classify existing studies assessing sedentary time, physical activity, energy expenditure, or sleep using the ActiGraph GT3X/+ through data collection and processing criteria to improve data comparability and (2) review data collection and processing criteria when using GT3X/+ and provide age-specific practical considerations based on the validation/calibration studies identified. Two independent researchers conducted the search in PubMed and Web of Science. We included all original studies in which the GT3X/+ was used in laboratory, controlled, or free-living conditions published from 1 January 2010 to the 31 December 2015. The present systematic review provides key information about the following data collection and processing criteria: placement, sampling frequency, filter, epoch length, non-wear-time, what constitutes a valid day and a valid week, cut-points for sedentary time and physical activity intensity classification, and algorithms to estimate PAEE and sleep-related behaviors. The information is organized by age group, since criteria are usually age-specific. This review will help researchers and practitioners to make better decisions before (i.e., device placement and sampling frequency) and after (i.e., data processing criteria) data collection using the GT3X/+ accelerometer, in order to obtain more valid and comparable data. CRD42016039991.

  15. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH...

  16. The Effects of DSM-5 Criteria on Number of Individuals Diagnosed with Autism Spectrum Disorder: A Systematic Review

    ERIC Educational Resources Information Center

    Smith, Isaac C.; Reichow, Brian; Volkmar, Fred R.

    2015-01-01

    A growing body of research has raised concerns about the number of individuals diagnosed with autism spectrum disorder (ASD) according to DSM-IV-TR who may no longer qualify for diagnoses under the new DSM-5 criteria, published in May 2013. The current study systematically reviews 25 articles evaluating samples according to both DSM-IV-TR and…

  17. 42 CFR 456.235 - Description of methods and criteria: Continued stay review dates; length of stay modification.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Description of methods and criteria: Continued stay review dates; length of stay modification. 456.235 Section 456.235 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE...

  18. 42 CFR 456.235 - Description of methods and criteria: Continued stay review dates; length of stay modification.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Description of methods and criteria: Continued stay review dates; length of stay modification. 456.235 Section 456.235 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE...

  19. 30 CFR 250.1917 - What criteria for pre-startup review must be in my SEMS program?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false What criteria for pre-startup review must be in my SEMS program? 250.1917 Section 250.1917 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL... analysis recommendations have been implemented as appropriate. (e) Training of operating personnel has...

  20. 30 CFR 250.1917 - What criteria for pre-startup review must be in my SEMS program?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false What criteria for pre-startup review must be in my SEMS program? 250.1917 Section 250.1917 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL... analysis recommendations have been implemented as appropriate. (e) Training of operating personnel has...

  1. 30 CFR 250.1917 - What criteria for pre-startup review must be in my SEMS program?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 2 2014-07-01 2014-07-01 false What criteria for pre-startup review must be in my SEMS program? 250.1917 Section 250.1917 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL... analysis recommendations have been implemented as appropriate. (e) Training of operating personnel has...

  2. 42 CFR 456.134 - Description of methods and criteria: Subsequent continued stay review dates; length of stay...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Description of methods and criteria: Subsequent continued stay review dates; length of stay modification. 456.134 Section 456.134 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS UTILIZATION CONTROL...

  3. 42 CFR 456.129 - Description of methods and criteria: Initial continued stay review date; close professional...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Description of methods and criteria: Initial continued stay review date; close professional scrutiny; length of stay modification. 456.129 Section 456.129 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE...

  4. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH...

  5. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH...

  6. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH...

  7. The Effects of DSM-5 Criteria on Number of Individuals Diagnosed with Autism Spectrum Disorder: A Systematic Review

    ERIC Educational Resources Information Center

    Smith, Isaac C.; Reichow, Brian; Volkmar, Fred R.

    2015-01-01

    A growing body of research has raised concerns about the number of individuals diagnosed with autism spectrum disorder (ASD) according to DSM-IV-TR who may no longer qualify for diagnoses under the new DSM-5 criteria, published in May 2013. The current study systematically reviews 25 articles evaluating samples according to both DSM-IV-TR and…

  8. Marketing information: The technical report as product

    NASA Technical Reports Server (NTRS)

    Stoher, F. F.; Pinelli, T. E.

    1981-01-01

    Technical reports constitute a product, the primary means for communicating the results of research to the user. The Langley scientific and technical information (STI) review and evaluation project undertook a review of the technical report as an effective product for information communication. Style manuals describing theory and practice in technical report preparation; publication manuals covering such factors as design, layout, and type style; and copies of technical reports were obtained from industrial, academic, governmental, and research organizations. Based on an analysis of this material, criteria will be established for the report components, for the relationship of the components within the report context, and for the overall report organization. The criteria will be used as bench marks and compared with the publication standards currently used to prepare NASA technical reports.

  9. Proceedings of the workshop on review of dose modeling methods for demonstration of compliance with the radiological criteria for license termination

    SciTech Connect

    Nicholson, T.J.; Parrott, J.D.

    1998-05-01

    The workshop was one in a series to support NRC staff development of guidance for implementing the final rule on ``Radiological Criteria for License Termination.`` The workshop topics included discussion of: dose models used for decommissioning reviews; identification of criteria for evaluating the acceptability of dose models; and selection of parameter values for demonstrating compliance with the final rule. The 2-day public workshop was jointly organized by RES and NMSS staff responsible for reviewing dose modeling methods used in decommissioning reviews. The workshop was noticed in the Federal Register (62 FR 51706). The workshop presenters included: NMSS and RES staff, who discussed both dose modeling needs for licensing reviews, and development of guidance related to dose modeling and parameter selection needs; DOE national laboratory scientists, who provided responses to earlier NRC staff-developed questions and discussed their various Federally-sponsored dose models (i.e., DandD, RESRAD, and MEPAS codes); and an EPA scientist, who presented details on the EPA dose assessment model (i.e., PRESTO code). The workshop was formatted to provide opportunities for the attendees to observe computer demonstrations of the dose codes presented. More than 120 workshop attendees from NRC Headquarters and the Regions, Agreement States; as well as industry representatives and consultants; scientists from EPA, DOD, DNFSB, DOE, and the national laboratories; and interested members of the public participated. A complete transcript of the workshop, including viewgraphs and attendance lists, is available in the NRC Public Document Room. This NUREG/CP documents the formal presentations made during the workshop, and provides a preface outlining the workshop`s focus, objectives, background, topics and questions provided to the invited speakers, and those raised during the panel discussion. NUREG/CP-0163 also provides technical bases supporting the development of decommissioning

  10. NESC Independent Review of the Mars Reconnaissance Orbiter (MRO) Contamination Thermal/Vacuum (T/V) Anomaly Technical Consultation Report

    NASA Technical Reports Server (NTRS)

    Sutter, James K.; Leidecker, Henning W.; Panda, Binayak; Piascik, Robert S.; Muirhead, Brian K.; Peeler, Debra

    2009-01-01

    The NESC eras requested by the NASA Jet Propulsion Laboratory (JPL) to conduct an independent review of the Mars Reconnaissance Orbiter (MRO) Thermal/Vacuum (T/V) Anomaly Assessment. Because the anomaly resulted in the surface contamination of the MRO, selected members of the Materials Super Problem Resolution Team (SPRT) and the NASA technical community having technical expertise relative to contamination issues were chosen for the independent review. The consultation consisted of a review of the MRO Project's reported response to the assessment findings, a detailed review of JPL technical assessment final report, and detailed discussions with the JPL assessment team relative to their findings.

  11. SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE: 2006 TECHNICAL PEER REVIEW

    SciTech Connect

    Looney, B; Dawn Kaback; Gene Leboeuf; Jason Mulvihill-Kuntz; Lynn Lefkoff

    2006-12-20

    Prompted by a $10 million Congressional allocation to identify supplemental actions to protect the Columbia River from groundwater contamination beneath the Hanford Reservation, the U. S. Department of Energy (DOE) Environmental Management (EM) Office of Clean-up Technology identified twenty-three potential technical projects and then down-selected ten of these for further evaluation. An independent expert peer review was conducted for the ten down-selected proposals. The review panel consisted of twenty-three recognized subject matter experts that broadly represented academia, industry, and federal laboratories. Of the initial ten proposals reviewed, one was given unconditional support, six were given conditional support, and three were not supported as proposed. Three additional proposals were then submitted by DOE for review--these proposals were structured, in part, to respond to the initial round of technical peer review comments. Peer reviews of these additional proposals provided conditional support. For those proposals that received conditional support, DOE requested specific implementation and work plans and assessed whether the plans adequately addressed the technical conditions identified by the review panel. The final list of technology proposals receiving support, or conditional support, primarily focused on understanding and reducing the potential impacts of uranium, chromium, and strontium from facilities adjacent to the Columbia River, with a secondary focus on understanding and limiting the future Columbia River impacts from the large carbon tetrachloride groundwater plume underlying and downgradient of the Hanford Central Plateau facilities. The results and recommendations of the peer reviews informed the final DOE project selections and supported implementation of the selected projects to protect the Columbia River and address groundwater contamination at Hanford.

  12. External Tank Liquid Hydrogen (LH2) Prepress Regression Analysis Independent Review Technical Consultation Report

    NASA Technical Reports Server (NTRS)

    Parsons, Vickie s.

    2009-01-01

    The request to conduct an independent review of regression models, developed for determining the expected Launch Commit Criteria (LCC) External Tank (ET)-04 cycle count for the Space Shuttle ET tanking process, was submitted to the NASA Engineering and Safety Center NESC on September 20, 2005. The NESC team performed an independent review of regression models documented in Prepress Regression Analysis, Tom Clark and Angela Krenn, 10/27/05. This consultation consisted of a peer review by statistical experts of the proposed regression models provided in the Prepress Regression Analysis. This document is the consultation's final report.

  13. Assessment of Technical Skills Competence in the Operating Room: A Systematic and Scoping Review.

    PubMed

    Fahim, Christine; Wagner, Natalie; Nousiainen, Markuu T; Sonnadara, Ranil

    2017-09-26

    While academic accreditation bodies continue to promote competency-based medical education (CBME), the feasibility of conducting regular CBME assessments remains challenging. The purpose of this study was to identify evidence pertaining to the practical application of assessments that aim to measure technical competence for surgical trainees in a nonsimulated, operative setting. In August 2016, the authors systematically searched Medline, Embase, and the Cochrane Database of Systematic Reviews for English-language, peer-reviewed articles published in or after 1996. The title, abstract, and full text of identified articles were screened. Data regarding study characteristics, psychometric and measurement properties, implementation of assessment, competency definitions, and faculty training were extracted. The findings from the systematic review were supplemented by a scoping review to identify key strategies related to faculty uptake and implementation of CBME assessments. A total of 32 studies were included. The majority of studies reported reasonable scores of interrater reliability and internal consistency. Seven articles identified minimum scores required to establish competence. Twenty-five articles mentioned faculty training. Many of the faculty training interventions focused on timely completion of assessments or scale calibration. There are a number of diverse tools used to assess competence for intraoperative technical skills and a lack of consensus regarding the definition of technical competence within and across surgical specialties. Further work is required to identify when and how often trainees should be assessed and to identify strategies to train faculty to ensure timely and accurate assessment.

  14. Technical features and criteria in designing fiber-reinforced composite materials: from the aerospace and aeronautical field to biomedical applications.

    PubMed

    Gloria, Antonio; Ronca, Dante; Russo, Teresa; D'Amora, Ugo; Chierchia, Marianna; De Santis, Roberto; Nicolais, Luigi; Ambrosio, Luigi

    2011-01-01

    Polymer-based composite materials are ideal for applications where high stiffness-to-weight and strength-to-weight ratios are required. From aerospace and aeronautical field to biomedical applications, fiber-reinforced polymers have replaced metals, thus emerging as an interesting alternative. As widely reported, the mechanical behavior of the composite materials involves investigation on micro- and macro-scale, taking into consideration micromechanics, macromechanics and lamination theory. Clinical situations often require repairing connective tissues and the use of composite materials may be suitable for these applications because of the possibility to design tissue substitutes or implants with the required mechanical properties. Accordingly, this review aims at stressing the importance of fiber-reinforced composite materials to make advanced and biomimetic prostheses with tailored mechanical properties, starting from the basic principle design, technologies, and a brief overview of composites applications in several fields. Fiber-reinforced composite materials for artificial tendons, ligaments, and intervertebral discs, as well as for hip stems and mandible models will be reviewed, highlighting the possibility to mimic the mechanical properties of the soft and hard tissues that they replace.

  15. Lessons from mouse chimaera experiments with a reiterated transgene marker: revised marker criteria and a review of chimaera markers.

    PubMed

    Keighren, Margaret A; Flockhart, Jean; Hodson, Benjamin A; Shen, Guan-Yi; Birtley, James R; Notarnicola-Harwood, Antonio; West, John D

    2015-08-01

    Recent reports of a new generation of ubiquitous transgenic chimaera markers prompted us to consider the criteria used to evaluate new chimaera markers and develop more objective assessment methods. To investigate this experimentally we used several series of fetal and adult chimaeras, carrying an older, multi-copy transgenic marker. We used two additional independent markers and objective, quantitative criteria for cell selection and cell mixing to investigate quantitative and spatial aspects of developmental neutrality. We also suggest how the quantitative analysis we used could be simplified for future use with other markers. As a result, we recommend a five-step procedure for investigators to evaluate new chimaera markers based partly on criteria proposed previously but with a greater emphasis on examining the developmental neutrality of prospective new markers. These five steps comprise (1) review of published information, (2) evaluation of marker detection, (3) genetic crosses to check for effects on viability and growth, (4) comparisons of chimaeras with and without the marker and (5) analysis of chimaeras with both cell populations labelled. Finally, we review a number of different chimaera markers and evaluate them using the extended set of criteria. These comparisons indicate that, although the new generation of ubiquitous fluorescent markers are the best of those currently available and fulfil most of the criteria required of a chimaera marker, further work is required to determine whether they are developmentally neutral.

  16. Reviewing PSA-based analyses to modify technical specifications at nuclear power plants

    SciTech Connect

    Samanta, P.K.; Martinez-Guridi, G.; Vesely, W.E.

    1995-12-01

    Changes to Technical Specifications (TSs) at nuclear power plants (NPPs) require review and approval by the United States Nuclear Regulatory Commission (USNRC). Currently, many requests for changes to TSs use analyses that are based on a plant`s probabilistic safety assessment (PSA). This report presents an approach to reviewing such PSA-based submittals for changes to TSs. We discuss the basic objectives of reviewing a PSA-based submittal to modify NPP TSs; the methodology of reviewing a TS submittal, and the differing roles of a PSA review, a PSA Computer Code review, and a review of a TS submittal. To illustrate this approach, we discuss our review of changes to allowed outage time (AOT) and surveillance test interval (STI) in the TS for the South Texas Project Nuclear Generating Station. Based on this experience gained, a check-list of items is given for future reviewers; it can be used to verify that the submittal contains sufficient information, and also that the review has addressed the relevant issues. Finally, recommended steps in the review process and the expected findings of each step are discussed.

  17. ERIC/ECTJ Annual Review Paper: Criteria for Assessing the Trustworthiness of Naturalistic Inquiries.

    ERIC Educational Resources Information Center

    Guba, Egon G.

    1981-01-01

    Addresses the criteria for judging the credibility of inquiries conducted within the naturalistic inquiry paradigm, defines naturalistic inquiry, explicates how the proposed criteria are dealt with in conventional inquiry, and outlines a mode for dealing with them within the naturalistic paradigm. Twenty-six sources are listed. (FM)

  18. Review and Synthesis: Criteria for the Evaluation of Organizational Communication Effectiveness.

    ERIC Educational Resources Information Center

    Farace, Richard V.; And Others

    Twenty-one criteria for assessing communication effectiveness in organizations provide the basis for discussion in this document. Grouped under the general heading of communication rules, the criteria are described according to five categories: structure, messages, media, communicator, and potpourri (factors that affect the decision making of…

  19. Instruments for assessing risk of bias and other methodological criteria of published animal studies: a systematic review.

    PubMed

    Krauth, David; Woodruff, Tracey J; Bero, Lisa

    2013-09-01

    Results from animal toxicology studies are critical to evaluating the potential harm from exposure to environmental chemicals or the safety of drugs prior to human testing. However, there is significant debate about how to evaluate the methodology and potential biases of the animal studies. There is no agreed-upon approach, and a systematic evaluation of current best practices is lacking. We performed a systematic review to identify and evaluate instruments for assessing the risk of bias and/or other methodological criteria of animal studies. We searched Medline (January 1966-November 2011) to identify all relevant articles. We extracted data on risk of bias criteria (e.g., randomization, blinding, allocation concealment) and other study design features included in each assessment instrument. Thirty distinct instruments were identified, with the total number of assessed risk of bias, methodological, and/or reporting criteria ranging from 2 to 25. The most common criteria assessed were randomization (25/30, 83%), investigator blinding (23/30, 77%), and sample size calculation (18/30, 60%). In general, authors failed to empirically justify why these or other criteria were included. Nearly all (28/30, 93%) of the instruments have not been rigorously tested for validity or reliability. Our review highlights a number of risk of bias assessment criteria that have been empirically tested for animal research, including randomization, concealment of allocation, blinding, and accounting for all animals. In addition, there is a need for empirically testing additional methodological criteria and assessing the validity and reliability of a standard risk of bias assessment instrument.

  20. Prepubertal periodontitis: a review of diagnostic criteria, pathogenesis, and differential diagnosis.

    PubMed

    Watanabe, K

    1990-01-01

    This paper reviews the literature on prepubertal periodontitis (PP) according to the definition and the classification of PP by Page. The generalized form of PP (G-PP) defined by Page was identified as the oral manifestation of a systemic disease called leukocyte adhesion deficiency (LAD) and thus the pathogenesis is known at the molecular level. On the other hand, the localized form of PP (L-PP) is a disease defined by clinical criteria and its pathogenesis is not known at the molecular level. The reported prevalence of L-PP differs widely in reports, according to the methodology and population studied. However, it seems to be at least 0.84% or greater. Potential periodontal pathogens that have been associated with L-PP include the following bacteria: Actinobacillus actinomycetemcomitans (A.a.), Bacteroides intermedius, Bacteroides gingivalis, Capnocytophaga sputigena, and Eikenella corrodens. Suggested contributing factors have included PMN or monocyte chemotactic defects and cementum defects. There is no unique pattern of bone loss in L-PP; however, there may be a type of periodontitis that affects all deciduous teeth, in the absence of LAD. L-PP may lead to localized juvenile periodontitis (LJP) or generalized juvenile periodontitis (GJP). Histiocytosis X, hypophosphatasia and mild forms of blood dyscrasias may have minimal or no clinical signs and symptoms except for alveolar bone loss. Therefore diseases known to be associated with alveolar bone loss must be definitively excluded in prepubertal children until the pathogenesis of L-PP at the cellular and molecular levels is understood and L-PP can be definitively diagnosed either as a distinct disease entity or entities.

  1. Performance of the ASAS classification criteria for axial and peripheral spondyloarthritis: a systematic literature review and meta-analysis.

    PubMed

    Sepriano, Alexandre; Rubio, Roxana; Ramiro, Sofia; Landewé, Robert; van der Heijde, Désirée

    2017-05-01

    To summarise the evidence on the performance of the Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axial spondyloarthritis (axSpA) (also imaging and clinical arm separately), peripheral (p)SpA and the entire set, when tested against the rheumatologist's diagnosis ('reference standard'). A systematic literature review was performed to identify eligible studies. Raw data on SpA diagnosis and classification were extracted or, if necessary, obtained from the authors of the selected publications. A meta-analysis was performed to obtain pooled estimates for sensitivity, specificity, positive and negative likelihood ratios, by fitting random effects models. Nine papers fulfilled the inclusion criteria (N=5739 patients). The entire set of the ASAS SpA criteria yielded a high pooled sensitivity (73%) and specificity (88%). Similarly, good results were found for the axSpA criteria (sensitivity: 82%; specificity: 88%). Splitting the axSpA criteria in 'imaging arm only' and 'clinical arm only' resulted in much lower sensitivity (30% and 23% respectively), but very high specificity was retained (97% and 94% respectively). The pSpA criteria were less often tested than the axSpA criteria and showed a similarly high pooled specificity (87%) but lower sensitivity (63%). Accumulated evidence from studies with more than 5500 patients confirms the good performance of the various ASAS SpA criteria as tested against the rheumatologist's diagnosis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. An Approach to Tailoring Major Technical Reviews Based on Project Characteristics and Stakeholder Interests

    NASA Technical Reports Server (NTRS)

    Richstein, Alan B.; Nolte, Jerome T.; Pfarr, Barbara B.

    2004-01-01

    There are numerous technical reviews that occur throughout the systems engineering process life cycle. Many are well known by project managers and stakeholders such as developers and end users, an example of much is the critical design review (CDR). This major milestone for a large, complex new project may last two or more days, include an extensive agenda of topics, and entail hundreds of hours of developer time to prepare presentation materials and associated documents. Additionally, the weeks of schedule spent on review preparation is at least partly at the expense of other work. This paper suggests an approach for tailoring technical reviews, based on the project characteristics and the project manager s identification of the key stakeholders and understanding of their most important issues and considerations. With this insight the project manager can communicate to, manage expectations oc and establish formal agreement with the stakeholders as to which reviews, and at what depth, are most appropriate to achieve project success. The authors, coming from diverse organizations and backgrounds, have drawn on their personal experiences and summarized the best practices of their own organizations to create a common framework to provide guidance on the adaptation of design reviews to other system engineers.

  3. Notional Scoring for Technical Review Weighting As Applied to Simulation Credibility Assessment

    NASA Technical Reports Server (NTRS)

    Hale, Joseph Peter; Hartway, Bobby; Thomas, Danny

    2008-01-01

    NASA's Modeling and Simulation Standard requires a credibility assessment for critical engineering data produced by models and simulations. Credibility assessment is thus a "qualifyingfactor" in reporting results from simulation-based analysis. The degree to which assessors should be independent of the simulation developers, users and decision makers is a recurring question. This paper provides alternative "weighting algorithms" for calculating the value-added for independence of the levels of technical review defined for the NASA Modeling and Simulation Standard.

  4. The Nuclear Waste Technical Review Board`s views on the multipurpose canister

    SciTech Connect

    Price, D.L.

    1994-10-01

    This article presents the view of the Nuclear Waste Technical Review Board on the Multipurpose Canister (MPC). The Board believes that if developed properly the MPC has the potential for enhancing safety in the waste management system by substantially reducing handling, fostering a systems approach to the management of the nation`s spent nuclear fuel and high-level waste, and introducing a level of standardization into the system.

  5. Advanced Information Systems Design: Technical Basis and Human Factors Review Guidance

    DTIC Science & Technology

    2000-03-01

    H^ NUREG /CR-6633 BNL- NUREG -52563 Advanced Information Systems Design: Technical Basis and Human Factors Review Guidance Brookhaven National...AVAILABILITY NOTICE Availability of Reference Materials Cited in NRC Publications NRC publications in the NUREG series, NRC regu- lations, and Title...Information Service Springfield, VA 22161 -0002 <http://www.ntis.gov> 1 -800-553-6847 or locally 703-605-6000 The NUREG series comprises (1) brochures

  6. Nuclear waste management technical support in the development of nuclear waste form criteria for the NRC. Task 1. Waste package overview

    SciTech Connect

    Dayal, R.; Lee, B.S.; Wilke, R.J.; Swyler, K.J.; Soo, P.; Ahn, T.M.; McIntyre, N.S.; Veakis, E.

    1982-02-01

    In this report the current state of waste package development for high level waste, transuranic waste, and spent fuel in the US and abroad has been assessed. Specifically, reviewed are recent and on-going research on various waste forms, container materials and backfills and tentatively identified those which are likely to perform most satisfactorily in the repository environment. Radiation effects on the waste package components have been reviewed and the magnitude of these effects has been identified. Areas requiring further research have been identified. The important variables affecting radionuclide release from the waste package have been described and an evaluation of regulatory criteria for high level waste and spent fuel is presented. Finally, for spent fuel, high level, and TRU waste, components which could be used to construct a waste package having potential to meet NRC performance requirements have been described and identified.

  7. Review and Prioritization of Technical Issues Related to Burnup Credit for LWR Fuel

    SciTech Connect

    Parks, C V; DeHart, M D; Wagner, John C

    2000-03-13

    This report has been prepared to review relevant background information and provide technical discussion that will help initiate a PIRT (Phenomena Identification and Ranking Tables) process for use of burnup credit in light-water reactor (LWR) spent fuel storage and transport cask applications. The PIRT process will be used by the NRC Office of Nuclear Regulatory Research to help prioritize and guide a coordinated program of research and as a means to obtain input/feedback from industry and other interested parties. The review and discussion in this report are based on knowledge and experience gained from work performed in the United States and other countries. Current regulatory practice and perceived industry needs are also reviewed as a background for prioritizing technical needs that will facilitate safe practice in the use of burnup credit. Relevant physics and analysis phenomenon are identified, and an assessment of their importance to burnup credit implementation is given. Finally, phenomena that need to be better understood for effective licensing, together with technical issues that require resolution, are presented and discussed in the form of a prioritization ranking and initial draft program plan.

  8. 42 CFR 52h.11 - What are the review criteria for contract projects and proposals?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HUMAN SERVICES GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT... carrying out its review of a project concept under § 52h.10(a) or § 52h.10(b), the peer review group shall... its review of unsolicited contract proposals under § 52h.9, the peer review group shall take into...

  9. 42 CFR 52h.11 - What are the review criteria for contract projects and proposals?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HUMAN SERVICES GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT... carrying out its review of a project concept under § 52h.10(a) or § 52h.10(b), the peer review group shall... its review of unsolicited contract proposals under § 52h.9, the peer review group shall take into...

  10. 42 CFR 52h.11 - What are the review criteria for contract projects and proposals?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HUMAN SERVICES GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT... carrying out its review of a project concept under § 52h.10(a) or § 52h.10(b), the peer review group shall... its review of unsolicited contract proposals under § 52h.9, the peer review group shall take into...

  11. 42 CFR 52h.11 - What are the review criteria for contract projects and proposals?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HUMAN SERVICES GRANTS SCIENTIFIC PEER REVIEW OF RESEARCH GRANT APPLICATIONS AND RESEARCH AND DEVELOPMENT... carrying out its review of a project concept under § 52h.10(a) or § 52h.10(b), the peer review group shall... its review of unsolicited contract proposals under § 52h.9, the peer review group shall take into...

  12. Review of Multi-Criteria Decision Aid for Integrated Sustainability Assessment of Urban Water Systems - MCEARD

    EPA Science Inventory

    Integrated sustainability assessment is part of a new paradigm for urban water decision making. Multi-criteria decision aid (MCDA) is an integrative framework used in urban water sustainability assessment, which has a particular focus on utilising stakeholder participation. Here ...

  13. Review of Multi-Criteria Decision Aid for Integrated Sustainability Assessment of Urban Water Systems - MCEARD

    EPA Science Inventory

    Integrated sustainability assessment is part of a new paradigm for urban water decision making. Multi-criteria decision aid (MCDA) is an integrative framework used in urban water sustainability assessment, which has a particular focus on utilising stakeholder participation. Here ...

  14. Technical Review of Retrieval and Closure Plans for the INEEL INTEC Tank Farm Facility

    SciTech Connect

    Bamberger, Judith A.; Burks, Barry L.; Quigley, Keith D.; Butterworth, S. W.; Falter, Diedre D.

    2001-09-28

    The purpose of this report is to document the conclusions of a technical review of retrieval and closure plans for the Idaho National Energy and Environmental Laboratory (INEEL) Idaho Nuclear Technology and Engineering Center (INTEC) Tank Farm Facility. In addition to reviewing retrieval and closure plans for these tanks, the review process served as an information exchange mechanism so that staff in the INEEL High Level Waste (HLW) Program could become more familiar with retrieval and closure approaches that have been completed or are planned for underground storage tanks at the Oak Ridge National Laboratory (ORNL) and Hanford sites. This review focused not only on evaluation of the technical feasibility and appropriateness of the approach selected by INEEL but also on technology gaps that could be addressed through utilization of technologies or performance data available at other DOE sites and in the private sector. The reviewers, Judith Bamberger of Pacific Northwest National Laboratory (PNNL) and Dr. Barry Burks of The Providence Group Applied Technology, have extensive experience in the development and application of tank waste retrieval technologies for nuclear waste remediation.

  15. How to choose health technologies to be assessed by HTA? A review of criteria for priority setting.

    PubMed

    Specchia, Maria Lucia; Favale, Marcella; Di Nardo, Francesco; Rotundo, Giovanna; Favaretti, Carlo; Ricciardi, Walter; de Waure, Chiara

    2015-01-01

    Health Technology Assessment (HTA) plays a key role in the policy and decision-making process. Nevertheless, it is time- and resource-consuming, and therefore requires proper resource allocation. Priority setting, as a best way to organize effective and explicit resource allocation systems, may be applied even in this field. The aim of this study was to provide an overview of criteria used for priority setting in HTA at European level. A systematic review of the scientific literature was performed through PubMed alongside consultation of the websites of the European HTA Agencies belonging to the INAHTA. The search was limited to papers written in English and provided with the full text. Documents were considered eligible if providing criteria for priority setting in HTA. Seven scientific articles were retrieved from PubMed and 14 European HTA Agencies released prioritization criteria were analysed. The most relevant criteria were: frequency/burden of disease, economic impact and costs, potential benefits, impact on ethical, social, cultural and/or legal aspects. This work is meant to contribute to supranational discussion on priority setting at European level and shows that, despite the available evidence, work still needs to be done toward harmonization and sharing of the criteria to adopt.

  16. Proposal of success criteria for strabismus surgery in patients with Graves' orbitopathy based on a systematic literature review.

    PubMed

    Jellema, Hinke Marijke; Braaksma-Besselink, Yvette; Limpens, Jacqueline; von Arx, Georg; Wiersinga, Wilmar M; Mourits, Maarten P

    2015-11-01

    Proposal of success criteria for strabismus surgery for patients with Graves' orbitopathy (GO) based on a systematic review of the literature. We performed a systematic search of OVID MEDLINE, OVID Embase, the Cochrane Central Register of Controlled Trials (CENTRAL) and the publisher subset of PubMed, to identify studies reporting on success criteria of strabismus surgery in GO. In addition, we handsearched several orthoptic journals and proceedings of strabismological congresses. Of the 789 articles retrieved, 42 articles described success criteria for strabismus surgery in GO. Most studies defined success in terms of a subjective diplopia-free field in primary and down gaze. Almost half of the studies used a graded scale (excellent, good, acceptable and failure) to describe the outcome of surgery. Three of the eligible studies described a tool to quantify the field of single vision in detail. Quality of life was not reported as an outcome measure in any of the published studies. In conclusion, success criteria for strabismus surgery in patients with GO are poorly defined and no consensus is available. The lack of standardization hampers comparative studies and thus the search for the best surgical treatment for diplopia in patients with GO. Therefore, we propose strict success criteria including a tool for quantification of remaining diplopia plus a disease-specific quality of life questionnaire (the GO-QoL).

  17. Reactor tank UT acceptance criteria

    SciTech Connect

    Daugherty, W.L.

    1990-01-30

    The SRS reactor tanks are constructed of type 304 stainless steel, with 0.5 inch thick walls. An ultrasonic (UT) in-service inspection program has been developed for examination of these tanks, in accordance with the ISI Plan for the Savannah River Production Reactors Process Water System (DPSTM-88-100-1). Prior to initiation of these inspections, criteria for the disposition of any indications that might be found are required. A working group has been formed to review available information on the SRS reactor tanks and develop acceptance criteria. This working group includes nationally recognized experts in the nuclear industry. The working group has met three times and produced three documents describing the proposed acceptance criteria, the technical basis for the criteria and a proposed initial sampling plan. This report transmits these three documents, which were prepared in accordance with the technical task plan and quality assurance plan for this task, task 88-001-A- 1. In addition, this report summarizes the acceptance criteria and proposed sampling plan, and provides further interpretation of the intent of these three documents where necessary.

  18. 48 CFR 801.602-83 - Documents to submit for legal or technical review-contract modifications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (4) A statement analyzing what necessitated the modification (e.g., a design error, technical changes... COTR's independent cost evaluation. (iii) The architect/engineer's independent cost evaluation, if... as negotiation criteria. (c) For a proposed modification to an architect/engineer contract,...

  19. Technical evaluation of the proposed design modifications and technical specification changes on grid voltage degradation (Part A) for the Pilgrim Nuclear Power Station, Unit 1

    SciTech Connect

    White, R.L.

    1980-01-01

    This report documents the technical evaluation of the proposed design modifications and Technical Specification changes for protection of Class 1E equipment from grid voltage degradation for the Pilgrim Nuclear Power Station. The review criteria are based on several IEEE standards and the Code of Federal Regulations. The evaluation compares the submittals made by the licensee with the NRC staff positions and the review criteria and presents the reviewer's conclusion on the acceptability of the proposed system.

  20. 48 CFR 801.602-78 - Processing solicitations and contract documents for legal or technical review-Veterans Health...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., and the Denver Acquisition and Logistics Center. 801.602-78 Section 801.602-78 Federal Acquisition... Acquisition Center, and the Denver Acquisition and Logistics Center. (a) If legal or technical review is...

  1. 48 CFR 801.602-78 - Processing solicitations and contract documents for legal or technical review-Veterans Health...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., and the Denver Acquisition and Logistics Center. 801.602-78 Section 801.602-78 Federal Acquisition... Acquisition Center, and the Denver Acquisition and Logistics Center. (a) If legal or technical review is...

  2. 48 CFR 801.602-78 - Processing solicitations and contract documents for legal or technical review-Veterans Health...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., and the Denver Acquisition and Logistics Center. 801.602-78 Section 801.602-78 Federal Acquisition... Acquisition Center, and the Denver Acquisition and Logistics Center. (a) If legal or technical review is...

  3. Constructing a validity argument for the Objective Structured Assessment of Technical Skills (OSATS): a systematic review of validity evidence.

    PubMed

    Hatala, Rose; Cook, David A; Brydges, Ryan; Hawkins, Richard

    2015-12-01

    In order to construct and evaluate the validity argument for the Objective Structured Assessment of Technical Skills (OSATS), based on Kane's framework, we conducted a systematic review. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Web of Science, Scopus, and selected reference lists through February 2013. Working in duplicate, we selected original research articles in any language evaluating the OSATS as an assessment tool for any health professional. We iteratively and collaboratively extracted validity evidence from included articles to construct and evaluate the validity argument for varied uses of the OSATS. Twenty-nine articles met the inclusion criteria, all focussed on surgical technical skills assessment. We identified three intended uses for the OSATS, namely formative feedback, high-stakes assessment and program evaluation. Following Kane's framework, four inferences in the validity argument were examined (scoring, generalization, extrapolation, decision). For formative feedback and high-stakes assessment, there was reasonable evidence for scoring and extrapolation. However, for high-stakes assessment there was a dearth of evidence for generalization aside from inter-rater reliability data and an absence of evidence linking multi-station OSATS scores to performance in real clinical settings. For program evaluation, the OSATS validity argument was supported by reasonable generalization and extrapolation evidence. There was a complete lack of evidence regarding implications and decisions based on OSATS scores. In general, validity evidence supported the use of the OSATS for formative feedback. Research to provide support for decisions based on OSATS scores is required if the OSATS is to be used for higher-stakes decisions and program evaluation.

  4. Exclusion Criteria in National Health State Valuation Studies: A Systematic Review.

    PubMed

    Engel, Lidia; Bansback, Nick; Bryan, Stirling; Doyle-Waters, Mary M; Whitehurst, David G T

    2016-10-01

    Health state valuation data are often excluded from studies that aim to provide a nationally representative set of values for preference-based health-related quality of life (HRQoL) instruments. The purpose was to provide a systematic examination of exclusion criteria used in the derivation of societal scoring algorithms for preference-based HRQoL instruments. Data sources included MEDLINE, official instrument websites, and publication reference lists. Analyses that used data from national valuation studies and reported a scoring algorithm for a generic preference-based HRQoL instrument were included. Data extraction included exclusion criteria and associated justifications, exclusion rates, the characteristics of excluded respondents, and analyses that explored consequential implications of exclusion criteria on the respective national tariff. Seventy-six analyses (from 70 papers) met the inclusion criteria. In addition to being excluded for logical inconsistencies, respondents were often excluded if they valued fewer than 3 health states or if they gave the same value to all health states. Numerous other exclusion criteria were identified, with varying degrees of justification, often based on an assumption that respondents did not understand the task or as a consequence of the chosen statistical modeling techniques. Rates of exclusion ranged from 0% to 65%, with excluded respondents more likely to be older, less educated, and less healthy. Limitations included that the database search was confined to MEDLINE; study selection focused on national valuation studies that used standard gamble, time tradeoff, and/or visual analog scale techniques; and only English-language studies were included. Exclusion criteria used in national valuation studies vary considerably. Further consideration is necessary in this important and influential area of research, from the design stage to the reporting of results. © The Author(s) 2015.

  5. Arbitration in one easy lesson: a review of criteria used in arbitration awards.

    PubMed

    Woolf, D A

    1978-01-01

    Some managers find awards of arbitrators "arbitrary, capricious, and discriminatory", Donald A. Woolf believes, however, that a knowledge of decisional criteria used by arbitrators can help managers to understand how they reason. Among the criteria discussed are the de minimus rule, the major/minor test, promissory estoppel, parol evidence, contract language, past practice, "clean hands", and the punishment fitting the crime (equity). Such knowledge can also help managers avoid actions that are likely to lead to grievances in addition to planning a course of action to avoid grievances going to arbitration in the future.

  6. Image formation in diffusion MRI: A review of recent technical developments

    PubMed Central

    Miller, Karla L.

    2017-01-01

    Diffusion magnetic resonance imaging (MRI) is a standard imaging tool in clinical neurology, and is becoming increasingly important for neuroscience studies due to its ability to depict complex neuroanatomy (eg, white matter connectivity). Single‐shot echo‐planar imaging is currently the predominant formation method for diffusion MRI, but suffers from blurring, distortion, and low spatial resolution. A number of methods have been proposed to address these limitations and improve diffusion MRI acquisition. Here, the recent technical developments for image formation in diffusion MRI are reviewed. We discuss three areas of advance in diffusion MRI: improving image fidelity, accelerating acquisition, and increasing the signal‐to‐noise ratio. Level of Evidence: 5 Technical Efficacy: Stage 1 J. MAGN. RESON. IMAGING 2017;46:646–662 PMID:28194821

  7. International Clinical Guidelines for the Adoption of Digital Pathology: A Review of Technical Aspects.

    PubMed

    García-Rojo, Marcial

    2016-01-01

    Digital slides, also called whole-slide images, are being evaluated to replace conventional microscopy, and several guidelines have been published. This paper reviews technical specifications of digital pathology systems that have been included in the guidelines and position papers from the Canadian Association of Pathologists, the College of American Pathologists, the American Telemedicine Association, the Digital Pathology Association, the Food and Drug Administration, the Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention, the Society of Toxicologic Pathology, the European Commission, the Spanish Society of Anatomic Pathology, The Royal College of Pathologists and The Royal College of Pathologists of Australasia. In conclusion, most technical aspects are well covered by these guidelines, although they offer limited information regarding image quality and compression, and file formats. © 2016 S. Karger AG, Basel.

  8. Multiple stakeholders in multi-criteria decision-making in the context of Municipal Solid Waste Management: A review

    SciTech Connect

    Soltani, Atousa; Hewage, Kasun; Reza, Bahareh; Sadiq, Rehan

    2015-01-15

    Highlights: • We review Municipal Solid Waste Management studies with focus on multiple stakeholders. • We focus on studies with multi-criteria decision analysis methods and discover their trends. • Most studies do not offer solutions for situations where stakeholders compete for more benefits or have unequal voting powers. • Governments and experts are the most participated stakeholders and AHP is the most dominant method. - Abstract: Municipal Solid Waste Management (MSWM) is a complicated process that involves multiple environmental and socio-economic criteria. Decision-makers look for decision support frameworks that can guide in defining alternatives, relevant criteria and their weights, and finding a suitable solution. In addition, decision-making in MSWM problems such as finding proper waste treatment locations or strategies often requires multiple stakeholders such as government, municipalities, industries, experts, and/or general public to get involved. Multi-criteria Decision Analysis (MCDA) is the most popular framework employed in previous studies on MSWM; MCDA methods help multiple stakeholders evaluate the often conflicting criteria, communicate their different preferences, and rank or prioritize MSWM strategies to finally agree on some elements of these strategies and make an applicable decision. This paper reviews and brings together research on the application of MCDA for solving MSWM problems with more focus on the studies that have considered multiple stakeholders and offers solutions for such problems. Results of this study show that AHP is the most common approach in consideration of multiple stakeholders and experts and governments/municipalities are the most common participants in these studies.

  9. Lack of uniform diagnostic criteria for inflammatory breast cancer limits interpretation of treatment outcomes: a systematic review.

    PubMed

    Kim, Theodore; Lau, Joseph; Erban, John

    2006-12-01

    Inflammatory breast cancer (IBC) is the most aggressive type of breast cancer. No randomized controlled trial or systematic review with an IBC-only cohort that evaluates interventions has been published. We conducted a systematic review of the literature to characterize the reporting of clinical criteria and response to neoadjuvant therapy for IBC. We searched MEDLINE and other sources for the following: previously untreated patients with IBC without metastasis in cohort studies; utilized chemotherapy; and reported clinical outcomes. The following 4 groups were analyzed: no anthracycline induction, low-dose anthracycline induction, moderate-dose anthracycline induction, and high-dose chemotherapy requiring stem cell support. Weighted averages for the overall response rates were calculated using a random effects model. Twenty-seven studies met all criteria, totaling 1232 patients. Clinical description of IBC eligibility criteria and reported response assessments varied significantly among studies. The response rates and 3- and 5-year overall survival for all 27 studies ranged from 14% to 100%, 22% to 84%, and 32% to 75%, respectively. Pathologic complete response rates after no anthracycline induction, low-dose anthracycline induction, moderate-dose anthracycline induction, and neoadjuvant high-dose chemotherapy subgroups were 4% (95% confidence interval [CI], 1%-18%), 11% (95% CI, 7%-17%), 14% (95% CI, 8%-22%), and 32% (95% CI, 24%-41%), respectively. The criteria and reporting of IBC and treatment response was notably variable, with significant potential for subject heterogeneity. Pathologic complete response rates appear to be related to intensity of neoadjuvant treatment; however, this analysis is not based on randomized data. Future clinical trials should define and report the criteria for IBC diagnosis and response assessment to enhance interstudy comparisons.

  10. Creep behavior of fiber-reinforced polymeric composites: a review of the technical literature

    SciTech Connect

    Scott, D.W.; Lai, J.S.; Zureick, A.

    1995-06-01

    This report provides a review of the technical literature related to the creep behavior of fiber reinforced polymer (FRP) composites. The review presented here was directed toward those papers that define the direction and line of thinking in the area of experimental techniques that may be candidates for the development of accelerated test methods to predict the long-term performance of FRP composite materials for highway structural applications. Linear and nonlinear viscoelastic theories as they relate to the modeling and prediction of the viscoelastic response of FRP materials under constant loads are included. Accelerated characterization techniques for the viscoelastic behavior of FRP composites including the use of elevated temperatures and frequency domain loading are reviewed. The effects of moisture and temperature on the creep behavior of composites are briefly considered. The interaction between creep behavior and fatigue behavior is also included in the discussion. 60 refs.

  11. A review of the criteria used to assess insensibility and death in hunted whales compared to other species.

    PubMed

    Knudsen, S K

    2005-01-01

    This review addresses the diagnosis of insensibility and death in various species so as to evaluate the validity of the current criteria used to judge death in hunted whales by the International Whaling Commission (IWC). The only other species in which official criteria of death have been formulated is humans and these are controversial with the kernel of the debate being the definition of brain death. In slaughter animals, the moment of insensibility is regarded as the most important criterion and the issue has received scientific interest related to the pre-slaughter stunning. During hunting of terrestrial wildlife, the moment of death is usually regarded as the moment the animal falls and does not move. Based on the data presented in the present paper, it is concluded that when death in whales is solely determined on the basis of the IWC criteria, which in practice are based on immobility, a significant proportion of animals will be recorded as being sensible and alive when they are actually unconscious and the time to death (TTD) will be overestimated. If the criteria are used in conjunction with a postmortem examination, the recorded TTD will be closer to the real TTD and can be used for comparison of methods and performance.

  12. Multiple stakeholders in multi-criteria decision-making in the context of Municipal Solid Waste Management: A review.

    PubMed

    Soltani, Atousa; Hewage, Kasun; Reza, Bahareh; Sadiq, Rehan

    2015-01-01

    Municipal Solid Waste Management (MSWM) is a complicated process that involves multiple environmental and socio-economic criteria. Decision-makers look for decision support frameworks that can guide in defining alternatives, relevant criteria and their weights, and finding a suitable solution. In addition, decision-making in MSWM problems such as finding proper waste treatment locations or strategies often requires multiple stakeholders such as government, municipalities, industries, experts, and/or general public to get involved. Multi-criteria Decision Analysis (MCDA) is the most popular framework employed in previous studies on MSWM; MCDA methods help multiple stakeholders evaluate the often conflicting criteria, communicate their different preferences, and rank or prioritize MSWM strategies to finally agree on some elements of these strategies and make an applicable decision. This paper reviews and brings together research on the application of MCDA for solving MSWM problems with more focus on the studies that have considered multiple stakeholders and offers solutions for such problems. Results of this study show that AHP is the most common approach in consideration of multiple stakeholders and experts and governments/municipalities are the most common participants in these studies.

  13. Can utilization review criteria be used to determine appropriate pediatric patient placement for a critical care bed expansion?

    PubMed

    Jamieson, Donna; Mikhailov, Theresa A; Maletta, Kristyn; Kuhn, Evelyn M; Giuliani, Lauren; Musolf, Jeanne; Fischer, Kay; Collins, Maureen

    2011-01-01

    The rising trend in critical care utilization has led to the expansion of critical care beds in many hospitals across the country. Traditional models of estimating bed capacity requirements use administrative data such as inpatient admissions, length of stay, and case mix index. The use of such data has been limited in quantifying the complexities of demand variables in critical care bed needs. Mathematical modeling is another method for estimating numbers of beds required. It captures the dynamic changes in the management of critically ill patients that occur when units become full. Depending on data analysis methods used, bed need underestimation or overestimation can occur. In our study, we used utilization review criteria to understand changes in level of care (LOC) during the course of patients' stays and to validate critical care bed expansion needs. Using LOC criteria, we studied the proportion of our intermediate care patients in an acute care unit that met acute, intermediate, or critical care criteria. We also evaluated whether these proportions were related to specific factors such as census ratios, staffing proportions, or severity of illness. Using LOC criteria was helpful in validating our critical care bed projection, which was previously derived from mathematical modeling. The findings also validated our assessment for additional specialty acute care beds.

  14. Advanced Mixed Waste Treatment Project melter system preliminary design technical review meeting

    SciTech Connect

    Eddy, T.L.; Raivo, B.D.; Soelberg, N.R.; Wiersholm, O.

    1995-02-01

    The Idaho National Engineering Laboratory Advanced Mixed Waste Treatment Project sponsored a plasma are melter technical design review meeting to evaluate high-temperature melter system configurations for processing heterogeneous alpha-contaminated low-level radioactive waste (ALLW). Thermal processing experts representing Department of Energy contractors, the Environmental Protection Agency, and private sector companies participated in the review. The participants discussed issues and evaluated alternative configurations for three areas of the melter system design: plasma torch melters and graphite arc melters, offgas treatment options, and overall system configuration considerations. The Technical Advisory Committee for the review concluded that graphite arc melters are preferred over plasma torch melters for processing ALLW. Initiating involvement of stakeholders was considered essential at this stage of the design. For the offgas treatment system, the advisory committee raised the question whether to a use wet-dry or a dry-wet system. The committee recommended that the waste stream characterization, feed preparation, and the control system are essential design tasks for the high-temperature melter treatment system. The participants strongly recommended that a complete melter treatment system be assembled to conduct tests with nonradioactive surrogate waste material. A nonradioactive test bed would allow for inexpensive design and operational changes prior to assembling a system for radioactive waste treatment operations.

  15. A technical review of the SWEPP gamma-ray spectrometer system

    SciTech Connect

    Hartwell, J.K.

    1996-03-01

    The SWEPP Gamma-ray Spectrometer (SGRS) was developed by INEL researchers as a nonintrusive method of determining the isotopic ratios of TRU and U materials in a 208-liter waste drums. The SGRS has been in use at SWEPP since mid-1994. Enough questions have been raised regarding the system reliability and technical capabilities, that, coupled with a desire to procure an additional gamma-ray spectroscopy system in order to increase the drum throughput of SWEPP, have prompted an independent technical review of the SGRS. The author was chosen as the reviewer, and this report documents the results of the review. While the SGRS is accurate in its isotopic ratio results, the system is not calculationally robust. The primary reason for this lack of calculational reliability is the implementation of the attenuation corrections. Suggested changes may improve the system reliability dramatically. The SGRS is a multiple detector spectrometry system. Tests were conducted on various methods for combining the four detector results into a single drum representative value. No clear solution was reached for the cases in which the isotopic ratios are vertically segregated; however, some methods showed promise. These should be investigated further. 14 refs. , 15 figs., 23 tabs.

  16. Technical Letter Report: Evaluation and Analysis of a Few International Periodic Safety Review Summary Reports

    SciTech Connect

    Chopra, Omesh K.; Diercks, Dwight R.; Ma, David Chia-Chiun; Garud, Yogendra S.

    2013-12-17

    and 1988. All of the reports reviewed were the regulator’s assessment of the PSR findings rather than the original PSR report, and all but one were English translations from the original language. In these reviews, it was found that most of the countries base their regulatory guidance to some extent (and often to a large extent) on U.S. design codes and standards, NRC regulatory guidance, and U.S. industry guidance. In addition, many of the observed operational technical issues and OpE events reported for U.S. reactors are also cited in the PSR reports. The PSR reports also identified a number of potential technical material/component performance issues and OpE events that are not commonly reported for U.S. plants.

  17. American Gastroenterological Association Institute Technical Review on the Role of Elastography in Chronic Liver Diseases.

    PubMed

    Singh, Siddharth; Muir, Andrew J; Dieterich, Douglas T; Falck-Ytter, Yngve T

    2017-05-01

    Chronic liver diseases (CLDs), due to chronic hepatitis C; hepatitis B; nonalcoholic fatty liver diseases (NAFLD); and alcoholic liver disease, are a leading cause of morbidity and mortality globally. Early identification of patients with cirrhosis at high risk of progression to liver-related complications may facilitate timely care and improve outcomes. With risks and misclassification associated with invasive tests, such as liver biopsy, noninvasive imaging modalities for liver fibrosis assessment have gained popularity. Therefore, the American Gastroenterological Association prioritized clinical guidelines on the role of elastography in CLDs, focusing on vibration-controlled transient elastography (VCTE) and magnetic resonance elastography (MRE). To inform these clinical guidelines, the current technical review was developed in accordance with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework for diagnostic accuracy studies. This technical review addresses focused questions related to: (1) comparative diagnostic performance of VCTE and MRE relative to nonproprietary, serum-based fibrosis markers for detection of cirrhosis in patients with hepatitis C virus (HCV), hepatitis B virus (HBV), NAFLD, and alcoholic liver diseases; (2) performance of specific VCTE-defined liver stiffness cutoffs as a test replacement strategy (to replace liver biopsy) in making key decisions in the management of patients with CLDs; and (3) performance of specific VCTE-defined liver stiffness cutoffs as a triage test to identify patients with low likelihood of harboring high-risk esophageal varices (EVs) or having clinically significant portal hypertension (for presurgical risk stratification). This technical review does not address performance of other noninvasive modalities for assessing fibrosis (eg, acoustic radiation force pulse imaging or shear wave elastography) or steatosis (controlled attenuation parameter or magnetic resonance imaging

  18. A review and classification of approaches for dealing with uncertainty in multi-criteria decision analysis for healthcare decisions.

    PubMed

    Broekhuizen, Henk; Groothuis-Oudshoorn, Catharina G M; van Til, Janine A; Hummel, J Marjan; IJzerman, Maarten J

    2015-05-01

    Multi-criteria decision analysis (MCDA) is increasingly used to support decisions in healthcare involving multiple and conflicting criteria. Although uncertainty is usually carefully addressed in health economic evaluations, whether and how the different sources of uncertainty are dealt with and with what methods in MCDA is less known. The objective of this study is to review how uncertainty can be explicitly taken into account in MCDA and to discuss which approach may be appropriate for healthcare decision makers. A literature review was conducted in the Scopus and PubMed databases. Two reviewers independently categorized studies according to research areas, the type of MCDA used, and the approach used to quantify uncertainty. Selected full text articles were read for methodological details. The search strategy identified 569 studies. The five approaches most identified were fuzzy set theory (45% of studies), probabilistic sensitivity analysis (15%), deterministic sensitivity analysis (31%), Bayesian framework (6%), and grey theory (3%). A large number of papers considered the analytic hierarchy process in combination with fuzzy set theory (31%). Only 3% of studies were published in healthcare-related journals. In conclusion, our review identified five different approaches to take uncertainty into account in MCDA. The deterministic approach is most likely sufficient for most healthcare policy decisions because of its low complexity and straightforward implementation. However, more complex approaches may be needed when multiple sources of uncertainty must be considered simultaneously.

  19. Inclusion criteria for outcomes of studies not clearly reported in Cochrane systematic reviews.

    PubMed

    Verbeek, Jos; Ijaz, Sharea; Mischke, Christina

    2017-07-01

    The objective of this study was to survey how outcomes in recent Cochrane reviews were defined and used for inclusion of studies and how this compares with guidance on preventing outcome reporting bias. A survey of Cochrane reviews. We extracted data on the outcomes and how the outcomes were used for inclusion of studies in the review. We included 52 reviews with a mean of 8.4 (standard deviation, 4.3) outcomes. Of all reviews, 47 (90%) used primary and secondary outcomes as the names for their review's outcomes but without further definition. None reported using a core outcome set. Forty reviews (77%) did not explain if they used outcomes for inclusion of studies, 8 (15%) stated that studies were included if they reported either primary or secondary outcomes, 1 (2%) reported that outcomes were not used for inclusion, and for 3 (6%), this was unclear. In a sample of Cochrane reviews, most reviews did not state if outcomes were used for inclusion of studies. Better explanation of inclusion decisions is needed to be able to understand the risk of outcome reporting bias in a review. Consistent guidance in names and definitions for different types of outcomes used in systematic reviews is needed. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Criteria for Assessing Naturalistic Inquiries as Reports.

    ERIC Educational Resources Information Center

    Lincoln, Yvonna S.; Guba, Egon G.

    Research on the assessment of naturalistic inquiries is reviewed, and criteria for assessment are outlined. Criteria reviewed include early foundational and non-foundational criteria, trustworthiness criteria, axiomatic criteria, rhetorical criteria, action criteria, and application/transferability criteria. Case studies that are reports of…

  1. A Systematic Review and Taxonomy of Published Quality Criteria Related to the Evaluation of User-Facing eHealth Programs.

    PubMed

    Baumel, Amit; Birnbaum, Michael L; Sucala, Madalina

    2017-08-01

    The purpose of this review was to identify and classify key criteria concepts related to the evaluation of user-facing eHealth programs. In line with the PRISMA statement methodology, computer searches of relevant databases were conducted for studies published between January 1, 2000 and March 1, 2016 that contained explicit quality criteria related to mHealth and eHealth products. Reference lists of included articles, review articles, and grey literature (e.g., books, websites) were searched for additional sources. A team of nine experts led by the first author was gathered to support the classification of these criteria. Identified criteria were extracted, grouped and organized using an inductive thematic analysis. Eighty-four sources - emanating from 26 different courtiers - were included in this review. The team extracted 454 criteria that were grouped into 11 quality domains, 58 criteria concepts and 134 concepts' sub-groups. Quality domains were: Usability, Visual Design, User Engagement, Content, Behavior Change/Persuasive Design, Influence of Social Presence, Therapeutic Alliance, Classification, Credibility/Accountability, and Privacy/Security. Findings suggest that authors around the globe agree on key criteria concepts when evaluating user-facing eHealth products. The high proportion of new published criteria in the second half of this review time-frame (2008-2016), and more specifically, the high proportion of criteria relating to persuasive design, therapeutic alliance and privacy/security within this time-frame, points to the advancements made in recent years within this field.

  2. T1 Mapping for Myocardial Fibrosis by Cardiac Magnetic Resonance Relaxometry—A Comprehensive Technical Review

    PubMed Central

    Hamilton-Craig, Christian R.; Strudwick, Mark W.; Galloway, Graham J.

    2017-01-01

    Cardiac magnetic resonance (CMR) imaging has been widely used to assess myocardial perfusion and scar and is the non-invasive gold standard for identification of focal myocardial fibrosis. However, the late gadolinium enhancement technique is limited in its accuracy for absolute quantification and assessment of diffuse myocardial fibrosis by technical and pathophysiological features. CMR relaxometry, incorporating T1 mapping, has emerged as an accurate, reproducible, highly sensitive, and quantitative technique for the assessment of diffuse myocardial fibrosis in a number of disease states. We comprehensively review the physics behind CMR relaxometry, the evidence base, and the clinical applications of this emerging technique. PMID:28361053

  3. Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions

    SciTech Connect

    Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

    2007-05-01

    In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

  4. Parathyroid nuclear scan. A focused review on the technical and biological factors affecting its outcome.

    PubMed

    Kannan, Subramanian; Milas, Mira; Neumann, Donald; Parikh, Rikesh T; Siperstein, Alan; Licata, Angelo

    2014-01-01

    Technetium Parathyroid Scintigraphy (TS) is the most popular noninvasive localization procedure in patients with primary hyperparathyroidism (PHPT). Awareness of various factors involved in technetium uptake helps understand the outcome of TS. We utilize a case of changing TS scans in a patient to review the literature on the various biological and technical factors involved in technetium uptake by the abnormal parathyroid tissue. A 56 year female was diagnosed with PHPT and osteopenia. An initial scan using (99m)Tc-Tetrofosmin showed no definite areas of abnormal parathyroid tissue. Patient refused surgical exploration, was started on Bisphosponates and subsequently monitored. Five years later she suffered fracture of her right wrist. A repeat TS using (99m)Tc-Sestamibi revealed hypervascular parathyroid lesion in the right lower neck. She underwent successful removal of a right lower parathyroid adenoma. Technical factors like the type of Tc isotope used, imaging techniques and biological factors like biochemical parameters (calcium, vitamin D levels), adenoma size, content of oxyphilic cells, vascularity can affect the outcome of the scan. Clinicians should be aware of technical and biological factors that could result in negative scan in parathyroid nuclear scintigraphy.

  5. Effects of using different criteria for caries removal: a systematic review and network meta-analysis.

    PubMed

    Schwendicke, Falk; Paris, Sebastian; Tu, Yu-Kang

    2015-01-01

    Conventionally, caries excavation is performed until only hard dentine remains, while more selective and reliable criteria might be available. We aimed at systematically comparing the effects of using different excavation criteria via network meta-analysis. Electronic databases were searched for randomised or non-randomised clinical trials (RCTs/NRCTs) evaluating excavation of cavitated lesions. Criteria were divided into six groups: Excavation until pulpo-proximal dentine on the cavity floor was (1) either hard on probing, (2) slightly softened on probing, (3) not stainable by caries-detector-dye, or until (4) self-limiting polymer burs, (5) fluorescence-assisted devices or (6) chemo-mechanical gels indicated termination of the excavation. Evaluation of risk of complications, risk of pain/discomfort, excavation time, and number of remaining bacteria were then undertaken using Bayesian network meta-analysis. 28 studies (19 RCTs, 9 NRCTs) with 1782 patients (2555 lesions), most of them investigating primary teeth, were included. Risk of complications was highest when excavating until only non-stainable dentine remained, and lowest when not attempting to remove all softened dentine. Risk of pain significantly decreased if self-limiting chemo-mechanical excavation or fluorescence-assisted lasers were used instead of excavating until all dentine was hard. When not attempting to remove all softened dentine, the time required for excavation was shortest, whilst the greatest number bacteria remained. Not attempting to remove all softened or stainable dentine might reduce the risk of complications. Data regarding self-limiting excavation is insufficient for definitive conclusions. Excavation criteria should be validated against clinically relevant outcomes. Given current evidence, dentists might not need to attempt excavation until only hard dentin remains in proximity to the pulp. Instead, their choice of excavation criterion or method should be guided by clinical

  6. Physical therapy intervention studies on idiopathic scoliosis-review with the focus on inclusion criteria1

    PubMed Central

    2012-01-01

    Background Studies investigating the outcome of conservative scoliosis treatment differ widely with respect to the inclusion criteria used. This study has been performed to investigate the possibility to find useful inclusion criteria for future prospective studies on physiotherapy (PT). Materials and methods A PubMed search for outcome papers on PT was performed in order to detect study designs and inclusion criteria used. Results Real outcome papers (start of treatment in immature samples/end results after the end of growth; controlled studies in adults with scoliosis with a follow-up of more than 5 years) have not been found. Some papers investigated mid-term effects of exercises, most were retrospective, few prospective and many included patient samples with questionable treatment indications. Conclusion There is no outcome paper on PT in scoliosis with a patient sample at risk for being progressive in adults or in adolescents followed from premenarchial status until skeletal maturity. However, papers on bracing are more frequently found and bracing can be regarded as evidence-based in the conservative management and rehabilitation of idiopathic scoliosis in adolescents. PMID:22277541

  7. The use of repetitive transcranial magnetic stimulation for modulating craving and addictive behaviours: a critical literature review of efficacy, technical and methodological considerations.

    PubMed

    Grall-Bronnec, M; Sauvaget, A

    2014-11-01

    Repetitive transcranial magnetic stimulation (rTMS) is a potential therapeutic intervention for the treatment of addiction. This critical review aims to summarise the recent developments with respect to the efficacy of rTMS for all types of addiction and related disorders (including eating disorders), and concentrates on the associated methodological and technical issues. The bibliographic search consisted of a computerised screening of the Medline and ScienceDirect databases up to December 2013. Criteria for inclusion were the target problem was an addiction, a related disorder, or craving; the intervention was performed using rTMS; and the study was a clinical trial. Of the potential 638 articles, 18 met the criteria for inclusion. Most of these (11 of the 18) supported the efficacy of rTMS, especially in the short term. In most cases, the main assessment criterion was the measurement of craving using a Visual Analogue Scale. The results are discussed with respect to the study limitations and, in particular, the many methodological and technical discrepancies that were identified. Key recommendations are provided.

  8. Problems in the Descriptions of the Psychiatric Inclusion and Exclusion Criteria in Publications of Antidepressant Efficacy Trials: A Qualitative Review and Recommendations for Improved Clarity.

    PubMed

    Zimmerman, Mark; Multach, Matthew; Walsh, Emily; Rosenstein, Lia K; Gazarian, Douglas; Clark, Heather L

    2016-03-01

    We recently conducted a comprehensive review of the psychiatric inclusion and exclusion criteria used in 170 placebo-controlled antidepressant efficacy trials (AETs) that were published between 1995 and 2014. In conducting this literature review, we identified a number of instances in which the descriptions of the inclusion/exclusion criteria were vague, redundant, or difficult to interpret. In the present article, we describe nine problems we encountered in our literature review. We recommend that future publications follow the examples found in a few studies in which the inclusion/exclusion criteria are clearly defined and listed in a table.

  9. OBSESSIVE–COMPULSIVE DISORDER: A REVIEW OF THE DIAGNOSTIC CRITERIA AND POSSIBLE SUBTYPES AND DIMENSIONAL SPECIFIERS FOR DSM-V

    PubMed Central

    Leckman, James F.; Denys, Damiaan; Simpson, H. Blair; Mataix-Cols, David; Hollander, Eric; Saxena, Sanjaya; Miguel, Euripedes C.; Rauch, Scott L.; Goodman, Wayne K.; Phillips, Katharine A.; Stein, Dan J.

    2014-01-01

    Background Since the publication of the DSM-IV in 1994, research on obsessive–compulsive disorder (OCD) has continued to expand. It is timely to reconsider the nosology of this disorder, assessing whether changes to diagnostic criteria as well as subtypes and specifiers may improve diagnostic validity and clinical utility. Methods The existing criteria were evaluated. Key issues were identified. Electronic databases of PubMed, ScienceDirect, and PsycINFO were searched for relevant studies. Results This review presents a number of options and preliminary recommendations to be considered for DSM-V. These include: (1) clarifying and simplifying the definition of obsessions and compulsions(criterion A); (2) possibly deleting the requirement that people recognize that their obsessions or compulsions are excessive or unreasonable (criterion B); (3) rethinking the clinical significance criterion (criterion C) and, in the interim, possibly adjusting what is considered “time-consuming” for OCD; (4) listing additional disorders to help with the differential diagnosis (criterion D); (5) rethinking the medical exclusion criterion (criterion E) and clarifying what is meant by a “general medical condition”; (6) revising the specifiers (i.e., clarifying that OCD can involve a range of insight, in addition to “poor insight,” and adding “tic-related OCD”); and (7) highlighting in the DSM-V text important clinical features of OCD that are not currently mentioned in the criteria (e.g., the major symptom dimensions). Conclusions A number of changes to the existing diagnostic criteria for OCD are proposed. These proposed criteria may change as the DSM-V process progresses. PMID:20217853

  10. Review of Technical Studies in the United States in Support of Burnup Credit Regulatory Guidance

    SciTech Connect

    Wagner, John C; Parks, Cecil V; Mueller, Don; Gauld, Ian C

    2010-01-01

    Taking credit for the reduction in reactivity associated with fuel depletion can enable more cost-effective, higher-density storage, transport, disposal, and reprocessing of spent nuclear fuel (SNF) while maintaining sufficient subcritical margin to establish an adequate safety basis. Consequently, there continues to be considerable interest in the United States (U.S.), as well as internationally, in the increased use of burnup credit in SNF operations, particularly related to storage, transport, and disposal of commercial SNF. This interest has motivated numerous technical studies related to the application of burnup credit, both domestically and internationally, as well as the design of SNF storage, transport and disposal systems that rely on burnup credit for maintaining subcriticality. Responding to industry requests and needs, the U.S. Nuclear Regulatory Commission (NRC) initiated a burnup credit research program in 1999, with support from the Oak Ridge National Laboratory (ORNL), to develop regulatory guidance and the supporting technical bases for allowing and expanding the use of burnup credit in pressurized-water reactor SNF storage and transport applications. Although this NRC research program has not been continuous since its inception, considerable progress has been achieved in many key areas in terms of increased understanding of relevant phenomena and issues, availability of relevant information and data, and subsequently updated regulatory guidance for expanded use of burnup credit. This paper reviews technical studies performed by ORNL for the U.S. NRC burnup credit research program. Examples of topics include reactivity effects associated with reactor operating characteristics, fuel assembly characteristics, burnable absorbers, control rods, spatial burnup distributions, cooling time, and assembly misloading; methods and data for validation of isotopic composition predictions; methods and data for validation of criticality calculations; and

  11. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients.

    PubMed

    Papaspyridakos, Panos; Chen, Chun-Jung; Chuang, Sung-Kiang; Weber, Hans-Peter; Gallucci, German O

    2012-01-01

    The purpose of this systematic review was to assess the incidence and types of biologic and technical complications associated with implant-supported fixed complete dental prostheses (IFCDPs) for edentulous patients. An electronic MEDLINE/PubMED search was conducted to identify randomized controlled clinical trials and prospective cohort studies with IFCDPs for edentulous patients. Reports with at least 5 years of follow-up after prosthesis insertion were selected. Pooled data were analyzed statistically, and the cumulative complication rates were calculated by meta-analysis and regression. Of a total of 281 one-piece IFCDPs (mean exposure time of 9.5 years) and 653 complication events, the complication rate was estimated at 24.6% per 100 restoration-years. The cumulative rates of "prosthesis free of complications" after 5 and 10 years were 29.3% and 8.6%, respectively. The most common implantrelated biologic complication was peri-implant bone loss (> 2 mm), at rates of 20.1% after 5 years and 40.3% after 10 years. The most frequent implant-related technical complication was screw fracture, yielding a 5-year complication rate of 10.4% and a 10-year rate of 20.8%. The most frequent prosthesis-related biologic complication was hypertrophy or hyperplasia of tissue around the IFCDPs (13.0% and 26.0% after 5 and 10 years, respectively). The most common prosthesis-related technical complication reported with IFCDPs was chipping or fracture of the veneering material (33.3% at 5 years and 66.6% at 10 years). Biologic and technical complications after the placement of IFCDPs occur continuously over time as a result of fatigue and stress. These events may not lead to implant/prosthetic failures, but they are significant in relation to the amount of repair and maintenance needed, time, and cost to both the clinician and patient.

  12. Technical complications of implant-causes and management: A comprehensive review

    PubMed Central

    Gupta, Swati; Gupta, Hemant; Tandan, Amrit

    2015-01-01

    Given the increasing popularity of dental implants, the number of failures due to late implant fracture is also expected to increase. Hence, the scope for prevention and management needs to be emphasized. The objective of this review article is to analyze the various causes of failure of dental implants due to implant fixture/abutment screw fractures and also to enumerate the management and the preventive options for these failures, thereby aiming to help the clinicians to properly plan the implant-supported prosthesis treatment by considering the important biomechanical aspects of this type of rehabilitation. The present review emphasizes the causes and management of technical complications and not the incidence of such complications. PMID:26668445

  13. A systematic review of criteria used to define recovery from sport-related concussion in youth athletes.

    PubMed

    Haider, Mohammad Nadir; Leddy, John J; Pavlesen, Sonja; Kluczynski, Melissa; Baker, John G; Miecznikowski, Jeffrey C; Willer, Barry S

    2017-07-22

    The Concussion in Sport Group guidelines recommend a multifaceted approach to help clinicians make return to sport decisions. The purpose of this study was to identify the most common multifaceted measures used to define clinical recovery from sport-related concussion in young athletes (high school and/or college level) and to summarise existing knowledge of criteria used to make return to sport decisions. Systematic review. The PubMed (MEDLINE), SPORTDiscus and Embase electronic databases were searched from 1 January 2000 to 1 March 2017 by three independent reviewers. Inclusion criteria: elementary, high school and college age groups, and a specific definition of clinical recovery that required two or more measures. review articles, articles using the same sample population, case studies, non-English language and those that used one measure only or did not specify the recovery measures used. Study quality was assessed using the Downs and Black Criteria. Of 2023 publications, 43 met inclusion criteria. Included articles reported the following measures of recovery: somatic symptom resolution or return to baseline (100%), cognitive recovery or return to baseline (86%), no exacerbation of symptoms on physical exertion (49%), normalisation of balance (30%), normal special physical examination (12%), successful return to school (5%), no exacerbation of symptoms with cognitive exertion (2%) and normalisation of cerebral blood flow (2%). Follow-up to validate the return to sport decision was reported in eight (19%) articles. Most studies were case-control or cohort (level of evidence 4) and had significant risk of bias. All studies of sport-related concussion use symptom reports to define recovery. A minority of studies used multiple measures of outcome or had clearly defined recovery criteria, the most common being a combination of a self-reported symptom checklist and a computerised neurocognitive test. Future studies ideally should define recovery a priori using

  14. 42 CFR 52h.11 - What are the review criteria for contract projects and proposals?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... carrying out its review of a project concept under § 52h.10(a) or § 52h.10(b), the peer review group shall... approach, the adequacy of the methodology to be utilized in carrying out the activity. (b) In carrying out...

  15. A Technical Review on Biomass Processing: Densification, Preprocessing, Modeling and Optimization

    SciTech Connect

    Jaya Shankar Tumuluru; Christopher T. Wright

    2010-06-01

    It is now a well-acclaimed fact that burning fossil fuels and deforestation are major contributors to climate change. Biomass from plants can serve as an alternative renewable and carbon-neutral raw material for the production of bioenergy. Low densities of 40–60 kg/m3 for lignocellulosic and 200–400 kg/m3 for woody biomass limits their application for energy purposes. Prior to use in energy applications these materials need to be densified. The densified biomass can have bulk densities over 10 times the raw material helping to significantly reduce technical limitations associated with storage, loading and transportation. Pelleting, briquetting, or extrusion processing are commonly used methods for densification. The aim of the present research is to develop a comprehensive review of biomass processing that includes densification, preprocessing, modeling and optimization. The specific objective include carrying out a technical review on (a) mechanisms of particle bonding during densification; (b) methods of densification including extrusion, briquetting, pelleting, and agglomeration; (c) effects of process and feedstock variables and biomass biochemical composition on the densification (d) effects of preprocessing such as grinding, preheating, steam explosion, and torrefaction on biomass quality and binding characteristics; (e) models for understanding the compression characteristics; and (f) procedures for response surface modeling and optimization.

  16. Technical Review of Water-Resources Investigations of the Tule Desert, Lincoln County, Southern Nevada

    USGS Publications Warehouse

    Berger, David L.; Halford, Keith J.; Belcher, Wayne R.; Lico, Michael S.

    2008-01-01

    The Nevada State Engineer in Ruling No. 5181 required Lincoln County and Vidler Water Company, Inc., to provide results from additional water-resources studies of Tule Desert in southern Nevada to support water-rights application 64692. As outlined by the ruling, the additional studies were to include the determination of the amount of ground water available from the Tule Desert basin, ground-water recharge to the Tule Desert, and the direction of ground-water flow. Results of these additional studies were published in five reports prepared for Lincoln County and Vidler Water Company, Inc. The National Park Service formally requested that the U.S. Geological Survey provide technical reviews of these five reports. The Nevada State Engineer in Ruling No. 5181 required Lincoln County and Vidler Water Company, Inc., to provide results from additional water-resources studies of Tule Desert in southern Nevada to support water-rights application 64692. As outlined by the ruling, the additional studies were to include the determination of the amount of ground water available from the Tule Desert basin, ground-water recharge to the Tule Desert, and the direction of ground-water flow. Results of these additional studies were published in five reports prepared for Lincoln County and Vidler Water Company, Inc. The National Park Service formally requested that the U.S. Geological Survey provide technical reviews of these five reports.

  17. 75 FR 14643 - Office of New Reactors; Proposed Standard Review Plan, Branch Technical Position 7-19 on Guidance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... Review of Safety Analysis Reports for Nuclear Power Plants,'' Branch Technical Position (BTP) 7- 19, on... Nuclear Reactor Regulation (NRR) staff in the review of applications for license amendments in currently..., Office of New Reactors, U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; telephone at 301...

  18. Advanced human-system interface design review guideline. General evaluation model, technical development, and guideline description

    SciTech Connect

    O`Hara, J.M.

    1994-07-01

    Advanced control rooms will use advanced human-system interface (HSI) technologies that may have significant implications for plant safety in that they will affect the operator`s overall role in the system, the method of information presentation, and the ways in which operators interact with the system. The U.S. Nuclear Regulatory Commission (NRC) reviews the HSI aspects of control rooms to ensure that they are designed to good human factors engineering principles and that operator performance and reliability are appropriately supported to protect public health and safety. The principal guidance available to the NRC, however, was developed more than ten years ago, well before these technological changes. Accordingly, the human factors guidance needs to be updated to serve as the basis for NRC review of these advanced designs. The purpose of this project was to develop a general approach to advanced HSI review and the human factors guidelines to support NRC safety reviews of advanced systems. This two-volume report provides the results of the project. Volume I describes the development of the Advanced HSI Design Review Guideline (DRG) including (1) its theoretical and technical foundation, (2) a general model for the review of advanced HSIs, (3) guideline development in both hard-copy and computer-based versions, and (4) the tests and evaluations performed to develop and validate the DRG. Volume I also includes a discussion of the gaps in available guidance and a methodology for addressing them. Volume 2 provides the guidelines to be used for advanced HSI review and the procedures for their use.

  19. Review of weapon noise measurement and damage risk criteria: considerations for auditory protection and performance.

    PubMed

    Nakashima, Ann; Farinaccio, Rocco

    2015-04-01

    Noise-induced hearing loss resulting from weapon noise exposure has been studied for decades. A summary of recent work in weapon noise signal analysis, current knowledge of hearing damage risk criteria, and auditory performance in impulse noise is presented. Most of the currently used damage risk criteria are based on data that cannot be replicated or verified. There is a need to address the effects of combined noise exposures, from similar or different weapons and continuous background noise, in future noise exposure regulations. Advancements in hearing protection technology have expanded the options available to soldiers. Individual selection of hearing protection devices that are best suited to the type of exposure, the auditory task requirements, and hearing status of the user could help to facilitate their use. However, hearing protection devices affect auditory performance, which in turn affects situational awareness in the field. This includes communication capability and the localization and identification of threats. Laboratory training using high-fidelity weapon noise recordings has the potential to improve the auditory performance of soldiers in the field, providing a low-cost tool to enhance readiness for combat. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

  20. 28 CFR 90.105 - What are the review criteria for grant program applications?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) VIOLENCE AGAINST WOMEN Grants To Combat Violent Crimes Against Women on Campuses § 90.105 What are the... crimes against women. (c) Intergovernmental review. This grant program is covered by Executive...

  1. 28 CFR 90.105 - What are the review criteria for grant program applications?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) VIOLENCE AGAINST WOMEN Grants To Combat Violent Crimes Against Women on Campuses § 90.105 What are the... crimes against women. (c) Intergovernmental review. This grant program is covered by Executive...

  2. AIR QUALITY CRITERIA FOR OZONE AND OTHER PHOTOCHEMICAL OXIDANTS. EXTERNAL REVIEW DRAFT NO. 2. VOLUME V

    EPA Science Inventory

    Scientific information is presented and evaluated relative to the health and welfare effects associated with exposure to ozone and other photochemical oxidants. Although not intended as a complete and detailed literature review, the document covers pertinent literature through ea...

  3. Clinical subtypes of chronic traumatic encephalopathy: literature review and proposed research diagnostic criteria for traumatic encephalopathy syndrome.

    PubMed

    Montenigro, Philip H; Baugh, Christine M; Daneshvar, Daniel H; Mez, Jesse; Budson, Andrew E; Au, Rhoda; Katz, Douglas I; Cantu, Robert C; Stern, Robert A

    2014-01-01

    The long-term consequences of repetitive head impacts have been described since the early 20th century. Terms such as punch drunk and dementia pugilistica were first used to describe the clinical syndromes experienced by boxers. A more generic designation, chronic traumatic encephalopathy (CTE), has been employed since the mid-1900s and has been used in recent years to describe a neurodegenerative disease found not just in boxers but in American football players, other contact sport athletes, military veterans, and others with histories of repetitive brain trauma, including concussions and subconcussive trauma. This article reviews the literature of the clinical manifestations of CTE from 202 published cases. The clinical features include impairments in mood (for example, depression and hopelessness), behavior (for example, explosivity and violence), cognition (for example, impaired memory, executive functioning, attention, and dementia), and, less commonly, motor functioning (for example, parkinsonism, ataxia, and dysarthria). We present proposed research criteria for traumatic encephalopathy syndrome (TES) which consist of four variants or subtypes (TES behavioral/mood variant, TES cognitive variant, TES mixed variant, and TES dementia) as well as classifications of 'probable CTE' and 'possible CTE'. These proposed criteria are expected to be modified and updated as new research findings become available. They are not meant to be used for a clinical diagnosis. Rather, they should be viewed as research criteria that can be employed in studies of the underlying causes, risk factors, differential diagnosis, prevention, and treatment of CTE and related disorders.

  4. Clinical Diagnosis of the Dampness and Mold Hypersensitivity Syndrome: Review of the Literature and Suggested Diagnostic Criteria

    PubMed Central

    Valtonen, Ville

    2017-01-01

    A great variety of non-specific symptoms may occur in patients living or working in moisture-damaged buildings. In the beginning, these symptoms are usually reversible, mild, and present irritation of mucosa and increased morbidity due to respiratory tract infections and asthma-like symptoms. Later, the disease may become chronic and a patient is referred to a doctor where the assessment of dampness and mold hypersensitivity syndrome (DMHS) often presents diagnostic challenges. Currently, unanimously accepted laboratory tests are not yet available. Therefore, the diagnosis of DMHS is clinical and is based on the patient’s history and careful examination. In this publication, I reviewed contemporary knowledge on clinical presentations, laboratory methods, and clinical assessment of DMHS. From the literature, I have not found any proposed diagnostic clinical criteria. Therefore, I propose five clinical criteria to diagnose DMHS: (1) the history of mold exposure in water-damaged buildings, (2) increased morbidity to due infections, (3) sick building syndrome, (4) multiple chemical sensitivity, and (5) enhanced scent sensitivity. If all the five criteria are met, the patient has a very probable DMHS. To resolve the current problems in assigning correct DMHS diagnosis, we also need novel assays to estimate potential risks of developing DMHS. PMID:28848553

  5. Clinical subtypes of chronic traumatic encephalopathy: literature review and proposed research diagnostic criteria for traumatic encephalopathy syndrome

    PubMed Central

    2014-01-01

    The long-term consequences of repetitive head impacts have been described since the early 20th century. Terms such as punch drunk and dementia pugilistica were first used to describe the clinical syndromes experienced by boxers. A more generic designation, chronic traumatic encephalopathy (CTE), has been employed since the mid-1900s and has been used in recent years to describe a neurodegenerative disease found not just in boxers but in American football players, other contact sport athletes, military veterans, and others with histories of repetitive brain trauma, including concussions and subconcussive trauma. This article reviews the literature of the clinical manifestations of CTE from 202 published cases. The clinical features include impairments in mood (for example, depression and hopelessness), behavior (for example, explosivity and violence), cognition (for example, impaired memory, executive functioning, attention, and dementia), and, less commonly, motor functioning (for example, parkinsonism, ataxia, and dysarthria). We present proposed research criteria for traumatic encephalopathy syndrome (TES) which consist of four variants or subtypes (TES behavioral/mood variant, TES cognitive variant, TES mixed variant, and TES dementia) as well as classifications of ‘probable CTE’ and ‘possible CTE’. These proposed criteria are expected to be modified and updated as new research findings become available. They are not meant to be used for a clinical diagnosis. Rather, they should be viewed as research criteria that can be employed in studies of the underlying causes, risk factors, differential diagnosis, prevention, and treatment of CTE and related disorders. PMID:25580160

  6. SCFA lead lab technical assistance review of the Pit 7 Complex source containment

    SciTech Connect

    Eaton, D.; Janeday, D.; Woodward, D.; Imrich, J.; Evans, J.; Morris, M.; Reimus, P.; Hazen, T.

    2001-01-29

    On January 29-30, 2001 a technical assistance team (TAT) met with the Pit 7 project team at Lawrence Livermore National Laboratory (LLNL) to review technologies being evaluated for remediation in the Site 300 Pit 7 Complex and the process for selecting these technologies. Specifically, the project team presented the TAT with a core need to identify technically and economically practicable technologies and methods to stabilize, contain, or control the tritium and uranium in the source areas at the Pits 3 and 5 landfill area to prevent further releases of these contaminants to groundwater and the migration of tritiated and uranium-contaminated groundwater. The approaches and needs for the systems surrounding the landfills were also presented and discussed. With encouragement from the project team, the TAT expanded its focus to include additional site characterization, a water balance model, and computational models. The TAT was comprised of leading technical and regulatory experts from around the country and was assembled by SCFA's Lead Lab in response to a technical assistance request from John Ziagos, Project Manager for the Pit 7 Area (Technical Assistance Request: LLNL No.1). A list of the TAT members is included below and contact information the TAT members and site participants is in Appendix B. To familiarize the TAT assistance team with Pit 7 Complex issues, the project team gave a presentation outlining the site geology, contaminant hydrogeology, land-use issues, stakeholder concerns, regulatory requirements, groundwater flow and transport modeling efforts, pit source characterization efforts, and remedial options. Time for clarification and questions between the TAT and the site team was integrated into the presentation schedule. On the morning of the second day, the TAT reconvened with the site team and John Evans of the TAT presented information about a helium soil gas survey method that could potentially be used to locate and characterize tritium hot

  7. SRTC criticality safety technical review: Nuclear Criticality Safety Evaluation 93-04 enriched uranium receipt

    SciTech Connect

    Rathbun, R.

    1993-10-13

    Review of NMP-NCS-930087, {open_quotes}Nuclear Criticality Safety Evaluation 93-04 Enriched Uranium Receipt (U), July 30, 1993, {close_quotes} was requested of SRTC (Savannah River Technology Center) Applied Physics Group. The NCSE is a criticality assessment to determine the mass limit for Engineered Low Level Trench (ELLT) waste uranium burial. The intent is to bury uranium in pits that would be separated by a specified amount of undisturbed soil. The scope of the technical review, documented in this report, consisted of (1) an independent check of the methods and models employed, (2) independent HRXN/KENO-V.a calculations of alternate configurations, (3) application of ANSI/ANS 8.1, and (4) verification of WSRC Nuclear Criticality Safety Manual procedures. The NCSE under review concludes that a 500 gram limit per burial position is acceptable to ensure the burial site remains in a critically safe configuration for all normal and single credible abnormal conditions. This reviewer agrees with that conclusion.

  8. Human-system Interfaces to Automatic Systems: Review Guidance and Technical Basis

    SciTech Connect

    OHara, J.M.; Higgins, J.C.

    2010-01-31

    Automation has become ubiquitous in modern complex systems and commercial nuclear power plants are no exception. Beyond the control of plant functions and systems, automation is applied to a wide range of additional functions including monitoring and detection, situation assessment, response planning, response implementation, and interface management. Automation has become a 'team player' supporting plant personnel in nearly all aspects of plant operation. In light of the increasing use and importance of automation in new and future plants, guidance is needed to enable the NRC staff to conduct safety reviews of the human factors engineering (HFE) aspects of modern automation. The objective of the research described in this report was to develop guidance for reviewing the operator's interface with automation. We first developed a characterization of the important HFE aspects of automation based on how it is implemented in current systems. The characterization included five dimensions: Level of automation, function of automation, modes of automation, flexibility of allocation, and reliability of automation. Next, we reviewed literature pertaining to the effects of these aspects of automation on human performance and the design of human-system interfaces (HSIs) for automation. Then, we used the technical basis established by the literature to develop design review guidance. The guidance is divided into the following seven topics: Automation displays, interaction and control, automation modes, automation levels, adaptive automation, error tolerance and failure management, and HSI integration. In addition, we identified insights into the automaton design process, operator training, and operations.

  9. Technical review of WSRC-TR-93-614 criticality safety evaluation for disassembly basin sand filter

    SciTech Connect

    Reed, R.L

    1994-04-27

    The study documented in WSRC-TR-93-614 performed an evaluation of the criticality potential associated with the Disassembly Basin Sand Filter for K and L Areas. The document reviewed incorporated results of calculations documented in the engineering calculation N-CLC-K-00151. Analyses of the contents of disassembly basin sludge has indicated that the sludge contains fissile material in excess of subcritical mass limits as specified in ANSI/ANS standards. Previous studies had determined that the fissile material can not collect into a critical configuration in the basin. Since the sand filter is intended to remove suspended particles from the basin water and could serve as a mechanism to collect the fissile material into a critical configuration, the study examined conditions under which criticality could occur in the sand filter. The study shows that criticality is not considered possible in the sand filter. This review emphasized the technical accuracy and presentation of the evaluation. The evaluation was also examined for the elements required for NCSEs. The review was performed in accordance with the NRTSC technical review requirements and procedures and the E7 Manual technical review requirements. The technical review (per the E7 manual) of the engineering calculation (N-CLC-K-0 1 5 1) was previously performed by this reviewer.

  10. Effect of tree nuts on metabolic syndrome criteria: a systematic review and meta-analysis of randomised controlled trials

    PubMed Central

    Blanco Mejia, Sonia; Kendall, Cyril W C; Viguiliouk, Effie; Augustin, Livia S; Ha, Vanessa; Cozma, Adrian I; Mirrahimi, Arash; Maroleanu, Adriana; Chiavaroli, Laura; Leiter, Lawrence A; de Souza, Russell J; Jenkins, David J A; Sievenpiper, John L

    2014-01-01

    Objective To provide a broader evidence summary to inform dietary guidelines of the effect of tree nuts on criteria of the metabolic syndrome (MetS). Design We conducted a systematic review and meta-analysis of the effect of tree nuts on criteria of the MetS. Data sources We searched MEDLINE, EMBASE, CINAHL and the Cochrane Library (through 4 April 2014). Eligibility criteria for selecting studies We included relevant randomised controlled trials (RCTs) of ≥3 weeks reporting at least one criterion of the MetS. Data extraction Two or more independent reviewers extracted all relevant data. Data were pooled using the generic inverse variance method using random effects models and expressed as mean differences (MD) with 95% CIs. Heterogeneity was assessed by the Cochran Q statistic and quantified by the I2 statistic. Study quality and risk of bias were assessed. Results Eligibility criteria were met by 49 RCTs including 2226 participants who were otherwise healthy or had dyslipidaemia, MetS or type 2 diabetes mellitus. Tree nut interventions lowered triglycerides (MD=−0.06 mmol/L (95% CI −0.09 to −0.03 mmol/L)) and fasting blood glucose (MD=−0.08 mmol/L (95% CI −0.16 to −0.01 mmol/L)) compared with control diet interventions. There was no effect on waist circumference, high-density lipoprotein cholesterol or blood pressure with the direction of effect favouring tree nuts for waist circumference. There was evidence of significant unexplained heterogeneity in all analyses (p<0.05). Conclusions Pooled analyses show a MetS benefit of tree nuts through modest decreases in triglycerides and fasting blood glucose with no adverse effects on other criteria across nut types. As our conclusions are limited by the short duration and poor quality of the majority of trials, as well as significant unexplained between-study heterogeneity, there remains a need for larger, longer, high-quality trials. Trial registration number NCT01630980. PMID:25074070

  11. SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE 2008 TECHNICAL REVIEW

    SciTech Connect

    Looney, B; Dawn S. Kaback, D; Eugene L. LeBoeuf, E; Joe Rossabi, J; Karen L. Skubal, K; David L. Cocke, D; Paul C. Deutsch, P

    2008-09-30

    Beginning in 2006, the US Department of Energy (DOE) supported nine applied research projects to improve the protection of the Columbia River and mitigate the impacts of Hanford Site groundwater. These projects were funded through a supplemental Congressional budget allocation, and are now in various stages of completion in accordance with the research plans. The DOE Office of Environmental Management Groundwater and Soil Cleanup Technologies (EM-22) sponsored a technical peer review meeting for these projects in Richland WA, July 28-31, 2008. The overall objective of the peer review is to provide information to support DOE decisions about the status and potential future application of the various technologies. The charge for the peer review panel was to develop recommendations for each of the nine 'technologies'. Team members for the July 2008 review were Brian Looney, Gene LeBoeuf, Dawn Kaback, Karen Skubal, Joe Rossabi, Paul Deutsch, and David Cocke. Previous project reviews were held in May 2007 and March-May of 2006. The team used the following four rating categories for projects: (a) Incorporate the technology/strategy in ongoing and future EM activities; (b) Finish existing scope of applied research and determine potential for EM activities when research program is finished; (c) Discontinue current development activities and do not incorporate technology/strategy into ongoing and future EM activities unless a significant and compelling change in potential viability is documented; and (d) Supplement original funded work to obtain the data needed to support a DOE decision to incorporate the technology into ongoing and future EM activities. The supplemental funding portfolio included two projects that addressed strontium, five projects that addressed chromium, one project that addressed uranium and one project that addressed carbon tetrachloride. The projects ranged from in situ treatment methods for immobilizing contaminants using chemical-based methods such

  12. Task Order 22 – Engineering and Technical Support, Deep Borehole Field Test. AREVA Summary Review Report

    SciTech Connect

    Denton, Mark A.

    2016-01-19

    Under Task Order 22 of the industry Advisory and Assistance Services (A&AS) Contract to the Department of Energy (DOE) DE-NE0000291, AREVA has been tasked with providing assistance with engineering, analysis, cost estimating, and design support of a system for disposal of radioactive wastes in deep boreholes (without the use of radioactive waste). As part of this task order, AREVA was requested, through a letter of technical direction, to evaluate Sandia National Laboratory’s (SNL’s) waste package borehole emplacement system concept recommendation using input from DOE and SNL. This summary review report (SRR) documents this evaluation, with its focus on the primary input document titled: “Deep Borehole Field Test Specifications/M2FT-15SN0817091” Rev. 1 [1], hereafter referred to as the “M2 report.” The M2 report focuses on the conceptual design development for the Deep Borehole Field Test (DBFT), mainly the test waste packages (WPs) and the system for demonstrating emplacement and retrieval of those packages in the Field Test Borehole (FTB). This SRR follows the same outline as the M2 report, which allows for easy correlation between AREVA’s review comments, discussion, potential proposed alternatives, and path forward with information established in the M2 report. AREVA’s assessment focused on three primary elements of the M2 report: the conceptual design of the WPs proposed for deep borehole disposal (DBD), the mode of emplacement of the WP into DBD, and the conceptual design of the DBFT. AREVA concurs with the M2 report’s selection of the wireline emplacement mode specifically over the drill-string emplacement mode and generically over alternative emplacement modes. Table 5-1 of this SRR compares the pros and cons of each emplacement mode considered viable for DBD. The primary positive characteristics of the wireline emplacement mode include: (1) considered a mature technology; (2) operations are relatively simple; (3) probability of a

  13. Primary Neuroendocrine Carcinoma of the Breast: Histopathological Criteria, Prognostic Factors, and Review of the Literature

    PubMed Central

    Marinova, Lena; Vicheva, Snezhinka

    2016-01-01

    We present here a case of a 42-year-old woman diagnosed with primary neuroendocrine carcinoma of the breast (NECB). We discuss the importance of histological criteria for primary neuroendocrine mammary carcinoma, established by WHO in 2003 and 2012. After an overview of different cases of primary neuroendocrine carcinoma of the breast published in the literature, we present information about differential diagnosis, prognostic factors, and surgical and adjuvant treatment. Prognosis of NECB is not different from that of other invasive breast carcinomas and the most important prognostic factor is tumor grade (G). There is no standard treatment and patients should be treated similarly to patients with invasive ductal carcinoma, NOS (not otherwise specified), whose choice of therapy depends on tumor's size, degree of differentiation, clinical stage, and hormonal status. PMID:27840759

  14. Fraser syndrome and cryptophthalmos: review of the diagnostic criteria and evidence for phenotypic modules in complex malformation syndromes

    PubMed Central

    Slavotinek, A; Tifft, C

    2002-01-01

    Fraser syndrome is characterised by cryptophthalmos, cutaneous syndactyly, malformations of the larynx and genitourinary tract, craniofacial dysmorphism, orofacial clefting, mental retardation, and musculoskeletal anomalies. The inheritance is autosomal recessive. No diagnostic cytogenetic abnormalities have been documented in affected patients, and no molecular genetic studies have been reported. We have reviewed 117 cases diagnosed as Fraser syndrome or cryptophthalmos published since the comprehensive review of Thomas et al in 1986 in order to validate the published diagnostic criteria and to delineate the phenotype associated with this syndrome. Our series showed more females (57/117) than males and consanguinity was present in 29/119 (24.8%). Eighty-eight patients satisfied the diagnostic criteria for Fraser syndrome (75%). Cryptophthalmos was present in 103/117 (88%), syndactyly in 72/117 (61.5%), and ambiguous genitalia in 20/117 (17.1%). Ear malformations were recorded in 69/117 (59%), and renal agenesis in 53/117 (45.3%). Use of the published diagnostic criteria excluded several patients with cryptophthalmos and one or more physical feature(s) consistent with Fraser syndrome. The frequency of additional anomalies in our series was also higher than previously reported (for example, imperforate anus or anal stenosis were found in 34/117 (29%) compared with 2/124 (2%) in the series of Thomas et al (1986) and choanal stenosis or atresia was present in 7/117 (6%) compared to 0/124. These findings emphasise the clinical variability associated with Fraser syndrome and support genetic heterogeneity of the syndrome. We also noted patterns of anomalies (for example, bicornuate uterus with imperforate anus or anal stenosis and renal malformations) that are found in other syndromes and associations without cryptophthalmos, suggesting that common modifier genes may explain some of the phenotypic variation in Fraser syndrome. PMID:12205104

  15. Fraser syndrome and cryptophthalmos: review of the diagnostic criteria and evidence for phenotypic modules in complex malformation syndromes.

    PubMed

    Slavotinek, A M; Tifft, C J

    2002-09-01

    Fraser syndrome is characterised by cryptophthalmos, cutaneous syndactyly, malformations of the larynx and genitourinary tract, craniofacial dysmorphism, orofacial clefting, mental retardation, and musculoskeletal anomalies. The inheritance is autosomal recessive. No diagnostic cytogenetic abnormalities have been documented in affected patients, and no molecular genetic studies have been reported. We have reviewed 117 cases diagnosed as Fraser syndrome or cryptophthalmos published since the comprehensive review of Thomas et al in 1986 in order to validate the published diagnostic criteria and to delineate the phenotype associated with this syndrome. Our series showed more females (57/117) than males and consanguinity was present in 29/119 (24.8%). Eighty-eight patients satisfied the diagnostic criteria for Fraser syndrome (75%). Cryptophthalmos was present in 103/117 (88%), syndactyly in 72/117 (61.5%), and ambiguous genitalia in 20/117 (17.1%). Ear malformations were recorded in 69/117 (59%), and renal agenesis in 53/117 (45.3%). Use of the published diagnostic criteria excluded several patients with cryptophthalmos and one or more physical feature(s) consistent with Fraser syndrome. The frequency of additional anomalies in our series was also higher than previously reported (for example, imperforate anus or anal stenosis were found in 34/117 (29%) compared with 2/124 (2%) in the series of Thomas et al (1986) and choanal stenosis or atresia was present in 7/117 (6%) compared to 0/124. These findings emphasise the clinical variability associated with Fraser syndrome and support genetic heterogeneity of the syndrome. We also noted patterns of anomalies (for example, bicornuate uterus with imperforate anus or anal stenosis and renal malformations) that are found in other syndromes and associations without cryptophthalmos, suggesting that common modifier genes may explain some of the phenotypic variation in Fraser syndrome.

  16. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 3: Endoscopic computer-assisted electromagnetic navigation and ultrasonography as technical adjuvants for shunt placement.

    PubMed

    Flannery, Ann Marie; Duhaime, Ann-Christine; Tamber, Mandeep S; Kemp, Joanna

    2014-11-01

    This systematic review was undertaken to answer the following question: Do technical adjuvants such as ventricular endoscopic placement, computer-assisted electromagnetic guidance, or ultrasound guidance improve ventricular shunt function and survival? The US National Library of Medicine PubMed/MEDLINE database and the Cochrane Database of Systematic Reviews were queried using MeSH headings and key words specifically chosen to identify published articles detailing the use of cerebrospinal fluid shunts for the treatment of pediatric hydrocephalus. Articles meeting specific criteria that had been delineated a priori were then examined, and data were abstracted and compiled in evidentiary tables. These data were then analyzed by the Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force to consider evidence-based treatment recommendations. The search yielded 163 abstracts, which were screened for potential relevance to the application of technical adjuvants in shunt placement. Fourteen articles were selected for full-text review. One additional article was selected during a review of literature citations. Eight of these articles were included in the final recommendations concerning the use of endoscopy, ultrasonography, and electromagnetic image guidance during shunt placement, whereas the remaining articles were excluded due to poor evidence or lack of relevance. The evidence included 1 Class I, 1 Class II, and 6 Class III papers. An evidentiary table of relevant articles was created. CONCLUSIONS/RECOMMENDATION: There is insufficient evidence to recommend the use of endoscopic guidance for routine ventricular catheter placement. Level I, high degree of clinical certainty. The routine use of ultrasound-assisted catheter placement is an option. Level III, unclear clinical certainty. The routine use of computer-assisted electromagnetic (EM) navigation is an option. Level III, unclear clinical certainty.

  17. Technical skills assessment toolbox: a review using the unitary framework of validity.

    PubMed

    Ghaderi, Iman; Manji, Farouq; Park, Yoon Soo; Juul, Dorthea; Ott, Michael; Harris, Ilene; Farrell, Timothy M

    2015-02-01

    The purpose of this study was to create a technical skills assessment toolbox for 35 basic and advanced skills/procedures that comprise the American College of Surgeons (ACS)/Association of Program Directors in Surgery (APDS) surgical skills curriculum and to provide a critical appraisal of the included tools, using contemporary framework of validity. Competency-based training has become the predominant model in surgical education and assessment of performance is an essential component. Assessment methods must produce valid results to accurately determine the level of competency. A search was performed, using PubMed and Google Scholar, to identify tools that have been developed for assessment of the targeted technical skills. A total of 23 assessment tools for the 35 ACS/APDS skills modules were identified. Some tools, such as Operative Performance Rating System (OSATS) and Objective Structured Assessment of Technical Skill (OPRS), have been tested for more than 1 procedure. Therefore, 30 modules had at least 1 assessment tool, with some common surgical procedures being addressed by several tools. Five modules had none. Only 3 studies used Messick's framework to design their validity studies. The remaining studies used an outdated framework on the basis of "types of validity." When analyzed using the contemporary framework, few of these studies demonstrated validity for content, internal structure, and relationship to other variables. This study provides an assessment toolbox for common surgical skills/procedures. Our review shows that few authors have used the contemporary unitary concept of validity for development of their assessment tools. As we progress toward competency-based training, future studies should provide evidence for various sources of validity using the contemporary framework.

  18. 12 CFR 238.104 - Board action and criteria for review.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Section 238.104 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL... a 30-day review period commencing on the date of submission to the Federal Reserve System of the complete record on the notice, unless the Board or Reserve Bank disapproves the notice before the end of...

  19. 24 CFR 570.904 - Equal opportunity and fair housing review criteria.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... section 109 of the Act (see § 570.602), prohibit discrimination in any program or activity funded in whole...) Actions to use minority and women's business firms. The Department will review a recipient's performance... to encourage use of minority and women's business enterprises described in Executive Orders...

  20. The role of simulation in the development of technical competence during surgical training: a literature review

    PubMed Central

    2013-01-01

    Objectives To establish the current state of knowledge on the effect of surgical simulation on the development of technical competence during surgical training. Methods Using a defined search strategy, the medical and educational literature was searched to identify empirical research that uses simulation as an educational intervention with surgical trainees. Included studies were analysed according to guidelines adapted from a Best Evidence in Medical Education review. Results A total of 32 studies were analysed, across 5 main categories of surgical simulation technique - use of bench models and box trainers (9 studies); Virtual Reality (14 studies); human cadavers (4 studies); animal models (2 studies) and robotics (3 studies). An improvement in technical skill was seen within the simulated environment across all five categories. This improvement was seen to transfer to the real patient in the operating room in all categories except the use of animals. Conclusions Based on current evidence, surgical trainees should be confident in the effects of using simulation, and should have access to formal, structured simulation as part of their training. Surgical simulation should incorporate the use of bench models and box trainers, with the use of Virtual Reality where resources allow. Alternatives to cadaveric and animal models should be considered due to the ethical and moral issues surrounding their use, and due to their equivalency with other simulation techniques. However, any use of surgical simulation must be tailored to the individual needs of trainees, and should be accompanied by feedback from expert tutors.