Sample records for current federal guidelines
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-03
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Guidelines for Federal Workplace Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were... Laboratories and Instrumented Initial Testing Facilities (IITF) must meet in order to conduct drug and specimen...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-13
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Guidelines for Federal Workplace Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were... and Instrumented Initial Testing Facilities (IITF) must meet in order to conduct drug and specimen...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-07
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-14
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-01
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-01
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-04
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-02
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the..., ``Certification of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-10
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-14
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of Laboratories Engaged in Urine Drug Testing for Federal Agencies,'' sets strict standards that...
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77 FR 4909 - Income Level for Individuals Eligible for Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-01
... Poverty Guidelines as issued by the Department of Health and Human Services. DATES: Effective Date: This... level equivalent to one hundred and twenty-five percent (125%) of the Federal Poverty Guidelines. Since... Federal Poverty Guidelines. The figures for 2012 set out below are equivalent to 125% of the current...
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75 FR 47487 - Income Level for Individuals Eligible for Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-06
... Poverty Guidelines as issued by the Department of Health and Human Services. DATES: Effective Date: This... level equivalent to one hundred and twenty-five percent (125%) of the Federal Poverty Guidelines. Since... Federal Poverty Guidelines. The figures for 2010 set out below are equivalent to 125% of the current...
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Managing Asthma in Elementary and Middle Schools: Adherence to Federal Laws and National Guidelines
ERIC Educational Resources Information Center
Schilling, Ethan J.; Neuharth-Pritchett, Stacey; Getch, Yvette Q.; Lease, A. Michele
2017-01-01
The current study examined teacher-reported asthma management practices in school and adherence to federal guidelines for students with asthma. 593 kindergarten-eighth grade teachers completed surveys regarding compliance with federal laws and policies, information-seeking behavior, asthma-related professional development, and asthma management…
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-30
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 503 of Public Law 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-05
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-06
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as amended in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 503 of Publicc Law 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-11-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as amended in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-04
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-20
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-04
... Engage in Urine Drug Testing For Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 503 of Public Law 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-05
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-06
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 503 of Public Law 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-05
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs,'' as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-12
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-06-04
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-01
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-04
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... Public Law 100-71. The ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... certified to meet the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-02
... Current List of Laboratories Which Meet Minimum Standards To Engage in Urine Drug Testing for Federal... Drug Testing Programs (Mandatory Guidelines). The Mandatory Guidelines were first published in the... of [[Page 16814
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Developing and Implementing Health and Sustainability Guidelines for Institutional Food Service123
Kimmons, Joel; Jones, Sonya; McPeak, Holly H.; Bowden, Brian
2012-01-01
Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability of the food system. Institutional guidelines assist staff, managers, and vendors in aligning the food environment at food service venues with healthier and more sustainable choices and practices. Guideline specifics and their effective implementation depend on the size, culture, nature, and management structure of an institution and the individuals affected. They may be applied anywhere food is sold, served, or consumed. Changing institutional food service practice requires comprehensive analysis, engagement, and education of all relevant stakeholders including institutional management, members of the food supply chain, and customers. Current examples of food service guidelines presented here are the HHS and GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations, which translate evidence-based recommendations on health and sustainability into institutional food service practices and are currently being implemented at the federal level. Developing and implementing guidelines has the potential to improve long-term population health outcomes while simultaneously benefitting the food system. Nutritionists, public health practitioners, and researchers should consider working with institutions to develop, implement, and evaluate food service guidelines for health and sustainability. PMID:22585909
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Developing and implementing health and sustainability guidelines for institutional food service.
Kimmons, Joel; Jones, Sonya; McPeak, Holly H; Bowden, Brian
2012-05-01
Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability of the food system. Institutional guidelines assist staff, managers, and vendors in aligning the food environment at food service venues with healthier and more sustainable choices and practices. Guideline specifics and their effective implementation depend on the size, culture, nature, and management structure of an institution and the individuals affected. They may be applied anywhere food is sold, served, or consumed. Changing institutional food service practice requires comprehensive analysis, engagement, and education of all relevant stakeholders including institutional management, members of the food supply chain, and customers. Current examples of food service guidelines presented here are the HHS and GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations, which translate evidence-based recommendations on health and sustainability into institutional food service practices and are currently being implemented at the federal level. Developing and implementing guidelines has the potential to improve long-term population health outcomes while simultaneously benefitting the food system. Nutritionists, public health practitioners, and researchers should consider working with institutions to develop, implement, and evaluate food service guidelines for health and sustainability.
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77 FR 9590 - Recognition and Accreditation
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-17
... using percentages of the Federal Poverty Guidelines amounts. For example, the Legal Services Corporation provides that the income of service recipients may not exceed 125% of the current official Federal Poverty...
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Guidelines for Management Information Systems in Canadian Health Care Facilities
Thompson, Larry E.
1987-01-01
The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.
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BATHING BEACH MONITORING PROTOCOLS/COMMUNICATING SWIMMING ACTIVITY RISK TO THE PUBLIC
Current Environmental Protection Agency (EPA) recommended monitoring practices for bathing beach water quality were suggested in 1968, as a part of the fecal coliform guideline developed by the Federal Water Pollution Control Administration. The guideline stated that five water ...
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Current Environmental Protection Agency (EPA) recommended microbiological monitoring practices for bathing beach water quality were suggested in 1968, as a part of the fecal coliform guideline developed by the Federal Water Pollution Control Administration. The guideline stated ...
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Critical acid load limits in a changing climate: implications and solutions
Steven G. McNulty
2010-01-01
The federal agencies of the United States are currently developing guidelines for critical nitrogen load limits for U.S. forest ecosystems. These guidelines will be used to develop regulations designed to maintain pollutant inputs below the level shown to damage specified ecosystems.
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Watts, Mary Lee; Hager, Mary H; Toner, Cheryl D; Weber, Jennifer A
2011-07-01
The United States government has published official Dietary Guidelines for Americans (DGA) since 1980 and has recently released the 2010 version. Serving as a foundational cornerstone for federal nutrition policy, the DGA embrace current nutritional science and translate it into practical guidance to enhance the overall health of Americans. This article reviews the history and process for developing the DGA, including the incorporation of sophisticated and systematic techniques for reviewing emerging evidence. It also explores issues related to implementation of the guidelines through federal policy, the food supply, and consumer knowledge and behavior. © 2011 International Life Sciences Institute.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... and Instrumented Initial Testing Facilities [[Page 39758
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78 FR 33094 - Proposed Data Collections Submitted for Public Comment and Recommendations
Federal Register 2010, 2011, 2012, 2013, 2014
2013-06-03
... Dietary Guidelines for Americans and Physical Activity Guidelines for Americans, both published by the federal government, the consumption of a healthful diet and regular physical activity are important... healthier behaviors for diets and physical activity. Currently, little is known about the environmental and...
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Instructional Guidelines. Welding.
ERIC Educational Resources Information Center
Fordyce, H. L.; Doshier, Dale
Using the standards of the American Welding Society and the American Society of Mechanical Engineers, this welding instructional guidelines manual presents a course of study in accordance with the current practices in industry. Intended for use in welding programs now practiced within the Federal Prison System, the phases of the program are…
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Collecting and Using Networked Statistics: Current Status, Future Goals
ERIC Educational Resources Information Center
Hiott, Judith
2004-01-01
For more than five years the Houston Public Library has collected statistics for measuring networked collections and services based on emerging guidelines. While the guidelines have provided authority and stability to the process, the clarification process continues. The development of information discovery software, such as federated search tools…
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75 FR 27387 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-14
... Practice and Procedure 4.1. William K. Sessions III, Chair. 1. Amendment: Chapter Five, Part A, is amended... scholarly literature, current federal and state practices, and feedback in various forms from federal judges... to prevent further similar criminal conduct, including assessing the compliance and ethics program...
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-02
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Mandatory... and Instrumented Initial Testing Facilities (IITF) must meet in order to conduct drug and specimen...
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78 FR 59817 - Revision to United States Marshals Service Fees for Services
Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-30
.... Federal Cost Accounting and Fee Setting Standards and Guidelines Being Used When developing fees for... imputed rents on land, buildings, and equipment;'' (c) ``management and supervisory costs;'' and (d... current costs to the United States Marshals Service for service of process in federal court proceedings. A...
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76 FR 53113 - Guidelines for Designating Biobased Products for Federal Procurement
Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-25
.... Information regarding the Federal biobased preferred procurement program (one part of the BioPreferred Program... Request: Extension of a currently approved information collection. Abstract: The USDA BioPreferred Program... that then permit USDA to designate items for preferred procurement under the BioPreferred Program. Once...
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Fair Employment and Performance Appraisal: Legal Requirements and Practical Guidelines.
ERIC Educational Resources Information Center
Edwards, Keith J.
The use of tests in personnel decisions has become an increasing legal liability for employers. The major questions raised by the courts concerning this use of tests are described. Current federal guidelines for performance appraisal systems, as established by the Equal Employment Opportunity Commission, are explained and traced to Title VII of…
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Clinical utility of EEG in diagnosing and monitoring epilepsy in adults.
Tatum, W O; Rubboli, G; Kaplan, P W; Mirsatari, S M; Radhakrishnan, K; Gloss, D; Caboclo, L O; Drislane, F W; Koutroumanidis, M; Schomer, D L; Kasteleijn-Nolst Trenite, D; Cook, Mark; Beniczky, S
2018-05-01
Electroencephalography (EEG) remains an essential diagnostic tool for people with epilepsy (PWE). The International Federation of Clinical Neurophysiology produces new guidelines as an educational service for clinicians to address gaps in knowledge in clinical neurophysiology. The current guideline was prepared in response to gaps present in epilepsy-related neurophysiological assessment and is not intended to replace sound clinical judgement in the care of PWE. Furthermore, addressing specific pathophysiological conditions of the brain that produce epilepsy is of primary importance though is beyond the scope of this guideline. Instead, our goal is to summarize the scientific evidence for the utility of EEG when diagnosing and monitoring PWE. Copyright © 2018 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.
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Information Distribution Practices of Federal Statistical Agencies: The Census Bureau Example.
ERIC Educational Resources Information Center
Gey, Frederick C.
1993-01-01
Describes the current and historical distribution channels of the U.S. Bureau of the Census within a framework of distribution policies and practices for federal statistical information. The issues of reasonable distribution policies and the impact of technological change are discussed, and guidelines are offered. (Contains 26 references.) (EAM)
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A conceptual framework: redifining forests soil's critical acid loads under a changing climate
Steven G. McNulty; Johnny L. Boggs
2010-01-01
Federal agencies of several nations have or are currently developing guidelines for critical forest soil acid loads. These guidelines are used to establish regulations designed to maintain atmospheric acid inputs below levels shown to damage forests and streams. Traditionally, when the critical soil acid load exceeds the amount of acid that the ecosystem can absorb, it...
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Regulatory Developments in Cable Television.
ERIC Educational Resources Information Center
Federal Communications Commission, Washington, DC.
This report summarizes major rule making actions since 1972, current rules and regulations, and guidelines for citizen participation in FCC (Federal Communications Commission) processes related to cable television regulation. A large portion of the report pertains to current rules and regulations in the areas of certificate of compliance,…
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Godin, Katelyn M; Kirkpatrick, Sharon I; Hanning, Rhona M; Stapleton, Jackie; Leatherdale, Scott T
2017-06-01
School breakfast programs are widespread and serve varying objectives regarding youth health promotion. Evidence-based guidelines for breakfast programs may be important in maximizing their effectiveness related to student outcomes, yet it is unclear what is available in Canada. A systematic review was conducted to identify and compare Canadian guidelines related to breakfast programs. Data sources included grey literature databases, customized search engines, targeted websites, and content expert consultations. Eligible guidelines met the following criteria: government and nongovernment sources at the federal and provincial/territorial levels, current version, and intended for program coordinators. Recommendations for program delivery were extracted, categorized, and mapped onto the 4 environments outlined in the ANGELO framework, and they were classified as "common" or "inconsistent" across guidelines. Fifteen sets of guidelines were included. No guidelines were available from federal or territorial governments and 4 provincial governments. There were few references to peer-reviewed literature within the guidelines and despite many common recommendations for program delivery, conflicting recommendations were also identified. Potential barriers to program participation, including a lack of consideration of allergies and other dietary restrictions, were identified. Future research should identify how guidelines are implemented and evaluate what effect their implementation has on program delivery and student outcomes.
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76 FR 74063 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-30
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Federal Workplace Drug Testing Programs (Mandatory Guidelines), effective on October 1, 2010, addresses... for physicians performing a review of Federal employee drug testing results that seek approval by the...
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Nutraceuticals in Migraine: A Summary of Existing Guidelines for Use.
Rajapakse, Thilinie; Pringsheim, Tamara
2016-04-01
The use of nutraceuticals or food/herbal products for health benefits is expanding in adults with migraine as they seek relief from pain in an effective and tolerable manner not always afforded by current conventional pharmacologic therapies. Guidelines from the American Academy of Neurology/American Headache Society, Canadian Headache Society, and European Federation of Neurological Societies have discussed nutraceuticals in varying degrees of detail with at times conflicting recommendations. This review serves to provide a summary of existing guidelines for the use of certain nutraceuticals including riboflavin, coenzyme Q10, magnesium, butterbur, feverfew, and omega-3 polyunsaturated fatty acids. The review will also discuss the regulation of nutraceuticals in North America and the current controversy regarding butterbur and its safety. © 2016 American Headache Society.
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78 FR 2675 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-14
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Federal Workplace Drug Testing Programs (Mandatory Guidelines), effective on October 1, 2010, addresses... performing a review of Federal employee drug testing results that seek approval by the Secretary must submit...
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76 FR 16724 - Child Nutrition Programs-Income Eligibility Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-25
... for Children (7 CFR part 215). These eligibility guidelines are based on the Federal income poverty... price meals were obtained by multiplying the year 2011 Federal income poverty guidelines by 1.30 and 1... only the annual Federal poverty guidelines issued by the Department of Health and Human Services...
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Guidelines for the specification of blue safety flags in railroad operations
DOT National Transportation Integrated Search
2010-12-01
Blue flag protection in the railroad industry provides safety to workers from the inadvertent movement of equipment on which they : are working. Current Federal regulations provide minimum specifications for the devices that can be used as blue flags...
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Current Federal Identity Management and the Dynamic Signature Biometrics Option
2009-03-01
A lack of general public knowledge on biometrics combined with a lack of open discussion and detailed product advertising has created an atmosphere...Authentication: Fingerprint Sensor Product Guidelines. Version 1.03, September 2003 http:/Avww,intel.comidesign/ mobi /e/platform
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75 FR 76478 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-08
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Drug Testing Programs (Mandatory Guidelines) which took effect on October 1, 2010 address the role and... Federal employee drug testing results that seek approval by the Secretary must submit their qualifications...
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7 CFR 247.9 - Eligibility requirements.
Code of Federal Regulations, 2010 CFR
2010-01-01
... household income limits that are at or below 185 percent of the Federal Poverty Income Guidelines published... at or below 130 percent of the Federal Poverty Income Guidelines. Elderly persons in households with... reflect the annual adjustments of the Federal Poverty Income Guidelines? Each year, FNS will notify State...
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48 CFR 13.202 - Purchase guidelines.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Purchase guidelines. 13.202 Section 13.202 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SIMPLIFIED ACQUISITION PROCEDURES Actions at or Below the Micro-Purchase Threshold 13.202 Purchase guidelines. (a)...
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75 FR 22809 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-30
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... for Federal Workplace Drug Testing Programs (Mandatory Guidelines) from May 1, 2010, to October 1... drug testing programs as soon as possible that they will not be expected to implement the revisions to...
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78 FR 25282 - Agency Information Collection Activities: Proposed Collection; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-30
... Project: Mandatory Guidelines for Federal Workplace Drug Testing Programs (OMB No. 0930-0158)--Revision SAMHSA's Mandatory Guidelines for Federal Workplace Drug Testing Programs will request OMB approval for the Federal Drug Testing Custody and Control Form for federal agency and federally regulated drug...
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Proposed Guidelines for Carcinogen Risk Assessment
The Proposed Guidelines for Carcinogen Risk Assessment were published in the Federal Register on April 23, 1996 (Federal Register: 17960-18011) for a 120-day public review and comment period. The Proposed Guidelines are a revision of EPA's 1986 Guidelines for Carcinogen Risk Ass...
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Federal Guidelines - Operation and Maintenance of Wastewater Treatment Facilities.
ERIC Educational Resources Information Center
Environmental Protection Agency, Washington, DC. Office of Water Programs.
This document contains the federal guidelines for meeting the specific requirements of the Federal Water Pollution Control Act Amendments of 1972. These guidelines are also intended to assist in meeting the regulations for grant assisted facility construction and to provide information on the key elements to be included in the operation plans for…
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75 FR 41488 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-16
.... Project: Mandatory Guidelines for Federal Workplace Drug Testing Programs (OMB No. 0930-0158)--Revision SAMHSA's Mandatory Guidelines for Federal Workplace Drug Testing Programs will request OMB approval for the Federal Drug Testing Custody and Control Form for Federal agency and federally regulated drug...
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THE EMPACT BEACHES PROJECT - A STUDY OF THE PARAMETERS THAT AFFECT MICROBIOLOGICAL MONITORING
The current U. S. Environmental Protection Agency (EPA) water sample collection method for recreational water was suggested by the Federal Water Pollution Control Agency in 1968 as part of the fecal coliform guideline. Although improvements have been made in the indicator bacter...
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The State of Transgender Health Care: Policy, Law, and Medical Frameworks
2014-01-01
I review the current status of transgender people’s access to health care in the United States and analyze federal policies regarding health care services for transgender people and the limitations thereof. I suggest a preliminary outline to enhance health care services and recommend the formulation of explicit federal policies regarding the provision of health care services to transgender people in accordance with recently issued medical care guidelines, allocation of research funding, education of health care workers, and implementation of existing nondiscrimination policies. Current policies denying medical coverage for sex reassignment surgery contradict standards of medical care and must be amended. PMID:24432926
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48 CFR 215.404-71 - Weighted guidelines method.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Weighted guidelines method. 215.404-71 Section 215.404-71 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS... Pricing 215.404-71 Weighted guidelines method. ...
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Hansen, D T; Adams, A H; Meeker, W C; Phillips, R B
1992-09-01
With the advent of health care's "era of accountability", the chiropractic profession is now faced with generating implicit standards and guidelines for care or having it done for us by outside agencies. Already we see chiropractic groups in individual states and provinces being pressured into naive efforts of guideline development. Current knowledge and experience are available through recent health care literature that clearly defines the structure and process of guideline development and offers suggestions on how to measure outcomes of those processes. In addition, the United States Congress has directed a new federal agency to oversee this activity and monitor outcomes of quality improvement programs. The time has come for the chiropractic profession to define its exact role in health care delivery and develop implicit standards of care and practice guidelines. This sentinel effort should be managed by a commissioned body of empaneled experts that generally represent the academic and clinical chiropractic profession. A protocol for selection of these panelists and the panel chairperson needs to be developed and memorialized. Appropriate methodology (with definitions) needs to be developed for the process of standards/guideline development. Adherence to the accepted structure and process of guideline development will ensure the continuity of this dynamic process in the coming generations. This proposal offers a preliminary definition of the structure and process, including a "seed" policy statement and decision flow chart, specific to guideline development. Once the structure and process of guideline development for chiropractic are defined, the profession can then present this product to federal and state agencies, private sector health care purchasers, patient advocacy groups and other stakeholders of chiropractic care.(ABSTRACT TRUNCATED AT 250 WORDS)
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-23
... State Plan of Operations, Operating Guidelines and Forms AGENCY: Food and Nutrition Service, USDA... are required to submit a Plan of Operation specifying the manner in which SNAP will be conducted. The State Plan of Operations, in accordance with current rules at 7 CFR 272.2, consists of a Federal/State...
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48 CFR 352.234-3 - Full earned value management system.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Federal Agency (CFA) as being compliant with the guidelines in ANSI/EIA Standard-748 (current version at... and accepted by the CFA at the time of award, see paragraph (b) of this clause. The Contractor shall..., the Contractor's EVM system has not been validated and accepted by the CFA as complying with EVMS...
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48 CFR 813.202 - Purchase guidelines.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Purchase guidelines. 813.202 Section 813.202 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS CONTRACTING... Threshold 813.202 Purchase guidelines. Open market micro-purchases shall be equitably distributed among all...
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48 CFR 3009.171-6 - Guidelines for contracting officers.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Guidelines for contracting officers. 3009.171-6 Section 3009.171-6 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND... Responsible Prospective Contractors 3009.171-6 Guidelines for contracting officers. (a) In accordance with FAR...
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48 CFR 514.270-2 - Guidelines for use.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Guidelines for use. 514.270-2 Section 514.270-2 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SEALED BIDDING Solicitation of Bids 514.270-2 Guidelines for use. (a...
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De Minimis Thresholds for Federal Building Metering Appropriateness
DOE Office of Scientific and Technical Information (OSTI.GOV)
Henderson, Jordan W.
2015-03-31
The U.S. Department of Energy (DOE) is required by statute and Presidential Memorandum to establish guidelines for agencies to meter their Federal buildings for energy (electricity, natural gas, and steam) and water. See 42 U.S.C. § 8253(e). DOE issued guidance in February 2006 on the installation of electric meters in Federal buildings. A recent update to the 2006 guidance accounts for more current metering practices within the Federal Government. The updated metering guidance specifies that all Federal buildings shall be considered “appropriate” for energy or water metering unless identified for potential exclusion. In developing the updated guidance to carry outmore » the statue, Congress also directed DOE to (among other things) establish exclusions from the metering requirements based on the de minimis quantity of energy use of a Federal building, industrial process, or structure. This paper discusses the method used to identify de minimis values.« less
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76 FR 5289 - Income Level for Individuals Eligible for Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-31
... amendments to the Federal Poverty Guidelines as issued by the Department of Health and Human Services. DATES... Poverty Guidelines. Since 1982, the Department of Health and Human Services has been responsible for updating and issuing the Federal Poverty Guidelines. On January 26, 2011, LSC issued a notice in the...
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A living wage for research subjects.
Phillips, Trisha B
2011-01-01
Offering cash payments to research subjects is a common recruiting method, but this practice continues to be controversial because of its potential to compromise the protection of human subjects. Federal regulations and guidelines currently allow researchers to pay subjects for participation, but they say very little about how much researchers can pay their subjects. This paper argues that the federal regulations and guidelines should implement a standard payment formula. It argues for a wage payment model, and critically examines three candidates for a base wage: the nonfarm production wage, the FLSA minimum wage, and a living wage. After showing that the nonfarm production wage is too high to satisfy ethical criteria, and the minimum wage is too low, this paper concludes that the wage payment model with a base wage equivalent to a living wage is the best candidate for a standard payment formula in human subjects research. © 2011 American Society of Law, Medicine & Ethics, Inc.
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77 FR 25632 - Guidelines for Designating Biobased Products for Federal Procurement
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-01
... guidelines will not affect products that have already been designated for Federal procurement preference. Any... technological limitations. USDA recognizes that, in general, the Federal government does not purchase large... decision to clarify the terminology used in the BioPreferred program by avoiding, to the extent possible...
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48 CFR 47.403 - Guidelines for implementation of the Fly America Act.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Guidelines for implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TRANSPORTATION Air Transportation by U.S.-Flag Carriers 47.403...
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2 CFR 180.20 - What must a Federal agency do to implement these guidelines?
Code of Federal Regulations, 2010 CFR
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false What must a Federal agency do to implement these guidelines? 180.20 Section 180.20 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved OMB GUIDELINES TO AGENCIES ON GOVERNMENTWIDE DEBARMENT...
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2 CFR 180.30 - Where does a Federal agency implement these guidelines?
Code of Federal Regulations, 2010 CFR
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Where does a Federal agency implement these guidelines? 180.30 Section 180.30 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved OMB GUIDELINES TO AGENCIES ON GOVERNMENTWIDE DEBARMENT AND...
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2 CFR 180.35 - By when must a Federal agency implement these guidelines?
Code of Federal Regulations, 2010 CFR
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false By when must a Federal agency implement these guidelines? 180.35 Section 180.35 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved OMB GUIDELINES TO AGENCIES ON GOVERNMENTWIDE DEBARMENT...
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ADAAG Review Federal Advisory Committee Recommendations for a New ADAAG. Final Report.
ERIC Educational Resources Information Center
Architectural and Transportation Barriers Compliance Board, Washington, DC.
This report presents the final recommendations, in the form of a new set of guidelines, of a federal advisory committee concerning revisions to the Americans with Disabilities Act Accessibility Guidelines (ADAAG). The guidelines provide scoping and technical requirements for the design, construction, and alteration of sites, facilities, buildings,…
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12 CFR 412.11 - Payment guidelines.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Payment guidelines. 412.11 Section 412.11 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.11 Payment guidelines. (a) Payments from a non-Federal source, other than...
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78 FR 7679 - Income Level for Individuals Eligible for Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-04
... Poverty Guidelines as issued by the Department of Health and Human Services. DATES: Effective date: This... level equivalent to one hundred and twenty-five percent (125%) of the Federal Poverty Guidelines. Since... Federal Poverty Guidelines. The figures for 2013 set out below are equivalent to 125 percent (125%) of the...
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45 CFR 1611.5 - Authorized exceptions to the annual income ceiling.
Code of Federal Regulations, 2013 CFR
2013-10-01
...) The applicant's income does not exceed 200% of the applicable Federal Poverty Guidelines amount and... applicable Federal Poverty Guidelines amount and the recipient has determined that the applicant should be...
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45 CFR 1611.5 - Authorized exceptions to the annual income ceiling.
Code of Federal Regulations, 2011 CFR
2011-10-01
...) The applicant's income does not exceed 200% of the applicable Federal Poverty Guidelines amount and... applicable Federal Poverty Guidelines amount and the recipient has determined that the applicant should be...
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45 CFR 1611.5 - Authorized exceptions to the annual income ceiling.
Code of Federal Regulations, 2012 CFR
2012-10-01
...) The applicant's income does not exceed 200% of the applicable Federal Poverty Guidelines amount and... applicable Federal Poverty Guidelines amount and the recipient has determined that the applicant should be...
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45 CFR 1611.5 - Authorized exceptions to the annual income ceiling.
Code of Federal Regulations, 2014 CFR
2014-10-01
...) The applicant's income does not exceed 200% of the applicable Federal Poverty Guidelines amount and... applicable Federal Poverty Guidelines amount and the recipient has determined that the applicant should be...
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45 CFR 1611.5 - Authorized exceptions to the annual income ceiling.
Code of Federal Regulations, 2010 CFR
2010-10-01
...) The applicant's income does not exceed 200% of the applicable Federal Poverty Guidelines amount and... applicable Federal Poverty Guidelines amount and the recipient has determined that the applicant should be...
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48 CFR 47.403 - Guidelines for implementation of the Fly America Act.
Code of Federal Regulations, 2014 CFR
2014-10-01
... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the United...
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48 CFR 47.403 - Guidelines for implementation of the Fly America Act.
Code of Federal Regulations, 2011 CFR
2011-10-01
... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the United...
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48 CFR 47.403 - Guidelines for implementation of the Fly America Act.
Code of Federal Regulations, 2012 CFR
2012-10-01
... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the United...
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48 CFR 47.403 - Guidelines for implementation of the Fly America Act.
Code of Federal Regulations, 2013 CFR
2013-10-01
... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the United...
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Soyka, Michael; Kranzler, Henry R; Hesselbrock, Victor; Kasper, Siegfried; Mutschler, Jochen; Möller, Hans-Jürgen
2017-03-01
These practice guidelines for the biological treatment of alcohol use disorders are an update of the first edition, published in 2008, which was developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBP). For this 2016 revision, we performed a systematic review (MEDLINE/PUBMED database, Cochrane Library) of all available publications pertaining to the biological treatment of alcoholism and extracted data from national guidelines. The Task Force evaluated the identified literature with respect to the strength of evidence for the efficacy of each medication and subsequently categorised it into six levels of evidence (A-F) and five levels of recommendation (1-5). Thus, the current guidelines provide a clinically and scientifically relevant, evidence-based update of our earlier recommendations. These guidelines are intended for use by clinicians and practitioners who evaluate and treat people with alcohol use disorders and are primarily concerned with the biological treatment of adults with such disorders.
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USDA-ARS?s Scientific Manuscript database
The US population has a high intake of discretionary solid fats and added sugars (SoFAS) which currently exceeds federal dietary recommendations. The goal of this study was to identify barriers and facilitators to following the DGA. Thirty-eight 5th grade children across six Human Nutrition Resear...
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Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States
Parr, Alyssa; Whitney, Ellen A.; Berkelman, Ruth L.
2015-01-01
Context: Reported cases of legionellosis more than tripled between 2001 and 2012 in the United States. The disease results primarily from exposure to aerosolized water contaminated with Legionella. Objective: To identify and describe policies and guidelines for the primary prevention of legionellosis in the US. Design: An Internet search for Legionella prevention guidelines in the United States at the federal and state levels was conducted from March to June 2012. Local government agency guidelines and guidelines from professional organizations that were identified in the initial search were also included. Setting: Federal, state, and local governing bodies and professional organizations. Results: Guidelines and regulations for the primary prevention of legionellosis (ie, Legionnaires' disease and Pontiac fever) have been developed by various public health and other government agencies at the federal, state, and local levels as well as by professional organizations. These guidelines are similar in recommending maintenance of building water systems; federal and other guidelines differ in the population/institutions targeted, the extent of technical detail, and support of monitoring water systems for levels of Legionella contamination. Conclusions: Legionellosis deserves a higher public health priority for research and policy development. Guidance across public health agencies for the primary prevention of legionellosis requires strengthening as this disease escalates in importance as a cause of severe morbidity and mortality. We recommend a formal and comprehensive review of national public health guidelines for prevention of legionellosis. PMID:25203696
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Code of Federal Regulations, 2014 CFR
2014-10-01
... 42 Public Health 1 2014-10-01 2014-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
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Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
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Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 1 2011-10-01 2011-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
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Code of Federal Regulations, 2012 CFR
2012-10-01
... 42 Public Health 1 2012-10-01 2012-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
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Code of Federal Regulations, 2013 CFR
2013-10-01
... 42 Public Health 1 2013-10-01 2013-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-06
... sources, as long as the household's gross income does not exceed 200 percent of the Federal Poverty... gross monthly income standard, which is set at 130 percent of the Federal Poverty Guidelines. If the... of the Federal Poverty Guidelines for the net monthly income standard. As discussed above, SNAP uses...
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Implementation Guidelines for State Safety Oversight of Rail Fixed Guideway Systems
DOT National Transportation Integrated Search
1996-06-01
These guidelines will assist states, oversight agencies, and rail transit agencies in developing safety and security programs to satisfy the requirements of the Federal Transit Administration (FTA). These requirements were published in the Federal Re...
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Climate change impacts on forest soil critical acid loads and exceedances at a national scale
Steven G. McNulty; Erika C. Cohen; Jennifer A. Moore Myers
2013-01-01
Federal agencies are currently developing guidelines for forest soil critical acid loads across the United States. A critical acid load is defined as the amount of acid deposition (usually expressed on an annual basis) that an ecosystem can absorb. Traditionally, an ecosystem is considered to be at risk for health impairment when the critical acid load exceeds a level...
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ERIC Educational Resources Information Center
Ahmad, Mahassen
In 1995 the United States Department of Agriculture (USDA) developed the Health School Menus Initiative (HSMI) to ensure that school age children are provided meals that are consistent with dietary guidelines and current nutrition information. The USDA developed review instruments to evaluate the implementation of the HSMI nationwide. These…
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ERIC Educational Resources Information Center
Mattox, Kari Ann
2013-01-01
The purpose of this analysis is to compare current guidelines of the American Bar Association (ABA) for law schools to those of the U.S. Department of Education's Gainful Employment-Debt Measures regulations in order to assess their transparency and accountability. This analysis is relevant in a time of increasing tuition costs and record…
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Mehl, S; Falkai, P; Berger, M; Löhr, M; Rujescu, D; Wolff, J; Kircher, T
2016-03-01
Although national treatment guidelines and current publications of the German Federal Joint Committee (Gemeinsamer Bundesausschuss) recommend cognitive behavior therapy for all patients with schizophrenia, the implementation of these recommendations in current inpatient and outpatient treatment is only rudimentary. The aim of this study was to systematically search randomized controlled studies (RCTs), meta-analyses and the guidelines of the German Association for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) and the British National Institute for Health and Clinical Excellence (NICE) in order to assess the number of personnel necessary for psychiatric and therapeutic inpatient treatment in line with present guidelines. Moreover, the number of staff required was compared with the personnel resources designated by the German psychiatry personnel regulations (Psych-PV). The German and NICE guidelines, RCTs and meta-analyses were analyzed and an adequate weekly treatment plan for an inpatient unit was developed. Moreover, the number of personnel necessary to realize the treatment plan was calculated. In order to realize adequate inpatient treatment approximately 107 min extra for medical psychotherapeutic personnel per patient and week (of which 72 min for psychotherapy) and another 60 min for nursing staff per patient and week are required in addition to the current Psych-PV regulations. Thus, implementation in an open ward with 20 inpatients would require 3.62 positions for physicians, 0.7 positions in psychology and 12.85 positions for nursing staff (including management positions and night shifts). These evidence-based recommendations for precise specifications of inpatient treatment should lead to improved inpatient treatment in line with present guidelines. Moreover, outpatients and day patients could be included in this treatment model. The results should be considered in the construction of the future prospective payment system for inpatient psychiatric healthcare in Germany.
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Bridge scour countermeasure assessments at select bridges in the United States, 2014–16
Dudunake, Taylor J.; Huizinga, Richard J.; Fosness, Ryan L.
2017-05-23
In 2009, the Federal Highway Administration published Hydraulic Engineering Circular No. 23 (HEC-23) to provide specific design and implementation guidelines for bridge scour and stream instability countermeasures. However, the effectiveness of countermeasures implemented over the past decade following those guidelines has not been evaluated. Therefore, in 2013, the U.S. Geological Survey, in cooperation with the Federal Highway Administration, began a study to assess the current condition of bridge-scour countermeasures at selected sites to evaluate their effectiveness. Bridge-scour countermeasures were assessed during 2014-2016. Site assessments included reviewing countermeasure design plans, summarizing the peak and daily streamflow history, and assessments at each site. Each site survey included a photo log summary, field form, and topographic and bathymetric geospatial data and metadata. This report documents the study area and site-selection criteria, explains the survey methods used to evaluate the condition of countermeasures, and presents the complete documentation for each countermeasure assessment.
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Guidelines for the Diagnosis and Management of Food Allergy in the United States
Boyce, Joshua A.; Assa'ad, Amal; Burks, A. Wesley; Jones, Stacie M.; Sampson, Hugh A.; Wood, Robert A.; Plaut, Marshall; Cooper, Susan F.; Fenton, Matthew J.; Arshad, S. Hasan; Bahna, Sami L.; Beck, Lisa A.; Byrd-Bredbenner, Carol; Camargo, Carlos A.; Eichenfield, Lawrence; Furuta, Glenn T.; Hanifin, Jon M.; Jones, Carol; Kraft, Monica; Levy, Bruce D.; Lieberman, Phil; Luccioli, Stefano; McCall, Kathleen M.; Schneider, Lynda C.; Simon, Ronald A.; Simons, F. Estelle R.; Teach, Stephen J.; Yawn, Barbara P.; Schwaninger, Julie M.
2014-01-01
Food allergy is an important public health problem that affects children and adults and may be increasing in prevalence. Despite the risk of severe allergic reactions and even death, there is no current treatment for food allergy: the disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of food allergy also may vary from one clinical practice setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that food allergy prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and patient advocacy groups, led the development of clinical guidelines for the diagnosis and management of food allergy. These Guidelines are intended for use by a wide variety of health care professionals, including family practice physicians, clinical specialists, and nurse practitioners. The Guidelines include a consensus definition for food allergy, discuss comorbid conditions often associated with food allergy, and focus on both IgE-mediated and non-IgE-mediated reactions to food. Topics addressed include the epidemiology, natural history, diagnosis, and management of food allergy, as well as the management of severe symptoms and anaphylaxis. These Guidelines provide 43 concise clinical recommendations and additional guidance on points of current controversy in patient management. They also identify gaps in the current scientific knowledge to be addressed through future research. PMID:21134576
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Boyce, Joshua A; Assa'ad, Amal; Burks, A Wesley; Jones, Stacie M; Sampson, Hugh A; Wood, Robert A; Plaut, Marshall; Cooper, Susan F; Fenton, Matthew J; Arshad, S Hasan; Bahna, Sami L; Beck, Lisa A; Byrd-Bredbenner, Carol; Camargo, Carlos A; Eichenfield, Lawrence; Furuta, Glenn T; Hanifin, Jon M; Jones, Carol; Kraft, Monica; Levy, Bruce D; Lieberman, Phil; Luccioli, Stefano; McCall, Kathleen M; Schneider, Lynda C; Simon, Ronald A; Simons, F Estelle R; Teach, Stephen J; Yawn, Barbara P; Schwaninger, Julie M
2010-12-01
Food allergy is an important public health problem that affects children and adults and may be increasing in prevalence. Despite the risk of severe allergic reactions and even death, there is no current treatment for food allergy: the disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of food allergy also may vary from one clinical practice setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that food allergy prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and patient advocacy groups, led the development of clinical guidelines for the diagnosis and management of food allergy. These Guidelines are intended for use by a wide variety of health care professionals, including family practice physicians, clinical specialists, and nurse practitioners. The Guidelines include a consensus definition for food allergy, discuss comorbid conditions often associated with food allergy, and focus on both IgE-mediated and non-IgE-mediated reactions to food. Topics addressed include the epidemiology, natural history, diagnosis, and management of food allergy, as well as the management of severe symptoms and anaphylaxis. These Guidelines provide 43 concise clinical recommendations and additional guidance on points of current controversy in patient management. They also identify gaps in the current scientific knowledge to be addressed through future research. Published by Mosby, Inc.
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Neonatal Cranial Ultrasound: Are Current Safety Guidelines Appropriate?
Lalzad, Assema; Wong, Flora; Schneider, Michal
2017-03-01
Ultrasound can lead to thermal and mechanical effects in interrogated tissues. We reviewed the literature to explore the evidence on ultrasound heating on fetal and neonatal neural tissue. The results of animal studies have suggested that ultrasound exposure of the fetal or neonatal brain may lead to a significant temperature elevation at the bone-brain interface above current recommended safety thresholds. Temperature increases between 4.3 and 5.6°C have been recorded. Such temperature elevations can potentially affect neuronal structure and function and may also affect behavioral and cognitive function, such as memory and learning. However, the majority of these studies were carried out more than 25 y ago using non-diagnostic equipment with power outputs much lower than those of modern machines. New studies to address the safety issues of cranial ultrasound are imperative to provide current clinical guidelines and safety recommendations. Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
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Chimonas, Susan; Rothman, David J
2005-01-01
In October 2002 the federal government issued a draft "Compliance Program Guidance for Pharmaceutical Manufacturers." The draft Guidance questioned the legality of many arrangements heretofore left to the discretion of physicians and drug companies, including industry-funded educational and research grants, consultantcies, and gifts. Medical organizations and drug manufacturers proposed major revisions to the draft, arguing that current practices were in everyone's best interest. To evaluate the impact of their responses, we compare the draft, the changes requested by industry and organized medicine, and the final Guidance document (issued in April 2003). We also explore the implications--some intended, others unanticipated--of the final document.
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Code of Federal Regulations, 2010 CFR
2010-10-01
... Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.1 Purpose. The regulations prescribed in this part set forth the administrative guidelines and management controls for... 8(a) of the Federal Advisory Committee Act, 5 U.S.C. appendix I. Guidelines and controls are...
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Code of Federal Regulations, 2011 CFR
2011-10-01
... Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.1 Purpose. The regulations prescribed in this part set forth the administrative guidelines and management controls for... 8(a) of the Federal Advisory Committee Act, 5 U.S.C. appendix I. Guidelines and controls are...
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Code of Federal Regulations, 2012 CFR
2012-10-01
... Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.1 Purpose. The regulations prescribed in this part set forth the administrative guidelines and management controls for... 8(a) of the Federal Advisory Committee Act, 5 U.S.C. appendix I. Guidelines and controls are...
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Code of Federal Regulations, 2013 CFR
2013-10-01
... Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.1 Purpose. The regulations prescribed in this part set forth the administrative guidelines and management controls for... 8(a) of the Federal Advisory Committee Act, 5 U.S.C. appendix I. Guidelines and controls are...
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Code of Federal Regulations, 2014 CFR
2014-10-01
... Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.1 Purpose. The regulations prescribed in this part set forth the administrative guidelines and management controls for... 8(a) of the Federal Advisory Committee Act, 5 U.S.C. appendix I. Guidelines and controls are...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-23
... Guidelines for Appeals of Material Supervisory Determinations (``guidelines'') describe the types of... FEDERAL DEPOSIT INSURANCE CORPORATION Intra-Agency Appeal Process: Guidelines for Appeals of Material Supervisory Determinations and Guidelines for Appeals of Deposit Insurance Assessment...
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Increased importance of the documented development stage in process validation.
Mohammed-Ziegler, Ildikó; Medgyesi, Ildikó
2012-07-01
Current trends in pharmaceutical quality assurance moved when the Federal Drug Administration (FDA) of the USA published its new guideline on process validation in 2011. This guidance introduced the lifecycle approach of process validation. In this short communication some typical changes from the point of view of practice of API production are addressed in the light of inspection experiences. Some details are compared with the European regulations.
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The Journal of Public Inquiry. Fall/Winter 2010-2011
2011-01-01
She was also an editorial consultant for Tango Media. Currently, she continues to work as a freelance book editor and consultant, most recently for...develop the first set of federal sentencing guidelines. Mr. Martin began his professional career as a reporter with The Greenville News, a daily... career opportunities for their students and information that can be shared back in the classroom to a welcoming audience. In return, the
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Jilcott Pitts, S B; Graham, J; Mojica, A; Stewart, L; Walter, M; Schille, C; McGinty, J; Pearsall, M; Whitt, O; Mihas, P; Bradley, A; Simon, C
2016-12-01
Healthy foodservice guidelines are being implemented in worksites and healthcare facilities to increase access to healthy foods by employees and public populations. However, little is known about the barriers to and facilitators of implementation. The present study aimed to examine barriers to and facilitators of implementation of healthy foodservice guidelines in federal worksite and hospital cafeterias. Using a mixed-methods approach, including a quantitative survey followed by a qualitative, in-depth interview, we examined: (i) barriers to and facilitators of implementation; (ii) behavioural design strategies used to promote healthier foods and beverages; and (iii) how implementation of healthy foodservice guidelines influenced costs and profitability. We used a purposive sample of five hospital and four federal worksite foodservice operators who recently implemented one of two foodservice guidelines: the United States Department of Health and Human Services/General Services Administration Health and Sustainability Guidelines ('Guidelines') in federal worksites or the Partnership for a Healthier America Hospital Healthier Food Initiative ('Initiative') in hospitals. Descriptive statistics were used to analyse quantitative survey data. Qualitative data were analysed using a deductive approach. Implementation facilitators included leadership support, adequate vendor selections and having dietitians assist with implementation. Implementation barriers included inadequate selections from vendors, customer complaints and additional expertise required for menu labelling. Behavioural design strategies used most frequently included icons denoting healthier options, marketing using social media and placement of healthier options in prime locations. Lessons learned can guide subsequent steps for future healthy foodservice guideline implementation in similar settings. © 2016 The British Dietetic Association Ltd.
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Guidelines. 42.404 Section 42.404... Guidelines. (a) Federal agencies shall publish title VI guidelines for each type of program to which they extend financial assistance, where such guidelines would be appropriate to provide detailed information...
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Simon, Katya; Simon, Valentina; Rosenzweig, Rachel; Barroso, Rebeca; Gillmor-Kahn, Mickey
2018-05-01
Listeria monocytogenes is a foodborne pathogen capable of crossing the placental-fetal barrier; infection with the bacterium causes listeriosis. An exposed fetus may suffer blindness, neurological damage including meningitis, or even death. The adverse consequences of listeriosis place the infection on the federally reportable disease list. Primary prevention relies on women avoiding 6 categories of foods most likely to be contaminated with L monocytogenes, as indicated in guidelines developed by the Centers for Disease Control and Prevention (CDC), adapted by the American College of Obstetricians and Gynecologists (ACOG) in 2014, and reaffirmed without changes by ACOG in 2016. This report contains a critical evaluation of United States listeriosis prevention guidelines. Between 1998 and 2016, there were 876 identified listeriosis events documented in the illness and recall databases maintained by the CDC, Food and Drug Administration (FDA), and United States Department of Agriculture - Food Safety and Inspection Service (USDA-FSIS). Each contaminated food was manually compared to the existing listeriosis avoidance guidelines, placing each event within or outside the guidelines. Trends were analyzed over time. Database analysis demonstrates that prior to the year 2000, abiding by the current guidelines would have prevented all reported listeriosis cases. However, in 2015 and 2016, only 5% of confirmed L monocytogenes infections originated from the 6 food groups listed in the CDC and ACOG guidelines. Similar trends emerged for food processing plant recalls (USDA-FSIS database) and grocery store recalls (FDA database). The total number of listeriosis illnesses in the United States doubled from 2007 to 2014. A gradual shift in detection of L monocytogenes contamination in ready-to-eat meals, frozen foods, and ready-to-eat salads has occurred. Another emerging culprit is pasteurized dairy products. Revision of listeriosis avoidance guidelines by a consensus-seeking, multidisciplinary task force, is needed. © 2018 by the American College of Nurse-Midwives.
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Audit Guidelines for 1989-90: Single Audit Act of 1984.
ERIC Educational Resources Information Center
South Carolina State Dept. of Education, Columbia.
Single Audit Act of 1984 was passed to provide guidelines for organizationwide audits of federally funded programs. Explanatory notes for Educational Improvement Act (EIA) summer school accounting are given. Section 1 outlines audit requirements established for state and local governments that receive and administer federal assistance. An…
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ERIC Educational Resources Information Center
National Bureau of Standards (DOC), Washington, DC.
These guidelines provide a handbook for use by federal organizations in structuring physical security and risk management programs for their automatic data processing facilities. This publication discusses security analysis, natural disasters, supporting utilities, system reliability, procedural measures and controls, off-site facilities,…
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14 CFR 151.72 - Incorporation by reference of technical guidelines in Advisory Circulars.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Incorporation by reference of technical guidelines in Advisory Circulars. 151.72 Section 151.72 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151...
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14 CFR 151.72 - Incorporation by reference of technical guidelines in Advisory Circulars.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Incorporation by reference of technical guidelines in Advisory Circulars. 151.72 Section 151.72 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151...
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14 CFR 151.72 - Incorporation by reference of technical guidelines in Advisory Circulars.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Incorporation by reference of technical guidelines in Advisory Circulars. 151.72 Section 151.72 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151...
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National R & D Policy: An Industrial Perspective.
ERIC Educational Resources Information Center
Schmitt, Roland W.
1984-01-01
An analysis of how the government can and cannot use research and development (R&D) policy to improve the nation's industrial posture suggests four guidelines for federal R&D policy. These guidelines are outlined and discussed. Areas analyzed include federal role; competition from Japan; support for university research, immigration policy,…
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14 CFR 151.72 - Incorporation by reference of technical guidelines in Advisory Circulars.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Incorporation by reference of technical guidelines in Advisory Circulars. 151.72 Section 151.72 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151...
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28 CFR 2.20 - Paroling policy guidelines: Statement of general policy.
Code of Federal Regulations, 2010 CFR
2010-07-01
... be rendered. (d) The guidelines contain instructions for the rating of certain offense behaviors... youthfulness shall, in itself, be considered as a mitigating factor. (i) For criminal behavior committed while... federal offense behavior and any new criminal conduct on probation (federal or otherwise) is considered in...
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28 CFR 2.20 - Paroling policy guidelines: Statement of general policy.
Code of Federal Regulations, 2013 CFR
2013-07-01
... be rendered. (d) The guidelines contain instructions for the rating of certain offense behaviors... youthfulness shall, in itself, be considered as a mitigating factor. (i) For criminal behavior committed while... federal offense behavior and any new criminal conduct on probation (federal or otherwise) is considered in...
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28 CFR 2.20 - Paroling policy guidelines: Statement of general policy.
Code of Federal Regulations, 2014 CFR
2014-07-01
... be rendered. (d) The guidelines contain instructions for the rating of certain offense behaviors... youthfulness shall, in itself, be considered as a mitigating factor. (i) For criminal behavior committed while... federal offense behavior and any new criminal conduct on probation (federal or otherwise) is considered in...
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28 CFR 2.20 - Paroling policy guidelines: Statement of general policy.
Code of Federal Regulations, 2012 CFR
2012-07-01
... be rendered. (d) The guidelines contain instructions for the rating of certain offense behaviors... youthfulness shall, in itself, be considered as a mitigating factor. (i) For criminal behavior committed while... federal offense behavior and any new criminal conduct on probation (federal or otherwise) is considered in...
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28 CFR 2.20 - Paroling policy guidelines: Statement of general policy.
Code of Federal Regulations, 2011 CFR
2011-07-01
... be rendered. (d) The guidelines contain instructions for the rating of certain offense behaviors... youthfulness shall, in itself, be considered as a mitigating factor. (i) For criminal behavior committed while... federal offense behavior and any new criminal conduct on probation (federal or otherwise) is considered in...
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14 CFR 151.72 - Incorporation by reference of technical guidelines in Advisory Circulars.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Incorporation by reference of technical guidelines in Advisory Circulars. 151.72 Section 151.72 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS FEDERAL AID TO AIRPORTS Project Programming Standards § 151...
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Screening for non-alcoholic fatty liver disease in children: do guidelines provide enough guidance?
Koot, B G P; Nobili, V
2017-09-01
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the industrialized world in children. Its high prevalence and important health risks make NAFLD highly suitable for screening. In practice, screening is widely, albeit not consistently, performed. To review the recommendations on screening for NAFLD in children. Recommendations on screening were reviewed from major paediatric obesity guidelines and NAFLD guidelines. A literature overview is provided on open questions and controversies. Screening for NAFLD is advocated in all obesity and most NAFLD guidelines. Guidelines are not uniform in whom to screen, and most guidelines do not specify how screening should be performed in practice. Screening for NAFLD remains controversial, due to lack of a highly accurate screening tool, limited knowledge to predict the natural course of NAFLD and limited data on its cost effectiveness. Guidelines provide little guidance on how screening should be performed. Screening for NAFLD remains controversial because not all conditions for screening are fully met. Consensus is needed on the optimal use of currently available screening tools. Research should focus on new accurate screening tool, the natural history of NAFLD and the cost effectiveness of different screening strategies in children. © 2017 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
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For telehealth to succeed, privacy and security risks must be identified and addressed.
Hall, Joseph L; McGraw, Deven
2014-02-01
The success of telehealth could be undermined if serious privacy and security risks are not addressed. For example, sensors that are located in a patient's home or that interface with the patient's body to detect safety issues or medical emergencies may inadvertently transmit sensitive information about household activities. Similarly, routine data transmissions from an app or medical device, such as an insulin pump, may be shared with third-party advertisers. Without adequate security and privacy protections for underlying telehealth data and systems, providers and patients will lack trust in the use of telehealth solutions. Although some federal and state guidelines for telehealth security and privacy have been established, many gaps remain. No federal agency currently has authority to enact privacy and security requirements to cover the telehealth ecosystem. This article examines privacy risks and security threats to telehealth applications and summarizes the extent to which technical controls and federal law adequately address these risks. We argue for a comprehensive federal regulatory framework for telehealth, developed and enforced by a single federal entity, the Federal Trade Commission, to bolster trust and fully realize the benefits of telehealth.
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Research Misconduct and the Physical Sciences
DOE Office of Scientific and Technical Information (OSTI.GOV)
HM Kerch; JJ Dooley
Research misconduct includes the fabrication, falsification, and plagiarism (FFP) of concepts or ideas; some institutions have expanded this concept to include ''other serious deviations (OSD) from accepted research practice.'' An action can be evaluated as research misconduct if it involves activities unique to the practice of science and could negatively affect the scientific record. Although the number of cases of research misconduct is uncertain (formal records are kept only by the NIH and the NSF), the costs are high in integrity of the scientific record, diversions from research to investigate allegations, ruined careers of those eventually exonerated, and erosion ofmore » public confidence in science. Currently, research misconduct policies vary from institution to institution and from government agency to government agency; some have highly developed guidelines that include OSD, others have no guidelines at ail. One result has been that the federal False Claims Act has been used to pursue allegations of research misconduct and have them adjudicated in the federal court, rather than being judged by scientific peers. The federal government will soon establish a first-ever research misconduct policy that would apply to all research funded by the federal government regardless of what agency funded the research or whether the research was carried out in a government, industrial or university laboratory. Physical scientists, who up to now have only infrequently been the subject or research misconduct allegations, must none-the-less become active in the debate over research misconduct policies and how they are implemented since they will now be explicitly covered by this new federal wide policy.« less
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ERIC Educational Resources Information Center
Kotamraju, Pradeep; Mettille, John L., III
2012-01-01
Career and technical education (CTE) is increasingly seen as a major potential contributor to the recovery of the U.S. economy. However, the effectiveness and impact of the current Carl D. Perkins Act (otherwise known as Perkins IV) that governs CTE are unclear. Is the federal investment in CTE paying off? To answer this, we need to establish the…
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Brazilian physical activity guidelines as a strategy for health promotion
Sebastião, Emerson; Schwingel, Andiara; Chodzko-Zajko, Wojtek
2014-01-01
Public health actions endorsed by the federal government, for instance, health promotion initiatives, usually have greater impact at population level compared to other types of initiatives. This commentary aims to instigate debate on the importance and necessity of producing federally endorsed brazilian physical activity guidelines as a strategy for health promotion. PMID:25210830
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77 FR 1708 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-11
... Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) will meet on January 31 and February 1, 2012... opioids as potential analytes in the Mandatory Guidelines for Federal Workplace Drug Testing Programs. The... Guidelines for Federal Workplace Drug Testing Programs. This portion of the meeting is closed to the public...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-01
...) recognition of tribal authority to regulate hunting under established guidelines. This rule allows the..., Federal Register (50 FR 23467). The guidelines respond to tribal requests for Service recognition of their reserved hunting rights, and for some tribes, recognition of their authority to regulate hunting by both...
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76 FR 4550 - Income Level for Individuals Eligible for Assistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-26
... Poverty Guidelines as issued by the Department of Health and Human Services. DATES: Effective Date: This... maximum income level equivalent to one hundred and twenty-five percent (125%) of the Federal Poverty... issuing the Federal Poverty Guidelines. The figures for 2010 set out below are equivalent to 125% of the...
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75 FR 54698 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-08
... UNITED STATES SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United... amendments to Federal sentencing guidelines effective November 1, 2010. SUMMARY: On April 29, 2010, the Commission submitted to the Congress amendments to the sentencing guidelines and official commentary, which...
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77 FR 31069 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-24
... SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United States... federal sentencing guidelines, and in accordance with Rule 5.2 of its Rules of Practice and Procedure, the... the judicial branch of the United States Government. The Commission promulgates sentencing guidelines...
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77 FR 51110 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-23
... UNITED STATES SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United... amendments to federal sentencing guidelines effective November 1, 2012. SUMMARY: On April 30, 2012, the Commission submitted to the Congress amendments to the sentencing guidelines and official commentary, which...
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76 FR 58563 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-21
... UNITED STATES SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United... amendments to Federal sentencing guidelines effective November 1, 2011. SUMMARY: On April 28, 2011, the Commission submitted to the Congress amendments to the sentencing guidelines and official commentary, which...
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41 CFR 101-27.102-2 - Guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Replenishment § 101-27.102-2 Guidelines. Guidelines for implementing the EOQ principle of stock replenishment are in the GSA Handbook, The Economic Order Quantity Principle and Applications, issued by the Federal...
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5 CFR 724.403 - Advisory guidelines.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Advisory guidelines. 724.403 Section 724... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND RETALIATION ACT OF 2002 Best Practices § 724.403 Advisory guidelines. OPM will issue advisory guidelines to...
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5 CFR 724.403 - Advisory guidelines.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Advisory guidelines. 724.403 Section 724... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND RETALIATION ACT OF 2002 Best Practices § 724.403 Advisory guidelines. OPM will issue advisory guidelines to...
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5 CFR 724.403 - Advisory guidelines.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Advisory guidelines. 724.403 Section 724... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND RETALIATION ACT OF 2002 Best Practices § 724.403 Advisory guidelines. OPM will issue advisory guidelines to...
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5 CFR 724.403 - Advisory guidelines.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Advisory guidelines. 724.403 Section 724... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND RETALIATION ACT OF 2002 Best Practices § 724.403 Advisory guidelines. OPM will issue advisory guidelines to...
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75 FR 41927 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-19
... UNITED STATES SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United... operation of the Federal sentencing guidelines, and in accordance with Rule 5.2 of its Rules of Practice and... branch of the United States Government. The Commission promulgates sentencing guidelines and policy...
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76 FR 45007 - Sentencing Guidelines for United States Courts
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-27
... UNITED STATES SENTENCING COMMISSION Sentencing Guidelines for United States Courts AGENCY: United... operation of the Federal sentencing guidelines, and in accordance with Rule 5.2 of its Rules of Practice and... branch of the United States Government. The Commission promulgates sentencing guidelines and policy...
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28 CFR 2.21 - Reparole consideration guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Reparole consideration guidelines. 2.21....21 Reparole consideration guidelines. (a)(1) If revocation is based upon administrative violation(s... analogy with listed federal offense behaviors. (b) The guidelines for parole consideration specified at 28...
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75 FR 6795 - Designation of Biobased Items for Federal Procurement
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-10
...The U.S. Department of Agriculture (USDA) is proposing to amend the Guidelines for Designating Biobased Products for Federal Procurement (Guidelines) to add nine sections that will designate the following items within which biobased products would be afforded Federal procurement preference: Disposable tableware; expanded polystyrene foam recycling products; heat transfer fluids; ink removers and cleaners; mulch and compost materials; multipurpose lubricants; office paper; topical pain relief products; and turbine drip oils. USDA is also proposing minimum biobased contents for each of these items.
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2001-08-01
School systems are responsible for ensuring that children with special needs are safely transported on all forms of federally approved transportation provided by the school system, and a plan should be developed to provide the most current and proper support to children with special transportation requirements. This statement provides current guidelines for the protection of child passengers with specific health care needs, including those with a tracheostomy, those requiring use of car seats, or those transported in wheelchairs. Guidelines that apply to general school transportation should be followed, including the training of staff, provision of nurses or aides if needed, establishment of a written emergency evacuation plan, and a comprehensive infection control program. Research provides the basis for recommendations concerning occupant securement for children in wheelchairs and children with other special needs who are transported on a school bus. Pediatricians can help their patients by being aware of guidelines for restraint systems for children with special needs and by remaining informed of new resources. Pediatricians can also play an important role at the state and local level in the development of school bus specifications.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-25
... Alternatives to the Use of Credit Ratings in the Risk-Based Capital Guidelines of the Federal Banking Agencies... Ratings in the Risk-Based Capital Guidelines of the Federal Banking Agencies'' to facilitate the... docket and publish them on the Regulations.gov Web site without change, including any business or...
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ERIC Educational Resources Information Center
Ford, Roderick Dwayne
2014-01-01
This dissertation identified and described the legal requirements imposed by federal disability mandates and case law related to emerging technology. Additionally, the researcher created a legal framework (guidelines) for higher education institutions to consider during policy development and implementation of emerging technology by providing an…
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2010-12-01
A European Federation of Neurological Societies/Peripheral Nerve Society consensus guideline on the definition, investigation, and treatment of multifocal motor neuropathy (MMN) was published in 2006. The aim is to revise this guideline. Disease experts considered references retrieved from MEDLINE and Cochrane Systematic Reviews published between August 2004 and July 2009 and prepared statements that were agreed to in an iterative fashion. The Task Force agreed on Good Practice Points to define clinical and electrophysiological diagnostic criteria for MMN, investigations to be considered, and principal recommendations for treatment. © 2010 Peripheral Nerve Society.
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Preeclampsia and long-term risk of cardiovascular disease: what do obstetrician-gynecologists know?
2013-01-01
Background Preeclampsia (PE), a hypertensive disorder of pregnancy affects 2-8% of women and is associated with increased cardiovascular disease (CVD) risk later in life. There is little information about the knowledge of obstetrician-gynecologists in German outpatient care setting regarding the future health risk of PE and knowledge of the current guidelines on treatment and counseling patients post PE. This study aimed to assess whether obstetrician-gynecologists are aware of PE’s association with maternal long-term adverse outcomes and providing appropriate counseling. Methods A random sample of 500 obstetrician-gynecologists in the federal state of Lower Saxony was mailed a survey and a reminder with a second copy of the survey. The questionnaire elicited both personal information, and knowledge on future disease risks, e.g. cardiovascular disease (CVD) and current guidelines as well as on counseling practice. Descriptive analysis was used to analyze the responses. Results A total of 212 obstetrician-gynecologists (42.4%) responded to the questionnaire. A large proportion of physicians stated that PE was associated with a higher risk for the development for hypertension (86.6%), stroke (78.5%) and kidney disease (78.0%). Of the participants 75.8% reported that women after PE have a shorter life expectancy. Respondents with knowledge of the current guidelines of the German Association of Obstetrics and Gynecology concerning follow up and risk management of PE (45.2%) were more often aware of the development of CVD and stroke and counseled patients on self -blood-pressure measurement, meaning and long-term-risks of PE and attached importance to family history of PE compared to physicians with no knowledge of the guidelines. Conclusion Although the majority of obstetrician-gynecologists were aware of higher CVD risk after PE, weaknesses exist in the follow up care and counseling of these patients. These deficiencies would be amendable to directed educational activities to improve the implementation of current guidelines. PMID:23497157
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-05
... AGENCY: Executive Office for United States Trustees, Justice. ACTION: Notice of internal procedural... DEPARTMENT OF JUSTICE Appendix B Guidelines for Reviewing Applications for Compensation and... internal procedural guidelines in the Federal Register of June 17, 2013, concerning guidelines for...
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Code of Federal Regulations, 2014 CFR
2014-07-01
...-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) Appendix to Part 60-3 § 60-3.18 Citations. The official title of these guidelines is “Uniform Guidelines on Employee Selection Procedures (1978)”. The Uniform Guidelines on Employee Selection Procedures (1978) are intended to establish a uniform Federal...
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Code of Federal Regulations, 2013 CFR
2013-07-01
...-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) Appendix to Part 60-3 § 60-3.18 Citations. The official title of these guidelines is “Uniform Guidelines on Employee Selection Procedures (1978)”. The Uniform Guidelines on Employee Selection Procedures (1978) are intended to establish a uniform Federal...
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Code of Federal Regulations, 2010 CFR
2010-07-01
...-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) Appendix to Part 60-3 § 60-3.18 Citations. The official title of these guidelines is “Uniform Guidelines on Employee Selection Procedures (1978)”. The Uniform Guidelines on Employee Selection Procedures (1978) are intended to establish a uniform Federal...
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Code of Federal Regulations, 2012 CFR
2012-07-01
...-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) Appendix to Part 60-3 § 60-3.18 Citations. The official title of these guidelines is “Uniform Guidelines on Employee Selection Procedures (1978)”. The Uniform Guidelines on Employee Selection Procedures (1978) are intended to establish a uniform Federal...
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Code of Federal Regulations, 2011 CFR
2011-07-01
...-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) Appendix to Part 60-3 § 60-3.18 Citations. The official title of these guidelines is “Uniform Guidelines on Employee Selection Procedures (1978)”. The Uniform Guidelines on Employee Selection Procedures (1978) are intended to establish a uniform Federal...
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48 CFR 915.404-4-70-8 - Weighted guidelines application considerations.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Weighted guidelines....404-4-70-8 Weighted guidelines application considerations. The Department has developed internal procedures to aid the contracting officer in the application of weighted guidelines and to assure a...
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Code of Federal Regulations, 2010 CFR
2010-01-01
... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Guidelines. 1170.4 Section 1170.4... ADMINISTRATION, DEPARTMENT OF COMMERCE METRIC CONVERSION POLICY FOR FEDERAL AGENCIES § 1170.4 Guidelines. Each... agency actions, activities or programs undertaken in compliance with these guidelines or other laws or...
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Cohen, Deborah J; Dorr, David A; Knierim, Kyle; DuBard, C Annette; Hemler, Jennifer R; Hall, Jennifer D; Marino, Miguel; Solberg, Leif I; McConnell, K John; Nichols, Len M; Nease, Donald E; Edwards, Samuel T; Wu, Winfred Y; Pham-Singer, Hang; Kho, Abel N; Phillips, Robert L; Rasmussen, Luke V; Duffy, F Daniel; Balasubramanian, Bijal A
2018-04-01
Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures.
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Cohen, Deborah J.; Dorr, David A.; Knierim, Kyle; DuBard, C. Annette; Hemler, Jennifer R.; Hall, Jennifer D.; Marino, Miguel; Solberg, Leif I.; McConnell, K. John; Nichols, Len M.; Nease, Donald E.; Edwards, Samuel T.; Wu, Winfred Y.; Pham-Singer, Hang; Kho, Abel N.; Phillips, Robert L.; Rasmussen, Luke V.; Duffy, F. Daniel; Balasubramanian, Bijal A.
2018-01-01
Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports—but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. PMID:29608365
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Disaster Preparedness: Guidelines for School Nurses
ERIC Educational Resources Information Center
Doyle, Janice; Loyacono, Thomas R.
2007-01-01
These guidelines help school nurses understand their role in preparing for disasters and major emergencies. The guidelines are suitable for planning for a variety of emergency and disaster situations. Disaster Preparedness Guidelines for School Nurses is based on the four phases of disaster management as defined by the Federal Emergency Management…
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78 FR 71715 - Amendments to Highway Safety Program Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-29
... promulgate uniform guidelines for State highway safety programs. This notice revises five of the existing... successful and are based on sound science and program administration. The revised guidelines are Guideline No... become effective as of the date of publication of this document in the Federal Register. FOR FURTHER...
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48 CFR 915.404-4-70-2 - Weighted guidelines system.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Weighted guidelines system... guidelines system. (a) To properly reflect differences among contracts and the circumstances relating thereto... section. This is a structured system, referred to as weighted guidelines. Each profit factor or subfactor...
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ERIC Educational Resources Information Center
Comptroller General of the U.S., Washington, DC.
This report for Congress discusses the problems involved in developing, putting into practice, and complying with federal equal employment opportunity (EEO) guidelines on employee selection and makes some recommendations. It also discusses other factors which influence the concept of equal employment opportunity and how the concept can be realized…
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Gunn-Christie, Rebekah G; Flatland, Bente; Friedrichs, Kristen R; Szladovits, Balazs; Harr, Kendal E; Ruotsalo, Kristiina; Knoll, Joyce S; Wamsley, Heather L; Freeman, Kathy P
2012-03-01
In December 2009, the American Society for Veterinary Clinical Pathology (ASVCP) Quality Assurance and Laboratory Standards committee published the updated and peer-reviewed ASVCP Quality Assurance Guidelines on the Society's website. These guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports: (1) general analytical factors for veterinary laboratory performance and comparisons; (2) hematology, hemostasis, and crossmatching; and (3) clinical chemistry, cytology, and urinalysis. This particular report is one of 3 reports and documents recommendations for control of preanalytical, analytical, and postanalytical factors related to urinalysis, cytology, and clinical chemistry in veterinary laboratories and is adapted from sections 1.1 and 2.2 (clinical chemistry), 1.3 and 2.5 (urinalysis), 1.4 and 2.6 (cytology), and 3 (postanalytical factors important in veterinary clinical pathology) of these guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimal guidelines for quality assurance and quality control for veterinary laboratory testing and a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. © 2012 American Society for Veterinary Clinical Pathology.
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Vap, Linda M; Harr, Kendal E; Arnold, Jill E; Freeman, Kathleen P; Getzy, Karen; Lester, Sally; Friedrichs, Kristen R
2012-03-01
In December 2009, the American Society for Veterinary Clinical Pathology (ASVCP) Quality Assurance and Laboratory Standards committee published the updated and peer-reviewed ASVCP Quality Assurance Guidelines on the Society's website. These guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports: (1) general analytical factors for veterinary laboratory performance and comparisons; (2) hematology, hemostasis, and crossmatching; and (3) clinical chemistry, cytology, and urinalysis. This particular report is one of 3 reports and provides recommendations for control of preanalytical and analytical factors related to hematology for mammalian and nonmammalian species, hemostasis testing, and crossmatching and is adapted from sections 1.1 and 2.3 (mammalian hematology), 1.2 and 2.4 (nonmammalian hematology), 1.5 and 2.7 (hemostasis testing), and 1.6 and 2.8 (crossmatching) of the complete guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimal guidelines for quality assurance and quality control for veterinary laboratory testing and a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. © 2012 American Society for Veterinary Clinical Pathology.
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Does public reporting measure up? Federalism, accountability and child-care policy in Canada.
Anderson, Lynell; Findlay, Tammy
2010-01-01
Governments in Canada have recently been exploring new accountability measures within intergovernmental relations. Public reporting has become the preferred mechanism in a range of policy areas, including early learning and child-care, and the authors assess its effectiveness as an accountability measure. The article is based on their experience with a community capacity-building project that considers the relationship between the public policy, funding and accountability mechanisms under the federal/provincial/territorial agreements related to child-care. The authors argue that in its current form, public reporting has not lived up to its promise of accountability to citizens. This evaluation is based on the standards that governments have set for themselves under the federal/provincial/territorial agreements, as well as guidelines set by the Public Sector Accounting Board, an independent body that develops accounting standards over time through consultation with governments.
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Implementation guidelines for drug and alcohol regulations in mass transit
DOT National Transportation Integrated Search
2002-08-01
These guidelines will assist transit agencies in developing drug and alcohol testing programs that comply with regulations of the Federal Transit Administration (FTA). The guidelines provide a comprehensive, up-to-date summary of the regulatory requi...
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DOT National Transportation Integrated Search
2013-01-01
The Federal Highway Administration (FHWA) Road Weather Management Program (RWMP) recently published a document titled Guidelines for Disseminating Road Weather Advisory and Control Information (FHWA-JPO-12- 046). The guidelines are intended for use b...
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Employee Protection Guidelines, Section 5333(b), Federal Transit Law
DOT National Transportation Integrated Search
1995-12-07
The Federal Transit law, Title 49 U.S.C., Chapter 53, provides, in general, at Section 5333(b) (commonly referred to as ''Section 13(c)'', that, as a condition of certain Federal financial assistance by the Department of Transportation's Federal Tran...
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78 FR 69793 - Voluntary Remedial Actions and Guidelines for Voluntary Recall Notices
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-21
... (Commission, CPSC, or we) proposes an interpretive rule to set forth principles and guidelines for the content... setting forth the Commission's principles and guidelines regarding the content of voluntary recall notices..., ``Principles and Guidelines for Voluntary Recall Notices,'' in part 1115 of title 16 of the Code of Federal...
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Flatland, Bente; Freeman, Kathy P; Friedrichs, Kristen R; Vap, Linda M; Getzy, Karen M; Evans, Ellen W; Harr, Kendal E
2010-09-01
Owing to lack of governmental regulation of veterinary laboratory performance, veterinarians ideally should demonstrate a commitment to self-monitoring and regulation of laboratory performance from within the profession. In response to member concerns about quality management in veterinary laboratories, the American Society for Veterinary Clinical Pathology (ASVCP) formed a Quality Assurance and Laboratory Standards (QAS) committee in 1996. This committee recently published updated and peer-reviewed Quality Assurance Guidelines on the ASVCP website. The Quality Assurance Guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports on 1) general analytic factors for veterinary laboratory performance and comparisons, 2) hematology and hemostasis, and 3) clinical chemistry, endocrine assessment, and urinalysis. This report documents recommendations for control of general analytical factors within veterinary clinical laboratories and is based on section 2.1 (Analytical Factors Important In Veterinary Clinical Pathology, General) of the newly revised ASVCP QAS Guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimum guidelines for quality assurance and quality control for veterinary laboratory testing. It is hoped that these guidelines will provide a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. ©2010 American Society for Veterinary Clinical Pathology.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
None
Document outlines the Federal Energy Management Program's standard procedures and guidelines for measurement and verification (M&V) for federal energy managers, procurement officials, and energy service providers.
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Multicultural Communities: Guidelines for Library Services. Third Edition
ERIC Educational Resources Information Center
International Federation of Library Associations and Institutions (NJ1), 2009
2009-01-01
These Guidelines constitute the third edition of the International Federation of Library Associations (IFLA) "Multicultural Communities: "Guidelines for Library Services." This revision follows the IFLA Section of Library Services to Multicultural Populations' "2006-2010 Strategic Plans": to review and revise the…
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Guidelines Sketch Out Use of Aid: Federal Stimulus Allocations to Come Soon, with Strings
ERIC Educational Resources Information Center
Klein, Alyson
2009-01-01
The eagerly awaited federal guidelines on some $100 billion in stimulus funding for public education aim to pump money out quickly, while giving the U.S. Department of Education leverage to demand improvements from states and districts. But those same states and districts are also warned not to expect the hefty sums for K-12 programs in the…
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Safety and Toxicology of Cannabinoids.
Sachs, Jane; McGlade, Erin; Yurgelun-Todd, Deborah
2015-10-01
There is extensive research on the safety, toxicology, potency, and therapeutic potential of cannabis. However, uncertainty remains facilitating continued debate on medical and recreational cannabis policies at the state and federal levels. This review will include a brief description of cannabinoids and the endocannabinoid system; a summary of the acute and long-term effects of cannabis; and a discussion of the therapeutic potential of cannabis. The conclusions about safety and efficacy will then be compared with the current social and political climate to suggest future policy directions and general guidelines.
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[Preventive vaccinations in dentistry].
Rostetter, Claudio; Lübbers, Heinz-Theo; Kruse, Astrid L; Metzler, Philipp
2015-01-01
The purpose of this current paper is to give a simple update and overview about vaccinations for dental health care workers considering the new guidelines published in February 2014 by the Swiss Federal Office of Public Health. It is recommended to have at least a valid protection against hepatitis B, measles, mumps, rubella, influenza, varicella, diphtheria, tetanus, poliomyelitis and pertussis. Dental health care workers are highly exposed and high risk carriers for inoculable diseases, therefore regular refreshment of vaccinations is necessary for public health and their own health.
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Artemoval, L V; Baskova, N V; Burmistrova, T B; Buryakinal, E A; Buhtiyarov, I V; Bushmanov, A Yu; Vasilyeva, O S; Vlasov, V G; Gorblyansky, Y Y; Zhabina, S A; Zaharinskaya, O N; Ismerov, N F; Kovalevsky, E V; Kuznetsova, G V; Kuzmina, L P; Kunyaeva, T A; Logvinenko, I I; Lutsenko, L A; Mazitova, N N; Obukhova, T Yu; Odintseva, O V; Orlova, G P; Panacheva, L A; Piktushanskaya, I N; Plyukhin, A E; Poteryaeva, E L; Pravilo, S M; Razumov, V V; Roslaya, N A; Roslyi, O F; Rushkevich, O P; Semenihin, V A; Serebryakov, P V; Smirnova, E L; Sorkina, N S; Tsidil'kovskaya, E S; Chasovskikh, E V; Shpagina, L A
2016-01-01
The purpose of development of this clinical practice guidelines was to provide evidence-based protocols that help the practitioner and the patient make the right decision for the health assessment, treatment and prevention of pneumoconiosis. Pneumoconiosis is the interstitial lung disease of occupational origin caused by prolonged inhalation of inorganic dust, characterized by chronic diffuse aseptic inflammation in lung tissue with the development of pulmonary fibrosis. Currently, thereare no treatment that provide a cure pulmonary fibrosis and changes in the dynamics of decline in lung function. Regular, individually tailored treatment should be directed to the pathogenic mechanisms and some clinical symptoms of pneumoconiosis, as well as the prevention of complications. To enhance the effect of pharmacotherapy is recommended to use non-drug therapies that enhance the functionality of the respiratory system.
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Current and potential cyber attacks on medical journals; guidelines for improving security.
Dadkhah, Mehdi; Seno, Seyed Amin Hosseini; Borchardt, Glenn
2017-03-01
At the moment, scholarly publishing is faced with much academic misconduct and threats such as predatory journals, hijacked journals, phishing, and other scams. In response, we have been discussing this misconduct and trying to increase the awareness of researchers, but it seems that there is a lack of research that presents guidelines for editors to help them protect themselves against these threats. It seems that information security is missing in some parts of scholarly publishing that particularly involves medical journals. In this paper, we explain different types of cyber-attacks that especially threaten editors and academic journals. We then explain the details involved in each type of attack. Finally, we present general guidelines for detection and prevention of the attacks. In some cases, we use small experiments to show that our claim is true. Finally, we conclude the paper with a prioritization of these attacks. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
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26 CFR 1.36B-1 - Premium tax credit definitions.
Code of Federal Regulations, 2013 CFR
2013-04-01
... meaning as in 45 CFR 155.20. (h) Federal poverty line. The Federal poverty line means the most recently published poverty guidelines (updated periodically in the Federal Register by the Secretary of Health and... Federal poverty line for computing the premium tax credit for a taxable year is the Federal poverty line...
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26 CFR 1.36B-1 - Premium tax credit definitions.
Code of Federal Regulations, 2014 CFR
2014-04-01
... meaning as in 45 CFR 155.20. (h) Federal poverty line. The Federal poverty line means the most recently published poverty guidelines (updated periodically in the Federal Register by the Secretary of Health and... Federal poverty line for computing the premium tax credit for a taxable year is the Federal poverty line...
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41 CFR 109-38.502 - Guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 38-MOTOR EQUIPMENT MANAGEMENT 38.5-Scheduled Maintenance § 109-38.502 Guidelines. ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Guidelines. 109-38.502 Section 109-38.502 Public Contracts and Property Management Federal Property Management Regulations System...
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Wangge, Grace; van der Graaf, Yolanda; van der Heijden, Geert J. M. G.
2016-01-01
Abstract Rationale, aims and objectives Most of the clinical guidelines in low‐resource countries are adaptations from preexisting international guidelines. This adaptation can be problematic when those international guidelines are not based on current evidence or original evidence‐based international guidelines are not followed. This study aims to evaluate the quality of an Indonesian type 2 diabetes mellitus guideline adapted from selected international guidelines. Methods The “Consensus on the Management and Prevention of type 2 Diabetes in Indonesia 2011” is a guideline by the Indonesian Society of Endocrinology (Perkeni). Four parent guidelines identified from its list of references were from the International Diabetes Federation (IDF), American Association of Clinical Endocrinologist (AACE), American Diabetes Association (ADA), and one jointly released by ADA and European Association for the Study of Diabetes (EASD). Two reviewers independently assessed its quality using the Appraisal of Guidelines, Research and Evaluation Collaboration (AGREE II) instrument. Six recommendations were compared: (1) screening for diabetes; (2) diagnosis; (3) control of hyperglycemia; (4) target blood glucose; (5) target blood pressure; and (6) treatment of dyslipidemia. Results Perkeni's guideline satisfied 55% of the AGREE II items, while its parent guidelines satisfied 59% to 74%. Perkeni's shows low score on “rigor of development” and “applicability” and the lowest score in the “scope and purpose” domain. Differences were found in 4 recommendations: the screening of diabetes, control of hyperglycemia, target blood glucose, and treatment of dyslipidemia. In 3 of 4, Perkeni followed the ADA's recommendation. Conclusion Derivation of recommendations from parent guidelines and their adaptation to the context of Indonesian health care lacks transparency. When guidelines are either derived from other guidelines or adapted for use in different context, evidence‐based practice principles should be followed and adhered to. PMID:27592587
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Widyahening, Indah S; Wangge, Grace; van der Graaf, Yolanda; van der Heijden, Geert J M G
2017-02-01
Most of the clinical guidelines in low-resource countries are adaptations from preexisting international guidelines. This adaptation can be problematic when those international guidelines are not based on current evidence or original evidence-based international guidelines are not followed. This study aims to evaluate the quality of an Indonesian type 2 diabetes mellitus guideline adapted from selected international guidelines. The "Consensus on the Management and Prevention of type 2 Diabetes in Indonesia 2011" is a guideline by the Indonesian Society of Endocrinology (Perkeni). Four parent guidelines identified from its list of references were from the International Diabetes Federation (IDF), American Association of Clinical Endocrinologist (AACE), American Diabetes Association (ADA), and one jointly released by ADA and European Association for the Study of Diabetes (EASD). Two reviewers independently assessed its quality using the Appraisal of Guidelines, Research and Evaluation Collaboration (AGREE II) instrument. Six recommendations were compared: (1) screening for diabetes; (2) diagnosis; (3) control of hyperglycemia; (4) target blood glucose; (5) target blood pressure; and (6) treatment of dyslipidemia. Perkeni's guideline satisfied 55% of the AGREE II items, while its parent guidelines satisfied 59% to 74%. Perkeni's shows low score on "rigor of development" and "applicability" and the lowest score in the "scope and purpose" domain. Differences were found in 4 recommendations: the screening of diabetes, control of hyperglycemia, target blood glucose, and treatment of dyslipidemia. In 3 of 4, Perkeni followed the ADA's recommendation. Derivation of recommendations from parent guidelines and their adaptation to the context of Indonesian health care lacks transparency. When guidelines are either derived from other guidelines or adapted for use in different context, evidence-based practice principles should be followed and adhered to. © 2016 The Authors Journal of Evaluation in Clinical Practice Published by John Wiley & Sons Ltd.
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75 FR 44757 - Yavapai County Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-29
... and Community Self-Determination Act (Pub. L. 110- 343) and in compliance with the Federal Advisory... Act, roles of members, guidelines for Title II, and the Federal Advisory Committee Act. DATES: The... Designated Federal [[Page 44758
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ERIC Educational Resources Information Center
Illinois State Dept. of Public Health, Springfield.
These Illinois guidelines provide information on the medical management and treatment of children with lead poisoning, based on Federal guidelines (revised in 1991) for determining lead poisoning at lower levels. The guidelines outline the effects of lead poisoning, sources of lead, estimated incidence of lead poisoning in Illinois, screening…
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5 CFR 724.404 - Agency obligations.
Code of Federal Regulations, 2010 CFR
2010-01-01
... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND... the advisory guidelines required by § 724.403, each agency must prepare a written statement describing in detail: (1) Whether it has adopted the guidelines and if it will fully follow the guidelines; (2...
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5 CFR 724.404 - Agency obligations.
Code of Federal Regulations, 2012 CFR
2012-01-01
... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND... the advisory guidelines required by § 724.403, each agency must prepare a written statement describing in detail: (1) Whether it has adopted the guidelines and if it will fully follow the guidelines; (2...
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5 CFR 724.404 - Agency obligations.
Code of Federal Regulations, 2011 CFR
2011-01-01
... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND... the advisory guidelines required by § 724.403, each agency must prepare a written statement describing in detail: (1) Whether it has adopted the guidelines and if it will fully follow the guidelines; (2...
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5 CFR 724.404 - Agency obligations.
Code of Federal Regulations, 2014 CFR
2014-01-01
... (CONTINUED) IMPLEMENTATION OF TITLE II OF THE NOTIFICATION AND FEDERAL EMPLOYEE ANTIDISCRIMINATION AND... the advisory guidelines required by § 724.403, each agency must prepare a written statement describing in detail: (1) Whether it has adopted the guidelines and if it will fully follow the guidelines; (2...
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NASA Astrophysics Data System (ADS)
Marín, Luis E.; Torres, Vicente; Bolongaro, Andrea; Reyna, José A.; Pohle, O.; Hernández-Espriú, A.; Chavarría, Jerónimo; García-Barrios, R.; Tabla, Hugo Francisco Parra
GIS is a powerful tool that may help to better manage natural resources. In this paper, we present a GIS model developed for the state of Morelos as an aid to determine whether a potential site, Loma de Mejia, met the Mexican Federal Guidelines. The Mexican Government has established federal guidelines for sanitary landfill site selection (NOM-083-SERMARNAT-2003). These guidelines were translated into a water-based Geographic Information System and applied to the state of Morelos, Mexico. For these examples, we used the SIGAM® (Sistema de Información Geográfico del Agua en México; a water-based GIS for Mexico) which has at least 60 layers from the National Water Commission (CONAGUA), the national mapping agency (INEGI; Instituto Nacional de Estadística, Geografía e Informática), NASA, and academic institutions. Results show that a GIS is a powerful tool that may allow federal, state and municipal policy makers to conduct an initial regional site reconnaissance rapidly. Once potential sites are selected, further characterization must be carried out in order to determine if proposed locations are suitable or not for a sanitary landfill. Based on the SIGAM© software, the Loma de Mejia would not comply with the Mexican Federal Guidelines.
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Changes in Meeting Physical Activity Guidelines After Discharge From the Military.
Littman, Alyson J; Jacobson, Isobel G; Boyko, Edward J; Smith, Tyler C
2015-05-01
Understanding physical activity (PA) after discharge from the military can inform theory on the role of habit and reinforcement in behavior maintenance and has implications for this population's future health. Using data from 28,866 Millennium Cohort Study participants (n = 3782 of whom were discharged during the years between assessments), we 1) investigated changes in meeting federal PA guidelines for moderate-to-vigorous activity (MVPA) following military discharge and 2) determined predictors of meeting these guidelines after discharge. MVPA declined more in those who were discharged than in those who were not (-17.8 percentage points vs. -2.7 percentage points), with greater declines in former active-duty personnel, those who had deployed with combat exposures, had 14 to 25 years of service, and had been discharged more recently (>2 years prior). In those who were discharged, being normal or overweight (vs. obese), and a nonsmoker or former smoker (vs. current smoker) were positively associated with meeting MVPA Guidelines at follow-up, while meeting MVPA Guidelines at baseline and depression were inversely associated. Reductions in MVPA were substantial and unexpected. Increased understanding of transitional periods that may benefit from interventions to mitigate declines in PA will help prevent excess weight gain and physical inactivity-associated health consequences.
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12 CFR 652.60 - Corporation board guidelines.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Corporation board guidelines. 652.60 Section 652.60 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FEDERAL AGRICULTURAL MORTGAGE CORPORATION FUNDING AND FISCAL AFFAIRS Risk-Based Capital Requirements § 652.60 Corporation board guidelines...
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12 CFR 652.60 - Corporation board guidelines.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Corporation board guidelines. 652.60 Section 652.60 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FEDERAL AGRICULTURAL MORTGAGE CORPORATION FUNDING AND FISCAL AFFAIRS Risk-Based Capital Requirements § 652.60 Corporation board guidelines...
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12 CFR 652.60 - Corporation board guidelines.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Corporation board guidelines. 652.60 Section 652.60 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FEDERAL AGRICULTURAL MORTGAGE CORPORATION FUNDING AND FISCAL AFFAIRS Risk-Based Capital Requirements § 652.60 Corporation board guidelines...
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Before the U.S. Environmental Protection Agency issued the 1988 Guidelines for Estimating Exposures, it published proposed guidelines in the Federal Register for public review and comment. he guidelines are intended to give risk analysis a basic framework and the tools they need ...
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41 CFR 105-54.304 - Cost guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Cost guidelines. 105-54.304 Section 105-54.304 Public Contracts and Property Management Federal Property Management... Administration 54-ADVISORY COMMITTEE MANAGEMENT 54.3-Advisory Committee Procedures § 105-54.304 Cost guidelines...
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45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2013 CFR
2013-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...
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45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2012 CFR
2012-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...
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45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2014 CFR
2014-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...
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45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2011 CFR
2011-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...
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45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...
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Title: Public Comment on Department of Health and Human Services (DHHS) 2018 Physical Activity Guidelines Author: Wayne E. Cascio, Director, Environmental Public Health Division, US EPA Abstract: In the 2008 Physical Activity Guidelines, the effects of air pollution and advers...
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Simundic, Ana-Maria; Cornes, Michael; Grankvist, Kjell; Lippi, Giuseppe; Nybo, Mads; Kovalevskaya, Svjetlana; Sprongl, Ludek; Sumarac, Zorica; Church, Stephen
2013-08-01
European questionnaire survey was conducted by the European Federation of Clinical Chemistry and Laboratory Medicine Working Group for the Preanalytical Phase (EFLM WG-PA) to assess how phlebotomy is performed in EFLM countries, including differences in personnel, level of education and skills, and to investigate the presence and compliance of national phlebotomy guidelines on this matter. A questionnaire was constructed containing questions elucidating different aspects of the organization behind the phlebotomy praxis on a national basis, including questions on the staff performing phlebotomy, the education of these staff members, and the existence of and adherence to national guidelines. All 39 EFLM member countries were invited to participate. In total 28/39 (72%) EFLM member countries responded. Seven out of the 28 (25%) have national phlebotomy guidelines and five have implemented other guidelines. The estimated compliance with phlebotomy guidance for the laboratories in the countries that have national guidelines available is poor, regardless to whether the phlebotomy was under the laboratory control or not. Most countries were interested in EFLM guidelines and to participate in a pilot EFLM preanalytical phase external quality assessment (EQA) scheme. In the responding EFLM member countries, the majority of phlebotomy is performed by nurses and laboratory technicians. Their basic education is generally 4-5 years of high school, followed by 2-5 years of colleague or university studies. Only a third (10/28; 36%) of the participating member countries has any specific training available as a continuous educational resource. A specific training for phlebotomy is not part of the education required to become qualified in 6/28 (21%) and 9/28 (32%) of countries for nurses and laboratory technicians, respectively. In countries and professions where training is required, most require more than 5 h of training. Based on the results of this survey we conclude the following: 1) There is a need to assess the quality of current practices, compliance to the CLSI H3-A6 guidelines and to identify some most critical steps which occur during phlebotomy, in different healthcare settings, across Europe; 2) Existing CLSI H3-A6 phlebotomy guidelines should be adapted and used locally in all European countries which do not have their own guidelines; 3) National EFLM societies need to be engaged in basic training program development and continuous education of healthcare phlebotomy staff (implementing the certification of competence).
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Strategic national stockpile: overview and ventilator assets.
Malatino, Eileen M
2008-01-01
Acquiring a resupply of critical medical assets following a national emergency will be crucial to saving lives. The Strategic National Stockpile is a national repository of various medications, vaccines, antidotes, and medical/surgical equipment that would be used to augment federal, state, and local public health agencies in the event of a terrorist attack or other public health emergency. Portable ventilators are included in the stockpile Managed Inventory. These ventilators and the ancillary equipment needed for one adult or one pediatric patient are kitted in a durable case that is staged and ready for deployment. A state that requires these assets initiates a request for federal assistance through established guidelines. This paper provides an overview of the Strategic National Stockpile, the types of ventilators and ancillary equipment currently available, and the process for requesting these assets.
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ERIC Educational Resources Information Center
General Accounting Office, Washington, DC. General Government Div.
The drug-testing plans covering 11 of the 12 civilian federal cabinet-level agencies met the requirements of U.S. Department of Health and Human Services guidelines, and the guidelines themselves were found to contain the elements required by Public Law 100-71. However, the drug-testing plans differ, so employees may find different circumstances…
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49 CFR 374.315 - Transportation of passengers with disabilities.
Code of Federal Regulations, 2010 CFR
2010-10-01
...) FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL MOTOR CARRIER SAFETY... part 36), incorporating the guidelines established by the Architectural and Transportation Barriers...
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50 CFR 510.9 - Uniform pay guidelines.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 50 Wildlife and Fisheries 11 2012-10-01 2012-10-01 false Uniform pay guidelines. 510.9 Section 510.9 Wildlife and Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.9 Uniform pay guidelines. (a) Compensation of members and staff of, and consultants to the...
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50 CFR 510.9 - Uniform pay guidelines.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Uniform pay guidelines. 510.9 Section 510.9 Wildlife and Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.9 Uniform pay guidelines. (a) Compensation of members and staff of, and consultants to the...
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50 CFR 510.9 - Uniform pay guidelines.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 50 Wildlife and Fisheries 11 2014-10-01 2014-10-01 false Uniform pay guidelines. 510.9 Section 510.9 Wildlife and Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.9 Uniform pay guidelines. (a) Compensation of members and staff of, and consultants to the...
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50 CFR 510.9 - Uniform pay guidelines.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 50 Wildlife and Fisheries 11 2013-10-01 2013-10-01 false Uniform pay guidelines. 510.9 Section 510.9 Wildlife and Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.9 Uniform pay guidelines. (a) Compensation of members and staff of, and consultants to the...
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The Development and Content of the "2008 Physical Activity Guidelines for Americans"
ERIC Educational Resources Information Center
Buchner, David M.
2014-01-01
The U.S. Department of Health and Human Services' "2008 Physical Activity Guidelines for Americans" represents a major milestone in public health efforts to address inactivity. These comprehensive federal physical activity guidelines affirm the strong scientific evidence for the health benefits of regular physical activity. The…
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50 CFR 510.9 - Uniform pay guidelines.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Uniform pay guidelines. 510.9 Section 510.9 Wildlife and Fisheries MARINE MAMMAL COMMISSION IMPLEMENTATION OF THE FEDERAL ADVISORY COMMITTEE ACT § 510.9 Uniform pay guidelines. (a) Compensation of members and staff of, and consultants to the...
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78 FR 1622 - Unified Agenda of Federal Regulatory and Deregulatory Actions
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-08
... Identifier No. 370 Americans With 3014-AA11 Disabilities Act (ADA) Accessibility Guidelines for Passenger... Stage 370. Americans with Disabilities Act (ADA) Accessibility Guidelines for Passenger Vessels...
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Federal Facilities (Executive Offices) Sector (NAICS 921110)
Find EPA regulatory information for federal facilities (NAICS 92), including information on base closures and transfers, hazardous waste, military munitions, perchorlate, environmentally preferable purchasing and comprehensive procurement guidelines
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Regulatory changes that affect coding for immunotherapy.
Atwater, J Spencer
2006-02-01
During the past decade, a variety of federal regulations have had a significant impact on the way allergen immunotherapy is reimbursed and how Current Procedural Terminology (CPT) codes are used for this purpose. As mandated by the US Congress, the Centers for Medicare and Medicaid Services (CMS) through the Office of the Inspector General (OIG) targeted immunotherapy codes for scrutiny, because they are some of the most frequently used codes. To examine how federal regulations have affected reimbursement for allergy immunotherapy and other allergy services. A review was performed of the OIG survey of allergy immunotherapy and the OIG recommendations on CPT coding compliance guidelines. A preliminary survey found problems with medical appropriateness of allergen immunotherapy. For this reason, the OIG performed a more comprehensive study of 301 physicians using code 95165 to analyze by medical record and billing data whether the new billing rules were being correctly used and found that only 44% of physicians were following the new definition of a billable dose. In the early 1990s, the federal government served notice of its intent to more aggressively identify and prosecute health care providers who improperly billed and collected for medical services. Through the adoption of the 1991 US Sentencing Commission Guidelines, the government sought to enhance compliance by mandating lesser criminal penalties for violating organizations that nevertheless maintained and operated "effective compliance plans." In 2002, the OIG audited health care providers and recouped dollar 14.4 billion in improper payments by Medicare. Between January and June 2003, Medicare excluded 1,241 individual providers and health care entities due to fraudulent billing practices. Federal regulations have significantly affected reimbursement for allergy immunotherapy and other allergy services. Allergists need to be aware of these changes and implement the new recommendations into their practices.
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OSHA standard for medical surveillance of hazardous waste workers.
Melius, J M
1990-01-01
The increasing amount of work involving hazardous waste sites and the heavy involvement of the federal and state governments in this work have led to the gradual development of guidelines and standards providing for occupational safety and health programs for these sites. On March 6, 1989, the Occupational Safety and Health Administration published its final rule governing occupational safety and health matters at hazardous waste sites and emergency operations. This rule is currently scheduled to take effect on March 6, 1990. This chapter will briefly describe this regulation, particularly its medical surveillance requirements.
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DOT National Transportation Integrated Search
2005-07-01
This manual is intended for use by Local Public Agencies (LPA's) utilizing federal funds provided through the Nebraska Department of Roads (NDOR). The manual describes the process, documents, and approvals necessary for use of Federal Highway Adminis...
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7 CFR 2902.3 - Applicability to Federal procurements.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 15 2011-01-01 2011-01-01 false Applicability to Federal procurements. 2902.3 Section 2902.3 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF ENERGY POLICY AND NEW USES, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR FEDERAL...
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7 CFR 2902.3 - Applicability to Federal procurements.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 15 2010-01-01 2010-01-01 false Applicability to Federal procurements. 2902.3 Section 2902.3 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF ENERGY POLICY AND NEW USES, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR FEDERAL...
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Large Aircraft Robotic Paint Stripping (LARPS) system and the high pressure water process
NASA Astrophysics Data System (ADS)
See, David W.; Hofacker, Scott A.; Stone, M. Anthony; Harbaugh, Darcy
1993-03-01
The aircraft maintenance industry is beset by new Environmental Protection Agency (EPA) guidelines on air emissions, Occupational Safety and Health Administration (OSHA) standards, dwindling labor markets, Federal Aviation Administration (FAA) safety guidelines, and increased operating costs. In light of these factors, the USAF's Wright Laboratory Manufacturing Technology Directorate and the Aircraft Division of the Oklahoma City Air Logistics Center initiated a MANTECH/REPTECH effort to automate an alternate paint removal method and eliminate the current manual methylene chloride chemical stripping methods. This paper presents some of the background and history of the LARPS program, describes the LARPS system, documents the projected operational flow, quantifies some of the projected system benefits and describes the High Pressure Water Stripping Process. Certification of an alternative paint removal method to replace the current chemical process is being performed in two phases: Process Optimization and Process Validation. This paper also presents the results of the Process Optimization for metal substrates. Data on the coating removal rate, residual stresses, surface roughness, preliminary process envelopes, and technical plans for process Validation Testing will be discussed.
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Parameters for determining inoculated pack/challenge study protocols.
2010-01-01
The National Advisory Committee on Microbiological Criteria for Foods developed guidelines for conducting challenge studies on pathogen inhibition and inactivation studies in a variety of foods. The document is intended for use by the food industry, including food processors, food service operators, and food retailers; federal, state, and local food safety regulators; public health officials; food testing laboratories; and process authorities. The document is focused on and limited to bacterial inactivation and growth inhibition and does not make specific recommendations with respect to public health. The Committee concluded that challenge studies should be designed considering the most current advances in methodologies, current thinking on pathogens of concern, and an understanding of the product preparation, variability, and storage conditions. Studies should be completed and evaluated under the guidance of an expert microbiologist in a qualified laboratory and should include appropriate statistical design and data analyses. This document provides guidelines for choice of microorganisms for studies, inoculum preparation, inoculum level, methods of inoculation, incubation temperatures and times, sampling considerations, and interpreting test results. Examples of appropriately designed growth inhibition and inactivation studies are provided.
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Code of Federal Regulations, 2011 CFR
2011-10-01
... guidelines method for nonprofit organizations other than FFRDCs. 215.404-72 Section 215.404-72 Federal... METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 215.404-72 Modified weighted guidelines method for nonprofit organizations other than FFRDCs. (a) Definition. As used in this subpart, a...
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Code of Federal Regulations, 2013 CFR
2013-10-01
... guidelines method for nonprofit organizations other than FFRDCs. 215.404-72 Section 215.404-72 Federal... METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 215.404-72 Modified weighted guidelines method for nonprofit organizations other than FFRDCs. (a) Definition. As used in this subpart, a...
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Code of Federal Regulations, 2012 CFR
2012-10-01
... guidelines method for nonprofit organizations other than FFRDCs. 215.404-72 Section 215.404-72 Federal... METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 215.404-72 Modified weighted guidelines method for nonprofit organizations other than FFRDCs. (a) Definition. As used in this subpart, a...
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Code of Federal Regulations, 2014 CFR
2014-10-01
... guidelines method for nonprofit organizations other than FFRDCs. 215.404-72 Section 215.404-72 Federal... METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 215.404-72 Modified weighted guidelines method for nonprofit organizations other than FFRDCs. (a) Definition. As used in this subpart, a...
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Draft Guidelines for State and Areawide Water Quality Management Program Development.
ERIC Educational Resources Information Center
Environmental Protection Agency, Washington, DC.
This document discusses the draft guidelines formulated by the Environmental Protection Agency (EPA) to assist the states in establishing a management program to integrate water quality and other resource management decisions. These guidelines are pfovided so that the long range goals of the Federal Water Pollution Control Act Amendments of 1972…
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The potential of historical hydrology in Switzerland
NASA Astrophysics Data System (ADS)
Wetter, Oliver
2017-11-01
Historical hydrology is based on data derived from historical written, pictorial and epigraphic documentary sources. It lies at the interface between hydrology and environmental history, using methodologies from both disciplines basically with the goal of significantly extending the instrumental measurement period with experience from the pre-instrumental past. Recently this field of research has gained increased recognition as a tool to improve current flood risk estimations when EU guidelines regulated by law the quantitative consideration of previous floods.1 Awareness to consider pre-instrumental experience in flood risk analysis seems to have risen at the level of local and federal authorities in Switzerland as well. The 2011 Fukushima catastrophe probably fostered this rethinking process, when pressure from the media, society and politics as well as the regulations of the International Atomic Energy Agency (IAEA) forced the authorities to reassess the current flood risk analysis for Swiss nuclear power plants. In 2015 a historical hydrological study was commissioned by the Federal Office for the Environment (FOEN) to assess the magnitudes of pre-instrumental Aare River flood discharges, including the most important tributaries (the Saane, Emme, Reuss and Limmat rivers). The results of the historical hydrological study serve now as the basis for the main study, EXAR (commissioned under the lead of FOEN in cooperation with the Swiss Nuclear Safety Inspectorate (ENSI), the Swiss Federal Office of Energy (SFOE), the Federal Office for Civil Protection (FOCP), and the Federal Office of Meteorology and Climatology (MeteoSwiss)), which combines historical and climatological analysis with statistical approaches and mathematical models with the goal of better understanding the hazards and possible interactions that can be caused by extreme flood events. In a second phase the catchment of the River Rhine will be targeted as well. More recently several local historical hydrological studies of smaller catchments have been requested by the responsible local authorities. The course for further publicly requested historical hydrological analysis seems thus to have been set. This paper therefore intends to discuss the potential of historical hydrological analysis, with a focus on the specific situation in Switzerland. 1Guideline 2007/60/EG of the European Parliament and Council from 23 October 2007 on assessment and management of flood risks, Official Journal of the European Union, L 288, 27-34, Brussels, 2007.
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ERIC Educational Resources Information Center
Olalere, Abiodun; Lazar, Jonathan
2011-01-01
U.S. federal websites are required to be accessible for people with impairments. However, despite the existing regulations and guidelines, many federal websites continue to be inaccessible, and accessibility policy statements available on federal websites often do not provide any useful information. This paper provides three contributions to the…
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Systematic Review of International Colposcopy Quality Improvement Guidelines.
Mayeaux, Edward J; Novetsky, Akiva P; Chelmow, David; Choma, Kim; Garcia, Francisco; Liu, Angela H; Papasozomenos, Theognosia; Einstein, Mark H
2017-10-01
The American Society for Colposcopy and Cervical Pathology Colposcopy Standards Committee organized multiple working groups to draft colposcopy standards for the United States. As part of this project, international quality assurance and improvement measures were examined. The quality improvement working group performed a systematic review of the literature to collate international guidelines related to quality improvement. Source guidelines were collected using searches in Medline, Google Scholar, the International Federation of Cervical Pathology and Colposcopy Web site, other regional colposcopy group's Web sites, and communications with International Federation of Cervical Pathology and Colposcopy board of directors' members and other expert members of various national groups. Once identified, the sources were reviewed by multiple workgroup members for potential guideline materials. Fifty-six unique documents were identified, of which 18 met inclusion criteria and contributed data to the analysis. Information was abstracted and grouped by related subject. Wide variation exists in colposcopy guidance and quality indicators from regional and national colposcopy societies. Abstracted international guidelines are presented.
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Seismic design guidelines for highway bridges
NASA Astrophysics Data System (ADS)
Mayes, R. L.; Sharpe, R. L.
1981-10-01
Guidelines for the seismic design of highway bridges are given. The guidelines are the recommendations of a team of nationally recognized experts which included consulting engineers, academicians, State highway, and Federal agency representatives from throughout the United States. The guidelines are comprehensive in nature and they embody several new concepts which are significant departures from existing design provisions. An extensive commentary documenting the basis for the guidelines and an example demonstrating their use are included. A draft of the guidelines was used to seismically redesign twenty-one bridges. A summary of the redesigns is included.
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The Federal Role in Fostering University-Industry Cooperation.
ERIC Educational Resources Information Center
General Accounting Office, Washington, DC.
Three well-known forms of university-industry collaboration (research parks, cooperative research centers, and industrial extension services) were examined, along with the federal role of stimulating cooperation. The objective was to develop information and guidelines to help policymakers in designing new or revised federal initiatives to promote…
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49 CFR 350.333 - What are the guidelines for the compatibility review?
Code of Federal Regulations, 2011 CFR
2011-10-01
... REGULATIONS COMMERCIAL MOTOR CARRIER SAFETY ASSISTANCE PROGRAM Funding § 350.333 What are the guidelines for... Regulation Compatibility Review Law or regulation has same effect as corresponding Federal regulation Applies...
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DOT report for implementing OMB's information dissemination quality guidelines
DOT National Transportation Integrated Search
2002-08-01
Consistent with The Office of : Management and Budgets (OMB) Guidelines (for Ensuring and Maximizing the Quality, : Objectivity, Utility, and Integrity of Information Disseminated by Federal Agencies) : implementing Section 515 of the Treasury and...
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Learn about the NSPS, emission guidelines and compliance times for large municipal waste combustors (MWC) by reading the rule summary, rule history and the federal register citations and supporting documents
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Agreement and accuracy using the FIGO, ACOG and NICE cardiotocography interpretation guidelines.
Santo, Susana; Ayres-de-Campos, Diogo; Costa-Santos, Cristina; Schnettler, William; Ugwumadu, Austin; Da Graça, Luís M
2017-02-01
One of the limitations reported with cardiotocography is the modest interobserver agreement observed in tracing interpretation. This study compared agreement, reliability and accuracy of cardiotocography interpretation using the International Federation of Gynecology and Obstetrics, American College of Obstetrics and Gynecology and National Institute for Health and Care Excellence guidelines. A total of 151 tracings were evaluated by 27 clinicians from three centers where International Federation of Gynecology and Obstetrics, American College of Obstetrics and Gynecology and National Institute for Health and Care Excellence guidelines were routinely used. Interobserver agreement was evaluated using the proportions of agreement and reliability with the κ statistic. The accuracy of tracings classified as "pathological/category III" was assessed for prediction of newborn acidemia. For all measures, 95% confidence interval were calculated. Cardiotocography classifications were more distributed with International Federation of Gynecology and Obstetrics (9, 52, 39%) and National Institute for Health and Care Excellence (30, 33, 37%) than with American College of Obstetrics and Gynecology (13, 81, 6%). The category with the highest agreement was American College of Obstetrics and Gynecology category II (proportions of agreement = 0.73, 95% confidence interval 0.70-76), and the ones with the lowest agreement were American College of Obstetrics and Gynecology categories I and III. Reliability was significantly higher with International Federation of Gynecology and Obstetrics (κ = 0.37, 95% confidence interval 0.31-0.43), and National Institute for Health and Care Excellence (κ = 0.33, 95% confidence interval 0.28-0.39) than with American College of Obstetrics and Gynecology (κ = 0.15, 95% confidence interval 0.10-0.21); however, all represent only slight/fair reliability. International Federation of Gynecology and Obstetrics and National Institute for Health and Care Excellence showed a trend towards higher sensitivities in prediction of newborn acidemia (89 and 97%, respectively) than American College of Obstetrics and Gynecology (32%), but the latter achieved a significantly higher specificity (95%). With American College of Obstetrics and Gynecology guidelines there is high agreement in category II, low reliability, low sensitivity and high specificity in prediction of acidemia. With International Federation of Gynecology and Obstetrics and National Institute for Health and Care Excellence guidelines there is higher reliability, a trend towards higher sensitivity, and lower specificity in prediction of acidemia. © 2016 Nordic Federation of Societies of Obstetrics and Gynecology.
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77 FR 53059 - Risk-Based Capital Guidelines: Market Risk
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-30
...The Office of the Comptroller of the Currency (OCC), Board of Governors of the Federal Reserve System (Board), and Federal Deposit Insurance Corporation (FDIC) are revising their market risk capital rules to better capture positions for which the market risk capital rules are appropriate; reduce procyclicality; enhance the rules' sensitivity to risks that are not adequately captured under current methodologies; and increase transparency through enhanced disclosures. The final rule does not include all of the methodologies adopted by the Basel Committee on Banking Supervision for calculating the standardized specific risk capital requirements for debt and securitization positions due to their reliance on credit ratings, which is impermissible under the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010. Instead, the final rule includes alternative methodologies for calculating standardized specific risk capital requirements for debt and securitization positions.
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-03
... Products Requiring Federal Contractor Certification as to Forced or Indentured Child Labor Pursuant to... (``Prohibition of Acquisition of Products Produced by Forced or Indentured Child Labor''), in accordance with the ``Procedural Guidelines for the Maintenance of the List of Products Requiring Federal Contractor Certification...
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Federal Research and Demonstration Programs Benefiting the Disadvantaged and Handicapped.
ERIC Educational Resources Information Center
1968
Purpose, authority, applicant requirements, project deadlines, federal funding matching stipulations, program focus, 1968 priorities, and sources for information and guidelines are given for 23 programs and projects administered by the Federal Government. Included are those of the Office of Education, Social and Rehabilitation Service, and Public…
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Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 2 2010-10-01 2010-10-01 false What time frames and guidelines apply regarding... NEW Program Funding § 287.55 What time frames and guidelines apply regarding the obligation and... be returned to the Federal government through the issuance of a negative grant award. Unobligated...
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45 CFR Appendix C to Part 84 - Guidelines Relating to Health Care for Handicapped Infants
Code of Federal Regulations, 2013 CFR
2013-10-01
... 45 Public Welfare 1 2013-10-01 2013-10-01 false Guidelines Relating to Health Care for Handicapped... ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Pt. 84, App. C Appendix C to Part 84—Guidelines Relating to Health Care for Handicapped Infants (a...
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45 CFR Appendix C to Part 84 - Guidelines Relating to Health Care for Handicapped Infants
Code of Federal Regulations, 2014 CFR
2014-10-01
... 45 Public Welfare 1 2014-10-01 2014-10-01 false Guidelines Relating to Health Care for Handicapped... ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Pt. 84, App. C Appendix C to Part 84—Guidelines Relating to Health Care for Handicapped Infants (a...
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45 CFR Appendix C to Part 84 - Guidelines Relating to Health Care for Handicapped Infants
Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 1 2010-10-01 2010-10-01 false Guidelines Relating to Health Care for Handicapped... ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Pt. 84, App. C Appendix C to Part 84—Guidelines Relating to Health Care for Handicapped Infants (a...
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76 FR 44574 - Yavapai County Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-26
... and Community Self-Determination Act (Pub. L. 110- 343) and in compliance with the Federal Advisory... Act, roles of members, guidelines for Title II, and the Federal Advisory Committee Act. DATES: The...
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76 FR 13124 - Yavapai County Resource Advisory Committee
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-10
... and Community Self-Determination Act (Pub. L. 110- 343) and in compliance with the Federal Advisory... Act, roles of members, guidelines for Title II, and the Federal Advisory Committee Act. DATES: The...
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Genetic data and the listing of species under the U.S. Endangered Species Act.
Fallon, Sylvia M
2007-10-01
Genetic information is becoming an influential factor in determining whether species, subspecies, and distinct population segments qualify for protection under the U.S. Endangered Species Act. Nevertheless, there are currently no standards or guidelines that define how genetic information should be used by the federal agencies that administer the act. I examined listing decisions made over a 10-year period (February 1996-February 2006) that relied on genetic information. There was wide variation in the genetic data used to inform listing decisions in terms of which genomes (mitochondrial vs. nuclear) were sampled and the number of markers (or genetic techniques) and loci evaluated. In general, whether the federal agencies identified genetic distinctions between putative taxonomic units or populations depended on the type and amount of genetic data. Studies that relied on multiple genetic markers were more likely to detect distinctions, and those organisms were more likely to receive protection than studies that relied on a single genetic marker. Although the results may, in part, reflect the corresponding availability of genetic techniques over the given time frame, the variable use of genetic information for listing decisions has the potential to misguide conservation actions. Future management policy would benefit from guidelines for the critical evaluation of genetic information to list or delist organisms under the Endangered Species Act.
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Code of Federal Regulations, 2014 CFR
2014-07-01
... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Guidelines. 42.404 Section 42.404 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION; EQUAL EMPLOYMENT OPPORTUNITY; POLICIES AND PROCEDURES Coordination of Enforcement of Non-discrimination in Federally Assisted Programs § 42.404...
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Certified organic vegetable production for market
USDA-ARS?s Scientific Manuscript database
Federal guidelines for organic certification in 2002 provided structure for producers and processors to market certified organic foods. The guidelines provide general provisions and processes for obtaining and maintaining organic certification, but did not specify best management practices for crop...
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Patient-centered medical home cyberinfrastructure current and future landscape.
Finkelstein, Joseph; Barr, Michael S; Kothari, Pranav P; Nace, David K; Quinn, Matthew
2011-05-01
The patient-centered medical home (PCMH) is an approach that evolved from the understanding that a well-organized, proactive clinical team working in a tandem with well-informed patients is better able to address the preventive and disease management needs in a guideline-concordant manner. This approach represents a fundamental shift from episodic acute care models and has become an integral part of health reform supported on a federal level. The major aspects of PCMH, especially pertinent to its information infrastructure, have been discussed by an expert panel organized by the Agency for Healthcare Research and Quality at the Informatics for Consumer Health Summit. The goal of this article is to summarize the panel discussions along the four major domains presented at the summit: (1) PCMH as an Evolving Model of Healthcare Delivery; (2) Health Information Technology (HIT) Applications to Support the PCMH; (3) Current HIT Landscape of PCMH: Challenges and Opportunities; and (4) Future HIT Landscape of PCMH: Federal Initiatives on Health Informatics, Legislation, and Standardization. Copyright © 2011 American Journal of Preventive Medicine. All rights reserved.
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Hudgins, Cathy; Rose, Sandra; Fifield, Peter Y; Arnault, Steve
2013-03-01
This article describes findings from ongoing research and analysis of current literature in addition to discussions with leaders in the field, communications with lawyers and administrators of advocacy and government agencies pertaining to integrated primary care (IPC). Standards of care are established based on a myriad of factors, including professional codes of ethics, case law, state and federal laws, professional standards, existing best practices, current professional guidelines, administrative rules and regulations, and licensing board regulations. Regulations may differ for behavioral health and medical providers, posing challenges in IPC settings. This article provides a review of these regulations, particularly 42CFR Part 2, a federal law governing confidentiality for substance abuse programs, Health Insurance Portability and Accountability Act (HIPAA), and state laws relevant to patient care in IPC settings. On the basis of findings from the study, the authors make recommendations related to patient care practices concerning informed consent and release of information procedures, treatment and warm hand-off protocols, documentation and electronic record keeping, agreements with other providers, and billing. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
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Religious Music, the Public Schools, and the Establishment Clause: A Review of Federal Case Law
ERIC Educational Resources Information Center
Cranmore, Jeff; Fossey, Richard
2014-01-01
Various issues relating to education and religion continue to appear in federal court. One issue that is most relevant to music educators is the use of religious music in school music curriculum. Although no federal guidelines exist as to what is acceptable usage, a number of federal cases have addressed the various issues, from the use of…
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Do Federal employees in Government motor vehicles have to use all safety devices and follow all safety guidelines? 102-34.250 Section 102-34.250 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATIO...
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ERIC Educational Resources Information Center
National Association for Retarded Citizens, Arlington, TX. Research and Demonstration Inst.
Guidelines are presented which were developed to aid federal, state, and local agencies prepare regulations concerning the use of mentally retarded subjects in biomedical and pharmacological research projects. Guidelines are set forth for the following topic areas (sample subtopics in parentheses): the formation of a Professional Review Committee…
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-22
... disbursed. In the examples, the Poverty Guideline amounts used are from the 2012 U.S. Department of Health and Human Services (HHS) Poverty Guidelines for the 48 contiguous States and the District of Columbia, as published in the Federal Register on January 26, 2012 (77 FR 4034). Different Poverty Guidelines...
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WE-E-211-01: Medical Physics in Federal and State Governments.
Mills, T; Winter, D; Keith, S; Fletcher, D
2012-06-01
In 2010, FDA's Center for Devices and Radiological Health (CDRH) launched an "Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging" and held a public meeting on "Device Improvements to Reduce Unnecessary Radiation Exposure from Medical Imaging" March 30- 31, 2010). In follow-up, FDA is pursuing efforts using its regulatory authority as it applies to imaging equipment and manufacturers and also partnering with professional organizations such as AAPM, industry and other governmental agencies to incorporate radiation protection principles into facility quality assurance, personnel credentialing, and training requirements.The current U.S. Federal guidance on medical x-rays was published in 1976 and addresses film imaging for radiographie and dental modalities. The Medical Workgroup of the Interagency Steering Committee on Radiation Standards (ISCORS) has modernized that document to address both diagnostic and interventional approaches, film and digital imaging, and the broad range of modalities that include radiography, computed tomography, interventional fluoroscopy, dentistry, bone densitometry, and veterinary practice. The current scope and status of the document will be presented.The Military Health System is committed to providing state-of- the-art care to its beneficiaries; both at home and abroad. Personnel constraints and the continuing wars oversees have created obstacles to this objective. In the past decade, tremendous advances have occurred in Electronic Health Records (EHR) and Teleradiology. Military Radiology seeks to leverage these advances as a means of surmounting many of the challenges it faces. In this talk, the current status of DoD teleradiology and EHR will be presented. 1. To provide a venue in which physicists working in the public sector can interface and discuss specific issues related to supporting the federal and state governments 2. To provide a venue for medical physicists to voice specific concerns with federal/state programs where medical physics should be involved in and/or more effective. 3. To educate audience on federal or state new or updated guidelines. © 2012 American Association of Physicists in Medicine.
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Integrated pest management for certified organic production in Oklahoma
USDA-ARS?s Scientific Manuscript database
Integrated pest management (IPM) and sustainable agriculture are basic precepts within the organic crop production philosophy. The establishment of federal guidelines for organic certification in 2002 provided a structure for producers and processors to market certified organic foods. The guidelin...
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Dietary Guidelines for Americans, 2005.
ERIC Educational Resources Information Center
US Department of Health and Human Services, 2005
2005-01-01
This document is intended primarily for use by policymakers, healthcare providers, nutritionists, and nutrition educators. The information in the Dietary Guidelines is useful for the development of educational materials and aids policymakers in designing and implementing nutrition-related programs, including federal food, nutrition…
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45 CFR Appendix A to Part 1611 - Income Level for Individuals Eligible for Assistance
Code of Federal Regulations, 2014 CFR
2014-10-01
...: 5,075 6,350 5,838 * The figures in this table represent 125% of the poverty guidelines by household size as determined by DHHS. Reference Chart—200% of DHHS Federal Poverty Guidelines Size of household...
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Genetic aspects of artificial insemination with donor semen: the French CECOS Federation guidelines.
Jalbert, P; Leonard, C; Selva, J; David, G
1989-06-01
The genetic problems raised by assisted reproduction using donor gametes (AID) are numerous and often complex. They concern the legitimacy and the appropriate forms of genetic screening for both gamete donors and recipients; the identification of genetic indications justifying the use of this method of reproduction; and ascertainment of the state of health of the conceptus at birth. The experience and guidelines of the French CECOS Federation, which comprises 20 AID treatment centers, are described. The discussion emphasizes the need for an international exchange of view on this subject.
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Federal agency transportation management program handbook
DOT National Transportation Integrated Search
1999-04-01
This handbook provides Federal agencies in the National Capital Region (NCR) with procedures and guidelines on how to prepare a Transportation Management Program (TMP). The preparation of TMPs is one tool in the overall field of Travel Demand Managem...
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Statewide Transportation Improvement Program 2010-2013 : sorted by MPO and RPA.
DOT National Transportation Integrated Search
2006-01-01
Iowas Statewide Transportation Improvement Program (STIP) has been : developed in conformance with the guidelines prescribed by 23 USC. The : STIP is generated to provide the Federal Highway Administration (FHWA) and : Federal Transit Administrati...
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Sexual harassment policies in K-12 schools: examining accessibility to students and content.
Lichty, Lauren F; Torres, Jennifer M C; Valenti, Maria T; Buchanan, NiCole T
2008-11-01
Peer sexual harassment is a significant social problem with consequences for both students and schools. Four out of 5 students report experiencing sexual harassment. These experiences have been linked to poor psychological health and academic withdrawal. Recognizing the seriousness of sexual harassment in schools, Supreme Court rulings have established school liability for known instances of sexual harassment under Title IX of the Education Amendments of 1972. Federal guidelines established by the Office for Civil Rights of the US Department of Education mandate schools to develop sexual harassment policies; however, the implementation of these guidelines has not been examined. Therefore, this study assessed the degree to which sexual harassment policies in primary and secondary schools adhered to said guidelines. This study evaluated 784 primary and secondary school sexual harassment policies across 4 states on 3 key factors: accessibility to students (ie, via the Internet), consistency with federal guidelines regarding their content and the inclusion of 10 key components, and consistency of content across educational levels. Only 14% of sexual harassment policies were available online; the majority of policies incorporated only 5 of the 10 critical components, and elementary school policies contained significantly fewer components than all other educational levels. The Internet is an underused resource for disseminating school sexual harassment policies to students. When policies are available, they rarely incorporate the key elements specified in the federal guidelines. Particularly troubling are the inaccessibility and incompleteness of elementary school policies. Greater attention to policy accessibility and comprehensiveness is needed.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-13
...The Federal Trade Commission publishes this notice and request for public comment concerning proposed self-regulatory guidelines submitted by i-SAFE, Inc. under the safe harbor provision of the Children's Online Privacy Protection Rule.
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DOT National Transportation Integrated Search
2013-05-01
This document is a technical summary of the Federal Highway Administration report, "Guidelines for Sampling, Assessing, and Restoring Defective Grout in Prestressed Concrete Bridge Post-Tensioning Ducts" (FHWA-HRT-13-028). The objectives of this stud...
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75 FR 5865 - Proposed Collection; Comment Request for Publication 1075
Federal Register 2010, 2011, 2012, 2013, 2014
2010-02-04
... Publication 1075, Tax Information Security Guidelines for Federal, State, and Local Agencies. [[Page 5866... internet at [email protected] . SUPPLEMENTARY INFORMATION: Title: Tax Information Security Guidelines... on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of...
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78 FR 23980 - Proposed Collection; Comment Request for Publication 1075
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-23
... Publication 1075, Tax Information Security Guidelines for Federal, State, and Local Agencies. DATES: Written... [email protected] . SUPPLEMENTARY INFORMATION: Title: Tax Information Security Guidelines for... on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of...
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Knezevic, Ivana; Moorthy, Vasee; Sheets, Rebecca
2015-04-21
A World Health Organization (WHO) consultation on guidelines for National Regulatory Authorities (NRAs) and vaccine manufacturers on clinical evaluation of vaccines was held from 17 to 18 July 2014, to review key scientific challenges that regulators have been facing since the establishment of the WHO Guidelines on Clinical Evaluation of Vaccines. The guidelines, adopted by the WHO Expert Committee on Biological Standardization (ECBS) in 2001, have served as the basis for setting or updating national requirements for the evaluation and licensing of a broad range of vaccines as well as for WHO vaccine prequalification. Regulators from Australia, Brazil, China, Canada, Germany, India, Republic of Korea, South Africa, United States of America and the United Kingdom were represented. The International Federation for Pharmaceutical Manufacturers' Association (IFPMA) and the Developing Country Vaccine Manufacturers' Network (DCVMN) provided industry representation. The consultation concluded that the guidelines should be revised to address issues that were raised in the context of vaccines that were the subject of clinical development in the past decade. Although the current guidelines have served well over time, it was recognized that an update would further increase their utility and would help regulators, manufacturers, vaccine developers and academia to respond to the challenging questions regarding the safety, immunogenicity, efficacy and effectiveness of vaccines intended for global use. A summary of the main outcomes of the consultation and proposals for the next steps regarding the guidelines and beyond are provided in this report. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
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ERIC Educational Resources Information Center
Department of Education, Washington, DC. Office of the Secretary.
New guidelines to provide more flexibility and certainty in meeting federal time distribution recordkeeping requirements for U.S. Department of Education programs are outlined in this document. Directed to state, local and Indian tribal governments, the new guidelines are expected to avoid audit appeals and disputes, freeing teachers and…
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Code of Federal Regulations, 2014 CFR
2014-01-01
... Banks: Tier 1 Leverage Measure B Appendix B to Part 208 Banks and Banking FEDERAL RESERVE SYSTEM BOARD... RESERVE SYSTEM (REGULATION H) Pt. 208, App. B Appendix B to Part 208—Capital Adequacy Guidelines for State... state member banks are outlined in Appendix A to this part. b. The guidelines apply to all state member...
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Statewide Transportation Improvement Program 2012-2015 : sorted by MPO and RPA.
DOT National Transportation Integrated Search
2011-01-01
Iowas Statewide Transportation Improvement Program (STIP) has been : developed in conformance with the guidelines prescribed by 23 USC and 49 : USC. The STIP is generated to provide the Federal Highway Administration : (FHWA) and Federal Transit A...
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Statewide Transportation Improvement program 2011-2014 : sorted by MPO and RPA.
DOT National Transportation Integrated Search
2010-01-01
Iowas Statewide Transportation Improvement Program (STIP) has been : developed in conformance with the guidelines prescribed by 23 USC and 49 : USC. The STIP is generated to provide the Federal Highway Administration : (FHWA) and Federal Transit A...
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Impact of Federal Commodity Programs on School Meal Nutrition. Policy Highlight
ERIC Educational Resources Information Center
Robert Wood Johnson Foundation, 2008
2008-01-01
The number of overweight and obese children and adolescents has reached epidemic proportions, and recent federal surveys show that most school meals do not meet federal nutrition guidelines. Accordingly, there is growing interest in the nutritional quality of foods available in U.S. schools--and in the role of the government in helping to make…
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de Sousa, Eliene F; Da Costa, Teresa H M; Nogueira, Julia A D; Vivaldi, Lúcio J
2008-06-01
Adolescents aged 11-14 years (n 326), belonging to organized sports federations in the Federal District, Brazil were interviewed. Subjects (n 107) provided four non-consecutive days of food consumption and 219 subjects provided two non-consecutive days of intake. The objective was to assess their nutrient and water intake according to dietary reference intake values and their energy and macronutrient intake by sex and sports groups they were engaged in: endurance, strength-skill or mixed, according to the guidelines established by the American College of Sport Medicine (ACSM). Dietary data were corrected for intra-individual variation. Total energy expenditure was higher among endurance athletes (P < 0.001) following their higher training time (P < 0.001) when compared to adolescents engaged in strength-skill or mixed sports. Total energy intake was only significantly higher among endurance-engaged females (P = 0.05). Protein intake of males was above the guidelines established by the ACSM for all sports groups. All male sport groups fulfilled the intake levels of carbohydrate per kg body weight but only females engaged in endurance sports fulfilled carbohydrate guidelines. Intakes of micronutrients with low prevalence of adequate intake were: vitamins B1, E and folate, magnesium and phosphorus. Few adolescents ( < 5 %) presented adequate intake for calcium, fibre, drinking water and beverages. For micronutrients, prevalence of adequacies were lower for females than males, except for liquids and water. Nutrition guidance is needed to help adolescents fulfil specific guidelines of macronutrient intake for their sports and to improve their intake of micronutrients and water. Special attention should be given to female adolescent athletes.
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Adolescents and access to health care.
Klein, J. D.; Slap, G. B.; Elster, A. B.; Cohn, S. E.
1993-01-01
The developmental characteristics and health behaviors of adolescents make the availability of certain services--including reproductive health services, diagnosis and treatment of sexually transmitted disease, mental health and substance abuse counseling and treatment--critically important. Furthermore, to serve adolescents appropriately, services must be available in a wide range of health care settings, including community-based adolescent health, family planning and public health clinics, school-based and school-linked health clinics, physicians' offices, HMOs, and hospitals. National, authoritative content standards (for example, the American Medical Association's Guidelines for Adolescent Preventive Services (GAPS), a multispecialty, interdisciplinary guideline for a package of clinical preventive services for adolescents may increase the possibility that insurers will cover adolescent preventive services, and that these services will become part of health professionals' curricula and thus part of routine practice. However, additional and specific guidelines mandating specific services that must be available to adolescents in clinical settings (whether in schools or in communities) are also needed. Although local government, parents, providers, and schools must assume responsibility for ensuring that health services are available and accessible to adolescents, federal and state financing mandates are also needed to assist communities and providers in achieving these goals. The limitations in what even comprehensive programs currently are able to provide, and the dismally low rates of preventive service delivery to adolescents, suggests that adolescents require multiple points of access to comprehensive, coordinated services, and that preventive health interventions must be actively and increasingly integrated across health care, school, and community settings. Unless access issues are dealt with in a rational, coordinated fashion, America's adolescents will not have access to appropriate health services. Current efforts to minimize current health care expenditures through managed care programs inevitably conflict with efforts to deliver comprehensive preventive services to all adolescents. Use of multiple sites may not represent inadequate access to care. However, as managed care reimbursement continues to expand, school-based clinics and free-standing adolescent health programs increasingly report decreases in reimbursement without a change in demand for services. The Office of Technology Assessment study called for explicit funding and expansion of services for America's youth; since then, a federal Office of Adolescent Health has been authorized, and, by the time this reaches print, should have received appropriations and been staffed. Dryfoos has called for expansion to nearly 5000 comprehensive programs in the coming years.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:8148842
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ASCCP Colposcopy Standards: How Do We Perform Colposcopy? Implications for Establishing Standards.
Waxman, Alan G; Conageski, Christine; Silver, Michelle I; Tedeschi, Candice; Stier, Elizabeth A; Apgar, Barbara; Huh, Warner K; Wentzensen, Nicolas; Massad, L Stewart; Khan, Michelle J; Mayeaux, Edward J; Einstein, Mark H; Schiffman, Mark H; Guido, Richard S
2017-10-01
The American Society for Colposcopy and Cervical Pathology (ASCCP) Colposcopy Standards recommendations address the role of and approach to colposcopy and biopsy for cervical cancer prevention in the United States. The recommendations were developed by an expert working group appointed by ASCCP's Board of Directors. Working group 3 defined colposcopy procedure guidelines for minimum and comprehensive colposcopy practice and evaluated the use of colposcopy adjuncts. The working group performed a systematic literature review to identify best practices in colposcopy methodology and to evaluate the use of available colposcopy adjuncts. The literature provided little evidence to support specific elements of the procedure. The working group, therefore, implemented a national survey of current and recent ASCCP members to evaluate common elements of the colposcopy examination. The findings of this survey were modified by expert consensus from the ASCCP Colposcopy Standards Committee members to create guidelines for performing colposcopy. The draft recommendations were posted online for public comment and presented at an open session of the International Federation for Cervical Pathology and Colposcopy 2017 World Congress for further comment. All comments were considered in the development of final recommendations. Minimum and comprehensive colposcopy practice guidelines were developed. These guidelines represent recommended practice in all parts of the examination including the following: precolposcopy evaluation, performing the procedure, documentation of findings, biopsy practice, and postprocedure follow-up. These guidelines are intended to serve as a guide to standardize colposcopy across the United States.
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Targeting practitioners: A review of guidelines, training, and policy in pain management
Barth, Kelly S.; Guille, Constance; McCauley, Jenna; Brady, Kathleen T.
2017-01-01
This paper reviews the current literature on clinical guidelines, practitioner training, and government/payer policies that have come forth in response to the national rise in prescription opioid overdoses. A review of clinical opioid prescribing guidelines highlights the need for more research on safe and effective treatment options for chronic pain, improved guidance for the best management of post-operative pain, and evaluation of the implementation and impact of guideline recommendations on patient risk and outcomes. Although there is increasing attention to training in pain management in medical schools and medical residency programs, educational opportunities remain highly variable, and the need for additional clinician training in the recognition and treatment of pain as well as opioid use disorder has been recognized. Mandated use of private, federal and state educational and clinical initiatives such as Risk Evaluation and Mitigation Strategies (REMS) and Prescription Drug Monitoring Programs (PDMPs) generally increase utilization of these initiatives, but more research is needed to determine the impact of these initiatives on provider behaviors, treatment access, and patient outcomes. Finally, there is an acute need for more research on safe and effective treatments for chronic pain as well as an increased multi-level focus on improving training and access to evidence-based treatment for opioid use disorder as well as non-pharmacologic and non-interventional chronic pain treatments, so that these guideline-recommended interventions can become mainstream, accessible, first-line interventions for chronic pain and/or opioid use disorders. PMID:28363316
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DOT National Transportation Integrated Search
1998-04-01
The Federal Highway Administration (FHWA) has developed guidelines for minimum retroreflectivity levels for four groups of signs: 1) yellow/orange-on-black warning signs, 2) black-on-white regulatory signs, 3) white-on-red regulatory signs, and 4) wh...
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Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-20
... office develops and implements policies and guidelines for the loan origination, construction, asset.... It develops and implements policies and guidelines for plans and specifications, construction contracts, construction monitoring, construction draws, and closeout of the facility construction. This...
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Dave, Jayna M; Cullen, Karen W
2018-06-01
To assess the agreement of posted menus with foods served to 3- to 5-year-old children attending federal Child and Adult Care Food Program (CACFP)-enrolled facilities, and the degree to which the facilities met the new meal patterns and best practices. On-site observations and menu coding. Nine early care and education centers. Agreement of posted menus with foods served, and comparison of foods served and consumed with the new CACFP meal guidelines and best practices. Data were compiled for each meal (breakfast, lunch, and snacks). Frequencies and percentages of agreement with the posted menu (coded matches, substitutions, additions, and omissions) were calculated for each food component in the CACFP menu guidelines. Menu total match was created by summing the menu match plus acceptable substitutions. Menus were compared with the new CACFP meal guidelines and best practices. The match between the posted menus and foods actually served to children at breakfast, lunch, and snack was high when the acceptable menu substitutions were considered (approximately 94% to 100% total match). Comparing the menus with the new meal guidelines and best practices, the 1 guideline that was fully implemented was serving only unflavored, low-fat, or 1% milk; fruit and vegetable guidelines were partially met; fruit juice was not served often, nor were legumes; the guideline for 1 whole grain-rich serving/d was not met; and regular beef and full-fat cheese products were commonly served. Early care and education centers enrolled in CACFP provided meals that met the current CACFP guidelines. Some menu improvements are needed for the centers to meet the new guidelines and best practices. Copyright © 2018 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
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Better Management Practices for Recirculating Aquaculture Systems
USDA-ARS?s Scientific Manuscript database
Under the 2004 federal aquaculture effluent limitation guidelines (Federal Register 2004), recirculating aquaculture systems with an annual production exceeding 45,454 kg (100,000 pounds) are classified as concentrated aquatic animal production (CAAP) facilities and are required to obtain a National...
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The US Opioid Crisis: Current Federal and State Legal Issues.
Soelberg, Cobin D; Brown, Raeford E; Du Vivier, Derick; Meyer, John E; Ramachandran, Banu K
2017-11-01
The United States is in the midst of a devastating opioid misuse epidemic leading to over 33,000 deaths per year from both prescription and illegal opioids. Roughly half of these deaths are attributable to prescription opioids. Federal and state governments have only recently begun to grasp the magnitude of this public health crisis. In 2016, the Centers for Disease Control and Prevention released their Guidelines for Prescribing Opioids for Chronic Pain. While not comprehensive in scope, these guidelines attempt to control and regulate opioid prescribing. Other federal agencies involved with the federal regulatory effort include the Food and Drug Administration (FDA), the Drug Enforcement Agency (DEA), and the Department of Justice. Each federal agency has a unique role in helping to stem the burgeoning opioid misuse epidemic. The DEA, working with the Department of Justice, has enforcement power to prosecute pill mills and physicians for illegal prescribing. The DEA could also implement use of prescription drug monitoring programs (PDMPs), currently administered at the state level, and use of electronic prescribing for schedule II and III medications. The FDA has authority to approve new and safer formulations of immediate- and long-acting opioid medications. More importantly, the FDA can also ask pharmaceutical companies to cease manufacturing a drug. Additionally, state agencies play a critical role in reducing overdose deaths, protecting the public safety, and promoting the medically appropriate treatment of pain. One of the states' primary roles is the regulation of practice of medicine and the insurance industry within their borders. Utilizing this authority, states can both educate physicians about the dangers of opioids and make physician licensure dependent on registering and using PDMPs when prescribing controlled substances. Almost every state has implemented a PDMP to some degree; however, in addition to mandating their use, increased interstate sharing of prescription information would greatly improve PDMPs' effectiveness. Further, states have the flexibility to promote innovative interventions to reduce harm such as legislation allowing naloxone access without a prescription. While relatively new, these types of laws have allowed first responders, patients, and families access to a lifesaving drug. Finally, states are at the forefront of litigation against pharmaceutical manufacturers. This approach is described as analogous to the initial steps in fighting tobacco companies. In addition to fighting for dollars to support drug treatment programs and education efforts, states are pursuing these lawsuits as a means of holding pharmaceutical companies accountable for misleading marketing of a dangerous product.
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Alignment of Healthy Dietary Patterns and Environmental Sustainability: A Systematic Review.
Nelson, Miriam E; Hamm, Michael W; Hu, Frank B; Abrams, Steven A; Griffin, Timothy S
2016-11-01
To support food security for current and future generations, there is a need to understand the relation between sustainable diets and the health of a population. In recent years, a number of studies have investigated and compared different dietary patterns to better understand which foods and eating patterns have less of an environmental impact while meeting nutritional needs and promoting health. This systematic review (SR) of population-level dietary patterns and food sustainability extends and updates the SR that was conducted by the 2015 US Dietary Guidelines Advisory Committee, an expert committee commissioned by the federal government to inform dietary guidance as it relates to the committee's original conclusions. In the original SR, 15 studies met the criteria for inclusion; since then, an additional 8 studies have been identified and included. The relations between dietary intake patterns and both health and environmental outcomes were compared across studies, with methodologies that included modeling, life cycle assessment, and land use analysis. Across studies, consistent evidence indicated that a dietary pattern higher in plant-based foods (e.g., vegetables, fruits, legumes, seeds, nuts, whole grains) and lower in animal-based foods (especially red meat), as well as lower in total energy, is both healthier and associated with a lesser impact on the environment. This dietary pattern differs from current average consumption patterns in the United States. Our updated SR confirms and strengthens the conclusions of the original US Dietary Guidelines Advisory Committee SR, which found that adherence to several well-characterized dietary patterns, including vegetarian (with variations) diets, dietary guidelines-related diets, Mediterranean-style diets, the Dietary Approaches to Stop Hypertension (DASH) diet, and other sustainable diet scenarios, promotes greater health and has a less negative impact on the environment than current average dietary intakes. © 2016 American Society for Nutrition.
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Development of the National Institutes of Health Guidelines for Recombinant DNA Research.
Talbot, B
1983-01-01
Recombinant DNA is a technique of major importance in basic biomedical research and, increasingly, in industrial applications. Although the risks of this research remain hypothetical, scientists working in the field have spearheaded discussions of safety. The original National Institutes of Health (NIH) Guidelines for Recombinant DNA Research were issued in June 1976. They assigned each type of recombinant DNA experiment a specific level of "physical containment" and of "biological containment." Responsibility for overseeing the application of the guidelines belongs to the NIH Recombinant DNA Advisory Committee (RAC)--composed of scientists and laymen, including non-voting representatives from many Federal agencies--and local institutional biosafety committees at each university where recombinant DNA research is conducted. The NIH guidelines were subsequently adopted by other Federal agencies, but congressional proposals aimed at extending the guidelines to private industry did not result in national legislation. Some States and localities regulate recombinant DNA research, however, and many private companies have voluntarily submitted information on their recombinant DNA work for RAC and NIH approval. The NIH guidelines underwent a major revision in December 1978 and have been revised approximately every 3 months since then. NIH supports experiments to assess recombinant DNA risks and publishes and updates a plan for a risk assessment program. PMID:6611823
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Aakre, Kristin M; Langlois, Michel R; Barth, Julian H; Misra, Shivani; Watine, Joseph; Oosterhuis, Wytze P
2014-11-01
The European Federation of Laboratory Medicine (EFLM) and the Union of European Medical Specialists (UEMS) joint Working Group on guidelines recently proposed a checklist to help standardize the description of laboratory investigations in clinical practice guidelines (CPG). Nine CPGs or consensus documents published from 2011 to 2013 describing the investigation of chest pain, diagnosis of acute coronary syndrome, or myocardial infarction were evaluated against the published checklist. Clinical use of troponin analysis are commonly dealt with but the publications present variable, vague and sometimes conflicting information regarding this laboratory test being very much relied on upon making a diagnosis of acute coronary syndrome. Most of the laboratory related checklist items are not considered or need to be updated e.g. suggested analytical quality goals are not applicable for the high sensitive assays and important interferences that may lead to false positive or negative diagnoses are commonly not mentioned. The current paper sums up important analytical and biological issues related to troponin assays and gives suggestions for analytical quality goals that could be included in CPG's. Copyright © 2014 Elsevier B.V. All rights reserved.
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Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery
Fried, Martin; Yumuk, Volkan; Oppert, Jean-Michel; Scopinaro, Nicola; Torres, Antonio J.; Weiner, Rudolf; Yashkov, Yuri; Frühbeck, Gema
2013-01-01
In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity - European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery. PMID:24135948
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Guidelines for determining flood flow frequency—Bulletin 17C
England, John F.; Cohn, Timothy A.; Faber, Beth A.; Stedinger, Jery R.; Thomas, Wilbert O.; Veilleux, Andrea G.; Kiang, Julie E.; Mason, Robert R.
2018-03-29
Accurate estimates of flood frequency and magnitude are a key component of any effective nationwide flood risk management and flood damage abatement program. In addition to accuracy, methods for estimating flood risk must be uniformly and consistently applied because management of the Nation’s water and related land resources is a collaborative effort involving multiple actors including most levels of government and the private sector.Flood frequency guidelines have been published in the United States since 1967, and have undergone periodic revisions. In 1967, the U.S. Water Resources Council presented a coherent approach to flood frequency with Bulletin 15, “A Uniform Technique for Determining Flood Flow Frequencies.” The method it recommended involved fitting the log-Pearson Type III distribution to annual peak flow data by the method of moments.The first extension and update of Bulletin 15 was published in 1976 as Bulletin 17, “Guidelines for Determining Flood Flow Frequency” (Guidelines). It extended the Bulletin 15 procedures by introducing methods for dealing with outliers, historical flood information, and regional skew. Bulletin 17A was published the following year to clarify the computation of weighted skew. The next revision of the Bulletin, the Bulletin 17B, provided a host of improvements and new techniques designed to address situations that often arise in practice, including better methods for estimating and using regional skew, weighting station and regional skew, detection of outliers, and use of the conditional probability adjustment.The current version of these Guidelines are presented in this document, denoted Bulletin 17C. It incorporates changes motivated by four of the items listed as “Future Work” in Bulletin 17B and 30 years of post-17B research on flood processes and statistical methods. The updates include: adoption of a generalized representation of flood data that allows for interval and censored data types; a new method, called the Expected Moments Algorithm, which extends the method of moments so that it can accommodate interval data; a generalized approach to identification of low outliers in flood data; and an improved method for computing confidence intervals.Federal agencies are requested to use these Guidelines in all planning activities involving water and related land resources. State, local, and private organizations are encouraged to use these Guidelines to assure uniformity in the flood frequency estimates that all agencies concerned with flood risk should use for Federal planning decisions.This revision is adopted with the knowledge and understanding that review of these procedures will be ongoing. Updated methods will be adopted when warranted by experience and by examination and testing of new techniques.
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Alignment of Children's Food Advertising With Proposed Federal Guidelines.
Hingle, Melanie D; Castonguay, Jessica S; Ambuel, Danielle A; Smith, Rachel M; Kunkel, Dale
2015-06-01
It is well established that children are exposed to food marketing promoting calorically dense, low-nutrient products. Reducing exposure to obesogenic marketing presents an opportunity to improve children's health. The purpose of this study was to determine the extent to which televised food advertising practices targeting children (aged ≤12 years) were consistent with guidelines proposed by a coalition of federal authorities known as the Interagency Working Group on Foods Marketed to Children (IWG). A sample of children's TV programming aired on five national broadcast networks and two cable channels (N=103 shows) was recorded February to April 2013. The sample contained 354 food ads. Advertised products were identified and categorized using industry classification codes and nutrient data obtained from manufacturers. Product compliance with IWG saturated fat, trans fat, added sugar, and sodium guidelines was evaluated. Analyses conducted in 2013 revealed that nearly all food ads (94%) met guidelines for trans fats; 68% and 62% met guidelines for sodium and saturated fat, respectively; and 20% complied with added sugar guidelines. Overall, 1.4% of all child-targeted food ads met all aspects of IWG guidelines. Nearly all food advertisements exceeded guidelines for at least one recommended nutrient to limit. Individually, conformity was high for guidelines for trans fats, moderate for sodium and saturated fats, and poor for added sugar. These findings suggest that child-targeted food advertising remains strongly biased toward less healthy options. Policymakers wishing to regulate food marketing should understand the amount and types of advertisements that children view. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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New International School Library Guidelines
ERIC Educational Resources Information Center
Oberg, Dianne
2018-01-01
The publication in 2015 of new international school library guidelines was the culmination of a two-year process involving a wide network of contributors. The process was guided by the Joint Committee of the International Federation of Library Associations (IFLA) School Libraries Section and the International Association of School Librarianship…
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Guideline for Optical Character Recognition Forms.
ERIC Educational Resources Information Center
National Bureau of Standards (DOC), Washington, DC.
This publication provides materials relating to the design, preparation, acquisition, inspection, and application of Optical Character Recognition (OCR) forms in data entry systems. Since the materials are advisory and tutorial in nature, this publication has been issued as a guideline rather than as a standard in the Federal Information…
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41 CFR 60-50.1 - Purpose and scope.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 50-GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION OR NATIONAL ORIGIN § 60-50.1 Purpose and scope... performing under federally assisted construction contracts, without regard to religion or national origin. (b... religion and/or national origin. These guidelines are intended to remedy such unfair treatment. (c) These...
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77 FR 56782 - Bifenthrin; Pesticide Tolerances
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-14
..., hay. Interregional Research Project Number 4 (IR-4) requested these tolerances under the Federal Food... OCSPP test guidelines referenced in this document electronically, please go to http://www.epa.gov/ocspp and select ``Test Methods and Guidelines.'' C. How can I file an objection or hearing request? Under...
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78 FR 55635 - Prometryn; Pesticide Tolerances
Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-11
.... Interregional Research Project Number 4 (IR-4) requested these tolerances under the Federal Food, Drug, and... test guidelines referenced in this document electronically, please go to http://www.epa.gov/ocspp and select ``Test Methods and Guidelines. C. How can I file an objection or hearing request? Under FFDCA...
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78 FR 44311 - Unified Agenda of Federal Regulatory and Deregulatory Actions
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-23
... Identifier No. 235 Americans With 3014-AA11 Disabilities Act (ADA) Accessibility Guidelines for Passenger... (ATBCB) Long-Term Actions 235. Americans With Disabilities Act (Ada) Accessibility Guidelines for... vessels covered by the Americans With Disabilities Act (ADA) are accessible to and usable by individuals...
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41 CFR 60-50.1 - Purpose and scope.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 50-GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION OR NATIONAL ORIGIN § 60-50.1 Purpose and scope... performing under federally assisted construction contracts, without regard to religion or national origin. (b... religion and/or national origin. These guidelines are intended to remedy such unfair treatment. (c) These...
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41 CFR 60-50.1 - Purpose and scope.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 50-GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION OR NATIONAL ORIGIN § 60-50.1 Purpose and scope... performing under federally assisted construction contracts, without regard to religion or national origin. (b... religion and/or national origin. These guidelines are intended to remedy such unfair treatment. (c) These...
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41 CFR 60-50.1 - Purpose and scope.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 50-GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION OR NATIONAL ORIGIN § 60-50.1 Purpose and scope... performing under federally assisted construction contracts, without regard to religion or national origin. (b... religion and/or national origin. These guidelines are intended to remedy such unfair treatment. (c) These...
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41 CFR 60-50.1 - Purpose and scope.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 50-GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION OR NATIONAL ORIGIN § 60-50.1 Purpose and scope... performing under federally assisted construction contracts, without regard to religion or national origin. (b... religion and/or national origin. These guidelines are intended to remedy such unfair treatment. (c) These...
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23 CFR 655.604 - Achieving basic uniformity.
Code of Federal Regulations, 2010 CFR
2010-04-01
... Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS TRAFFIC OPERATIONS Traffic Control Devices on Federal-Aid and Other Streets and Highways § 655.604... the Highway Safety Program Guideline 21, “Roadway Safety.” Highway planning and research funds and...
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23 CFR 655.604 - Achieving basic uniformity.
Code of Federal Regulations, 2011 CFR
2011-04-01
... Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS TRAFFIC OPERATIONS Traffic Control Devices on Federal-Aid and Other Streets and Highways § 655.604... the Highway Safety Program Guideline 21, “Roadway Safety.” Highway planning and research funds and...
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Brüggemann, S; Korsukéwitz, C
2004-10-01
Clinical practice guidelines - seen as an aggregation of scientific evidence - and evidence based medicine are of relevance and importance for everybody involved in health care. Nevertheless, the discussion of their pros and cons is controversial. Major criticisms concern methodological aspects, a disregard of the patients' perspective, potentially increasing costs and the limitation of doctors' autonomy possibly caused by streamlining therapy. Supporters emphasize the improvement of care that comes with using proven therapies, patients' empowerment, cost reduction and equity in the distribution of resources. Following medical practice guidelines the liability for medical malpractice may be limited, but non-adherence to guidelines does not entail liability per se. Clinical practice guidelines in the rehabilitative sector differ from those in curative medicine by being required to achieve more complex goals than maintenance, recovery and improvement of health. Activities in the rehabilitation sector address two main topics: The integration of rehabilitation into curative guidelines, e. g. by participating in the German clearing process for guidelines, and the development of guidelines specific to rehabilitation. There are a number of guideline initiatives, e. g. with the Association of the Scientific Medical Societies (AWMF), the Federation of German Pension Insurance Institutes (VDR) and the Federal Insurance Institute for Salaried Employees (BfA). The BfA project is the first to allow integration of evidence based medicine into the quality assurance programme of the German Pension Insurance complementing it with differentiated criteria for the assessment of therapeutic processes. Taking evidence based medicine increasingly into consideration and the continuous process of introducing rehabilitative clinical practice guidelines are going to improve health care for people with chronic diseases.
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User's guide for LTGSTD24 program, Version 2. 4
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hanlon, R.L.; Connell, L.M.
1993-05-01
On January 30, 1989, the US Department of Energy (DOE) promulgated an interim rule entitled [open quotes]Energy Conservation Voluntary Performance Standards for New Commercial and Multi-Family High Rise Residential Buildings; Mandatory for New Federal Buildings[close quotes] (10 CFR Part 435, Subpart A). These standards require federal agencies to design all future federal commercial and multifamily high-rise residential buildings in accordance with the standards, or demonstrate that their current requirements already meet or exceed the energy-efficiency requirements of the standards. Although these newly enacted standards do not regulate the design of non-federal buildings, the DOE recommends that all design professionals usemore » the standards as guidelines for designing energy-conserving buildings. To encourage private sector use, the DOE published the standards in the January 30, 1989, Federal Register in the format typical of commercial standards. The Pacific Northwest Laboratory developed several computer programs for the DOE to make it easier for designers to comply with the standards. One of the programs, LTGSTD24 (Version 2.4), is detailed in this user's guide and is provided on the accompanying diskettes. The program will facilitate the designer's use of the standards dealing specifically with building lighting design. Using this program will greatly simplify the designer's task of performing the calculations needed to determine if a design complies with the standards.« less
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Obs4MIPS: Satellite Observations for Model Evaluation
NASA Astrophysics Data System (ADS)
Ferraro, R.; Waliser, D. E.; Gleckler, P. J.
2017-12-01
This poster will review the current status of the obs4MIPs project, whose purpose is to provide a limited collection of well-established and documented datasets for comparison with Earth system models (https://www.earthsystemcog.org/projects/obs4mips/). These datasets have been reformatted to correspond with the CMIP5 model output requirements, and include technical documentation specifically targeted for their use in model output evaluation. The project holdings now exceed 120 datasets with observations that directly correspond to CMIP5 model output variables, with new additions in response to the CMIP6 experiments. With the growth in climate model output data volume, it is increasing more difficult to bring the model output and the observations together to do evaluations. The positioning of the obs4MIPs datasets within the Earth System Grid Federation (ESGF) allows for the use of currently available and planned online tools within the ESGF to perform analysis using model output and observational datasets without necessarily downloading everything to a local workstation. This past year, obs4MIPs has updated its submission guidelines to closely align with changes in the CMIP6 experiments, and is implementing additional indicators and ancillary data to allow users to more easily determine the efficacy of an obs4MIPs dataset for specific evaluation purposes. This poster will present the new guidelines and indicators, and update the list of current obs4MIPs holdings and their connection to the ESGF evaluation and analysis tools currently available, and being developed for the CMIP6 experiments.
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Seaside, Oregon, Tsunami Pilot Study-Modernization of FEMA Flood Hazard Maps: GIS Data
Wong, Florence L.; Venturato, Angie J.; Geist, Eric L.
2006-01-01
Introduction: The Federal Emergency Management Agency (FEMA) Federal Insurance Rate Map (FIRM) guidelines do not currently exist for conducting and incorporating tsunami hazard assessments that reflect the substantial advances in tsunami research achieved in the last two decades; this conclusion is the result of two FEMA-sponsored workshops and the associated Tsunami Focused Study (Chowdhury and others, 2005). Therefore, as part of FEMA's Map Modernization Program, a Tsunami Pilot Study was carried out in the Seaside/Gearhart, Oregon, area to develop an improved Probabilistic Tsunami Hazard Analysis (PTHA) methodology and to provide recommendations for improved tsunami hazard assessment guidelines (Tsunami Pilot Study Working Group, 2006). The Seaside area was chosen because it is typical of many coastal communities in the section of the Pacific Coast from Cape Mendocino to the Strait of Juan de Fuca, and because State agencies and local stakeholders expressed considerable interest in mapping the tsunami threat to this area. The study was an interagency effort by FEMA, U.S. Geological Survey, and the National Oceanic and Atmospheric Administration (NOAA), in collaboration with the University of Southern California, Middle East Technical University, Portland State University, Horning Geoscience, Northwest Hydraulics Consultants, and the Oregon Department of Geological and Mineral Industries. We present the spatial (geographic information system, GIS) data from the pilot study in standard GIS formats and provide files for visualization in Google Earth, a global map viewer.
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Dickson, Catherine; Arnason, Trevor; Friedman, Dara Spatz; Metz, Gila; Grimshaw, Jeremy M
2017-11-01
Clinical guidelines help ensure consistent care informed by current evidence. As shifts in antimicrobial resistance continue to influence first-line treatment, up-to-date guidelines are important for preventing treatment failure. A guideline's development process will influence its recommendations and users' trust. To assess the quality of current gonorrhoea guidelines' development processes. Multiple databases. Original and current English-language guidelines targeting health professionals and containing treatment recommendations for uncomplicated gonorrhoea in the general adult population. Two appraisers assessed the guidelines independently using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. Scores were combined as per the AGREE II users' manual. We identified 10 guidelines meeting the inclusion criteria. The quality of the gonorrhoea treatment guidelines varied. Most scored poorly on Rigour of Development ; information on the evidence review process and methods for formulating recommendations was often missing. The WHO Guidelines for the Treatment of Neisseria gonorrhoeae and UK National Guideline for the Management of Gonorrhoea in Adults scored the highest on Rigour of Development . Methods to address conflicts of interest were often not described in the materials reviewed. Implementation of recommendations was often not addressed. By limiting our study to English-language guidelines, a small number of guidelines we identified were excluded. Our analysis was limited to either published or online materials that were readily available to users. We could not differentiate between items addressed in the development process but not documented from items that were not addressed. Gonorrhoea treatment guidelines may slow antimicrobial resistance. Many current guidelines are not in line with the current guideline development best practices; this might undermine the perceived trustworthiness of guidelines. By identifying current limitations, this study can help improve the quality of future guidelines. 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/.
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41 CFR 60-20.1 - Title and purpose.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 20-SEX DISCRIMINATION GUIDELINES § 60-20.1 Title and purpose. The purpose of the provisions in this part is to set forth the interpretations and guidelines of the Office of Federal Contract Compliance Programs regarding the implementation of Executive Order 11246, as amended for the promotion and insuring...
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41 CFR 109-38.502-50 - DOE guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
..., AND MOTOR VEHICLES 38-MOTOR EQUIPMENT MANAGEMENT 38.5-Scheduled Maintenance § 109-38.502-50 DOE... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false DOE guidelines. 109-38.502-50 Section 109-38.502-50 Public Contracts and Property Management Federal Property Management...
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 29 Labor 2 2010-07-01 2010-07-01 false Purpose. 215.1 Section 215.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR GUIDELINES, SECTION 5333(b), FEDERAL TRANSIT LAW § 215.1 Purpose. The purpose of these guidelines is to provide information concerning the...
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20 CFR 404.1569 - Listing of Medical-Vocational Guidelines in appendix 2.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Listing of Medical-Vocational Guidelines in appendix 2. 404.1569 Section 404.1569 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE... includes information about jobs (classified by their exertional and skill requirements) that exist in the...
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49 CFR 520.5 - Guidelines for identifying major actions significantly affecting the environment.
Code of Federal Regulations, 2010 CFR
2010-10-01
... significantly affecting the environment. 520.5 Section 520.5 Transportation Other Regulations Relating to... significantly affecting the environment. (a) General guidelines. The phrase, “major Federal actions significantly affecting the quality of the human environment,” as used in this part, shall be construed with a...
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Code of Federal Regulations, 2011 CFR
2011-04-01
... 23 Highways 1 2011-04-01 2011-04-01 false Purpose. 200.1 Section 200.1 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS TITLE VI PROGRAM AND RELATED STATUTES-IMPLEMENTATION AND REVIEW PROCEDURES § 200.1 Purpose. To provide guidelines for: (a) Implementing the Federal Highway...
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Code of Federal Regulations, 2010 CFR
2010-04-01
... 23 Highways 1 2010-04-01 2010-04-01 false Purpose. 200.1 Section 200.1 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS TITLE VI PROGRAM AND RELATED STATUTES-IMPLEMENTATION AND REVIEW PROCEDURES § 200.1 Purpose. To provide guidelines for: (a) Implementing the Federal Highway...
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Code of Federal Regulations, 2014 CFR
2014-04-01
... 23 Highways 1 2014-04-01 2014-04-01 false Purpose. 200.1 Section 200.1 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS TITLE VI PROGRAM AND RELATED STATUTES-IMPLEMENTATION AND REVIEW PROCEDURES § 200.1 Purpose. To provide guidelines for: (a) Implementing the Federal Highway...
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Code of Federal Regulations, 2013 CFR
2013-04-01
... 23 Highways 1 2013-04-01 2013-04-01 false Purpose. 200.1 Section 200.1 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS TITLE VI PROGRAM AND RELATED STATUTES-IMPLEMENTATION AND REVIEW PROCEDURES § 200.1 Purpose. To provide guidelines for: (a) Implementing the Federal Highway...
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ERIC Educational Resources Information Center
Bushweller, Kevin
1994-01-01
Pending federal legislation would require that school meals meet federal dietary guidelines. However, food service directors and nutritionists see other obstacles to improving the nutritional content of school meals such as government red tape, costs, and difficulty in changing people's tastes. Hundreds of schools, usually in affluent communities,…
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75 FR 63551 - Guides for the Use of Environmental Marketing Claims
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-15
... general principles that apply to all environmental marketing claims and provide specific guidance... Part II Federal Trade Commission 16 CFR Part 260 Guides for the Use of Environmental Marketing... Marketing Claims AGENCY: Federal Trade Commission. ACTION: Proposed revisions to guidelines. SUMMARY: The...
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DOT National Transportation Integrated Search
2012-11-01
This study proposes a network of overnight truck parking facilities in south suburban Chicago intended to : accomplish a wide range of federal, state, and local policy objectives. At the federal and state levels, this : reports policy objectives s...
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Reinstating nursing administration graduate study in federal nurse traineeships.
Kersbergen, A L
1994-01-01
In 1992, the federal guidelines for funding nurse traineeships were amended to exclude nurses who pursue advanced degrees in nursing administration. This legislation expires soon, and final drafting of new legislation will be completed during the summer of 1994. The author presents information to use in advocating for reinstatement of nursing administration students as potential recipients of federal nurse traineeship dollars for advanced education.
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Management of postprandial glucose: Recommended targets and treatment with biphasic insulin.
Liebl, Andreas
2016-12-01
Increases in glycaemia, particularly following meals, have been independently associated with diabetes complications, most notably cardiovascular disease. Control of postprandial plasma glucose (PPG) therefore plays an important role in diabetes management. International diabetes guidelines acknowledge the value of PPG monitoring yet place relatively little emphasis on PPG control. This article considers the impact of suboptimal PPG control and current recommendations with regard to management of PPG. Specific consideration is given to the role of biphasic insulins, one of the treatment options recognised by the International Diabetes Federation as preferentially lowering PPG levels. Copyright © 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
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Informed Decision Making in Maternity Care
Goldberg, Holly
2009-01-01
In the United States, federal acts and regulations, as well as professional guidelines, clearly dictate that every pregnant woman has the right to base her maternity care decisions on accurate, up-to-date, comprehensible information. Despite these efforts, evidence suggests that informed consent within current health-care practice is restricted and inconsistently implemented. Patient access to evidence-based research is imperative under the scope of informed consent and is particularly important during a time when perinatal mortality and morbidity rates, interventions, and disparities are on the rise in the United States. This article describes the Coalition for Improving Maternity Services’ investigation of the breakdown of informed consent in maternity care. PMID:19436598
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Code of Federal Regulations, 2010 CFR
2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Waivers. 436.108 Section 436.108 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Guidelines for General Operations Plans § 436.108 Waivers. (a) Any Federal agency may submit a written request to the Under...
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DOT National Transportation Integrated Search
1998-02-01
This document provides instructional guidelines to users of the Federal Aviation Administration (FAA) Research and Development Electromagnetic Database (FRED) Version 2.0. Instructions are provided on how to access FRED from a compact disk (CD) and h...
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Code of Federal Regulations, 2011 CFR
2011-10-01
... contracts by use of a weighted guidelines structured approach. The service charge so determined will be the... 1615.404-4 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES... Contract Pricing 1615.404-4 Profit. (a) When the pricing of FEHB Program contracts is determined by cost...
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Code of Federal Regulations, 2010 CFR
2010-10-01
... contracts by use of a weighted guidelines structured approach. The service charge so determined will be the... 1615.404-4 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES... Contract Pricing 1615.404-4 Profit. (a) When the pricing of FEHB Program contracts is determined by cost...
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International Air Transport and Federal Policy
NASA Technical Reports Server (NTRS)
Binder, R. H.
1972-01-01
The Federal policy which establishes guidelines for future U.S. participation in the international air transportation industry is discussed. The policy issues discussed include the following: (1) aircraft hijacking, both foreign and domestic, (2) relationship of scheduled services and charter services, (3) capacity problems, and (4) rate regulation.
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7 CFR 2902.6 - Providing product information to Federal agencies.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 15 2011-01-01 2011-01-01 false Providing product information to Federal agencies. 2902.6 Section 2902.6 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF ENERGY POLICY AND NEW USES, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR...
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Clean Air. It's Up to You, Too.
ERIC Educational Resources Information Center
Environmental Protection Agency, Washington, DC.
Opportunities for citizen participation in federal environmental decisions relative to air pollution and its control are assessed in this booklet. The Environmental Protection Agency (EPA), as the federal agency charged with enforcement of the Clean Air Act, offers guidelines for responsible citizen action. Designed for groups already organized…
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41 CFR 101-27.102-2 - Guidelines.
Code of Federal Regulations, 2014 CFR
2014-07-01
... Supply Catalog, and copies may be obtained by agencies in the same manner as other items in that catalog... Section 101-27.102-2 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 27-INVENTORY MANAGEMENT 27.1-Stock...
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41 CFR 101-27.102-2 - Guidelines.
Code of Federal Regulations, 2012 CFR
2012-07-01
... Supply Catalog, and copies may be obtained by agencies in the same manner as other items in that catalog... Section 101-27.102-2 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 27-INVENTORY MANAGEMENT 27.1-Stock...
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41 CFR 101-27.102-2 - Guidelines.
Code of Federal Regulations, 2013 CFR
2013-07-01
... Supply Catalog, and copies may be obtained by agencies in the same manner as other items in that catalog... Section 101-27.102-2 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 27-INVENTORY MANAGEMENT 27.1-Stock...
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41 CFR 101-27.102-2 - Guidelines.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Supply Catalog, and copies may be obtained by agencies in the same manner as other items in that catalog... Section 101-27.102-2 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 27-INVENTORY MANAGEMENT 27.1-Stock...
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24 CFR 583.330 - Applicability of other Federal requirements.
Code of Federal Regulations, 2012 CFR
2012-04-01
...) for supportive housing located in an area identified by the Federal Emergency Management Agency (FEMA...) Applicability of OMB Circulars. The policies, guidelines, and requirements of OMB Circular No. A-87 (Cost... Education, Hospitals, and Other Nonprofit Organizations) and A-122 (Cost Principles Applicable to Grants...
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24 CFR 583.330 - Applicability of other Federal requirements.
Code of Federal Regulations, 2013 CFR
2013-04-01
...) for supportive housing located in an area identified by the Federal Emergency Management Agency (FEMA...) Applicability of OMB Circulars. The policies, guidelines, and requirements of OMB Circular No. A-87 (Cost... Education, Hospitals, and Other Nonprofit Organizations) and A-122 (Cost Principles Applicable to Grants...
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24 CFR 583.330 - Applicability of other Federal requirements.
Code of Federal Regulations, 2014 CFR
2014-04-01
...) for supportive housing located in an area identified by the Federal Emergency Management Agency (FEMA...) Applicability of OMB Circulars. The policies, guidelines, and requirements of OMB Circular No. A-87 (Cost... Education, Hospitals, and Other Nonprofit Organizations) and A-122 (Cost Principles Applicable to Grants...
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Middle school student perceptions of school lunch following revised federal school meal guidelines
USDA-ARS?s Scientific Manuscript database
This study assessed student perceptions of school meals under the new federal meal patterns for the National School Lunch Program (NSLP). Student feedback is instrumental in developing strategies to increase and maintain NSLP participation, satisfaction, and ultimately provide students with a health...
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Cable TV: The Re-regulation, Re-wiring, and Re-education of America.
ERIC Educational Resources Information Center
Nelson, Milo
1992-01-01
Discusses federal regulation of cable television. Topics addressed include Congressional legislation; Federal Communications Commission (FCC) guidelines; pricing; conflicts between broadcasters and the cable industry; the telephone industry's entrance into the cable market; and possible effects of regulatory changes on educational television. (LRW)
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48 CFR 253.215-70 - DD Form 1547, Record of Weighted Guidelines Application.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 1547, Record of... Forms 253.215-70 DD Form 1547, Record of Weighted Guidelines Application. Follow the procedures at PGI 253.215-70 for completing DD Form 1547. [71 FR 69495, Dec. 1, 2006] ...
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41 CFR Appendix D to Part 60 - 741-Guidelines Regarding Positions Engaged in Carrying Out a Contract
Code of Federal Regulations, 2010 CFR
2010-07-01
... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true 741-Guidelines Regarding... Management Other Provisions Relating to Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS... performed and their relationship to contract performance. A position is included if its duties included work...
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Business and Office Education Curriculum Guidelines. Bulletin No. 1246.
ERIC Educational Resources Information Center
Louisiana State Dept. of Education, Baton Rouge. Div. of Vocational Education.
The curriculum guide presents guidelines for planning and implementing a program in cooperative office education. Techniques include relating individual in-school instruction to individual job needs and career goals and to coordinate the student's education with actual work experience in an office in the community. A summary of Federal and State…
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Guidelines for Public Libraries in the 21st Century.
ERIC Educational Resources Information Center
Gill, Philip
This paper highlights some of the issues that arose during the drafting of a revised version of the IFLA (International Federation of Library Associations and Institutions) Guidelines for Public Libraries. The sections of the new document are outlined as follows: (1) The Role and Purpose of the Public Library; (2) The Legal and Financial…
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76 FR 57992 - Assessment Rate Adjustment Guidelines for Large and Highly Complex Institutions
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-19
..., 550 17th Street, NW., Washington, DC 20429. SUPPLEMENTARY INFORMATION: I. Dates These guidelines... Research, Federal Deposit Insurance Corporation, 550 17th Street, NW., Washington, DC 20429. An institution.... Restructured workout loans typically present an elevated level of credit risk as the borrowers are not able to...
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Development, Evaluation, and Future Directions of the Virginia Student Threat Assessment Guidelines
ERIC Educational Resources Information Center
Cornell, Dewey; Allen, Korrie
2011-01-01
The Virginia Student Threat Assessment Guidelines were developed in response to studies of school shootings conducted by the U.S. Federal Bureau of Investigation, U.S. Secret Service, and U.S. Department of Education that recommended schools should adopt a threat assessment approach to prevent targeted violence. This article reviews the…
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41 CFR Appendix D to Part 60 - 741-Guidelines Regarding Positions Engaged in Carrying Out a Contract
Code of Federal Regulations, 2012 CFR
2012-07-01
... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true 741-Guidelines Regarding... Management Other Provisions Relating to Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS... performed and their relationship to contract performance. A position is included if its duties included work...
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41 CFR Appendix D to Part 60 - 741-Guidelines Regarding Positions Engaged in Carrying Out a Contract
Code of Federal Regulations, 2011 CFR
2011-07-01
... 41 Public Contracts and Property Management 1 2011-07-01 2009-07-01 true 741-Guidelines Regarding... Management Other Provisions Relating to Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS... performed and their relationship to contract performance. A position is included if its duties included work...
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41 CFR Appendix D to Part 60 - 741-Guidelines Regarding Positions Engaged in Carrying Out a Contract
Code of Federal Regulations, 2013 CFR
2013-07-01
... 41 Public Contracts and Property Management 1 2013-07-01 2013-07-01 false 741-Guidelines Regarding... Management Other Provisions Relating to Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS... performed and their relationship to contract performance. A position is included if its duties included work...
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Code of Federal Regulations, 2012 CFR
2012-10-01
... 49 Transportation 4 2012-10-01 2012-10-01 false Guidelines for Electronic Submission of Reflectorization Implementation Compliance Reports C Appendix C to Part 224 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION REFLECTORIZATION OF RAIL FREIGHT ROLLING STOCK Pt...
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Health and Safety: Suggested Personnel Policy Guidelines for School Districts.
ERIC Educational Resources Information Center
Oregon State Dept. of Education, Salem. Div. of Administrative Support.
To assist school administrators in meeting state and federal requirements for safety and health programs and procedures related to school district personnel (particularly those requirements resulting from the enactment by the 1973 Oregon Legislative Assembly of laws found in the ORS 654.000 to 654.295, and 654.991), these guidelines were drawn…
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25 CFR 256.6 - Am I eligible for the Housing Improvement Program?
Code of Federal Regulations, 2010 CFR
2010-04-01
... Section 256.6 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HOUSING HOUSING IMPROVEMENT... Improvement Program if: (a) You are a member of a Federally recognized American Indian tribe or Alaska Native... percent of the Department of Health and Human Services poverty income guidelines. These guidelines are...
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Implementing practice guidelines: lessons from public mental health settings.
Parks, Joseph J
2007-01-01
There is evidence that state-of-the-art psychiatric treatments are not being translated into community settings, resulting in the de facto denial of up-to-date psychiatric care for many Americans with mental illness. Although multiple models of evidence-based care exist, little is known about how to disseminate information regarding these models to clinicians in real-world practice. Suggested solutions have included the use of published practice guidelines, such as the American Psychiatric Association Practice Guidelines and the Expert Consensus Guidelines, or algorithm-based programs, such as the Texas Medication Algorithm Project. Unfortunately, the real-world utility of practice guidelines tends to be limited, because their implementation depends entirely on practitioner self-motivation. Similarly, the use of algorithm-based programs may be limited by their pervasive high specificity, practitioner resistance, and various patient misperceptions. Another solution is the implementation of evidence-based practices (EBPs), such as the Substance Abuse and Mental Health Services Administration (SAMHSA) EBPs. However, states' use of the SAMHSA EBPs has been hampered by misalignment of the funding structure, lack of information regarding EBPs, high costs to train and supervise staff, staff turnover, and a lack of resources. As a result, federal and clinical/professional agencies have called for a change in the nation's mental health care delivery system, supplying persuasive arguments for the economic and clinical superiority of integrated care models. One such model, the Missouri Medical Risk Management (MRM) Program for Medicaid Recipients with Schizophrenia, currently assists patients identified as being at high risk for adverse medical and behavioral outcomes. Preliminary results from the Missouri MRM Program are described.
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A Survey of Current Rotorcraft Propulsion Health Monitoring Technologies
NASA Technical Reports Server (NTRS)
Delgado, Irebert R.; Dempsey, Paula J.; Simon, Donald L.
2012-01-01
A brief review is presented on the state-of-the-art in rotorcraft engine health monitoring technologies including summaries on current practices in the area of sensors, data acquisition, monitoring and analysis. Also, presented are guidelines for verification and validation of Health Usage Monitoring System (HUMS) and specifically for maintenance credits to extend part life. Finally, a number of new efforts in HUMS are summarized as well as lessons learned and future challenges. In particular, gaps are identified to supporting maintenance credits to extend rotorcraft engine part life. A number of data sources were consulted and include results from a survey from the HUMS community, Society of Automotive Engineers (SAE) documents, American Helicopter Society (AHS) papers, as well as references from Defence Science & Technology Organization (DSTO), Civil Aviation Authority (CAA), and Federal Aviation Administration (FAA).
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2 CFR 180.620 - Do Federal agencies coordinate suspension and debarment actions?
Code of Federal Regulations, 2010 CFR
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Do Federal agencies coordinate suspension and debarment actions? 180.620 Section 180.620 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved OMB GUIDELINES TO AGENCIES ON GOVERNMENTWIDE DEBARMENT...
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ERIC Educational Resources Information Center
Strickler, Mervin K., Jr.
This publication is designed to provide both policy guidance and examples of how to work with various constituencies in planning and carrying out appropriate Federal Aviation Administration (FAA) aviation education activities. Information is provided on the history of aerospace/aviation education, FAA educational materials, aerospace/aviation…
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Waiver Culture: The Unintended Consequence of Ethics Compliance
ERIC Educational Resources Information Center
Genova, Gina L.
2008-01-01
The passage of the U.S. Sarbanes-Oxley Act (2002) spawned a series of compliance and ethics programs --the revised Principles of Federal Prosecution of Business Organizations known as the Thompson Memo (Thompson, 2003), the revised Federal Sentencing Guidelines that included the Effective Compliance and Ethics Program and the corporate…
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Management of Federal Information Resources. Circular No. A-130.
ERIC Educational Resources Information Center
Office of Management and Budget, Washington, DC.
Directed to the heads of executive departments and establishments, this circular establishes policy for the management of federal information resources. Procedural and analytic guidelines for implemented aspects of these policies are included as appendices. The policies apply to the information activities of all agencies of the executive branch of…
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48 CFR 1816.402-270 - NASA technical performance incentives.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false NASA technical performance incentives. 1816.402-270 Section 1816.402-270 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND....402-270 NASA technical performance incentives. (a) Pursuant to the guidelines in 1816.402, NASA has...
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48 CFR 1816.402-270 - NASA technical performance incentives.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true NASA technical performance incentives. 1816.402-270 Section 1816.402-270 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND....402-270 NASA technical performance incentives. (a) Pursuant to the guidelines in 1816.402, NASA has...
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48 CFR 1816.402-270 - NASA technical performance incentives.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false NASA technical performance incentives. 1816.402-270 Section 1816.402-270 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND....402-270 NASA technical performance incentives. (a) Pursuant to the guidelines in 1816.402, NASA has...
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48 CFR 1816.402-270 - NASA technical performance incentives.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false NASA technical performance incentives. 1816.402-270 Section 1816.402-270 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND....402-270 NASA technical performance incentives. (a) Pursuant to the guidelines in 1816.402, NASA has...
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48 CFR 1816.402-270 - NASA technical performance incentives.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false NASA technical performance incentives. 1816.402-270 Section 1816.402-270 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND....402-270 NASA technical performance incentives. (a) Pursuant to the guidelines in 1816.402, NASA has...
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76 FR 20994 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-14
... (SAMHSA) Center for Substance Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) on May 3 and 4... include the Federal drug testing updates from the Department of Transportation, the Department of Defense... Guidelines for Federal Workplace Drug Testing Programs; and updates on oral fluid as a potential alternative...
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78 FR 5471 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-25
... Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) will meet on February 11, 2013, from 10:30 a... Mandatory Guidelines for Federal Workplace Drug Testing Programs, the custody and control form, and the medical review officer certification. The meeting also will include federal drug testing updates from the...
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Carpet Aids Learning in High Performance Schools
ERIC Educational Resources Information Center
Hurd, Frank
2009-01-01
The Healthy and High Performance Schools Act of 2002 has set specific federal guidelines for school design, and developed a federal/state partnership program to assist local districts in their school planning. According to the Collaborative for High Performance Schools (CHPS), high-performance schools are, among other things, healthy, comfortable,…
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 29 Labor 2 2010-07-01 2010-07-01 false General. 215.2 Section 215.2 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR GUIDELINES, SECTION 5333(b), FEDERAL TRANSIT LAW § 215.2 General. Upon receipt of copies of applications for Federal assistance subject to 49 U...
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Middle School Student Perceptions of School Lunch Following Revised Federal School Meal Guidelines
ERIC Educational Resources Information Center
Kjosen, Maria M.; Moore, Carolyn E.; Cullen, Karen W.
2015-01-01
Purpose: This study assessed student perceptions of school meals under the new federal meal patterns for the National School Lunch Program (NSLP). Student feedback is instrumental in developing strategies to increase and maintain NSLP participation, satisfaction, and ultimately provide students with a healthy meal. Methods: Anonymous…
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78 FR 28865 - Request for Comment on the Federal Guidelines for Opioid Treatment
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-16
..., Room 7-1044, Rockville, MD 20857. Please allow sufficient time for mailed comments to be received... Federal Register Representative, Division of Pharmacologic Therapies, 1 Choke Cherry Road, Room 7-1044... Representative, Division of Pharmacologic Therapies, 1 Choke Cherry Road, Room 7-1044, Rockville, MD 20850. To...
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ERIC Educational Resources Information Center
US General Accounting Office, 2004
2004-01-01
Over a decade ago, concerns about fraud and abuse by some correspondence schools led to federal restrictions on, among other things, the percentage of courses a school could provide by distance education and still qualify for federal student aid. This study reviewed the extent to which the restrictions affected schools? ability to offer federal…
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Weber, W; Woollett, J
2004-11-16
Condor Country Consulting conducted surveys for listed branchiopods in the 2002-2003 wet season to complete requirements of the Guidelines (USFWS 1996) used to determine the distribution of federally-listed branchiopods within the study area. The first survey was performed during the previous wet season (2001-2002). The 2002-2003 wet season survey, combined with the previous season's survey, is intended to provide LLNL with information that will assist them in determining the effects of the proposed action on federally listed branchiopods and provide information useful in the preparation of the associated environmental documentation. It is also expected to satisfy the survey requirements ofmore » the USFWS. For the purpose of this report, the term branchiopod refers specifically to phyllopodous branchiopods and not cladocerans. Fairy shrimp, tadpole shrimp, and clam shrimp are all categorized as phyllopodous branchiopods and are currently the only members of the Class Branchiopoda that contain species that are listed under the federal Endangered Species Act. Although cladocerans are branchiopods and were found on the site, they are only referred to by the Order in this report because they are not the target species of this study.« less
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Liver elastography, comments on EFSUMB elastography guidelines 2013
Cui, Xin-Wu; Friedrich-Rust, Mireen; Molo, Chiara De; Ignee, Andre; Schreiber-Dietrich, Dagmar; Dietrich, Christoph F
2013-01-01
Recently the European Federation of Societies for Ultrasound in Medicine and Biology Guidelines and Recommendations have been published assessing the clinical use of ultrasound elastography. The document is intended to form a reference and to guide clinical users in a practical way. They give practical advice for the use and interpretation. Liver disease forms the largest section, reflecting published experience to date including evidence from meta-analyses with shear wave and strain elastography. In this review comments and illustrations on the guidelines are given. PMID:24151351
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Code of Federal Regulations, 2012 CFR
2012-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
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Code of Federal Regulations, 2013 CFR
2013-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
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Code of Federal Regulations, 2014 CFR
2014-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
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48 CFR 215.404-70 - DD Form 1547, Record of Weighted Guidelines Method Application.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 1547, Record of... TYPES CONTRACTING BY NEGOTIATION Contract Pricing 215.404-70 DD Form 1547, Record of Weighted Guidelines Method Application. Follow the procedures at PGI 215.404-70 for use of DD Form 1547 whenever a structured...
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Guidelines for evaluating air pollution impacts on class I wilderness areas in California
David L. Peterson; Daniel L. Schmoldt; Joseph M. Eilers; Richard W. Fisher; Robert D. Doty
1992-01-01
The 1977 Clean Air Act legally mandated the prevention of significant deterioration (PSD) of air quality related values (AQRVs) on wilderness lands. Federal land managers are assigned the task of protecting these wilderness values. This report contains guidelines for determining the potential effects of incremental increases in air pollutants on natural resources in...
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ERIC Educational Resources Information Center
International Federation of Library Associations, The Hague (Netherlands).
This document includes papers on public libraries which were presented at the 1985 International Federation of Library Associations (IFLA) conference. The first paper, "International Guidelines for Public Libraries," is the report of an IFLA working group and it includes guidelines in six areas: public library services; media of…
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Code of Federal Regulations, 2010 CFR
2010-10-01
... SELF-GOVERNANCE Secretarial Responsibilities Reports § 137.407 What guidelines will be used by the... contained in funding agreements, annual audit reports, and data of the Secretary regarding the disposition of Federal funds. The report must identify: (a) The relative costs and benefits of self-governance...
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Montana Standards and Guidelines for Career and Vocational/Technical Education. Summer 2002 Update.
ERIC Educational Resources Information Center
Montana State Office of Public Instruction, Helena.
This document presents Montana's standards and guidelines for career and vocational/technical education (CVTE). The guide begins with a directory of Montana's key CVTE personnel and specialists. Part 1 presents the federal and state definitions of CVTE and provides an overview of Montana's system for delivering CVTE and its philosophy regarding…
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Dental treatment in the era of new anti-thrombotic agents.
Sahar-Helft, Sharonit; Chackartchi, Tali; Polak, David; Findler, Mordechai
2018-06-01
In recent years, there have been dramatic changes in anti-thrombotic treatment as a result of new anti-thrombotic agents, as well as changes in the indications for their use. As a consequence, dentists are encountering larger numbers of patients who are undergoing anti-thrombotic treatment and who have increased risk for bleeding. The current paper aims to review the literature regarding up-to-date anti-thrombotic treatment and provide information regarding their implications on dentistry. An online search was performed of the literature published between 2000 and 2016. Articles dealing with evidence-based clinical guidelines for anti-thrombotic treatments, as well as literature reporting the use of anti-thrombotic medications were included. The manuscripts were screened according to their relevance to dentistry as well as their treatment protocol guidelines. In total, 5,539 publications were identified: 56 of 554 evidence-based clinical guidelines were found that dealt with treatment protocols with anti-thrombotic agents; and 132 of 5,539 articles describe direct anti-thrombotic medications. Dental treatment includes a risk for bleeding. As a result of the increasing number of patients taking new-generation anti-thrombotic drugs, dentists must be up to date regarding the implications of such drugs on dental treatment as well as the practical means to achieve haemostasis. © 2017 FDI World Dental Federation.
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Updated French guidelines for diagnosis and management of pelvic inflammatory disease.
Brun, Jean-Luc; Graesslin, Olivier; Fauconnier, Arnaud; Verdon, Renaud; Agostini, Aubert; Bourret, Antoine; Derniaux, Emilie; Garbin, Olivier; Huchon, Cyrille; Lamy, Catherine; Quentin, Roland; Judlin, Philippe
2016-08-01
Pelvic inflammatory disease (PID) is commonly encountered in clinical practice. To provide up-to-date guidelines on management of PID. An initial search of the Cochrane database, PubMed, and Embase was performed using keywords related to PID to identify reports in any language published between January 1990 and January 2012, with an update in May 2015. All identified reports relevant to the areas of focus were included. A level of evidence based on the quality of the data available was applied for each area of focus and used for the guidelines. PID must be suspected when spontaneous pelvic pain is associated with induced adnexal or uterine pain (grade C). Pelvic ultrasonography is necessary to exclude tubo-ovarian abscess (grade B). Microbiological diagnosis requires vaginal and endocervical sampling for molecular and bacteriological analysis (grade B). First-line treatment for uncomplicated PID combines ofloxacin and metronidazole for 14days (grade B). Treatment of tubo-ovarian abscess is based on drainage if the collection measures more than 3cm (grade B), with combined ceftriaxone, metronidazole, and doxycycline for 14-21days. Current management of PID requires easily reproducible investigations and treatment, and thus can be applied worldwide. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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Users guide for ENVSTD program Version 2. 0 and LTGSTD program Version 2. 0
DOE Office of Scientific and Technical Information (OSTI.GOV)
Crawley, D.B.; Riesen, P.K.; Briggs, R.S.
1989-02-01
On January 30, 1989, the US Department of Energy (DOE) promulgated 10 CFR Part 435, Subpart A, an Interim Rule entitled ''Energy Conservation Voluntary Performance Standards for New Commercial and Multi-Family High Rise Residential Buildings; Mandatory for New Federal Buildings.'' As a consequence, federal agencies must design all future federal commercial and multifamily high rise residential buildings in accordance with the Standards, or show that their current standards already meet or exceed the energy-efficiency requirements of the Standards. Although these newly enacted Standards do not regulate the design of nonfederal buildings, DOE recommends that all design professionals use the Standardsmore » as guidelines for designing energy-conserving buildings. To encourage private sector use, the Standards were presented in the January 30, 1989, Federal Register in the format typical of commercial standards rather than a federal regulation. As a further help, DOE supported the development of various microcomputer programs to ease the use of the Standards. Two of these programs/emdash/ENVSTD (Version 2.0) and LTGSTD (Version 2.0)/emdash/are detailed in this users guide and provided on the accompanying diskette. This package, developed by Pacific Northwest Laboratory (PNL), is intended to facilitate the designer's use of the Standards dealing specifically with a building's envelope and lighting system designs. Using these programs will greatly simplify the designer's task of performing the sometimes complex calculations needed to determine a design's compliance with the Standards. 3 refs., 6 figs.« less
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-01
... finalized the guidelines beginning with the 1988-89 hunting season (August 18, 1988, Federal Register [53 FR...), snow geese (Chen caerulescens), Ross' geese (C. rossii), emperor geese (C. canagica), white-fronted... the Environmental Protection Agency on June 9, 1988. We published a notice of availability in the...
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DOT National Transportation Integrated Search
2018-01-09
As required by Federal Aviation Administration Order 8110.4C, Type Certification Process, the Volpe Center Acoustics Facility (Volpe), in support of the Federal Aviation Administration Office of Environment and Energy (AEE), has completed valid...
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2 CFR 180.635 - May a Federal agency settle a debarment or suspension action?
Code of Federal Regulations, 2010 CFR
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false May a Federal agency settle a debarment or suspension action? 180.635 Section 180.635 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved OMB GUIDELINES TO AGENCIES ON GOVERNMENTWIDE DEBARMENT...
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Understanding Federal regulations as guidelines for classical biological control programs
Michael E. Montgomery
2011-01-01
This chapter reviews the legislation and rules that provide the foundation for federal regulation of the introduction of natural enemies of insects as biological control agents. It also outlines the steps for complying with regulatory requirements, using biological control of Adelges tsugae Annand, the hemlock woolly adelgid (HWA), as an example. The...
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Code of Federal Regulations, 2011 CFR
2011-04-01
... rules, and amendments thereto will be filed with and published in the Federal Register. Commission... become final are published in the Federal Energy Guidelines and upon payment of applicable charges, may be obtained from: Commerce Clearing House, Inc. 4025 West Peterson Avenue, Chicago, Illinois 60646...
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Code of Federal Regulations, 2010 CFR
2010-04-01
... rules, and amendments thereto will be filed with and published in the Federal Register. Commission... become final are published in the Federal Energy Guidelines and upon payment of applicable charges, may be obtained from: Commerce Clearing House, Inc. 4025 West Peterson Avenue, Chicago, Illinois 60646...
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76 FR 59710 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-27
... Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) will meet on October 13, 2011 from 9 a.m. to... Guidelines for Federal Workplace Drug Testing Programs. Therefore, this meeting is closed to the public as..., Designated Federal Official, CSAP Drug Testing Advisory Board, 1 Choke Cherry Road, Room 2-1045, Rockville...
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77 FR 45647 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-01
... Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) will meet on August 27 and 28, 2012 from 10... Mandatory Guidelines for Federal Workplace Drug Testing Programs. Therefore, this meeting is closed to the... Cook, Ph.D., Designated Federal Official, CSAP Drug Testing Advisory Board, 1 Choke Cherry Road, Room 2...
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ERIC Educational Resources Information Center
Douglass, John Aubrey
2017-01-01
The Trump administration has no significant plan or strategy related to higher education. The only major policy declarations--to eliminate federal regulations on for-profit colleges and revisit federal guidelines on sexual assault on college campuses--both unravel policies developed under the Obama administration. Where the fate of higher…
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Maps showing locations of surface water stations: catalog of information on water data
1968-01-01
United States Bureau of the Budget Circular A-67, issued in 1964, calls upon the Department of the Interior to coordinate certain water-data-acquisition activities by Federal agencies. The Circular contains guidelines for coordinating Federal water-data collection from streams, lakes, reservoirs, estuaries, and ground water; it also contains guidelines for developing a national network to acquire the data. Specific responsibilities are: (1) design and operation of a national network for acquiring water data, including organizing the network data; (2) coordination of national network and specialized water-data acquisition activities, and preparation of an annual Federal plan for water-data acquisition; and (3) maintenance of a central catalog of information on water data and on Federal activities being planned or conducted to acquire such data.The Office of Water Data Coordination (OWOC) was established within the Interior Department's Geological Survey to serve as a focal point for activities in conjunction with implementation of the Circular. The "Catalog of Information on Water Data" was developed in response to item 3.
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Capps, Cory; Dranove, David; Ody, Christopher
2017-09-01
The growing concentration of physician markets throughout the United States has been raising antitrust concerns, yet the Department of Justice and the Federal Trade Commission have challenged only a small number of mergers and acquisitions in this field. Using proprietary claims data from states collectively containing more than 12 percent of the US population, we found that 22 percent of physician markets were highly concentrated in 2013, according to federal merger guidelines. Most of the increases in physician practice size and market concentration resulted from numerous small transactions, rather than a few large transactions. Among highly concentrated markets that had increases large enough to raise antitrust concerns, only 28 percent experienced any individual acquisition that would have been presumed to be anticompetitive under federal merger guidelines. Furthermore, most acquisitions were below the dollar thresholds that would have required the parties to report the transaction to antitrust authorities. Under present mechanisms, federal authorities have only limited ability to counteract consolidation in most US physician markets. Project HOPE—The People-to-People Health Foundation, Inc.
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NASA Astrophysics Data System (ADS)
1980-09-01
The energy emergency management information system (EEMIS) has responsibility for providing special information and communication services to government officials at Federal and state levels, who must deal with energy emergencies. Because of proprietary information residing in the data base used for federal purposes, a special system (EEMIS-S) must be established for use by the states. It is planned to acquire teleprocessing services for EEMIS-S from a time-sharing commercial vendor, and the process for procurement must meet guidelines for approval. The work plan and schedule for meeting these guidelines are discussed. Tasks to be included contain estimates of time, cost, and resources required, all of which are briefly described.
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Medicare managed care. How physicians can make it better.
Roggin, G M
1997-12-01
The federal government is attempting to control anticipated, increased Medicare health care costs by providing the senior population with incentives to encourage their movement into managed care programs. For-profit corporate HMOs that currently dominate the managed care arena are coming under increased competitive pressure at a time when their perception of profiteering is undergoing increased public scrutiny. If physicians are to take advantage of this window of opportunity and successfully enter the Medicare managed care marketplace, they must identify the major deficiencies existing in the current model, and fashion a new product that divests itself of the profit orientation of current corporate HMOs. A nonprofit version of a highly integrated, multispecialty provider service organization (PSO) provides an appropriate model to effectively compete with the corporate HMO. The ideal physician-controlled managed care model must: develop a responsive policy board structure; create practice guidelines that decrease variation in physician practice; achieve an appropriate balance between primary and specialty medical care; and adopt a quality-assurance program that effectively addresses both process and outcome data.
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The challenges of nutrition policymaking.
Slavin, Joanne L
2015-02-07
In my over three decades of work in the field of food and nutrition, I have participated in many efforts that seek new policy initiatives in the hopes that these programs can curb rates of obesity and chronic disease and help consumers make healthier dietary choices. Because of the profound effect that many of these policies have on consumers, the food environment, federal nutrition assistance programs and subsequent policy and regulatory recommendations, it is imperative that only the strongest, best available evidence is used to set policy. This review evaluates methods by which current nutrition policies use scientific research as well as provides recommendations for how best to ensure future nutrition policies are truly science-based and likely to have a meaningful impact on public health. Specifically, this review will: Describe the current food and nutrition policy environment in the US Examine how science is used in federal food and nutrition policymaking efforts, using the Dietary Guidelines for Americans (DGA) as an example Describe strong versus weak science as well as what types of studies are most appropriate for use in policymaking Discuss the potential effects and consequences of making policy recommendations in the absence of scientific consensus or agreement Make recommendations to support the present and ongoing development of science-based policy likely to positively impact public health.
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Underwood, Willie; Boyd, Anne J; Fletcher, Kathlyn E; Lypson, Monica L
2004-06-01
The American Medical Student Association, the Committee of Interns and Residents, and Public Citizen petitioned the Occupational Safety and Health Administration for national resident duty-hour limitations. Subsequently, federal legislation was introduced to limit resident duty hours. To preempt the federal government, the Accreditation of Graduate Medical Education implemented resident duty-hour guidelines. To evaluate the viewpoints and attitudes of surgical resident and staff physicians as they pertain to the national resident duty-hour guidelines, we asked attendees of the American College of Surgeons' Candidate Associate Society Forum during the American College of Surgeons Clinical Congress meeting in 2001 to complete a self-administered questionnaire. Analyses were performed to determine the frequency of response for each survey item. Eighty-six of the 102 (84%) surgeons who attended the American College of Surgeons Forum completed the survey. Most disagreed with the federal government involvement in regulating duty hours. Although most agreed that residents should not be on call more than every third night, viewpoints varied on the other duty-hour guidelines. Most (63.4%) reported that residents should work 81 to 100 hours per week, but 11% reported that residents should work > 101 hours per week and 25.6% reported that
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Fields, C.L.; Roy, T.M.; Dow, F.T.
1992-04-01
The Department of Labor has set guidelines for the use of resting arterial blood gas analysis in determination of total and permanent disability for coal workers' pneumoconiosis. To determine the prevalence with which bituminous coal miners fall below the arterial tensions of both oxygen and carbon dioxide published in the Federal Register, we studied 1012 miners who had both reproducible spirometry and arterial blood gas analysis as part of their disability evaluation. Eighty-seven percent of impaired miners could be identified by the spirometric criteria. Thirteen percent of impaired bituminous coal miners had acceptable pulmonary function but were eligible for blackmore » lung benefits by the blood gas guidelines. This population would have been missed if blood gas analysis were excluded from the evaluation process. On the other hand, approximately 25% of the blood gas analyses that were performed could be eliminated if a policy was adopted to do this test only on miners with spirometry that exceed the federal guidelines.« less
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Guidance to Faith-Based and Community Organizations on Partnering with the Federal Government.
ERIC Educational Resources Information Center
White House Office of Faith-Based and Community Initiatives, Washington, DC.
The guiding principle behind President George W. Bush's Faith-Based and Community Initiative is that faith-based charities should be able to compete on an equal footing for public dollars to provide public services. President Bush believes that the federal government, within the framework of U.S. Constitutional church-state guidelines, should…
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32 CFR 536.26 - Identification of a proper claim.
Code of Federal Regulations, 2010 CFR
2010-07-01
... this section tolls the two-year statute of limitations (SOL) even though the documents required to... this part. (f) Receipt of a claim by another federal agency does not toll the SOL. Receipt of a U.S. Army claim by DOD, Navy, or Air Force does toll the SOL. (g) The guidelines set forth in federal FTCA...
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Code of Federal Regulations, 2012 CFR
2012-01-01
... program designed to eliminate underrepresentation of minority groups in specific Federal job categories... used for a program designed to eliminate such underrepresentation; 2. To make, in consultation with OPM... programs to carry out the anti-discrimination policy in a manner designed to eliminate underrepresentation...
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Code of Federal Regulations, 2010 CFR
2010-01-01
... program designed to eliminate underrepresentation of minority groups in specific Federal job categories... used for a program designed to eliminate such underrepresentation; 2. To make, in consultation with OPM... programs to carry out the anti-discrimination policy in a manner designed to eliminate underrepresentation...
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Code of Federal Regulations, 2011 CFR
2011-01-01
... program designed to eliminate underrepresentation of minority groups in specific Federal job categories... used for a program designed to eliminate such underrepresentation; 2. To make, in consultation with OPM... programs to carry out the anti-discrimination policy in a manner designed to eliminate underrepresentation...
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Code of Federal Regulations, 2013 CFR
2013-01-01
... program designed to eliminate underrepresentation of minority groups in specific Federal job categories... used for a program designed to eliminate such underrepresentation; 2. To make, in consultation with OPM... programs to carry out the anti-discrimination policy in a manner designed to eliminate underrepresentation...
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Code of Federal Regulations, 2014 CFR
2014-01-01
... program designed to eliminate underrepresentation of minority groups in specific Federal job categories... used for a program designed to eliminate such underrepresentation; 2. To make, in consultation with OPM... programs to carry out the anti-discrimination policy in a manner designed to eliminate underrepresentation...
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Novo, Ahmed; Subotic-popovic, Andreja; Strbac, Savka; Kandic, Alma; Horga, Mihai
2016-01-01
Introduction: Federal Minister of Health and Minister of Health and Social Welfare of the Republika Srpska as a Governmental health authorities in Federation of Bosnia and Herzegovina (FBiH) and the Republika Srpska nominated/appointed health professionals as their representatives to a multidisciplinary Guidelines Adaptation Group (GAG). This group started with its work in September 2015. The main purpose of the guidelines development exercise is to develop guidelines with worldwide recognized methodology for clinical guidelines development and adaptation. At the end of this consultancy, GAG would have develop a clinical practice guideline on Postpartum hemorrhage (PPH) through the adaptation method, starting from published international clinical guidelines and adapting it according to the country specific requirements. Methodology: During the process of identifying the best guideline for adaptation, the GAG had to pass several steps. One of the crucial steps was to identify the questions related to clinical practice and health policy for which answers are needed to be addressed by the guideline. These questions included relevant issues regarding the topic area such as diagnosis, prognosis, intervention, service delivery, and training. After that, six guidelines have been researched by the six members of the GAG to see if they answered the identified questions. Evaluating the methodological quality of the selected clinical guidelines was a second essential step before deciding which ones could best fit the needs and interests. AGREE II instrument has been chosen as methods for evaluating clinical guideline quality and appropriateness. Four appraisers conducted the assessment of each of the selected guidelines for PPH. All appraisers passed the training for the AGREE II instrument before conducting appraisals, as recommended by the AGREE collaboration. Each of the four guidelines was rated independently with the AGREE II tool by each appraiser. Results: The highest score was obtained by the WHO recommendations for postpartum hemorrhage guidelines and each of four assessors recommended it to be adapted and further implemented. Discussion: In spite of several serous attempts and two Agencies for quality improvement in BiH the whole process of guideline adaptation is still in the beginning and therefore the establishment of a strong connection with similar institutions and organizations from our region and the rest of the world is very important. Cooperation and collaboration across institutions and countries and key stakeholders have potential to significantly improve the validity and quality of the adapted guidelines and to positively influence implementation. PMID:27482138
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Christofides, Stelios; Isidoro, Jorge; Pesznyak, Csilla; Cremers, Florian; Figueira, Rita; van Swol, Christiaan; Evans, Stephen; Torresin, Alberto
2016-01-01
Continuing Professional Development (CPD) is vital to the medical physics profession if it is to embrace the pace of change occurring in medical practice. As CPD is the planned acquisition of knowledge, experience and skills required for professional practice throughout one's working life it promotes excellence and protects the profession and public against incompetence. Furthermore, CPD is a recommended prerequisite of registration schemes (Caruana et al. 2014) and is implied in the Council Directive 2013/59/EURATOM (EU BSS) and the International Basic Safety Standards (BSS). It is to be noted that currently not all national registration schemes require CPD to maintain the registration status necessary to practise medical physics. Such schemes should consider adopting CPD as a prerequisite for renewing registration after a set period of time. This EFOMP Policy Statement, which is an amalgamation and an update of the EFOMP Policy Statements No. 8 and No. 10, presents guidelines for the establishment of national schemes for CPD and activities that should be considered for CPD. Copyright © 2016. Published by Elsevier Ltd.
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ERIC Educational Resources Information Center
Borchardt, Dietrich H.
Developed as the direct result of the August 1982, International Federation of Library Associations (IFLA) Seminar on Better Journals for the Library Profession held in Montreal, Canada, this report is designed to provide broad guidelines for the editors of library journals through an examination of the fundamental problems of editing journals for…
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1984-01-12
These are final rules on procedures and guidelines relating to nondiscrimination on the basis of handicap in connection with health care for handicapped infants. These rules are issued under the authority of section 504 of the Rehabilitation Act of 1973, which prohibits discrimination on the basis of handicap in programs and activities receiving Federal financial assistance.
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Awareness of radiographic guidelines for low back pain: a survey of Australian chiropractors.
Jenkins, Hazel J
2016-01-01
Chiropractors have been shown to refer for lumbar radiography in clinical scenarios inconsistent with the current clinical guidelines for low back pain. It is unknown whether this is due to lack of adherence with known guidelines or a lack of awareness of relevant guidelines. Therefore, the aim of this study is to determine Australian chiropractors' awareness of, and reported adherence to, radiographic guidelines for low back pain. Demographic, chiropractic practice and radiographic usage characteristics will be investigated for association with poor guideline adherence. An online survey was distributed to Australian chiropractors from July to September, 2014. Survey questions assessed demographic, chiropractic practice and radiographic usage characteristics, awareness of radiographic guidelines for low back pain and the level of agreement with current guidelines. Results were analysed with descriptive statistics and logistic regression analysis. There were 480 surveys completed online. Only 49.6 % (95 % confidence interval (95 % CI): 44.9, 54.4) reported awareness of radiographic guidelines for low back pain. Chiropractors reported a likelihood of referring for radiographs for low back pain: in new patients (47.6 % (95 % CI: 42.9, 52.3)); to confirm biomechanical pathologies (69.0 % (95 % CI: 64.5, 73.1)); to perform biomechanical analysis (37.5 % (95 % CI: 33.1, 42.0)); or to screen for contraindications (39.4 % (95 % CI: 35.0, 44.0)). Chiropractors agreed that radiographs for low back pain could be useful for: acute low back pain (54.0 % (95 % CI: 49.2, 58.7)); screening for contraindications (55.8 % (95 % CI: 51.0, 60.5)); or to confirm diagnosis and direct treatment (61.3 % (95 % CI: 56.5, 65.9)). Poorer adherence to current guidelines was seen if the chiropractor referred to in-house radiographic facilities, practiced a technique other than diversified technique or was unaware or unsure of current radiographic guidelines for low back pain. Only 50 % of Australian chiropractors report awareness of current radiographic guidelines for low back pain. A poorer awareness of guidelines is associated with an increase in the reported likelihood of use, and the perceived usefulness of radiographs for low back pain, in clinical situations that fall outside of current guidelines. Therefore, education strategies may help to increase guideline knowledge and compliance.
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Guideline.gov: A Database of Clinical Specialty Guidelines.
El-Khayat, Yamila M; Forbes, Carrie S; Coghill, Jeffrey G
2017-01-01
The National Guidelines Clearinghouse (NGC), also known as Guideline.gov, is a database of resources to assist health care providers with a central depository of guidelines for clinical specialty areas in medicine. The database is provided free of charge and is sponsored by the U.S. Department of Health and Human Services and the Agency for Healthcare Research and Quality. The guidelines for treatment are updated regularly, with new guidelines replacing older guidelines every five years. There are hundreds of current guidelines with more added each week. The purpose and goal of NGC is to provide physicians, nurses, and other health care providers, insurance companies, and others in the field of health care with a unified database of the most current, detailed, relevant, and objective clinical practice guidelines.
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Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-13
...This action finalizes amendments to the federal plan and the new source performance standards for hospital/medical/infectious waste incinerators. This final action implements national standards promulgated in the 2009 amendments to the hospital/medical/infectious waste incinerator emissions guidelines that will result in reductions in emissions of certain pollutants from all affected units.
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Myburgh, John; Abillama, Fayez; Chiumello, Davide; Dobb, Geoff; Jacobe, Stephen; Kleinpell, Ruth; Koh, Younsuk; Martin, Claudio; Michalsen, Andej; Pelosi, Paolo; Torra, Lluis Blanch; Vincent, Jean-Louis; Yeager, Susan; Zimmerman, Janice
2016-08-01
End-of-life care in the intensive care unit (ICU) was identified as an objective in a series of Task Forces developed by the World Federation of Societies of Intensive and Critical Care Medicine Council in 2014. The objective was to develop a generic statement about current knowledge and to identify challenges relevant to the global community that may inform regional and local initiatives. An updated summary of published statements on end-of-life care in the ICU from national Societies is presented, highlighting commonalities and differences within and between international regions. The complexity of end-of-life care in the ICU, particularly relating to withholding and withdrawing life-sustaining treatment while ensuring the alleviation of suffering, within different ethical and cultural environments is recognized. Although no single statement can therefore be regarded as a criterion standard applicable to all countries and societies, the World Federation of Societies of Intensive and Critical Care Medicine endorses and encourages the role of Member Societies to lead the debate regarding end-of-life care in the ICU within each country and to take a leading role in developing national guidelines and recommendations within each country. Copyright © 2016 Elsevier Inc. All rights reserved.
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Molenaar, Nina M; Brouwer, Marlies E; Duvekot, Johannes J; Burger, Huibert; Knijff, Esther M; Hoogendijk, Witte J; Bockting, Claudi L H; de Wolf, G S; Lambregtse-van den Berg, Mijke P
2018-06-01
prescription rates of antidepressants during pregnancy range from 2-3% in The Netherlands to 6.2% in the USA. Inconclusive evidence about harms and benefits of antidepressants during pregnancy leads to variation in advice given by gynaecologists and midwives. The objective was to investigate familiarity with, and adherence to the Dutch multidisciplinary guideline on Selective Serotonin Reuptake Inhibitor (SSRI) use during pregnancy by gynaecologists and midwives in the Netherlands. an online survey was developed and send to Dutch gynaecologists and midwives. The survey consisted mainly of multiple-choice questions addressing guideline familiarity and current practice of the respondent. Also, caregiver characteristics associated with guideline adherence were investigated. a total of 178 gynaecologists and 139 midwives responded. Overall familiarity with the Dutch guideline was 92.7%. However, current practice and advice given to patients by caregivers differed substantially, both between gynaecologists and midwives as well as within both professions. Overall guideline adherence was 13.9%. Multivariable logistic regression showed that solely caregiver profession was associated with guideline adherence, with gynaecologists having a higher adherence rate (OR 2.10, 95%CI 1.02-4.33) than midwives. although reported familiarity with the guideline is high, adherence to the guideline is low, possibly resulting in advice to patients that is inconsistent with guidelines and unwanted variation in current practice. further implementation of the recommendations as given in the guideline should be stimulated. Additional research is needed to examine how gynaecologists and midwives can be facilitated to follow the recommendations of the clinical guideline on SSRI use during pregnancy. Copyright © 2018 Elsevier Ltd. All rights reserved.
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Stein, Karen Farchaus; Keller, Colleen; Fishstrom, Astrid
2013-06-01
Individual disclosure refers to the presumptive ethical responsibility of an investigator to communicate to a study participant information that was collected as a part of a research study protocol and is specific to the individual. Currently, there are no federal regulatory guidelines specifying the conditions and management of disclosure of health-related individual-specific information. In this report, the authors discuss the challenges associated with individual disclosure in the context of a longitudinal descriptive study. Arguments favoring disclosure and those challenging disclosure as a general ethical duty are presented. Finally, strategies for addressing individual disclosure are discussed using a research exemplar in which risk behaviors related to health outcomes were measured. Copyright © 2013 Wiley Periodicals, Inc.
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Guthrie, Joanne F; Smallwood, David M
2003-12-01
The Dietary Guidelines for Americans is the official nutrition policy statement for the United States. Government involvement in providing information on private behavior, such as food choice, is justified by the high cost of poor diets, as measured in medical expenses and lost productivity. The Guidelines are intended to provide an up-to-date, consistent information base for federal nutrition education and information efforts and food assistance program regulations. Through these policy mechanisms, the Guidelines are assumed to improve dietary behavior, and, ultimately, health. By law, the Dietary Guidelines for Americans must be updated every five years; however, there is no mandate for evaluation. Evaluation could provide useful information to assess the extent to which the Guidelines positively influence health and provide insights into reasons for their successes and limitations. However, evaluation would also present considerable challenges. This paper discusses the critical data and methodological needs for improving evaluation of the Dietary Guidelines for Americans.
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Code of Federal Regulations, 2011 CFR
2011-01-01
..., procedures, or guidelines pertaining to classified or sensitive information technology systems. (h) An... physician licensed to dispense drugs in the practice of medicine, or as otherwise authorized by Federal law...
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Code of Federal Regulations, 2012 CFR
2012-01-01
..., procedures, or guidelines pertaining to classified or sensitive information technology systems. (h) An... physician licensed to dispense drugs in the practice of medicine, or as otherwise authorized by Federal law...
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Code of Federal Regulations, 2014 CFR
2014-01-01
..., procedures, or guidelines pertaining to classified or sensitive information technology systems. (h) An... physician licensed to dispense drugs in the practice of medicine, or as otherwise authorized by Federal law...
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Code of Federal Regulations, 2013 CFR
2013-01-01
..., procedures, or guidelines pertaining to classified or sensitive information technology systems. (h) An... physician licensed to dispense drugs in the practice of medicine, or as otherwise authorized by Federal law...
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Hasan, Alkomiet; Falkai, Peter; Wobrock, Thomas; Lieberman, Jeffrey; Glenthøj, Birte; Gattaz, Wagner F; Thibaut, Florence; Möller, Hans-Jürgen
2017-06-01
Schizophrenia is a severe mental disorder and many patients are treated in primary care settings. Apart from the pharmacological management of disease-associated symptoms, the detection and treatment of side effects is of the utmost importance in clinical practice. The purpose of this publication is to offer relevant evidence-based recommendations for the biological treatment of schizophrenia in primary care. This publication is a short and practice-oriented summary of Parts I-III of the World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for Biological Treatment of Schizophrenia. The recommendations were developed by the authors and consented by a task force of international experts. Guideline recommendations are based on randomized-controlled trials and supplemented with non-randomized trials and meta-analyses where necessary. Antipsychotics of different chemical classes are the first-line pharmacological treatments for schizophrenia. Specific circumstances (e.g., suicidality, depression, substance dependence) may need additional treatment options. The pharmacological and non-pharmacological management of side effects is of crucial importance for the long-term treatment in all settings of the healthcare system. This summary of the three available evidence-based guidelines has the potential to support clinical decisions and can improve treatment of schizophrenia in primary care settings.
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Perspectives on Current Training Guidelines for Cardiac Imaging and Recommendations for the Future.
Arrighi, James A; Kilic, Sena; Haines, Philip G
2018-04-23
To summarize current training guidelines for cardiac imaging and provide recommendations for future guidelines. The current structure of training in cardiac imaging is largely dictated by modality-specific guidelines. While there has been debate on how to define the advanced cardiac imager for over a decade, a uniform consensus has not emerged. We report the perspectives of three key stakeholders in this debate: a senior faculty member-former fellowship program director, a cardiology fellow, and an academic junior faculty imaging expert. The observations of these stakeholders suggest that there is no consensus on the definition of advanced cardiac imaging, leading to ambiguity in training guidelines. This may have negative impact on recruitment of fellows into cardiac imaging careers. Based on the current status of training in cardiac imaging, the authors suggest that the relevant professional groups reconvene to form a consensus in defining advanced cardiac imaging, in order to guide future revisions of training guidelines.
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Andrews, Peter A
2014-12-15
The British Transplantation Society "Guideline for Transplantation Management of the Failing Kidney Transplant" was published in May 2014. This is the first national guideline in this field. In line with previous guidelines published by the British Transplantation Society, the guideline has used the GRADE system to rate the strength of evidence and recommendations.This article summarizes the Statements of Recommendation contained in the guideline, which provide a framework for the management of the failing kidney graft in the United Kingdom and may be of wide international interest. It is recommended that the full guideline document is consulted for details of the relevant references and evidence base. This may be accessed at: http://www.bts.org.uk/MBR/Clinical/Guidelines/Current/Member/Clinical/Current_Guidelines.aspx.
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Rausch, Christopher M; Phillips, George C
2009-10-01
We compared the content of the cardiac screening questions on US state high school athletic association preparticipation evaluation forms with current consensus recommendations. We reviewed the high school athletic association's approved, recommended, or required sports preparticipation form from each of the 50 US states and the District of Columbia, and compared the content of the personal and family history components with current recommendations for cardiac screening questions. We found that 85% of the preparticipation forms in current use contain all elements of the formerly recommended guidelines, but only 17% contain all elements of the new consensus guidelines. We conclude that although there appears to be some improvement in the content of the preparticipation forms in current use compared with previous studies, the vast majority of these forms are incomplete compared with current consensus guidelines.
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Cook, S A; Rosser, R; Meah, S; James, M I; Salmon, P
2003-07-01
Because of increasing demand for publicly funded elective cosmetic surgery, clinical decision guidelines have been developed to select those patients who should receive it. The aims of this study were to identify: the main characteristics of such guidelines; whether and how they influence clinical decision making; and ways in which they should be improved. UK health authorities were asked for their current guidelines for elective cosmetic surgery and, in a single plastic surgery unit, we examined the impact of its guidelines by observing consultations and interviewing surgeons and managers. Of 115 authorities approached, 32 reported using guidelines and provided sufficient information for analysis. Guidelines mostly concerned arbitrary sets of cosmetic procedures and lacked reference to an evidence base. They allowed surgery for specified anatomical, functional or symptomatic reasons, but these indications varied between guidelines. Most guidelines also permitted surgery 'exceptionally' for psychological reasons. The guidelines that were studied in detail did not appreciably influence surgeons' decisions, which reflected criteria that were not cited in the guidelines, including cost of the procedure and whether patients sought restoration or improvement of their appearance. Decision guidelines in this area have several limitations. Future guidelines should: include all cosmetic procedures; be informed by a broad range of evidence; and, arguably, include several nonclinical criteria that currently inform surgeons' decision-making.
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U.S. State and Federal Laws Targeting Distracted Driving
Catherine Chase, J.D.
2014-01-01
Distracted driving has burgeoned with the proliferation of cell phones, global positioning systems and other in-vehicle and personal electronic devices. Annually more than 3,300 people are killed and an additional 400,000 are injured in the United States in distracted driving crashes. The United States (U.S.) federal and state governments have responded to this public health problem with policies and laws; however, a more comprehensive and more effective approach is still needed. Some restrictions on the use of electronic devices while driving by federal employees and some voluntary guidelines and recommendations have been issued. Public opinion polls show support for addressing the issue of distracted driving with state laws. The majority of states have laws banning text messaging while driving and prohibiting the use of an electronic device by teenage or novice drivers. Some states prohibit all drivers from using a hand-held cellphone. Currently no state has a total ban on the use of personal electronic devices while driving. Successful past traffic safety campaigns changing driver behavior have demonstrated the necessity to adopt a “three Es” approach of Enactment of a law, Education of the public about the law, and rigorous Enforcement of the law. Experience reveals that this approach, along with future federal regulation of in-vehicle electronic devices and the employment of technology to limit the use of electronic devices while driving, is needed to alter personal behavior in order to reduce distractions and keep drivers focused on the driving task. PMID:24776229
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U.s. State and federal laws targeting distracted driving.
Catherine Chase, J D
2014-01-01
Distracted driving has burgeoned with the proliferation of cell phones, global positioning systems and other in-vehicle and personal electronic devices. Annually more than 3,300 people are killed and an additional 400,000 are injured in the United States in distracted driving crashes. The United States (U.S.) federal and state governments have responded to this public health problem with policies and laws; however, a more comprehensive and more effective approach is still needed. Some restrictions on the use of electronic devices while driving by federal employees and some voluntary guidelines and recommendations have been issued. Public opinion polls show support for addressing the issue of distracted driving with state laws. The majority of states have laws banning text messaging while driving and prohibiting the use of an electronic device by teenage or novice drivers. Some states prohibit all drivers from using a hand-held cellphone. Currently no state has a total ban on the use of personal electronic devices while driving. Successful past traffic safety campaigns changing driver behavior have demonstrated the necessity to adopt a "three Es" approach of Enactment of a law, Education of the public about the law, and rigorous Enforcement of the law. Experience reveals that this approach, along with future federal regulation of in-vehicle electronic devices and the employment of technology to limit the use of electronic devices while driving, is needed to alter personal behavior in order to reduce distractions and keep drivers focused on the driving task.
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DOT National Transportation Integrated Search
2008-07-01
he Federal Highway Administrations Office of Highway Policy Information (OHPI) establishes travel monitoring policy and guidelines, facilitates the application of technology, and collects and analyzes highway-related data from throughout the Unite...
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7 CFR 3201.68 - Erosion control materials.
Code of Federal Regulations, 2014 CFR
2014-01-01
... MANAGEMENT, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR FEDERAL PROCUREMENT... manufactured for use on construction, demolition, or other sites to prevent wind or water erosion of loose...
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7 CFR 3201.68 - Erosion control materials.
Code of Federal Regulations, 2013 CFR
2013-01-01
... MANAGEMENT, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR FEDERAL PROCUREMENT... manufactured for use on construction, demolition, or other sites to prevent wind or water erosion of loose...
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7 CFR 3201.68 - Erosion control materials.
Code of Federal Regulations, 2012 CFR
2012-01-01
... MANAGEMENT, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR FEDERAL PROCUREMENT... manufactured for use on construction, demolition, or other sites to prevent wind or water erosion of loose...
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Place, Jean Marie S; Billings, Deborah L; Frongillo, Edward A; Blake, Christine E; Mann, Joshua R; deCastro, Filipa
2016-03-01
This article critically examines federal, state and facility-level policies, as well as clinical practice guidelines regarding postnatal depression in Mexico. Thirteen documents including national health plans, national action plans, federal and state laws and regulations, clinical practice guidelines, and public-sector healthcare facility policies were collected and evaluated according to whether they included a statement of intent and/or actions related to the care of women at risk for or experiencing postnatal depression. While postnatal depression is included in several policies in Mexico, it is not addressed in ways that guide actions to manage postnatal depression. Specific direction on postnatal depression in policies would bridge a gap in maternal mental healthcare given that medication, treatment, and timing of interventions is unique in the postpartum context.
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Spagnol, Carla Aparecida; Villa, Eliana Aparecida; Dos Santos Pereira, Márcia; Velloso, Isabela Silva Câncio
2015-01-20
Nursing education in Brazil is based on the following principles that guide profession : assistance, management, education and research. These activities can not be developed separately as the intersection between them is an important factor to provide nursing care to the population with safety and quality. Even recognizing the importance of this articulation, in this study it is highlighted the professional managerial training. The aim of this paper is to describe the management disciplines teaching in the training of nurses from a critical and reflective analysis of a group of teachers from the Federal University of Minas Gerais, Brazil. The Brazilian Health Reform Movement and the implementation of the National Curriculum Guidelines have resulted in significant advances in teaching Nursing Management, considering that currently content and practical activities take place at different moments of nursing training. It is concluded that, in this new context, teachers have sought more contemporary theoretical references, which focus on a more participative manage in order to train competent professionals who have a more humane and ethical practice.
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ERIC Educational Resources Information Center
Ashby, Cornelia M.
Distance education--that is, offering courses by Internet, video, or other forms outside the classroom--has changed considerably in recent years and is a growing force in postsecondary education. More than a decade ago, concerns about fraud and abuse by some correspondence schools led to federal restrictions on, among other things, the percentage…
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ERIC Educational Resources Information Center
Stuart, Paul H.
During the 1970s, self-determination was institutionalized as official U.S. Indian policy through federal legislation and administrative guidelines. The seeds of this policy date to the Indian New Deal in the 1920s when John Collier's Indian reform movement sought to lessen the autocratic power of the Bureau of Indian Affairs (BIA) by institution…
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Must we report on the....7 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL SOURCE AGENCY REQUIREMENTS 6-PAYMENT GUIDELINES Valuation § 304-6.7 Must we...
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Woo, E H C; White, P; Lai, C W K
2016-03-01
This paper presents an overview of global ergonomics standards and guidelines for design of computer workstations, with particular focus on their inconsistency and associated health risk impact. Overall, considerable disagreements were found in the design specifications of computer workstations globally, particularly in relation to the results from previous ergonomics research and the outcomes from current ergonomics standards and guidelines. To cope with the rapid advancement in computer technology, this article provides justifications and suggestions for modifications in the current ergonomics standards and guidelines for the design of computer workstations. Practitioner Summary: A research gap exists in ergonomics standards and guidelines for computer workstations. We explore the validity and generalisability of ergonomics recommendations by comparing previous ergonomics research through to recommendations and outcomes from current ergonomics standards and guidelines.
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Recurrent vulvovaginal candidiasis: A review of guideline recommendations.
Matheson, Alexia; Mazza, Danielle
2017-04-01
Recurrent vulvovaginal candidiasis (VVC) is a difficult-to-manage condition that affects 5-8% of women of reproductive age. Current treatment regimes have high relapse rates, resulting in poor quality of life for the women affected. To compare the quality and content of current guidelines concerned with recurrent VVC and to develop a summary of recommendations to assist in the management of women with this condition. Relevant clinical guidelines were identified through a search of several databases (MEDLINE, SCOPUS and The Cochrane Library) and relevant websites. Five guidelines were identified. Each guideline was assessed for quality using the AGREE II instrument. Guideline recommendations were extracted, compared and contrasted. The identified guidelines were of mixed quality. This is not related to the level of evidence supporting them but is because of poor stakeholder involvement, applicability and lack of clarity concerning editorial independence. Current international guidelines for recurrent VVC are consistent in terms of their definition of the condition, diagnostic techniques and utilising induction and maintenance therapy as the treatment of choice. However, the regimen suggested by most guidelines (fluconazole weekly for six months) is not particularly effective; only 42.9% of patients are disease free after 12 months. An alternative regimen put forward by one of the guidelines cites a 77% cure rate after 12 months. Most guidelines lacked specific recommendations for the induction part of induction and maintenance treatment. The current most recommended treatment of recurrent VVC is sub-optimal. Studies performed on a larger scale are required to identify more effective treatments. © 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
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What's in a Name? Recent Key Projects of the Committee on Organization and Delivery of Burn Care.
Hickerson, William L; Ryan, Colleen M; Conlon, Kathe M; Harrington, David T; Foster, Kevin; Schwartz, Suzanne; Iyer, Narayan; Jeschke, Marc; Haller, Herbert L; Faucher, Lee D; Arnoldo, Brett D; Jeng, James C
2015-01-01
The Committee for the Organization and Delivery of Burn Care (ODBC) was charged by President Palmieri and the American Burn Association (ABA) Board of Directors with presenting a plenary session at the 45th Meeting of the ABA in Palm Springs, CA, in 2013. The objective of the plenary session was to inform the membership about the wide range of the activities performed by the ODBC committee. The hope was that this session would encourage active involvement within the ABA as a means to improve the delivery of future burn care. Selected current activities were summarized by key leaders of each project and highlighted in the plenary session. The history of the committee, current projects in disaster management, regionalization, best practice guidelines, federal partnerships, product development, new technologies, electronic medical records, and manpower issues in the burn workforce were summarized. The ODBC committee is a keystone committee of the ABA. It is tasked by the ABA leadership with addressing and leading progress in many areas that constitute current challenges in the delivery of burn care.
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Asche, Carl Victor; Leader, Shelah; Plauschinat, Craig; Raparla, Swetha; Yan, Ming; Ye, Xiangyang; Young, Dave
2012-01-01
To estimate the potential cost savings by following the current Global Initiative for Chronic Obstructive Lung Disease (GOLD) guideline recommendations in patients being treated for chronic obstructive pulmonary disease (COPD) with the combination of long-acting β(2)-agonist (LABA), long-acting muscarinic antagonist (LAMA) or inhaled corticosteroids (ICS). The Geisinger Health System (GHS) database was utilized to identify subjects between January 1, 2004 to March 12, 2007. The index date was based on the first prescription of a LAMA plus LABA, LAMA plus LABA/ICS, or LABA plus ICS. Patients were included in the study if they: had a COPD diagnosis; had data representative of treatment 12 months prior to and 12 months post index date; were 40 years of age or over; had no prior diagnosis for asthma; and had pulmonary function test (PFT) data. We examined the baseline characteristics of these patients along with their healthcare resource utilization. Based on PFT data within 30 days of the index date, a subgroup was classified as adhering or non-adhering to GOLD guidelines. A total of 364 subjects could be classified as adhering or non-adherent to current GOLD guidelines based on their PFT results. The adherent subgroup received COPD medications consistent with current GOLD guidelines. Of the LAMA plus LABA cohort, 25 patients adhered and 39 patients were non-adherent to current GOLD guidelines. In the cohort of LABA plus ICS, 74 patients were adherent and 180 patients non-adherent to current GOLD guidelines. In the cohort of LAMA plus LABA/ICS, 21 patients were adherent and 25 patients non-adherent to current GOLD guidelines. GOLD adherence was associated with mean total cost of all services savings of $5,889 for LAMA plus LABA, $3,330 for LABA + ICS, and $10,217 for LAMA plus LABA/ICS cohorts. Staging of COPD with a PFT and adherence to current GOLD guidelines was associated with lower costs in subjects with moderate to severe COPD. Appropriate use of LAMA plus LABA, LABA plus ICS, and LAMA plus LABA/ICS has economic as well as clinical benefits for patients and payers.
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Takimoto, Hidemi; Yonezawa, Junko; Shimada, Marie; Kato, Noriko; Yokoyama, Tetsuji
2013-01-01
Midwives are actively involved in providing dietary advice to pregnant women. In order to describe the current status of prenatal dietary advice provided by midwives, we conducted a questionnaire survey inquiring about their knowledge and usage of the "Dietary Guidelines for Pregnant and Lactating Women" (Guidelines) issued by the Ministry of Health, Labour, and Welfare in 2006. In total, 2000 members of the Japanese Midwives' Association were randomly selected for administration of the questionnaire. The recovery rate was 42.1%, and 785 responses were eligible for analyses. The questionnaire collected information on the respondent's age, years of work experience, current involvement in delivery practice, number of deliveries per year in the current affiliation, provision of dietary advice to pregnant women, and knowledge and usage of the Guidelines. The proportion of respondents in their 20 s was low (1.8%). About half of the respondents were practicing delivery. Further, 66.1% (519 midwives) reported they had knowledge of the Guidelines. Among those who had knowledge of the Guidelines and were currently providing dietary advice (426 midwives), 88.0% were using the Guidelines. The most frequently used item in the Guidelines was "Diet for preventing anemia" (75.8%). The least used item was "Shoku-iku (diet and nutrition education) for pregnant and lactating women" (58.5%). Midwives who were practicing delivery showed a significantly lower usage of the Guidelines than those who were not (84.9% vs. 92.6%, P = 0.02). Among midwives practicing delivery, the most common reason for not using the Guidelines was "using original educational material produced by oneself or the facility." Providing dietary advice to pregnant women constituted a large fraction of midwives' duties as well as delivery practice. About 90% of the midwives, who had knowledge of the Guidelines and provided dietary advice, were using the Guidelines. In order to increase the usage of individual items of the Guidelines, ready-to-use brochures should be developed for midwives.
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Croup: MedlinePlus Health Topic
... federal government agencies. MedlinePlus also links to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support ...
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The Changing, Unchanging Politics of Gene Splicing
ERIC Educational Resources Information Center
Randal, Judith
1978-01-01
The House Interstate and Foreign Commerce Committee's regulatory legislation on recombinant DNA technology is discussed along with university reactions to it. Violations of federal guidelines and legal efforts are described. (LBH)
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Code of Federal Regulations, 2010 CFR
2010-01-01
... Federal projects or sold and the proceeds used for technical and scientific education and research... DEPARTMENT OF AGRICULTURE GUIDELINES FOR THE DONATION OF EXCESS RESEARCH EQUIPMENT UNDER 15 U.S.C. 3710(i...
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DOT National Transportation Integrated Search
1997-01-30
This order lists the location identifiers authorized by the Federal Aviation Administration, Department of the Navy, and Transport Canada. It lists United States airspace fixes and procedure codes. The order also includes guidelines for requesting id...
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Lyons, Kristin J; Ezekowitz, Justin A; Liang, Li; Heidenreich, Paul A; Yancy, Clyde W; DeVore, Adam D; Hernandez, Adrian F; Fonarow, Gregg C
2017-05-01
This study sought to ascertain the impact of heart failure (HF) guideline change on the number of patients eligible to undergo cardiac resynchronization therapy (CRT). The 2013 HF guideline of the American College of Cardiology Foundation and American Heart Association (ACCF/AHA) narrowed the recommendations for CRT. The impact of this guideline change on the number of eligible patients for CRT has not been described. Using data from Get With The Guidelines-Heart Failure between 2012 and 2015, this study evaluated the proportion of hospitalized patients with HF who were eligible for CRT on the basis of historical and current guideline recommendations. The authors identified 25,102 hospitalizations for HF that included patients with a left ventricular ejection fraction (LVEF) ≤35% from 283 hospitals. Patients with a medical, system-related, or patient-related reason for not undergoing CRT were excluded. Overall, 49.1% (n = 12,336) of patients with HF, an LVEF ≤35%, and no documented contraindication were eligible for CRT on the basis of historical guidelines, and 33.1% (n = 8,299) of patients were eligible for CRT on the basis of current guidelines, a 16.1% absolute reduction in eligibility (p < 0.0001). Patients eligible for CRT on the basis of current guidelines were more likely to have CRT with an implantable cardioverter-defibrillator or CRT with pacing only placed or prescribed at discharge (57.8% vs. 54.9%; p < 0.0001) compared with patients eligible for CRT on the basis of historical guidelines. In this population of patients with HF, an LVEF ≤35%, and no documented contraindication for CRT, the current ACCF/AHA HF guidelines reduce the proportion of patients eligible for CRT by approximately 15%. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
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Nutrition Research: State of the Art.
ERIC Educational Resources Information Center
Wyse, Bonita W.
1984-01-01
Reviews the establishment of recent federal dietary guidelines and recommended daily allowances of nutrients. Summarizes results of the U.S. Department of Agriculture's surveys of food consumption trends in the United States. (SK)
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ERIC Educational Resources Information Center
Hast, Robert H.
This report presents findings of an investigation of the use of federal research and development grant funds by the University of California system in its payments to graduate student researchers (GSRs). Specifically, the study examined whether: (1) compensation paid to GSRs was in accordance with guidelines of the Office of Management and Budget;…
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Report of the Committee on Ethics
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1992-01-01
This report provides an update on ethics issues and decisions under the recently revised District of Columbia Rules of Professional Responsibility, the proposed rules of conduct issued by the Office of Government Ethics is applicable to employees of the Department of Energy (DOE) and the Federal Energy Regulatory Commission (FERC), federal statutory guidelines governing post-employment restrictions on former government employees, and important developments in the FERC's rules governing ex parte communication.
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Quality and reporting of guidelines on the diagnosis and management of dystonia.
Tamás, G; Abrantes, C; Valadas, A; Radics, P; Albanese, A; Tijssen, M A J; Ferreira, J J
2018-02-01
The quality of clinical practice guidelines on dystonia has not yet been assessed. Our aim was to appraise the methodological quality of guidelines worldwide and to analyze the consistency of their recommendations. We searched for clinical practice guidelines on dystonia diagnosis/treatment in the National Guideline Clearinghouse, PubMed, National Institute for Health and Care Excellence, Guidelines International Network and Web of Science databases. We also searched for guidelines on homepages of international neurological societies. We asked for guidelines from every Management Committee member of the BM1101 Action of the Cooperation between Science and Technology European framework and every member of the International Parkinson and Movement Disorders Society with special interest in dystonia. Fifteen guidelines were evaluated. Among guidelines on treatment, only one from the American Academy of Neurology could be considered as high quality. Among guidelines on diagnosis and therapy, the guideline from the European Federation of Neurological Societies was recommended by the appraisers. Clinical applicability and reports of editorial independence were the greatest shortcomings. The rigor of development was poor and stakeholder involvement was also incomplete in most guidelines. Discrepancies among recommendations may result from the weight given to consensus statements and expert opinions due to the lack of evidence, as well as inaccuracy of disease classification. The quality of appraised guidelines was low. It is necessary to improve the quality of guidelines on dystonia, and the applied terminology of dystonia also needs to be standardized. © 2017 EAN.
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Information and Communication Technology (ICT) Standards and Guidelines. Final rule.
2017-01-18
We, the Architectural and Transportation Barriers Compliance Board (Access Board or Board), are revising and updating, in a single rulemaking, our standards for electronic and information technology developed, procured, maintained, or used by Federal agencies covered by section 508 of the Rehabilitation Act of 1973, as well as our guidelines for telecommunications equipment and customer premises equipment covered by Section 255 of the Communications Act of 1934. The revisions and updates to the section 508-based standards and section 255-based guidelines are intended to ensure that information and communication technology covered by the respective statutes is accessible to and usable by individuals with disabilities.
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Umbilical cord blood: a guide for primary care physicians.
Martin, Paul L; Kurtzberg, Joanne; Hesse, Brett
2011-09-15
Umbilical cord blood stem cell transplants are used to treat a variety of oncologic, genetic, hematologic, and immunodeficiency disorders. Physicians have an important role in educating, counseling, and offering umbilical cord blood donation and storage options to patients. Parents may donate their infant's cord blood to a public bank, pay to store it in a private bank, or have it discarded. The federal government and many state governments have passed laws and issued regulations regarding umbilical cord blood, and some states require physicians to discuss cord blood options with pregnant women. Five prominent medical organizations have published recommendations about cord blood donation and storage. Current guidelines recommend donation of umbilical cord blood to public banks when possible, or storage through the Related Donor Cord Blood Program when a sibling has a disease that may require a stem cell transplant. Experts do not currently recommend private banking for unidentified possible future use. Step-by-step guidance and electronic resources are available to physicians whose patients are considering saving or donating their infant's umbilical cord blood.
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Nuwer, M R; Sigsbee, B
1998-02-01
Medicare recently announced the adoption of minimum documentation criteria for the neurologic examination. These criteria are added to existing standards for the history and medical decision-making. These criteria will be used in compliance audits by Medicare and other payors. Given the current federal initiative to eliminate fraud in the Medicare program, all neurologists need to comply with these standards. These criteria are for documentation only. Neurologic standards of care require a more complex and diverse examination pertinent to the problem(s) under consideration. Further guidance as to the content of a neurologic evaluation is outlined in the article "Practice guidelines: Neurologic evaluation" (Neurology 1990; 40: 871). The level of history and examination required for specific services is defined in the American Medical Association current procedural terminology book. Documentation standards for examination of children are not yet defined.
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Electroshock Experiment at Albany Violates Ethics Guidelines
ERIC Educational Resources Information Center
Smith, R. Jeffrey
1977-01-01
Reports the University of New York at Albany has been charged with violations of federal and state regulations for not obtaining approval of an ethics committee to conduct research on human subjects. (SL)
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Exercise for Stress and Anxiety
... Breadcrumb Learn From Us Managing Anxiety Exercise for Stress and Anxiety The physical benefits of exercise — improving ... University Press, 2011) Fitness Tips: Stay Healthy, Manage Stress The most recent federal guidelines for adults recommend ...
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Railroad infrastructure trespass detection performance guidelines
DOT National Transportation Integrated Search
2011-01-01
The U.S. Department of Transportations John A. Volpe National Transportation Systems Center, under the direction of the Federal Railroad Administration, conducted a 3-year demonstration of an automated prototype railroad infrastructure security sy...
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33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.
Code of Federal Regulations, 2011 CFR
2011-07-01
..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...
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33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.
Code of Federal Regulations, 2014 CFR
2014-07-01
..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...
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33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.
Code of Federal Regulations, 2012 CFR
2012-07-01
..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...
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33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.
Code of Federal Regulations, 2013 CFR
2013-07-01
..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...
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42 CFR 66.207 - Other HHS regulations and policies that apply.
Code of Federal Regulations, 2011 CFR
2011-10-01
... Federal financial assistance 48 FR 24556—Guidelines for Research Involving Recombinant DNA Molecules... Involving Recombinant DNA Molecules. Note: This policy is subject to change, and interested persons should...
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42 CFR 66.207 - Other HHS regulations and policies that apply.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Federal financial assistance 48 FR 24556—Guidelines for Research Involving Recombinant DNA Molecules... Involving Recombinant DNA Molecules. Note: This policy is subject to change, and interested persons should...
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Technical Fact Sheet – Polybrominated biphenyls (PBBs)
This fact sheet provides a brief summary of polybrominated biphenyls (PBB), including physical and chemical properties; environmental and health impacts; existing federal and state guidelines; detection and treatment methods; and additional sources of info
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42 CFR 66.207 - Other HHS regulations and policies that apply.
Code of Federal Regulations, 2013 CFR
2013-10-01
... Federal financial assistance 48 FR 24556—Guidelines for Research Involving Recombinant DNA Molecules... Involving Recombinant DNA Molecules. Note: This policy is subject to change, and interested persons should...
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42 CFR 66.207 - Other HHS regulations and policies that apply.
Code of Federal Regulations, 2012 CFR
2012-10-01
... Federal financial assistance 48 FR 24556—Guidelines for Research Involving Recombinant DNA Molecules... Involving Recombinant DNA Molecules. Note: This policy is subject to change, and interested persons should...
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42 CFR 66.207 - Other HHS regulations and policies that apply.
Code of Federal Regulations, 2014 CFR
2014-10-01
... Federal financial assistance 48 FR 24556—Guidelines for Research Involving Recombinant DNA Molecules... Involving Recombinant DNA Molecules. Note: This policy is subject to change, and interested persons should...
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Asian & Pacific Islanders and Cardiovascular Diseases
... American Indian or Alaska Native women (21.6%). Physical Inactivity In 2014, only 17.0% of Asian adults met the 2008 Federal Physical Activity Guidelines. Overweight and Obesity Among all children ...
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Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-13
....1311, Guidelines for Evaluating the Environmental Effects of Radiofrequency, Second Memorandum Opinion... NEPA with regard to the environmental issue of radiofrequency radiation from FCC-regulated transmitters...
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Pavement Remaining Service Interval [Tech Brief
DOT National Transportation Integrated Search
2013-05-01
This document is a technical summary of the Federal Highway Administration reports, "Reformulated Pavement Remaining Service Life Framework" (FHWA-HRT-13-038) and "Pavement Remaining Service Interval Implementation Guidelines" (FHWA-HRT-13-050). At t...
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Tait, Alan R; Voepel-Lewis, Terri; Malviya, Shobha; Philipson, Sandra J
2005-04-01
To examine whether a consent document modified to conform with the federal guidelines for readability and processability would result in greater parental understanding compared with a standard form. Randomized clinical study. The preoperative waiting area of a larger tertiary care children's hospital. A total of 305 parents of children scheduled for minor elective surgical procedures. Parents were randomized to receive information about a clinical study in 1 of 4 ways: (1) standard consent form alone, (2) standard consent form with verbal disclosure, (3) modified form alone (standard form modified to meet the federal guidelines for readability and processability), and (4) modified form with verbal disclosure. Parents were interviewed to determine their understanding of 11 elements of consent, including study purpose, protocol, risks, benefits to child (direct), benefit to others (indirect), freedom to withdraw, alternatives, duration of study, voluntariness, confidentiality, and whom to contact. Their responses were scored by 2 independent assessors. Understanding of the protocol, study duration, risks, and direct benefits, together with overall understanding, was greater among parents who received the modified form (P<.001). Additionally, parents reported that the modified form had greater clarity (P = .009) and improved layout compared with the standard form (P<.001). When parents were shown both forms, 81.2% preferred the modified version. Results suggest that a consent form written according to federal guidelines for readability and processability can improve parent understanding and thus will be important in enhancing the informed consent process.
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Manchikanti, Laxmaiah; Singh, Vijay; Derby, Richard; Helm, Standiford; Trescot, Andrea M; Staats, Peter S; Prager, Joshua P; Hirsch, Joshua A
2008-01-01
In the modern day environment, workers' compensation costs continue to be a challenge, with a need to balance costs, benefits, and quality of medical care. The cost of workers' compensation care affects all stakeholders including workers, employers, providers, regulators, legislators, and insurers. Consequently, a continued commitment to quality, accessibility to care, and cost containment will help ensure that workers are afforded accessible, high quality, and cost-effective care. In 2004, workers' compensation programs in all 50 states, the District of Columbia, and federal programs in the United States combined received an income of $87.4 billion while paying out only $56 billion in medical and cash benefits with $31.4 billion or 37% in administrative expenses and profit. Occupational diseases represented only 8% of the workers' compensation claims and 29% of the cost. The American College of Occupational and Environmental Medicine (ACOEM) has published several guidelines; though widely adopted by WCPs, these guidelines evaluate the practice of medicine of multiple specialties without adequate expertise and expert input from the concerned specialties, including interventional pain management. An assessment of the ACOEM guidelines utilizing Appraisal of Guidelines for Research and Evaluation (AGREE) criteria, the criteria developed by the American Medical Association (AMA), the Institute of Medicine (IOM), and other significantly accepted criteria, consistently showed very low scores (< 30%) in most aspects of the these guidelines. The ACOEM recommendations do not appear to have been based on a careful review of the literature, overall quality of evidence, standard of care, or expert consensus. Based on the evaluation utilizing appropriate and current evidence-based medicine (EBM) principles, the evidence ratings for diagnostic techniques of lumbar discography; cervical, thoracic, and lumbar facet joint nerve blocks and sacroiliac joint nerve blocks; therapeutic cervical and lumbar medial branch blocks and radiofrequency neurolysis; cervical interlaminar epidural steroid injections, caudal epidural steroid injections, and lumbar transforaminal epidural injections; caudal percutaneous adhesiolysis; abd spinal cord stimulation were found to be moderate with strong recommendation applying for most patients in most circumstances. The evidence ratings for intradiscal electrothermal therapy (IDET), an automated percutaneous disc decompression and also deserve further scrutiny and analysis. In conclusion, these ACOEM guidelines for interventional pain management have no applicability in modern patient care due to lack of expertise by the developing organization (ACOEM), lack of utilization of appropriate and current EBM principles, and lack of significant involvement of experts in these techniques resulting in a lack of clinical relevance. Thus, they may result in reduced medical quality of care; may severely hinder access to appropriate, medically needed and essential medical care; and finally, they may increase costs for injured workers, third party payors, and the government by transferring the injured worker into a non-productive disability system.