Sample records for document actual increases

  1. Medicinal plant knowledge and its erosion among the Mien (Yao) in northern Thailand.

    PubMed

    Srithi, Kamonnate; Balslev, Henrik; Wangpakapattanawong, Prasit; Srisanga, Prachaya; Trisonthi, Chusie

    2009-06-22

    We studied local knowledge and actual uses of medicinal plants among the Mien in northern Thailand, documenting traditional medical practices and its transfer between generations. With the assumption that discrepancies between knowledge and actual use represent knowledge erosion, we studied whether actual use of medicinal plants corresponded to people's knowledge of such uses. We used local knowledge from four specialist informants as the domain for semi-structured interviews with 34 randomly selected non-specialist informants. We calculated informant consensus, use value, and fidelity level for each species and use category and performed statistical analyses with Kolmogorov-Smirnov tests, Pearson correlation coefficient, Spearman's rank correlation coefficient, and paired-sample t-tests. We found significant discrepancies between knowledge and actual use of medicinal plants. The number of known and actually used plants increased with increasing informant age and decreased with increasing years of formal education. Medicinal plant knowledge and use in these Mien communities is undergoing inter-generational erosion because of acculturation and interrupted knowledge transmission. Preservation of Mien medicinal plant intellectual heritage requires continued documentation concerning use, conservation, and sustainable management of this resource, which should be publicized to younger Mien.

  2. 50 CFR 530.2 - Ensuring that environmental documents are actually considered in agency decision-making.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... actually considered in agency decision-making. 530.2 Section 530.2 Wildlife and Fisheries MARINE MAMMAL... documents are actually considered in agency decision-making. Section 1505.1 of the NEPA regulations contains requirements to ensure adequate consideration of environmental documents in agency decision-making. To...

  3. Term Familiarity to indicate Perceived and Actual Difficulty of Text in Medical Digital Libraries.

    PubMed

    Leroy, Gondy; Endicott, James E

    2011-10-01

    With increasing text digitization, digital libraries can personalize materials for individuals with different education levels and language skills. To this end, documents need meta-information describing their difficulty level. Previous attempts at such labeling used readability formulas but the formulas have not been validated with modern texts and their outcome is seldom associated with actual difficulty. We focus on medical texts and are developing new, evidence-based meta-tags that are associated with perceived and actual text difficulty. This work describes a first tag, term familiarity , which is based on term frequency in the Google corpus. We evaluated its feasibility to serve as a tag by looking at a document corpus (N=1,073) and found that terms in blogs or journal articles displayed unexpected but significantly different scores. Term familiarity was then applied to texts and results from a previous user study (N=86) and could better explain differences for perceived and actual difficulty.

  4. 12 CFR 408.5 - Ensuring environmental documents are actually considered in Agency decision-making.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... considered in Agency decision-making. 408.5 Section 408.5 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED... Procedures § 408.5 Ensuring environmental documents are actually considered in Agency decision-making... environmental documents in agency decision-making. To implement these requirements, Eximbank officials will: (a...

  5. Actual-to-Projected-Actual Test in Calculating Contemporaneous Emissions for a PSD or NNSR Netting Analysis

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  6. 48 CFR 1515.305-71 - Documentation of proposal evaluation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AGENCY CONTRACTING METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Source Selection 1515.305-71... actual or potential personal conflicts of interest, and are in compliance with the Office of Government... an actual or potential organizational conflict of interest. (d) Any documentation related to...

  7. Longitudinal analysis on utilization of medical document management system in a hospital with EPR implementation.

    PubMed

    Kuwata, Shigeki; Yamada, Hitomi; Park, Keunsik

    2011-01-01

    Document management systems (DMS) have widespread in major hospitals in Japan as a platform to digitize the paper-based records being out of coverage by EPR. This study aimed to examine longitudinal trends of actual use of DMS in a hospital in which EPR had been in operation, which would be conducive to planning the further information management system in the hospital. Degrees of utilization of electronic documents and templates with DMS were analyzed based on data extracted from a university-affiliated hospital with EPR. As a result, it was found that the number of electronic documents as well as scanned documents circulating at the hospital tended to increase. The result indicated that replacement of paper-based documents with electronic documents did not occur. Therefore it was anticipated that the need for DMS would continue to increase in the hospital. The methods used this study to analyze the trend of DMS utilization would be applicable to other hospitals with with a variety of DMS implementation, such as electronic storage by scanning documents or paper preservation that is compatible with EPR.

  8. 45 CFR 149.335 - Documentation of costs of actual claims involved.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Documentation of costs of actual claims involved. 149.335 Section 149.335 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE EARLY RETIREE REINSURANCE PROGRAM Reimbursement Methods...

  9. 45 CFR 149.335 - Documentation of costs of actual claims involved.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Documentation of costs of actual claims involved. 149.335 Section 149.335 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE EARLY RETIREE REINSURANCE PROGRAM Reimbursement Methods...

  10. Reports of unintended consequences of financial incentives to improve management of hypertension.

    PubMed

    Hysong, Sylvia J; SoRelle, Richard; Broussard Smitham, Kristen; Petersen, Laura A

    2017-01-01

    Given the increase in financial-incentive programs nationwide, many physicians and physician groups are concerned about potential unintended consequences of providing financial incentives to improve quality of care. However, few studies examine whether actual unintended consequences result from providing financial incentives to physicians. We sought to document the extent to which the unintended consequences discussed in the literature were observable in a randomized clinical trial (RCT) of financial incentives. We conducted a qualitative observational study nested within a larger RCT of financial incentives to improve hypertension care. We conducted 30-minute telephone interviews with primary care personnel at facilities participating in the RCT housed at12 geographically dispersed Veterans Affairs Medical Centers nationwide. Participants answered questions about unintended effects, clinic team dynamics, organizational impact on care delivery, study participation. We employed a blend of inductive and deductive qualitative techniques for analysis. Sixty-five participants were recruited from RCT enrollees and personnel not enrolled in the larger RCT, plus one primary care leader per site. Emergent themes included possible patient harm, emphasis on documentation over improving care, reduced professional morale, and positive spillover. All discussions of unintended consequences involving patient harm were only concerns, not actual events. Several unintended consequences concerned ancillary initiatives for quality improvement (e.g., practice guidelines and performance measurement systems) rather than financial incentives. Many unintended consequences of financial incentives noted were either only concerns or attributable to ancillary quality-improvement initiatives. Actual unintended consequences included improved documentation of care without necessarily improving actual care, and positive unintended consequences. Clinicaltrials.gov Identifier: NCT00302718.

  11. Guide to Jobs and Energy.

    ERIC Educational Resources Information Center

    Grossman, Richard; Daneker, Gail

    This document is a review of the work being done in the area of energy and the economy. The authors believe that increased energy efficiency, plus transition to a solar economy, can actually lead to a more stable economy and to more jobs than the large-scale system scenario, which corporate energy interests, many industrialists, and some…

  12. 7 CFR 400.55 - Qualification for actual production history coverage program.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 6 2014-01-01 2014-01-01 false Qualification for actual production history coverage... Production History § 400.55 Qualification for actual production history coverage program. (a) The approved... history is certified and T or D-Yields are not provided in the actuarial documents, (2) If actual yield...

  13. Development of Condom-Use Self-Efficacy over 36 Months among Early Adolescents: A Mediation Analysis

    ERIC Educational Resources Information Center

    Chen, Xinguang; Dinaj-Koci, Veronica; Brathwaite, Nanika; Cottrell, Lesley; Deveaux, Lynette; Gomez, Perry; Harris, Carole; Li, Xiaoming; Lunn, Sonja; Marshall, Sharon; Stanton, Bonita

    2012-01-01

    This research evaluates condom-use self-efficacy and its increase throughout adolescence. Documentation of the development of condom-use self-efficacy would be important for prevention efforts given the influence of self-efficacy on actual condom usage. This study assesses a hypothesized mediation mechanism of the development of self-efficacy…

  14. Documentation and Communication in Swedish Preschools

    ERIC Educational Resources Information Center

    Emilson, Anette; Pramling Samuelsson, Ingrid

    2014-01-01

    The aim of this study is to investigate communication between preschool teachers and children in documentation situations. The focus is also on what preschool teachers actually document. The research questions are: What characterizes the communication between teachers and children when these teachers are documenting at the same time? What is the…

  15. Design and implementation of the ESL compact range underhung bridge crane

    NASA Technical Reports Server (NTRS)

    Shamansky, H. T.; Dominek, A. K.; Burnside, W. D.

    1987-01-01

    As the indoor compact range technology has continued to increase, the need to handle larger and heavier targets has also increased. This need for target lifting and handling prompted the feasibility study of the use of an underhung bridge crane to be installed in the ESL (ElectroScience Laboratory, Ohio State University) compact range. This report documents both the design of the underhung bridge crane that was installed and the implementation of the design in the actual installation of the crane.

  16. [Status and actualization of tasks to improve the scientific-methodological and regulatory frameworks in the field of human ecology and environmental health].

    PubMed

    Rakhmanin, Iu A; Sinitsyna, O O

    2013-01-01

    Contemporary factors that affect the health of the population have been analyzed. There was shown the growing activity of chemical pollution of the environment. Therefore, in order to prevent the growth of negative health and environment consequences caused by increased levels of exposure to chemicals preventive potential for solutions of this complex problem and all strenuous efforts to assist possibly of the sound management of the chemicals should be enhanced. Problematic issues of harmonization of the Russian normative and guidance documents have been actualized. Perspective directions of science development in the field of human ecology and environmental health are suggested.

  17. A physician-led initiative to improve clinical documentation results in improved health care documentation, case mix index, and increased contribution margin.

    PubMed

    Aiello, Francesco A; Judelson, Dejah R; Durgin, Jonathan M; Doucet, Danielle R; Simons, Jessica P; Durocher, Dawn M; Flahive, Julie M; Schanzer, Andres

    2018-05-04

    Clinical documentation is the key determinant of inpatient acuity of illness and payer reimbursement. Every inpatient hospitalization is placed into a diagnosis related group with a relative value based on documented procedures, conditions, comorbidities and complications. The Case Mix Index (CMI) is an average of these diagnosis related groups and directly impacts physician profiling, medical center profiling, reimbursement, and quality reporting. We hypothesize that a focused, physician-led initiative to improve clinical documentation of vascular surgery inpatients results in increased CMI and contribution margin. A physician-led coding initiative to educate physicians on the documentation of comorbidities and conditions was initiated with concurrent chart review sessions with coding specialists for 3 months, and then as needed, after the creation of a vascular surgery documentation guide. Clinical documentation and billing for all carotid endarterectomy (CEA) and open infrainguinal procedures (OIPs) performed between January 2013 and July 2016 were stratified into precoding and postcoding initiative groups. Age, duration of stay, direct costs, actual reimbursements, contribution margin (CM), CMI, rate of complication or comorbidity, major complication or comorbidity, severity of illness, and risk of mortality assigned to each discharge were abstracted. Data were compared over time by standardizing Centers for Medicare and Medicaid Services (CMS) values for each diagnosis related group and using a CMS base rate reimbursement. Among 458 CEA admissions, postcoding initiative CEA patients (n = 253) had a significantly higher CMI (1.36 vs 1.25; P = .03), CM ($7859 vs $6650; P = .048), and CMS base rate reimbursement ($8955 vs $8258; P = .03) than precoding initiative CEA patients (n = 205). The proportion of admissions with a documented major complication or comorbidity and complication or comorbidity was significantly higher after the coding initiative (43% vs 27%; P < .01). Among 504 OIPs, postcoding initiative patients (n = 227) had a significantly higher CMI (2.23 vs 2.05; P < .01), actual reimbursement ($23,203 vs $19,909; P < .01), CM ($12,165 vs $8840; P < .01), and CMS base rate reimbursement ($14,649 vs $13,496; P < .01) than precoding initiative patients (n = 277). The proportion of admissions with a documented major complication or comorbidity and complication or comorbidity was significantly higher after the coding initiative (61% vs 43%; P < .01). For both CEA and OIPs, there were no differences in age, duration of stay, total direct costs, or primary insurance status between the precoding and postcoding patient groups. Accurate and detailed clinical documentation is required for key stakeholders to characterize the acuity of inpatient admissions and ensure appropriate reimbursement; it is also a key component of risk-adjustment methods for assessing quality of care. A physician-led documentation initiative significantly increased CMI and CM. Copyright © 2018 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  18. Recent advances in occupational dermatitis.

    PubMed

    Holness, Dorothy Linn

    2013-04-01

    This review examined recent advances in occupational contact dermatitis (OCD). Both genetic and environmental factors contribute to OCD. There is continuing growth in our understanding of the genetic factors, particularly related to filaggrin mutations. In spite of increased understanding of irritant exposures, the prevalence of hand eczema in workers with wet work exposures remains high at approximately 20%. Patch test database surveillance systems have documented reductions in the occurrence of sensitivity to some allergens such as chromium wherein regulatory efforts have reduced workplace exposures. These surveillance data have also documented increases in sensitivity to several allergens in particular trades, serving as an effective system to identify new exposure situations or new allergens. The impact of OCD on quality of life and mental health conditions, employment and financial aspects is increasingly documented. Progress in understanding the underreporting of OCD and the underlying reasons continues. Several groups have developed robust multidisciplinary secondary and tertiary prevention programmes and the evaluations demonstrate promise. Although several recent systematic reviews have documented the evidence for various prevention strategies, there is increasing understanding of the gaps in prevention practices in actual workplaces. Understanding of the underlying genetic and environmental agents contributing to OCD is increasing. In spite of progress with reducing exposure to some allergens, the prevalence of OCD continues to be high, particularly related to wet work. New prevention programmes are being developed and evaluated and hold promise for improved outcomes.

  19. Green Power Partnership Resource Library: Solicitations

    EPA Pesticide Factsheets

    Green Power Partnership Resource Library includes documents meant to aid organizations and individuals in navigating the renewable energy procurement and renewable energy project development processes. It includes guidance documents, templates and actual e

  20. 41 CFR 51-7.3 - Ensuring environmental documents are actually considered in agency determinations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... contains requirements to ensure adequate consideration of environmental documents in agency decision-making... environmental documents as a part of their decision-making: (1) Action: Request. (2) Start of NEPA process: Upon... Property Management Other Provisions Relating to Public Contracts COMMITTEE FOR PURCHASE FROM PEOPLE WHO...

  1. The Role of CMR and Others in Project Implementation using the CM Method to Support the Government

    NASA Astrophysics Data System (ADS)

    Tada, Hiroshi; Miyatake, Ichiro; Mouri, Junji; Endo, Kenji; Fueta, Toshiharu

    In Japan, the construction management (CM) method has been introduced as a measure to support the governmental agencies, in developing and maintaining local infrastructures, or in executing public works projects in an appropriate manner, etc. The scope of work of the Construction Manager (CMR) of the CM method is specified as work items, in the special specification document for CM services contained in the contract documents, as a reflection of the client's expectations towards the performance of CMR. However, the CM services has been conducted as required on a case-by-case basis, because it is not possible to anticipate the actual construction status in advance, and thus the special specification document does not provide full detail of the scope of work of CMR. In such case, there may be a difference in the way the scope of work in the special specification document is recognized between the client and the CMR, which could make the CM method less effective. Moreover, there is a case in which the role sharing between the client and the CMR is not clearly defined, and both parties may engage in the same task in such case, causing an obstacle for smooth project implementation. For this reason, it is required to prepare the special specification document which clearly defines the scope of work of CMR, by examining the status of application of the CM method in actual project cases, and to improve the practices of the CM method as necessary. In view of this background, this study looks in to the actual project cases using the CM method, for the purpose of clarifying the actual scope of work of CMR for each task item defined in the special specification document, and the role sharing between the client and CMR, in the aim of contributing the promotion of the use and the effective application of the CM method.

  2. Learning Documentations in VET Systems: An Analysis of Current Swiss Practices

    ERIC Educational Resources Information Center

    Caruso, Valentina; Cattaneo, Alberto; Gurtner, Jean-Luc

    2016-01-01

    Swiss vocational education and training (VET) is defined as a dual-track system where apprentices weekly alternate between vocational school and a (real) workplace. At the workplace, they have to keep a learning documentation throughout their training, in which they are expected to regularly document their professional development. The actual use…

  3. Initial SVS Integrated Technology Evaluation Flight Test Requirements and Hardware Architecture

    NASA Technical Reports Server (NTRS)

    Harrison, Stella V.; Kramer, Lynda J.; Bailey, Randall E.; Jones, Denise R.; Young, Steven D.; Harrah, Steven D.; Arthur, Jarvis J.; Parrish, Russell V.

    2003-01-01

    This document presents the flight test requirements for the Initial Synthetic Vision Systems Integrated Technology Evaluation flight Test to be flown aboard NASA Langley's ARIES aircraft and the final hardware architecture implemented to meet these requirements. Part I of this document contains the hardware, software, simulator, and flight operations requirements for this light test as they were defined in August 2002. The contents of this section are the actual requirements document that was signed for this flight test. Part II of this document contains information pertaining to the hardware architecture that was realized to meet these requirements as presented to and approved by a Critical Design Review Panel prior to installation on the B-757 Airborne Research Integrated Experiments Systems (ARIES) airplane. This information includes a description of the equipment, block diagrams of the architecture, layouts of the workstations, and pictures of the actual installations.

  4. 7 CFR 400.712 - Research and development reimbursement, maintenance reimbursement, and user fees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Documentation of actual costs allowed under this section will be used to determine any reimbursement. (c) To be... requested, and all supporting documentation, must be submitted to FCIC by electronic method or by hard copy... supporting documentation, must be submitted to FCIC by electronic method or by hard copy and received by FCIC...

  5. 7 CFR 400.712 - Research and development reimbursement, maintenance reimbursement, and user fees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... Documentation of actual costs allowed under this section will be used to determine any reimbursement. (c) To be... requested, and all supporting documentation, must be submitted to FCIC by electronic method or by hard copy... supporting documentation, must be submitted to FCIC by electronic method or by hard copy and received by FCIC...

  6. 7 CFR 400.712 - Research and development reimbursement, maintenance reimbursement, and user fees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... Documentation of actual costs allowed under this section will be used to determine any reimbursement. (c) To be... requested, and all supporting documentation, must be submitted to FCIC by electronic method or by hard copy... supporting documentation, must be submitted to FCIC by electronic method or by hard copy and received by FCIC...

  7. Operating room clinicians' ratings of workload: a vignette simulation study.

    PubMed

    Wallston, Kenneth A; Slagle, Jason M; Speroff, Ted; Nwosu, Sam; Crimin, Kimberly; Feurer, Irene D; Boettcher, Brent; Weinger, Matthew B

    2014-06-01

    Increased clinician workload is associated with medical errors and patient harm. The Quality and Workload Assessment Tool (QWAT) measures anticipated (pre-case) and perceived (post-case) clinical workload during actual surgical procedures using ratings of individual and team case difficulty from every operating room (OR) team member. The purpose of this study was to examine the QWAT ratings of OR clinicians who were not present in the OR but who read vignettes compiled from actual case documentation to assess interrater reliability and agreement with ratings made by clinicians involved in the actual cases. Thirty-six OR clinicians (13 anesthesia providers, 11 surgeons, and 12 nurses) used the QWAT to rate 6 cases varying from easy to moderately difficult based on actual ratings made by clinicians involved with the cases. Cases were presented and rated in random order. Before rating anticipated individual and team difficulty, the raters read prepared clinical vignettes containing case synopses and much of the same written case information that was available to the actual clinicians before the onset of each case. Then, before rating perceived individual and team difficulty, they read part 2 of the vignette consisting of detailed role-specific intraoperative data regarding the anesthetic and surgical course, unusual events, and other relevant contextual factors. Surgeons had higher interrater reliability on the QWAT than did OR nurses or anesthesia providers. For the anticipated individual and team workload ratings, there were no statistically significant differences between the actual ratings and the ratings obtained from the vignettes. There were differences for the 3 provider types in perceived individual workload for the median difficulty cases and in the perceived team workload for the median and more difficult cases. The case difficulty items on the QWAT seem to be sufficiently reliable and valid to be used in other studies of anticipated and perceived clinical workload of surgeons. Perhaps because of the limitations of the clinical documentation shown to anesthesia providers and OR nurses in the current vignette study, more evidence needs to be gathered to demonstrate the criterion-related validity of the QWAT difficulty items for assessing the workload of nonsurgeon OR clinicians.

  8. Clarification of Guidance for Calculating Actual or Potential Emissions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  9. Compendium of Operations Research and Economic Analysis Studies

    DTIC Science & Technology

    1992-10-01

    were to: (1) review and document current po~icios and procedures, k2) identity relevant economic and non -economic decision vAriibles, (3) design a...minimize the total sample size while ensuring that the proportion of samples closely resembled the actual population proportions. Both linear and non ...would cost about $290.00. DLA-92-PlO10. Impact of Increasing the Non -Competitive Threshold from Index No. 92-26 $2,500 to $5,000 (October 1991) In

  10. Assessing Complex Emergency Management with Clinical Case-Vignettes: A Validation Study

    PubMed Central

    2015-01-01

    Objective To evaluate whether responses to dynamic case-vignettes accurately reflect actual practices in complex emergency situations. We hypothesized that when obstetricians were faced with vignette of emergency situation identical to one they previously managed, they would report the management strategy they actually used. On the other hand, there is no reason to suppose that their response to a vignette based on a source case managed by another obstetrician would be the same as the actual management. Methods A multicenter vignette-based study was used in 7 French maternity units. We chose the example of severe postpartum hemorrhage (PPH) to study the use of case-vignettes for assessing the management of complex situations. We developed dynamic case-vignettes describing incidents of PPH in several steps, using documentation in patient files. Vignettes described the postpartum course and included multiple-choice questions detailing proposed clinical care. Each participating obstetrician was asked to evaluate 4 case-vignettes: 2 directly derived from cases they previously managed and 2 derived from other obstetricians’ cases. We compared the final treatment decision in vignette responses to those documented in the source-case by the overall agreement and the Kappa coefficient, both for the cases the obstetricians previously managed and the cases of others. Results Thirty obstetricians participated. Overall agreement between final treatment decisions in case-vignettes and documented care for cases obstetricians previously managed was 82% (Kappa coefficient: 0.75, 95% CI [0.62–0.88]). Overall agreement between final treatment decisions in case-vignettes and documented care in vignettes derived from other obstetricians’ cases was only 48% (Kappa coefficient: 0.30, 95% CI [0.12–0.48]). Final agreement with documented care was significantly better for cases based on their own previous cases than for others (p<0.001). Conclusions Dynamic case-vignettes accurately reflect actual practices in complex emergency situations. Therefore, they can be used to assess the quality of management in these situations. PMID:26383261

  11. Where Is the Research on Negative Messages?

    ERIC Educational Resources Information Center

    DeKay, Sam H.

    2012-01-01

    Most business communication textbooks treat "unfavorable" communications as written documents--denials of credit, collection requests, rejections for employment, inability to meet deadlines, etc. These written "unfavorable" documents are no longer actually written by most employees. In fact, many of these communications are computer generated and…

  12. Weight Status Misperception as Related to Selected Health Risk Behaviors among Middle School Students

    ERIC Educational Resources Information Center

    Martin, Brian C.; Dalton, William T., III; Williams, Stacey L.; Slawson, Deborah L.; Dunn, Michael S.; Johns-Wommack, Rebecca

    2014-01-01

    Background: Weight misperception has been documented among children although the impact on health risk behaviors is less understood, particularly among middle school students. The goals of this study were to describe sociodemographic differences in actual and perceived weight, correspondence between actual and perceived weight, and weight-related…

  13. Teachers' Perceptions of Their Working Conditions: How Predictive of Planned and Actual Teacher Movement?

    ERIC Educational Resources Information Center

    Ladd, Helen F.

    2011-01-01

    This quantitative study examines the relationship between teachers' perceptions of their working conditions and their intended and actual departures from schools. Based on rich administrative data for North Carolina combined with a 2006 statewide survey administered to all teachers in the state, the study documents that working conditions are…

  14. Denuclearization for a Just World: The Failure of Non Proliferation.

    ERIC Educational Resources Information Center

    Institute for World Order, New York, NY.

    The document discusses the non proliferation policies of nuclear power nations. It specifically focuses on the credibility gap which exists between the actual statements of peaceful intentions made by these nations which express the need for non proliferation of nuclear weapons and their actual conduct with regards to nuclear-related issues in…

  15. Clarification of Guidance for Calculating Actual or Potential Emissions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the Title V air operating permit regulations. This document is part of the Title V Policy and Guidance Database available at www2.epa.gov/title-v-operating-permits/title-v-operating-permit-policy-and-guidance-document-index. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  16. Automatic system for computer program documentation

    NASA Technical Reports Server (NTRS)

    Simmons, D. B.; Elliott, R. W.; Arseven, S.; Colunga, D.

    1972-01-01

    Work done on a project to design an automatic system for computer program documentation aids was made to determine what existing programs could be used effectively to document computer programs. Results of the study are included in the form of an extensive bibliography and working papers on appropriate operating systems, text editors, program editors, data structures, standards, decision tables, flowchart systems, and proprietary documentation aids. The preliminary design for an automated documentation system is also included. An actual program has been documented in detail to demonstrate the types of output that can be produced by the proposed system.

  17. J.R. Simplot Company's Don Siding Plant and Issues Releated to Aggregation, Debottlenecking and Projected Actual Emissions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  18. Response to Georgia-Pacific Use of Demand Growth Exclusion from Projected Actual Emissions

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  19. Court of Appeals Decision Upholding PSD Actual to Potential Applicability Rules Puerto Rican Cement Co., Inc. v. EPA

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  20. Construction Activities Prior to Issuance of a PSD Permit with Respect to Begin Actual Construction

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  1. 29 CFR 801.71 - Filing and service.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... EMPLOYEE POLYGRAPH PROTECTION ACT OF 1988 Administrative Proceedings Modification Or Vacation of Decision... of time for delivery by mail. Documents are not deemed filed with the Secretary until actually... Secretary either on or before the due date. No additional time shall be added where service of a document...

  2. 29 CFR 801.71 - Filing and service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... EMPLOYEE POLYGRAPH PROTECTION ACT OF 1988 Administrative Proceedings Modification Or Vacation of Decision... of time for delivery by mail. Documents are not deemed filed with the Secretary until actually... Secretary either on or before the due date. No additional time shall be added where service of a document...

  3. 9 CFR 424.22 - Certain other permitted uses.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... based on the actual or estimated skin-free green weight of the bacon belly. (c) Irradiation of meat food... documentation on premises, available to FSIS: (i) Documentation that the irradiation facility is licensed or... radiation source irradiation facility is registered with the appropriate State government, if applicable...

  4. 9 CFR 424.22 - Certain other permitted uses.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... based on the actual or estimated skin-free green weight of the bacon belly. (c) Irradiation of meat food... documentation on premises, available to FSIS: (i) Documentation that the irradiation facility is licensed or... radiation source irradiation facility is registered with the appropriate State government, if applicable...

  5. 9 CFR 424.22 - Certain other permitted uses.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... based on the actual or estimated skin-free green weight of the bacon belly. (c) Irradiation of meat food... documentation on premises, available to FSIS: (i) Documentation that the irradiation facility is licensed or... radiation source irradiation facility is registered with the appropriate State government, if applicable...

  6. 9 CFR 424.22 - Certain other permitted uses.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... based on the actual or estimated skin-free green weight of the bacon belly. (c) Irradiation of meat food... documentation on premises, available to FSIS: (i) Documentation that the irradiation facility is licensed or... radiation source irradiation facility is registered with the appropriate State government, if applicable...

  7. 9 CFR 424.22 - Certain other permitted uses.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... based on the actual or estimated skin-free green weight of the bacon belly. (c) Irradiation of meat food... documentation on premises, available to FSIS: (i) Documentation that the irradiation facility is licensed or... radiation source irradiation facility is registered with the appropriate State government, if applicable...

  8. Pharmacist care plans and documentation of follow-up before the Iowa Pharmaceutical Case Management program.

    PubMed

    Becker, CoraLynn; Bjornson, Darrel C; Kuhle, Julie W

    2004-01-01

    To document drug therapy problems and their causes and assess pharmacist follow-up of patients with identified drug therapy problems. Cross-sectional analysis. Iowa. 160 pharmacists who submitted 754 pharmaceutical care plans in an effort to qualify for participation in the Iowa Pharmaceutical Case Management program. Care plans were assessed for drug therapy problems and causes and for documentation of pharmacist follow-up (actual, none, or intent to follow up). Pharmacists documented a wide variety of drug therapy problems and causes, including adverse drug reactions (20.1% of care plans), need for additional drug therapy (18.9%), lack of patient adherence to therapy (16.3%), incorrect medication being prescribed (14.1%), and drug dose too high (10.0%). Pharmacist follow-up with patients was not optimal, with 31% of care plans providing documentation of actual follow-up. Another 42.2% of plans indicated that the pharmacist intended to contact the patient for follow-up but either did not do so or did not record the intervention. No actual follow-up or intent to follow up was recorded in 26.8% of care plans. Pharmacists practicing in independent pharmacies followed up with patients more frequently than those in other settings (36.4% of care plans, compared with 22.7%, 23.2%, and 28.4% for chain, clinic, and franchise pharmacies). Pharmacists were more likely to follow up when the identified problem involved drug safety rather than effectiveness (36.2% versus 28.3% of care plans). Documentation of pharmacist follow-up with patients was less than optimal. In addition to identifying drug therapy problems and causes, pharmacists must complete the care continuum through documentation of patient monitoring and follow-up to transform the philosophy and vision of the pharmaceutical care concept into a practice of pharmacy recognized and rewarded by patients and payers.

  9. Electronic Medical Record Documentation of Driving Safety for Veterans with Diagnosed Dementia.

    PubMed

    Vair, Christina L; King, Paul R; Gass, Julie; Eaker, April; Kusche, Anna; Wray, Laura O

    2018-01-01

    Many older adults continue to drive following dementia diagnosis, with medical providers increasingly likely to be involved in addressing such safety concerns. This study examined electronic medical record (EMR) documentation of driving safety for veterans with dementia (N = 118) seen in Veterans Affairs primary care and interdisciplinary geriatrics clinics in one geographic region over a 10-year period. Qualitative directed content analysis of retrospective EMR data. Assessment of known risk factors or subjective concerns for unsafe driving were documented in fewer than half of observed cases; specific recommendations for driving safety were evident for a minority of patients, with formal driving evaluation the most frequently documented recommendation by providers. Utilizing data from actual clinical encounters provides a unique snapshot of how driving risk and safety concerns are addressed for veterans with dementia. This information provides a meaningful frame of reference for understanding potential strengths and possible gaps in how this important topic area is being addressed in the course of clinical care. The EMR is an important forum for interprofessional communication, with documentation of driving risk and safety concerns an essential element for continuity of care and ensuring consistency of information delivered to patients and caregivers.

  10. 7 CFR 1709.108 - Supporting data for determining community eligibility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE ASSISTANCE TO HIGH ENERGY COST COMMUNITIES RUS High Energy Cost... include the following: (a) Documentation of energy costs. Documents or references to published or other... eligibility, or where such information is unavailable or does not adequately reflect the actual cost of...

  11. 7 CFR 1709.108 - Supporting data for determining community eligibility.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE ASSISTANCE TO HIGH ENERGY COST COMMUNITIES RUS High Energy Cost... include the following: (a) Documentation of energy costs. Documents or references to published or other... eligibility, or where such information is unavailable or does not adequately reflect the actual cost of...

  12. 7 CFR 1709.108 - Supporting data for determining community eligibility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE ASSISTANCE TO HIGH ENERGY COST COMMUNITIES RUS High Energy Cost... include the following: (a) Documentation of energy costs. Documents or references to published or other... eligibility, or where such information is unavailable or does not adequately reflect the actual cost of...

  13. 7 CFR 1709.108 - Supporting data for determining community eligibility.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE ASSISTANCE TO HIGH ENERGY COST COMMUNITIES RUS High Energy Cost... include the following: (a) Documentation of energy costs. Documents or references to published or other... eligibility, or where such information is unavailable or does not adequately reflect the actual cost of...

  14. 18 CFR 707.7 - Ensuring that environmental documents are actually considered in agency decisionmaking.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Ensuring that... Power and Water Resources WATER RESOURCES COUNCIL COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) Water Resources Council Implementing Procedures § 707.7 Ensuring that environmental documents are...

  15. 18 CFR 707.7 - Ensuring that environmental documents are actually considered in agency decisionmaking.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Ensuring that... Power and Water Resources WATER RESOURCES COUNCIL COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) Water Resources Council Implementing Procedures § 707.7 Ensuring that environmental documents are...

  16. 18 CFR 707.7 - Ensuring that environmental documents are actually considered in agency decisionmaking.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Ensuring that... Power and Water Resources WATER RESOURCES COUNCIL COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) Water Resources Council Implementing Procedures § 707.7 Ensuring that environmental documents are...

  17. 18 CFR 707.7 - Ensuring that environmental documents are actually considered in agency decisionmaking.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Ensuring that... Power and Water Resources WATER RESOURCES COUNCIL COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) Water Resources Council Implementing Procedures § 707.7 Ensuring that environmental documents are...

  18. 18 CFR 707.7 - Ensuring that environmental documents are actually considered in agency decisionmaking.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Ensuring that... Power and Water Resources WATER RESOURCES COUNCIL COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) Water Resources Council Implementing Procedures § 707.7 Ensuring that environmental documents are...

  19. VIEWCACHE: An incremental pointer-base access method for distributed databases. Part 1: The universal index system design document. Part 2: The universal index system low-level design document. Part 3: User's guide. Part 4: Reference manual. Part 5: UIMS test suite

    NASA Technical Reports Server (NTRS)

    Kelley, Steve; Roussopoulos, Nick; Sellis, Timos

    1992-01-01

    The goal of the Universal Index System (UIS), is to provide an easy-to-use and reliable interface to many different kinds of database systems. The impetus for this system was to simplify database index management for users, thus encouraging the use of indexes. As the idea grew into an actual system design, the concept of increasing database performance by facilitating the use of time-saving techniques at the user level became a theme for the project. This Final Report describes the Design, the Implementation of UIS, and its Language Interfaces. It also includes the User's Guide and the Reference Manual.

  20. Comparison of historical documents for writership

    NASA Astrophysics Data System (ADS)

    Ball, Gregory R.; Pu, Danjun; Stritmatter, Roger; Srihari, Sargur N.

    2010-01-01

    Over the last century forensic document science has developed progressively more sophisticated pattern recognition methodologies for ascertaining the authorship of disputed documents. These include advances not only in computer assisted stylometrics, but forensic handwriting analysis. We present a writer verification method and an evaluation of an actual historical document written by an unknown writer. The questioned document is compared against two known handwriting samples of Herman Melville, a 19th century American author who has been hypothesized to be the writer of this document. The comparison led to a high confidence result that the questioned document was written by the same writer as the known documents. Such methodology can be applied to many such questioned documents in historical writing, both in literary and legal fields.

  1. Design criteria for the light duty utility arm system end effectors

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

    Pardini, A.F.; Kiebel, G.R.

    1995-12-01

    The purpose of this document is to provide criteria for the design of end effectors that will be used as part of the Light Duty Utility Arm (LDUA) System. Actual component design, fabrication, testing, and inspection will be performed by various DOE laboratories, industry, and academia. This document augments WHC-SD-TD-FRD-003, `Functions and Requirements for the Light Duty Utility Arm Integrated System` (F). All requirements dictated in the F shall also be applicable in this document. Whenever conflicts arise between this document and the F, this document shall take precedence.

  2. The Difference That Differences Make: Adolescent Diversity and Its Deregulation.

    ERIC Educational Resources Information Center

    Levine, Melvin D.

    This document discusses the differences in maturity of late adolescents, aged 16 to 21, and how lack of readiness by some adolescents has a major impact upon communities and upon the individual. The document illustrates the tension between individuation and regulation with five vignettes of actual cases. Sources of variation, including biological…

  3. Government Acronyms and Alphabetic Designations Used in DDC.

    ERIC Educational Resources Information Center

    Defense Documentation Center, Alexandria, VA.

    The compilation consists of a guide to acronyms and alphabetic designations used by the Department of Defense (DOD), federal government and foreign military organizations on documents to designate reports on research monitored by them and cataloged by the Defense Documentation Center (DDC). In all instances the acronyms are those actually used by…

  4. Un document authentique pedagogique: le constat amiable (An Authentic Pedagogical Document: The Accident Report)

    ERIC Educational Resources Information Center

    Davoine, Jean-Pierre

    1978-01-01

    A discussion of the use of an accident report form, especially for practice in past tense usage. A lesson plan is outlined as follows: introduction using slides, a question-answer session between two sets of students and the actual writing of the report. (Text is in French.) (AMH)

  5. 45 CFR 261.60 - What hours of participation may a State report for a work-eligible individual?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Participation Information? § 261.60 What hours of participation may a State report for a work-eligible... calculating the work participation rates for a month, actual hours may include the hours for which an... participation for up to six months based on current, documented actual hours of work. Any time a State receives...

  6. 41 CFR 302-2.15 - Must I provide my agency with my actual place of residence as soon as I accept a transfer...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 302-2.15 Public Contracts and Property Management Federal Travel Regulation System RELOCATION ALLOWANCES INTRODUCTION 2-EMPLOYEES ELIGIBILITY REQUIREMENTS General Rules Service Agreements § 302-2.15 Must... your agency with the information needed to determine your actual place of residence and to document it...

  7. Completeness of patient records in community pharmacies post-discharge after in-patient medication reconciliation: a before-after study.

    PubMed

    Karapinar-Çarkıt, Fatma; van Breukelen, Ben R L; Borgsteede, Sander D; Janssen, Marjo J A; Egberts, Antoine C G; van den Bemt, Patricia M L A

    2014-08-01

    Transfer of discharge medication related information to community pharmacies could improve continuity of care. This requires for community pharmacies to accurately update their patient records when new information is transferred. An instruction manual that specifies how to document information regarding medication changes and clinical information (i.e. allergies/contraindications) could support community pharmacies. To explore the effect of instruction manuals sent to community pharmacies on completeness of their patient records. A before-after study was performed (July 2009-August 2010) in the St Lucas Andreas Hospital, a general teaching hospital in Amsterdam, The Netherlands. Patients discharged from the cardiology and respiratory ward were included consecutively. The intervention consisted of a training session for community pharmacies regarding documentation problems and faxing an instruction manual to community pharmacies specifying how to document discharge information in their information system. Usual care consisted of faxing a discharge medication overview to community pharmacies without additional instructions. Two weeks after discharge the medication records of community pharmacies were collected by fax. These were compared with the initial discharge overviews regarding completeness of medication changes (i.e. explicit explanation that medication had been changed) and clinical information documentation. MAIN OUTCOME MEASURE OUTCOMES: were the number and percentage of completely documented medication changes (either needing to be dispensed or not) and clinical information items. The sample size was calculated at 107 patients per measurement period. Multivariable logistic regression was used for analysis. Two hundred and eighteen patients (112 before-106 after) were included. Completeness of medication changes documentation increased marginally after the intervention (46.6 vs 56.3 %, adjusted Odds Ratio 1.4 [95 % confidence interval 1.07-1.83]). Documentation increased when medication was actually dispensed by the community pharmacy. No significant improvements were seen for allergy and contraindication documentation. The intervention is insufficient to increase the completeness of documentation by community pharmacies as marginal improvements were achieved. Future studies should evaluate whether electronic infrastructures may help in achieving updated medication records to improve continuity of pharmaceutical care.

  8. Guidelines for the assessment and acceptance of potential brain-dead organ donors

    PubMed Central

    Westphal, Glauco Adrieno; Garcia, Valter Duro; de Souza, Rafael Lisboa; Franke, Cristiano Augusto; Vieira, Kalinca Daberkow; Birckholz, Viviane Renata Zaclikevis; Machado, Miriam Cristine; de Almeida, Eliana Régia Barbosa; Machado, Fernando Osni; Sardinha, Luiz Antônio da Costa; Wanzuita, Raquel; Silvado, Carlos Eduardo Soares; Costa, Gerson; Braatz, Vera; Caldeira Filho, Milton; Furtado, Rodrigo; Tannous, Luana Alves; de Albuquerque, André Gustavo Neves; Abdala, Edson; Gonçalves, Anderson Ricardo Roman; Pacheco-Moreira, Lúcio Filgueiras; Dias, Fernando Suparregui; Fernandes, Rogério; Giovanni, Frederico Di; de Carvalho, Frederico Bruzzi; Fiorelli, Alfredo; Teixeira, Cassiano; Feijó, Cristiano; Camargo, Spencer Marcantonio; de Oliveira, Neymar Elias; David, André Ibrahim; Prinz, Rafael Augusto Dantas; Herranz, Laura Brasil; de Andrade, Joel

    2016-01-01

    Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors. PMID:27737418

  9. Thermal performance assessment of a large aperture concentrating collector in an industrial application in Chile

    NASA Astrophysics Data System (ADS)

    Murray, Clare; Pino, Alan; Cardemil, José Miguel; Escobar, Rodrigo

    2017-06-01

    The application of solar thermal energy to meet the heat demands of the food and beverage processing industry in Chile has huge potential. This paper presents an assessment of the first large aperture trough collector installed in Latin America. The collector preheats water for a boiler in a juice-concentrating factory, 100 km north of Santiago. An analysis of the system for a day in November indicates the system was not able to utilize the heat generated, resulting in rapid de- and refocusing of the collector and problems with sensor calibration. An analysis of a day in March indicates the tracking algorithm has not correctly aligned the collector with the sun's position. An investigation into the design document reveals that the meteorological data underestimates the actual irradiation values by 40%, resulting in an oversized system given the actual conditions. To increase the energy gain in the system it is proposed to increase the working pressure from the current value of 1.5bar to up to 5bar, which could increase the system utilization from 41% to 65% and reduce the dumped energy to near zero. The simulation results with actual weather data and a fixed inlet temperature indicate the annual solar fraction could increase from the design value of 8.1% to 31.8% with a working pressure of 5 bar. The plant presents multiple opportunities for improvement not only to the performance of the plant but also in the design and installation of solar thermal systems in Chile in the future.

  10. Becoming Informed Citizens: Lessons on the Constitution for Junior High School Students.

    ERIC Educational Resources Information Center

    Wagner, Kenneth A.; And Others

    This document consists of lesson plans for teaching junior high school students about the U.S. Constitution. Lessons are derived from teaching methods that instructors have found useful and appropriate for the actual condition of the ordinary classroom, and account for the characteristics and needs of the early adolescent. The document includes a…

  11. ISO 9002 as Literacy Practice: Coping with Quality-Control Documents in a High-Tech Company

    ERIC Educational Resources Information Center

    Kleifgen, Jo Anne

    2005-01-01

    This study describes the process by which a circuit board manufacturing company became certified in an international quality control program known as ISO 9002. Particular attention is paid to how quality documents were made and used in actual practice and to the relationship between these standardized procedures (official literacies) and…

  12. Application of CAA Section 112(g) to Coal- and Oil-Fired Electric Utility Steam Generating Units That Began Actual Construction or Reconstruction Between March 29, 2005 and March 14, 2008

    EPA Pesticide Factsheets

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  13. Meaningful participation for children in the Dutch child protection system: A critical analysis of relevant provisions in policy documents.

    PubMed

    Bouma, Helen; López López, Mónica; Knorth, Erik J; Grietens, Hans

    2018-05-01

    Policymakers are increasingly focusing on the participation of children in the child protection system (CPS). However, research shows that actual practice still needs to be improved. Embedding children's participation in legislation and policy documents is one important prerequisite for achieving meaningful participation in child protection practice. In this study, the participation of children in the Dutch CPS under the new Youth Act 2015 is critically analyzed. National legislation and policy documents were studied using a model of "meaningful participation" based on article 12 of the UNCRC. Results show that the idea of children's participation is deeply embedded in the current Dutch CPS. However, Dutch policy documents do not fully cover the three dimensions of what is considered to be meaningful participation for children: informing, hearing, and involving. Furthermore, children's participation differs among the organizations included in the child protection chain. A clear overall policy concerning the participation of children in the Dutch CPS is lacking. The conclusions of this critical analysis of policy documents and the framework of meaningful participation presented may provide a basis for the embedding of meaningful participation for children in child protection systems of other countries. Copyright © 2018 Elsevier Ltd. All rights reserved.

  14. Proposal for hierarchical description of software systems

    NASA Technical Reports Server (NTRS)

    Thauboth, H.

    1973-01-01

    The programming of digital computers has developed into a new dimension full of diffculties, because the hardware of computers has become so powerful that more complex applications are entrusted to computers. The costs of software development, verification, and maintenance are outpacing those of the hardware and the trend is toward futher increase of sophistication of application of computers and consequently of sophistication of software. To obtain better visibility into software systems and to improve the structure of software systems for better tests, verification, and maintenance, a clear, but rigorous description and documentation of software is needed. The purpose of the report is to extend the present methods in order to obtain a documentation that better reflects the interplay between the various components and functions of a software system at different levels of detail without losing the precision in expression. This is done by the use of block diagrams, sequence diagrams, and cross-reference charts. In the appendices, examples from an actual large sofware system, i.e. the Marshall System for Aerospace Systems Simulation (MARSYAS), are presented. The proposed documentation structure is compatible to automation of updating significant portions of the documentation for better software change control.

  15. 'Correction:'Peer chart audits: A tool to meet Accreditation Council on Graduate Medical Education (ACGME) competency in practice-based learning and improvement

    PubMed Central

    Staton, Lisa J; Kraemer, Suzanne M; Patel, Sangnya; Talente, Gregg M; Estrada, Carlos A

    2007-01-01

    Background The Accreditation Council on Graduate Medical Education (ACGME) supports chart audit as a method to track competency in Practice-Based Learning and Improvement. We examined whether peer chart audits performed by internal medicine residents were associated with improved documentation of foot care in patients with diabetes mellitus. Methods A retrospective electronic chart review was performed on 347 patients with diabetes mellitus cared for by internal medicine residents in a university-based continuity clinic from May 2003 to September 2004. Residents abstracted information pertaining to documentation of foot examinations (neurological, vascular, and skin) from the charts of patients followed by their physician peers. No formal feedback or education was provided. Results Significant improvement in the documentation of foot exams was observed over the course of the study. The percentage of patients receiving neurological, vascular, and skin exams increased by 20% (from 13% to 33%) (p = 0.001), 26% (from 45% to 71%) (p < 0.001), and 18% (51%–72%) (p = 0.005), respectively. Similarly, the proportion of patients receiving a well-documented exam which includes all three components – neurological, vascular and skin foot exam – increased over time (6% to 24%, p < 0.001). Conclusion Peer chart audits performed by residents in the absence of formal feedback were associated with improved documentation of the foot exam in patients with diabetes mellitus. Although this study suggests that peer chart audits may be an effective tool to improve practice-based learning and documentation of foot care in diabetic patients, evaluating the actual performance of clinical care was beyond the scope of this study and would be better addressed by a randomized controlled trial. PMID:17662124

  16. Peer chart audits: a tool to meet Accreditation Council on Graduate Medical Education (ACGME) competency in practice-based learning and improvement.

    PubMed

    Staton, Lisa J; Kraemer, Suzanne M; Patel, Sangnya; Talente, Gregg M; Estrada, Carlos A

    2007-07-27

    The Accreditation Council on Graduate Medical Education (ACGME) supports chart audit as a method to track competency in Practice-Based Learning and Improvement. We examined whether peer chart audits performed by internal medicine residents were associated with improved documentation of foot care in patients with diabetes mellitus. A retrospective electronic chart review was performed on 347 patients with diabetes mellitus cared for by internal medicine residents in a university-based continuity clinic from May 2003 to September 2004. Residents abstracted information pertaining to documentation of foot examinations (neurological, vascular, and skin) from the charts of patients followed by their physician peers. No formal feedback or education was provided. Significant improvement in the documentation of foot exams was observed over the course of the study. The percentage of patients receiving neurological, vascular, and skin exams increased by 20% (from 13% to 33%) (p = 0.001), 26% (from 45% to 71%) (p < 0.001), and 18% (51%-72%) (p = 0.005), respectively. Similarly, the proportion of patients receiving a well-documented exam which includes all three components - neurological, vascular and skin foot exam - increased over time (6% to 24%, p < 0.001). Peer chart audits performed by residents in the absence of formal feedback were associated with improved documentation of the foot exam in patients with diabetes mellitus. Although this study suggests that peer chart audits may be an effective tool to improve practice-based learning and documentation of foot care in diabetic patients, evaluating the actual performance of clinical care was beyond the scope of this study and would be better addressed by a randomized controlled trial.

  17. Engineering Psychology Handbook AY 2012 - 2013

    DTIC Science & Technology

    2012-08-01

    in the department Awards Room. 2001 Honoree: Anastasia Piotrowski 2002 Honoree: Jennifer Smith 2003 Honoree: Joseph Mitek 2004 Honoree: Eric...MAJ Jennifer Bower jennifer.bower@us.army.mil COL Joseph P. DeAntona joseph.deantona@us.army.mil Dr. Gina Kolisinski MAJ Silas Martinez...of the document that you actually read (e.g., “ Craik and Tulving (as cited in Galotti, 1994) found that . . .”). Only the work that you actually

  18. Relating actual with subfossil chironomid assemblages. Holocene habitat changes and paleoenvironmental reconstruction of Basa de la Mora Lake (Central Pyrenees)

    NASA Astrophysics Data System (ADS)

    Tarrats, Pol; Rieradevall, Maria; González-Sampériz, Penélope; Pérez-Sanz, Ana; Valero-Garcés, Blas; Moreno, Ana

    2014-05-01

    Analyses of subfossil and actual macroinvertebrate fauna and Chironomidae larvae (Insecta: Diptera) assemblages of Basa de la Mora Lake (Central Pyrenees, Spain, 1914 m a.s.l.) improves the environmental calibration for lake paleoreconstruction and allow to infer lake habitat changes throughout the Holocene. The results of the actual Chironomidae community are consistent with other mountain lake studies (either in the Pyrenees or other regions), with a few mismatching due to lake specific conditions. The actual and the subfossil Chironomidae taxa present in Basa de la Mora Lake are the same, which is an essential requirement to apply the analogue methods. Although we could not find habitat-specific taxa, significant differences between the different habitats present in the lake were found. This circumstance allowed applying the Modern Analogue Technique (MAT) to infer lake habitat changes. The MAT method relates the actual community, defined from the species abundance matrix and an environmental variable (which is the object of the inference), and the past community, defined from the species abundance matrix downcore. Because the first axis of DCA carried out for the study of the actual Chironomidae larvae explained the assemblage changes between the different habitats, the scores of this first axis were used as representative of the environmental variable (dominant habitat type) to be inferred. The application of the MAT has allowed identifying two periods of lake productivity increase through the Holocene: i) around 2800 cal. yrs BP, which coincides with the first documented human occupation of the area, and ii) the last four centuries, synchronous to the maximum population of mountain areas in the Pyrenees and development of stockbreeding activities.

  19. Abbreviations and acronyms

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This booklet provides a partial list of acronyms, abbreviations, and other short word forms, including their definitions, used in documents at the Goddard Space Flight Center (GSFC). This list does not preclude the use of other short forms of less general usage, as long as these short forms are identified the first time they appear in a document and are defined in a glossary in the document in which they are used. This document supplements information in the GSFC Scientific and Technical Information Handbook (GHB 2200.2/April 1989). It is not intended to contain all short word forms used in GSFC documents; however, it was compiled of actual short forms used in recent GSFC documents. The entries are listed first, alphabetically by the short form, and then again alphabetically by definition.

  20. Does teaching of documentation of shoulder dystocia delivery through simulation result in improved documentation in real life?

    PubMed

    Comeau, Robyn; Craig, Catherine

    2014-03-01

    Documentation of deliveries complicated by shoulder dystocia is a valuable communication skill necessary for residents to attain during residency training. Our objective was to determine whether the teaching of documentation of shoulder dystocia in a simulation environment would translate to improved documentation of the event in an actual clinical situation. We conducted a cohort study involving obstetrics and gynaecology residents in years 2 to 5 between November 2010 and December 2012. Each resident participated in a shoulder dystocia simulation teaching session and was asked to write a delivery note immediately afterwards. They were given feedback regarding their performance of the delivery and their documentation of the events. Following this, dictated records of shoulder dystocia deliveries immediately before and after the simulation session were identified through the Meditech system. An itemized checklist was used to assess the quality of residents' dictated documentation before and after the simulation session. All eligible residents (18) enrolled in the study, and 17 met the inclusion criteria. For 10 residents (59%) documentation of a delivery with shoulder dystocia was present before and after the simulation session, for five residents (29%) it was only present before the session, and for two residents (18%) it was only present after the session. When residents were assessed as a group, there were no differences in the proportion of residents recording items on the checklist before and after the simulation session (P > 0.05 for all). Similarly, analysis of the performance of the10 residents who had dictated documentation both before and after the session showed no differences in the number of elements recorded on dictations done before and after the simulation session (P > 0.05 for all). The teaching of shoulder dystocia documentation through simulation did not result in a measurable improvement in the quality of documentation of shoulder dystocia in actual clinical situations.

  1. Obesity perceptions and documentation among primary care clinicians at a rural academic health center.

    PubMed

    Aleem, Sohaib; Lasky, Rosalind; Brooks, W Blair; Batsis, John A

    2015-01-01

    Obesity recognition in primary care is important to address the epidemic. We aimed to evaluate primary care clinician-reported documentation, management practices, beliefs and attitudes toward obesity compared to body mass index (BMI) calculation, obesity prevalence and actual documentation of obesity as an active problem in electronic health record in a rural academic center. Our target population for previously validated clinician survey was 56 primary care providers working at 3 sites. We used calendar year 2012 data for assessment of baseline system performance for metrics of documentation of BMI in primary care visits, and proportion of visits in patients with obesity with obesity as a problem. Standard statistical methods assessed the data. Survey response rate was 91%. Average age of respondents was 48.9 years and 62.7% were females. 72.5% clinicians reported having normal BMI. The majority of clinicians reported regularly documenting obesity as an active problem, and utilized motivational interviewing and basic good nutrition and healthy exercise. Clinicians identified lack of discipline and exercise time, access to unhealthy food and psychosocial issues as major barriers. Most denied disliking weight loss discussion or patients taking up too much time. In 21,945 clinic visits and 11,208 annual preventive care visits in calendar year 2012, BMI was calculated in 93% visits but obesity documentation as an active problem only 27% of patients meeting BMI criteria for obesity. Despite high clinician-reported documentation of obesity as an active problem, actual obesity documentation rates remained low in a rural academic medical center. Copyright © 2015 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  2. Allopolyploidy, diversification, and the Miocene grassland expansion

    PubMed Central

    Estep, Matt C.; McKain, Michael R.; Vela Diaz, Dilys; Zhong, Jinshun; Hodge, John G.; Hodkinson, Trevor R.; Layton, Daniel J.; Malcomber, Simon T.; Pasquet, Rémy; Kellogg, Elizabeth A.

    2014-01-01

    The role of polyploidy, particularly allopolyploidy, in plant diversification is a subject of debate. Whole-genome duplications precede the origins of many major clades (e.g., angiosperms, Brassicaceae, Poaceae), suggesting that polyploidy drives diversification. However, theoretical arguments and empirical studies suggest that polyploid lineages may actually have lower speciation rates and higher extinction rates than diploid lineages. We focus here on the grass tribe Andropogoneae, an economically and ecologically important group of C4 species with a high frequency of polyploids. A phylogeny was constructed for ca. 10% of the species of the clade, based on sequences of four concatenated low-copy nuclear loci. Genetic allopolyploidy was documented using the characteristic pattern of double-labeled gene trees. At least 32% of the species sampled are the result of genetic allopolyploidy and result from 28 distinct tetraploidy events plus an additional six hexaploidy events. This number is a minimum, and the actual frequency could be considerably higher. The parental genomes of most Andropogoneae polyploids diverged in the Late Miocene coincident with the expansion of the major C4 grasslands that dominate the earth today. The well-documented whole-genome duplication in Zea mays ssp. mays occurred after the divergence of Zea and Sorghum. We find no evidence that polyploidization is followed by an increase in net diversification rate; nonetheless, allopolyploidy itself is a major mode of speciation. PMID:25288748

  3. 32 CFR 701.41 - FOIA fee terms.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... can take the form of paper copy, microfiche, audiovisual, or machine readable documentation (e.g... duplication of computer tapes and audiovisual, the actual cost, including the operator's time, shall be...

  4. One minute after the detonation of the atomic bomb: the erased effects of residual radiation.

    PubMed

    Takahashi, Hiroko

    2009-01-01

    The U.S. Government's official narrative denies the effects of residual radiation which appeared one minute after the atomic bomb detonations in Hiroshima and Nagasaki. This paper explores declassified documents from the U.S. Atomic Energy Commission, the Atomic Bomb Casualties Commission, and others and shows that these documents actually suggested the existence of serious effects from residual radiation.

  5. [Computer-assisted multimedia interactive learning program "Primary Open-Angle Glaucoma"].

    PubMed

    Dick, V B; Zenz, H; Eisenmann, D; Tekaat, C J; Wagner, R; Jacobi, K W

    1996-05-01

    Advances in the area of information technology have opened up new possibilities for the use of interactive media in the training of medical students. Classical instructional technologies, such as video, slides, audio cassettes and computer programs with a textbook orientation, have been merged into one multimedia computer system. The medical profession has been increasingly integrating computer-based applications which can be used, for example, for record keeping within a medical practice. The goal of this development is to provide access to all modes of information storage and retrieval as well as documentation and training systems within a specific context. Since the beginning of the winter semester 1995, the Department of Ophthalmology in Giessen has used the learning program "Primary Open Angle Glaucoma" in student instruction. One factor that contributed to the implementation of this project was that actual training using patients within the clinic is difficult to conduct. Media-supported training that can provide a simulation of actual practice offers a suitable substitute. The learning program has been installed on Power PCs (Apple MacIntosh), which make up the technical foundation of our system. The program was developed using Hypercard software, which provides userfriendly graphical work environment. This controls the input and retrieval of data, direct editing of documents, immediate simulation, the creation of on-screen documents and the integration of slides that have been scanned in as well as QuickTime films. All of this can be accomplished without any special knowledge of programming language or operating systems on the part of the user. The glaucoma learning program is structured along the lines of anatomy, including an explanation of the circulation of the aqueous humor, pathology, clinical symptoms and findings, diagnosis and treatment. This structure along with the possibility for creating a list of personal files for the user with a collection of illustrations and text allows for quick access to learning content. The program is designed in such a way that working with and through it is done in a manner conducive to learning. Student response to the learning program as an accompaniment to instruction has been positive. Independent, supplemental student learning by means of an interactive learning program has raised the quality of study within the sciences. The use of a pedagogically sound multimedia program, that is oriented toward problem solving and based on actual cases offers students the opportunity to actively work ophthalmological material. An additional benefit is the development of competence in working with computer-support information systems, something that is playing an ever-increasing role within the medical profession.

  6. NAFTA Guidance Document for Conducting Terrestrial Field Dissipation Studies

    EPA Pesticide Factsheets

    Harmonized guidance for TFD studies that demonstrate transformation, transport and fate of pesticides under representative actual use conditions. Field studies substantiate physicochemical, mobility and biotransformation data from laboratory studies.

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

    Campbell, J.A.; Clauss, S.A.; Grant, K.E.

    The objectives of this task are to develop and document extraction and analysis methods for organics in waste tanks, and to extend these methods to the analysis of actual core samples to support the Waste Tank organic Safety Program. This report documents progress at Pacific Northwest Laboratory (a) during FY 1994 on methods development, the analysis of waste from Tank 241-C-103 (Tank C-103) and T-111, and the transfer of documented, developed analytical methods to personnel in the Analytical Chemistry Laboratory (ACL) and 222-S laboratory. This report is intended as an annual report, not a completed work.

  8. The Great Recession, Public Transfers, and Material Hardship

    PubMed Central

    Pilkauskas, Natasha V.; Currie, Janet; Garfinkel, Irwin

    2013-01-01

    Economic downturns lead to lost income and increased poverty. Although high unemployment almost certainly also increases material hardship, and government transfers likely decrease hardship, the first relationship has not yet been documented and the second is poorly understood. We use data from five waves of the Fragile Families and Child Well-being Study to study the relationships between unemployment, government transfers, and material hardship. The latest wave of data was collected during the Great Recession, the worst recession since the Great Depression, providing a unique opportunity to look at how high unemployment rates affect the well-being of low income families. We find that the unemployment rate is associated with increased overall material hardship, difficulty paying bills, having utilities disconnected, and with increased usage of TANF, SNAP, UI and Medicaid. If not for SNAP, food hardship might have increased by twice the amount actually observed. PMID:24379487

  9. Public Reporting of MRI of the Lumbar Spine for Low Back Pain and Changes in Clinical Documentation.

    PubMed

    Flug, Jonathan A; Lind, Kimberly E

    2017-12-01

    OP-8 is the Medicare imaging efficiency metric for MRI of the lumbar spine for low back pain in the outpatient hospital. We studied trends in exclusion criteria coding over time by site of service after implementation of OP-8 to evaluate provider's response to public reporting. We conducted a secondary data analysis using the Medicare Limited Data Set 5% sample for beneficiaries with MRI lumbar spine and lower back pain during 2009 to 2014. We evaluated the association between excluding condition prevalence and site by using generalized estimating equations regression. We produced model-based estimates of excluding condition prevalence by site and year. As a sensitivity analysis, we repeated the analysis while including additional conditions in the outcome measure. We included 285,911 MRIs of the lumbar spine for low back pain. Generalized estimating equations regression found that outpatient hospitals had a higher proportion of MRIs with at least one excluding condition documented compared with outpatient clinics (P < .05), but increases in excluding condition prevalence were similar across all sites during 2009 to 2014. Our results were not sensitive to the inclusion of additional conditions. Documentation of excluding conditions and other clinically reasonable exclusions for OP-8 increased over time for outpatient hospitals and clinics. Increases in documentation of comorbidities may not translate to actual improvement in imaging appropriateness for low back pain. When accounting for all relevant conditions, the proportion of patients with low back pain considered uncomplicated and being measured by OP-8 would be small, reflecting a small proportion of patients with low back pain. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  10. TurboTech Technical Evaluation Automated System

    NASA Technical Reports Server (NTRS)

    Tiffany, Dorothy J.

    2009-01-01

    TurboTech software is a Web-based process that simplifies and semiautomates technical evaluation of NASA proposals for Contracting Officer's Technical Representatives (COTRs). At the time of this reporting, there have been no set standards or systems for training new COTRs in technical evaluations. This new process provides boilerplate text in response to interview style questions. This text is collected into a Microsoft Word document that can then be further edited to conform to specific cases. By providing technical language and a structured format, TurboTech allows the COTRs to concentrate more on the actual evaluation, and less on deciding what language would be most appropriate. Since the actual word choice is one of the more time-consuming parts of a COTRs job, this process should allow for an increase in quantity of proposals evaluated. TurboTech is applicable to composing technical evaluations of contractor proposals, task and delivery orders, change order modifications, requests for proposals, new work modifications, task assignments, as well as any changes to existing contracts.

  11. Empirical flow parameters - a tool for hydraulic model validity assessment : [summary].

    DOT National Transportation Integrated Search

    2013-10-01

    Hydraulic modeling assembles models based on generalizations of parameter values from textbooks, professional literature, computer program documentation, and engineering experience. Actual measurements adjacent to the model location are seldom availa...

  12. Evidence still insufficient that advance care documentation leads to engagement of healthcare professionals in end-of-life discussions: A systematic review.

    PubMed

    Lewis, Ebony; Cardona-Morrell, Magnolia; Ong, Kok Y; Trankle, Steven A; Hillman, Ken

    2016-10-01

    Administration of non-beneficial life-sustaining treatments in terminal elderly patients still occurs due to lack of knowledge of patient's wishes or delayed physician-family communications on preference. To determine whether advance care documentation encourages healthcare professional's timely engagement in end-of-life discussions. Systematic review of the English language articles published from January 2000 to April 2015. EMBASE, MEDLINE, EBM REVIEWS, PsycINFO, CINAHL and Cochrane Library and manual searches of reference lists. A total of 24 eligible articles from 10 countries including 23,914 subjects met the inclusion criteria, mostly using qualitative or mixed methods, with the exception of two cohort studies. The influence of advance care documentation on initiation of end-of-life discussions was predominantly based on perceptions, attitudes, beliefs and personal experience rather than on standard replicable measures of effectiveness in triggering the discussion. While health professionals reported positive perceptions of the use of advance care documentations (18/24 studies), actual evidence of their engagement in end-of-life discussions or confidence gained from accessing previously formulated wishes in advance care documentations was not generally available. Perceived effectiveness of advance care documentation in encouraging end-of-life discussions appears to be high but is mostly derived from low-level evidence studies. This may indicate a willingness and openness of patients, surrogates and staff to perceive advance directives as an instrument to improve communication, rather than actual evidence of timeliness or effectiveness from suitably designed studies. The assumption that advance care documentations will lead to higher physicians' confidence or engagement in communicating with patients/families could not be objectively demonstrated in this review. © The Author(s) 2016.

  13. Decrease of lichens in Arctic ecosystems: the role of wildfire, caribou, reindeer, competition and climate in north-western Alaska

    Treesearch

    Kyle Joly; Randi R. Jandt; David R. Klein

    2009-01-01

    We review and present a synthesis of the existing research dealing with changing Arctic tundra ecosystems, in relation to caribou and reindeer winter ranges. Whereas pan-Arctic studies have documented the effects on tundra vegetation from simulated climate change, we draw upon recent long-term regional studies in Alaska that have documented the actual, on-the-ground...

  14. Documentation of violence risk information in psychiatric hospital patient charts: an empirical examination.

    PubMed

    Elbogen, Eric B; Tomkins, Alan J; Pothuloori, Antara P; Scalora, Mario J

    2003-01-01

    Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

  15. Implementation of new OGFC specification.

    DOT National Transportation Integrated Search

    2006-05-01

    The objective of this research is to monitor and document the construction and performance of OGFC on actual field projects. Subsequently, Louisianas OGFC specifications and mix design procedures will be modified as necessary based on the monitori...

  16. Ophthalmologic screening in 25 consecutive geriatric psychiatric inpatient admissions.

    PubMed

    Billick, Stephen B; Garakani, Amir

    2014-03-01

    In the aging process, people are at increasing risk of visual abnormalities such as cataracts, glaucoma, age-related macular degeneration, and other retinal defects. This holds true for geriatric psychiatric patients as well. These ophthalmic problems may increase risk of falls or increase the comorbidity from dementing processes and depression. Geriatric patients presenting for psychiatric treatment may also be misdiagnosed or under-diagnosed as a result of these visual problems. This quality assurance review of 25 consecutive geriatric psychiatric inpatients demonstrated discrepancies between chart documentation and actual ophthalmologic pathology present in the patients. Doing a simple but complete ophthalmologic screening as part of the general physical examination on admission to an inpatient psychiatric unit can identify those patients who will need more in depth examination of their eyes and promote more accurate differential diagnoses for the patients.

  17. [Improvement of the system of medical equipmet rationing for military units during the wartime].

    PubMed

    Miroshnichenko, Iu V; Goriachev, A B; Popov, A A; Morgunov, V A; Ryzhikov, M V; Merkulov, A V

    2013-07-01

    The authors analyze new legal regulatory document--Medical equipment and reserves supply rate for military units and organisations of the Armed Forces of the Russian Federation, developed in the process of modernization of the system of medical equipment rationing for military units. New legal regulatory document was developed with the aim to replace the similar document d.d 1996-1997. The authors came to conclusion that costs of new medical equipment and reserves supply rates are similar to previous rates. At the same time costs new medical equipment supply rates for medical service increased more than 25%. It is related to change of the role of medical service in the system of medical supply of the Armed Forces of the Russian Federation. Modernization of the system of medical equipment supply rates for military unit of the Armed Forces of the Russian Federation, performed for the purpose of medical supplement for military unit in accordance with new state of the Armed Forces of the Russian Federation, allowed to actualize the regulatory framework of medical supply by means of development and adoption of new Supply and reserves rates be the Ministry of defence. Use if these rates will increase effectiveness and quality of medical supply during the wartime, provide a commonality of reserves of medical equipment and maintenance of established level of combat readiness of medical service of the Armed Forces of the Russian Federation.

  18. Space Telecommunications Radio System (STRS) Definitions and Acronyms

    NASA Technical Reports Server (NTRS)

    Briones, Janette C.; Handler, Louis M.; Johnson, Sandra K.; Nappier, Jennifer; Gnepp, Steven; Kacpura, Thomas J.; Reinhart, Richard C.; Hall, Charles S.; Mortensen, Dale

    2008-01-01

    Software-defined radio is a relatively new technology area, and industry consensus on terminology is not always consistent. Confusion exists when the various organizations and standards bodies define different radio terms associated with the actual amount of reconfigurability of the radios. The Space Telecommunications Radio System (STRS) Definitions and Acronyms Document provides the readers of the STRS documents a common understanding of the terminology used and how they will be applied to the STRS architecture.

  19. Actual versus perceived peer sexual risk behavior in online youth social networks.

    PubMed

    Black, Sandra R; Schmiege, Sarah; Bull, Sheana

    2013-09-01

    Perception of peer behaviors is an important predictor of actual risk behaviors among youth. However, we lack understanding of peer influence through social media and of actual and perceived peer behavior concordance. The purpose of this research is to document the relationship between individual perception of and actual peer sexual risk behavior using online social networks. The data are a result of a secondary analysis of baseline self-reported and peer-reported sexual risk behavior from a cluster randomized trial including 1,029 persons from 162 virtual networks. Individuals (seeds) recruited up to three friends who then recruited additional friends, extending three waves from the seed. ANOVA models compared network means of actual participant behavior across categories of perceived behavior. Concordance varied between reported and perceived behavior, with higher concordance between perceived and reported condom use, multiple partners, concurrent partners, sexual pressure, and drug and alcohol use during sex. Individuals significantly over-reported risk and under-reported protective peer behaviors related to sex.

  20. 12 CFR 791.18 - Public availability of meeting records and other documents.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., minutes or transcription of a recording, disclosing the identity of each speaker, shall be furnished to... shall be furnished at the actual cost of duplication or transcription unless waived by the Secretary of...

  1. 12 CFR 791.18 - Public availability of meeting records and other documents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., minutes or transcription of a recording, disclosing the identity of each speaker, shall be furnished to... shall be furnished at the actual cost of duplication or transcription unless waived by the Secretary of...

  2. 10 CFR 13.26 - Filing and service of papers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ink. (c) Service. A participant filing a document with the ALJ shall at the time of filing, serve a... representative in lieu of the actual participant. Upon an order from the ALJ permitting alternative filing...

  3. A Randomized Controlled Trial of Short and Standard-Length Consent Forms for a Genetic Cohort Study: Is Longer Better?

    PubMed Central

    Matsui, Kenji; Lie, Reidar K.; Turin, Tanvir C.; Kita, Yoshikuni

    2012-01-01

    Background Although the amount of detail in informed consent documents has increased over time and the documents have therefore become very long, there is little research on whether longer informed consent documents actually result in (1) better informed research subjects or (2) higher consent rates. We therefore conducted an add-on randomized controlled trial to the Takashima Study, a prospective Japanese population-based genetic cohort study, to test the hypothesis that a shorter informed consent form would satisfy both of the above goals. Methods Standard (10 459 words, 11 pages) and short (3602 words, 5 pages) consent forms in Japanese were developed and distributed using cluster-randomization to 293 potential cohort subjects living in 9 medico-social units and 288 subjects in 8 medico-social units, respectively. Results Few differences were found between the 2 groups with regard to outcome measures, including participants’ self-perceived understanding, recall of information, concerns, voluntariness, trust, satisfaction, sense of duty, and consent rates. Conclusions A short informed consent form was no less valid than a standard form with regard to fulfilling ethical requirements and securing the scientific validity of research. PMID:22447213

  4. How Should We Treat the Vulnerable?: Qualitative Study of Authoritative Ethics Documents.

    PubMed

    Zagorac, Ivana

    2016-01-01

    The aim of this study is to explore what actual guidance is provided by authoritative ethics documents regarding the recognition and protection of the vulnerable. The documents included in this analysis are the Belmont Report, the Declaration of Helsinki, The Council for International Organizations of Medical Sciences (CIOMS) Guidelines, and the UNESCO Universal Declaration on Bioethics and Human Rights, including its supplementary report on vulnerability. A qualitative analysis of these documents was conducted in light of three questions: what is vulnerability, who are the vulnerable, and how should the vulnerable be protected? The results show significant differences among the documents regarding the first two questions. None of the documents provides any guidance on the third question (how to protect the vulnerable). These results suggest a great discrepancy between the acknowledged importance of the concept of vulnerability and a general understanding of the scope, content, and practical implications of vulnerability.

  5. CSER 01-008 Canning of Thermally Stabilized Plutonium Oxide Powder in PFP Glovebox HC-21A

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

    ERICKSON, D.G.

    This document presents the analysis performed to support the canning operation in HC-21A. Most of the actual analysis was performed for the operation in HC-18M and HA-20MB, and is documented in HNF-2707 Rev I a (Erickson 2001a). This document will reference Erickson (2001a) as necessary to support the operation in HC-21A. The plutonium stabilization program at the Plutonium Finishing Plant (PFP) uses heat to convert plutonium-bearing materials into dry powder that is chemically stable for long term storage. The stabilized plutonium is transferred into one of several gloveboxes for the canning process, Gloveboxes HC-18M in Room 228'2, HA-20MB in Roommore » 235B, and HC-21A in Room 230B are to be used for this process. This document presents the analysis performed to support the canning operation in HC-21A. Most of the actual analysis was performed for the operation in HC-I8M and HA-20MB, and is documented in HNF-2707 Rev l a (Erickson 2001a). This document will reference Erickson (2001a) as necessary to support the operation in HC-21A. Evaluation of this operation included normal, base cases, and contingencies. The base cases took the normal operations for each type of feed material and added the likely off-normal events. Each contingency is evaluated assuming the unlikely event happens to the conservative base case. Each contingency was shown to meet the double contingency requirement. That is, at least two unlikely, independent, and concurrent changes in process conditions are required before a criticality is possible.« less

  6. P/CAF Function in Transcriptional Activation by Steroid Hormone Receptors and Mammary Cell Proliferation

    DTIC Science & Technology

    1999-07-01

    author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation...material. Where material from documents designated for limited distribution is quoted, permission has been obtained to use the material. Citations of...mammary tissue in the PCAF knock out mice, was actually completed last year. We are beginning the design and cloning of the breast-specific knock out

  7. Illinois airport inventory report, 1997

    DOT National Transportation Integrated Search

    1997-01-01

    The purpose of this report is to compile, in one document, information on the : characteristics and the physical condition of the various elements of public : airports in Illinois as well as data on actual use of both the publicly and : privately own...

  8. Illinois airport inventory report, 1996

    DOT National Transportation Integrated Search

    1996-01-01

    The purpose of this report is to compile, in one document, information on the : characteristics and the physical condition of the various elements of public : airports in Illinois as well as data on actual use of both the publicly and : privately own...

  9. Instant replay.

    PubMed

    Rosenthal, David I

    2013-06-01

    With widespread adoption of electronic health records (EHRs) and electronic clinical documentation, health care organizations now have greater faculty to review clinical data and evaluate the efficacy of quality improvement efforts. Unfortunately, I believe there is a fundamental gap between actual health care delivery and what we document in the current EHR systems. This process of capturing the patient encounter, which I'll refer to as transcription, is prone to significant data loss due to inadequate methods of data capture, multiple points of view, and bias and subjectivity in the transcriptional process. Our current EHR, text-based clinical documentation systems are lossy abstractions - one sided accounts of what take place between patients and providers. Our clinical notes contain the breadcrumbs of relationships, conversations, physical exams, and procedures but often lack the ability to capture the form, the emotions, the images, the nonverbal communication, and the actual narrative of interactions between human beings. I believe that a video record, in conjunction with objective transcriptional services and other forms of data capture, may provide a closer approximation to the truth of health care delivery and may be a valuable tool for healthcare improvement. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. [Intercultural aspects of medical care for undocumented migrants].

    PubMed

    Cerda-Hegerl, Patricia

    2008-01-01

    In view of the cultural diversity in German society today, the time has long since come when medical care must adjust to its new clientele. This article provides an overview for doctors, medical personnel and psychologists of approaches, backgrounds and networks of migration to Germany, in particular over the little known undocumented migration. This migration has steadily increased in recent years. The author deals with the circumstances which create psychological problems for migrants and what happens when migrants living in this shadow world fall ill. In addition, the article offers an agenda for interculturally competent action in caring for documented and undocumented migrants. Dimensions of cultural differences such as collectivism versus individualism (most of the countries of origin of these migrants in Germany with or without documents are collectivistic) are explained along with differences in styles of communication. The following styles with their impact in actual practice are analyzed: indirect versus direct communication; emotional control versus expressiveness; functionalism versus relationship orientation.

  11. An Analysis of Community Health Nurses Documentation: The Best Approach to Computerization

    PubMed Central

    Chalmers, M.

    1988-01-01

    The study explored and analyzed the actual patient-related documentation performed by a sample of community health nurses working in voluntary home health agencies. The outcome of the study was a system flow chart of that documentation and included: common components of the documentation, where in the existing systems they are recorded, when they are recorded by the nurse and why they are used by the nurses and administrative personnel in the agencies. The flow chart is suitable for use as a prototype for the development of a computer software package for the computerization of the patient-related documentation by community health nurses. General System and communication theories were used as a framework for this study. A thorough analysis of the documenation resulted in a complete and exhaustive explication of the documentation by community health nurses, as well as the identification of what parts of that documentation lend themselves most readily to computerization and what areas, if any, may not readily adapt to computerization.

  12. Summary of fuel economy performance

    DOT National Transportation Integrated Search

    2009-03-30

    This report contains estimated fleet production numbers and CAFE figures obtained from pre-model year (source 1) and mid-model year (source 2) documents assembled prior to or during the model year. The actual mpg values reported to EPA at the end of ...

  13. Summary of fuel economy performance

    DOT National Transportation Integrated Search

    2010-04-20

    This report contains estimated fleet production numbers and CAFE figures obtained from pre-model year (source I) and mid-model year (source 2) documents assembled prior to or during the model year. The actual mpg values reported to EPA at the end of ...

  14. Summary of fuel economy performance

    DOT National Transportation Integrated Search

    2009-12-09

    This report contains estimated fleet production numbers and CAFE figures obtained from pre-model year (source I) and mid-model year (source 2) documents assembled prior to or during the model year. The actual mpg values reported to EPA at the end of ...

  15. Mobility, Portability, and Placelessness

    ERIC Educational Resources Information Center

    Kupfer, Joseph

    2007-01-01

    Electronic technology has created a revolution in portability of information, documentation, and communication. We are now able to connect with people, information, organizations, and merchandise from anywhere at practically any time. As electronically fabricated environments replace actual physical surroundings, however, we become displaced.…

  16. Illinois airport inventory report, 2004

    DOT National Transportation Integrated Search

    2004-04-01

    The purpose of this report is to compile, in one document, information on the characteristics and the physical condition of the various elements of the public airports in Illinois as well as data on the actual use of both the publicly and privately o...

  17. Illinois airport inventory report, 2006

    DOT National Transportation Integrated Search

    2006-01-01

    The purpose of this report is to comppile, in one document, information on the characteristics and the physical condition of the various elements of the public airports in Illinois as well as data on the actual use of both the publicly and privately ...

  18. 28 CFR 16.207 - Public access to nonexempt transcripts and minutes of closed Commission meetings-Documents used...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... Copies of nonexempt transcripts, or minutes, or a transcription of such recording disclosing the identity of each speaker, shall be furnished to any person at the actual cost of duplication or transcription...

  19. Vehicle information exchange needs for mobility applications : version 3.0.

    DOT National Transportation Integrated Search

    1996-06-01

    The Evaluatory Design Document provides a unifying set of assumptions for other evaluations to utilize. Many of the evaluation activities require the definition of an actual implementation in order to be performed. For example, to cost the elements o...

  20. Laboratory evaluation of the pointing stability of the ASPS Vernier System

    NASA Technical Reports Server (NTRS)

    1980-01-01

    The annular suspension and pointing system (ASPS) is an end-mount experiment pointing system designed for use in the space shuttle. The results of the ASPS Vernier System (AVS) pointing stability tests conducted in a laboratory environment are documented. A simulated zero-G suspension was used to support the test payload in the laboratory. The AVS and the suspension were modelled and incorporated into a simulation of the laboratory test. Error sources were identified and pointing stability sensitivities were determined via simulation. Statistical predictions of laboratory test performance were derived and compared to actual laboratory test results. The predicted mean pointing stability during simulated shuttle disturbances was 1.22 arc seconds; the actual mean laboratory test pointing stability was 1.36 arc seconds. The successful prediction of laboratory test results provides increased confidence in the analytical understanding of the AVS magnetic bearing technology and allows confident prediction of in-flight performance. Computer simulations of ASPS, operating in the shuttle disturbance environment, predict in-flight pointing stability errors less than 0.01 arc seconds.

  1. Construction of In-house Databases in a Corporation

    NASA Astrophysics Data System (ADS)

    Dezaki, Kyoko; Saeki, Makoto

    Rapid progress in advanced informationalization has increased need to enforce documentation activities in industries. Responding to it Tokin Corporation has been engaged in database construction for patent information, technical reports and so on accumulated inside the Company. Two results are obtained; One is TOPICS, inhouse patent information management system, the other is TOMATIS, management and technical information system by use of personal computers and all-purposed relational database software. These systems aim at compiling databases of patent and technological management information generated internally and externally by low labor efforts as well as low cost, and providing for comprehensive information company-wide. This paper introduces the outline of these systems and how they are actually used.

  2. Low-level laser therapy of tinnitus: A case for the dentist?

    NASA Astrophysics Data System (ADS)

    Tuner, Jan

    2001-04-01

    Tinnitus is a debilitating condition with an increasing incidence, especially among the young generation, due to intensive sound levels at concerts and in headsets. It is, however, not solely a problem of the modern world. The condition is described in papyrus documents dating back 600 BC. Some famous historic persons have suffered from tinnitus, such as Martin Luther, Jean-Jaques Rousseau and Ludwig van Beethoven. It is estimated that roughly one person in ten is affected by tinnitus of some degree. The origin of tinnitus is controversial. It is claimed that tinnitus is located in the inner ear but also that it actually is situated in the brain cortex, as evidenced by PET-scanning.

  3. Prospects of and Problems in Using Natural Gas for Motor Transport in RUSSIA

    NASA Astrophysics Data System (ADS)

    Chikishev, E.; Ivanov, A.; Anisimov, I.; Chainikov, D.

    2016-08-01

    This article is devoted to increasing the use of natural gas in Russia as a measure to decrease the negative influence of motor transport on the environment. A brief analysis of the global fleet of natural gas vehicles is provided above. The documents accepted in Russia to promote public awareness of compressed natural gas in transport are submitted. The basic reasons keeping the growth of natural gas vehicle fleets in Russia consist of weak branching of refuelling stations; difficulty in determining the actual amount of compressed natural gas required; and control methods of the consumption of gas fuel. The offers promoting the growth of the fleet of natural gas vehicles are given.

  4. [FADCC in NIHS for prior consultation system of application of food additives].

    PubMed

    Akiyama, Hiroshi; Sato, Kyoko

    2015-01-01

    An increasing number of inquiries about application of food additives have been made from businesses in and outside Japan. The Ministry of Health, Labour and Welfare (MHLW) is requested to expedite the procedure for designation and revision of use standards. In June 2014, the MHLW set up a center for consultation on application concerning food additives (Food Additive Designation Consultation Center, FADCC) in the National Institute of Health Sciences, aiming to smoothly and expeditiously handle clerical work for designation or revision of the use standards. FADCC gives advice on how to prepare documents on the information such as physicochemical characteristics, effectiveness, safety, daily intake and use standards, based on actual cases and experience.

  5. 29 CFR 776.10 - Employees participating in the actual movement of commerce.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... goods or services, or plans or other documents across State lines, he comes within the scope of the Act...; (Munic. Ct. N.Y.C.); Phillips v. Meeker Coop. Light & Power Asso., 63 F. Supp. 733 (D. Minn.); Anderson...

  6. Image-Based Collection and Measurements for Construction Pay Items

    DOT National Transportation Integrated Search

    2017-07-01

    Prior to each payment to contractors and suppliers, measurements are made to document the actual amount of pay items placed at the site. This manual process has substantial risk for personnel, and could be made more efficient and less prone to human ...

  7. How Children Learn.

    ERIC Educational Resources Information Center

    Indiana State Board of Education, Indianapolis.

    This document was prepared to help parents, educators, and concerned citizens better understand how children and adolescents actually learn. True learning involves: (1) developing a passion for learning; (2) acquiring communication skills; (3) constructing new knowledge; (4) taking part in concrete activities; and (5) developing problem solving…

  8. What Happened to Intelligent Judgment?

    ERIC Educational Resources Information Center

    Carter, Margie

    2011-01-01

    In so many cases, hours spent focused on documenting accountability to standards actually decreases the possibility for quality improvements through genuine reflection, self-examination, and the exercise of intelligent judgment. Focusing only on ratings and requirements narrows one's thinking and exemplifies the tendency toward stagnation. The…

  9. ESTIMATING OWNERSHIP AND USE OF OLDER CARS

    EPA Science Inventory

    This research project examines the factors affecting owners' valuations of their old vehicles using a unique longitudinal dataset that documents the actual decisions of owners of pre-1980 vehicles in Delaware. An equation is developed that explains the value of a vehicle to...

  10. Applesauce Gets Spicier.

    ERIC Educational Resources Information Center

    Bracey, Gerald W.

    2000-01-01

    Productivity growth (and its connections with schools) may be mysterious, but experts continue to document an expanding U.S. economy. A University of Wisconsin study described in the Fall 1999 "ERS Spectrum" found a mismatch between teachers' actual and recommended grading practices. Maybe the literature is unreasonable. (MLH)

  11. Simulation for emergency nurses (SIREN): A quasi-experimental study.

    PubMed

    Boyde, Mary; Cooper, Emily; Putland, Hannah; Stanton, Rikki; Harding, Christie; Learmont, Ben; Thomas, Clare; Porter, Jade; Thompson, Andrea; Nicholls, Louise

    2018-06-05

    Within nursing education, simulation has been recognised as an effective learning strategy. Embedding simulation within clinical units has the potential to enhance patient safety and improve clinical outcomes. However it is important to evaluate the effectiveness of this educational technique to support the actual value and effectiveness. This study aimed to implement and evaluate an innovative simulation experience for registered nurses. A high-fidelity simulation focusing on nursing assessment was conducted with 50 Registered Nurses in an Emergency Department (ED) at a large tertiary referral hospital. Two questionnaires were completed pre and post simulation to assess anxiety related to participating in the simulation, and self-efficacy in patient assessment. Participant satisfaction and self-confidence in learning was assessed post simulation. Additionally a documentation audit from the patient's electronic chart was completed to review documentation entries before and after participation in the simulation. Anxiety scores decreased significantly from pre (M = 38.56, SD = 9.87) to post (M = 33.54, SD = 8.99), t(49) = 4.273, p < 0.001. There was a statistically significant increase in self-efficacy scores from pre (M = 195.16, SD = 28.09) to post (M = 214.12, SD =25.77), t(49) = 5.072, p < 0.001. ED nurses were highly satisfied with their simulation training and they were in agreement with the statements about self-confidence in learning. There was a statistically significant increase in two components of the documentation scores; initial clinical handover increased from pre (M = 7.88, SD = 1.76) to post (M = 8.79, SD =1.22), t(41) = 3.41, p < 0.001 and indicators of urgent illness increased from pre (M = 7.33, SD = 1.95) to post (M = 8.10, SD = 1.45), t(41) =2.27, p = 0.028. This study has demonstrated that a high fidelity simulation decreased participants' anxiety, increased self-efficiency in patient assessment, and improved documentation in patient records. Additionally ED nurses were highly satisfied with the simulation training. Copyright © 2018 Elsevier Ltd. All rights reserved.

  12. Deceased Organ Donors With a History of Increased Risk Behavior for the Transmission of Blood-Borne Viral Infection: The UK Experience.

    PubMed

    Trotter, Patrick B; Summers, Dominic M; Robb, Matthew; Hulme, William; Ushiro-Lumb, Ines; Watson, Christopher J E; Neuberger, James; Bradley, J Andrew

    2017-07-01

    Deceased organ donors are routinely screened for behaviors that increase the risk of transmissible blood-borne viral (BBV) infection, but the impact of this information on organ donation and transplant outcome is not well documented. Our aim was to establish the impact of such behavior on organ donation and utilization, as well transplant recipient outcomes. We identified all UK deceased organ donors from 2003 to 2015 with a disclosed history of increased risk behavior (IRB) including intravenous drug use (IVDU), imprisonment and increased risk sexual behavior. Of 17 262 potential donors, 659 (3.8%) had IRB for BBV and 285 (1.7%) were seropositive for BBV, of whom half had a history of IRB (mostly IVDU [78.5%]). Of actual donors with IRB, 393 were seronegative for viral markers at time of donation. A history of recent IVDU was associated with fewer potential donors proceeding to become actual organ donors (64% vs 75%, P = 0.007). Donors with IRB provided 1091 organs for transplantation (624 kidneys and 467 other organs). Transplant outcome was similar in recipients of organs from donors with and without IRB. There were 3 cases of unexpected hepatitis C virus transmission, all from an active IVDU donor who was hepatitis C virus seronegative at time of donation, but was found to be viremic on retrospective testing. Donors with a history of IRB provide a valuable source of organs for transplantation with good transplant outcomes and there is scope for increasing the use of organs from such donors.

  13. Improved clinical documentation leads to superior reportable outcomes: An accurate representation of patient's clinical status.

    PubMed

    Elkbuli, Adel; Godelman, Steven; Miller, Ashley; Boneva, Dessy; Bernal, Eileen; Hai, Shaikh; McKenney, Mark

    2018-05-01

    Clinical documentation can be an underappreciated. Trauma Centers (TCs) are now routinely evaluated for quality performance. TCs with poor documentation may not accurately reflect actual injury burden or comorbidities and can impact accuracy of mortality measures. Markers exist to adjust crude death rates for injury severity: observed over expected deaths (O/E) adjust for injury; Case Mix Index (CMI) reflects disease burden, and Severity of Illness (SOI) measures organ dysfunction. We aim to evaluate the impact of implementing a Clinical Documentation Improvement Program (CDIP) on reported outcomes. Review of 2-years of prospectively collected data for trauma patients, during the implementation of CDIP. A two-group prospective observational study design was used to evaluate the pre-implementation and the post-implementation phase of improved clinical documentation. T-test and Chi-Squared were used with significance defined as p < 0.05. In the pre-implementation period, there were 49 deaths out of 1419 (3.45%), while post-implementation period, had 38 deaths out of 1454 (2.61%), (non-significant). There was however, a significant difference between O/E ratios. In the pre-phase, the O/E was 1.36 and 0.70 in the post-phase (p < 0.001). The two groups also differed on CMI with a pre-group mean of 2.48 and a post-group of 2.87 (p < 0.001), indicating higher injury burden in the post-group. SOI started at 2.12 and significantly increased to 2.91, signifying more organ system dysfunction (p < 0.018). Improved clinical documentation results in improved accuracy of measures of mortality, injury severity, and comorbidities and a more accurate reflection in O/E mortality ratios, CMI, and SOI. Copyright © 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  14. Knowledge Cannot Explain the Developmental Growth of Working Memory Capacity

    PubMed Central

    Cowan, Nelson; Ricker, Timothy J.; Clark, Katherine M.; Hinrichs, Garrett A.; Glass, Bret A.

    2014-01-01

    According to some views of cognitive growth, the development of working memory capacity can account for increases in the complexity of cognition. It has been difficult to ascertain, though, that there actually is developmental growth in capacity that cannot be attributed to other developing factors. Here we assess the role of item familiarity. We document developmental increases in working memory for visual arrays of English letters versus unfamiliar characters. Although letter knowledge played a special role in development between the ages of 6 to 8 years, children with adequate letter knowledge showed practically the same developmental growth in normalized functions for letters and unfamiliar characters. The results contribute to a growing body of evidence that the developmental improvement in working memory does not wholly stem from supporting processes such as encoding, mnemonic strategies, and knowledge. PMID:24942111

  15. Science-based approach for credible accounting of mitigation in managed forests.

    PubMed

    Grassi, Giacomo; Pilli, Roberto; House, Jo; Federici, Sandro; Kurz, Werner A

    2018-05-17

    The credibility and effectiveness of country climate targets under the Paris Agreement requires that, in all greenhouse gas (GHG) sectors, the accounted mitigation outcomes reflect genuine deviations from the type and magnitude of activities generating emissions in the base year or baseline. This is challenging for the forestry sector, as the future net emissions can change irrespective of actual management activities, because of age-related stand dynamics resulting from past management and natural disturbances. The solution implemented under the Kyoto Protocol (2013-2020) was accounting mitigation as deviation from a projected (forward-looking) "forest reference level", which considered the age-related dynamics but also allowed including the assumed future implementation of approved policies. This caused controversies, as unverifiable counterfactual scenarios with inflated future harvest could lead to credits where no change in management has actually occurred, or conversely, failing to reflect in the accounts a policy-driven increase in net emissions. Instead, here we describe an approach to set reference levels based on the projected continuation of documented historical forest management practice, i.e. reflecting age-related dynamics but not the future impact of policies. We illustrate a possible method to implement this approach at the level of the European Union (EU) using the Carbon Budget Model. Using EU country data, we show that forest sinks between 2013 and 2016 were greater than that assumed in the 2013-2020 EU reference level under the Kyoto Protocol, which would lead to credits of 110-120 Mt CO 2 /year (capped at 70-80 Mt CO 2 /year, equivalent to 1.3% of 1990 EU total emissions). By modelling the continuation of management practice documented historically (2000-2009), we show that these credits are mostly due to the inclusion in the reference levels of policy-assumed harvest increases that never materialized. With our proposed approach, harvest is expected to increase (12% in 2030 at EU-level, relative to 2000-2009), but more slowly than in current forest reference levels, and only because of age-related dynamics, i.e. increased growing stocks in maturing forests. Our science-based approach, compatible with the EU post-2020 climate legislation, helps to ensure that only genuine deviations from the continuation of historically documented forest management practices are accounted toward climate targets, therefore enhancing the consistency and comparability across GHG sectors. It provides flexibility for countries to increase harvest in future reference levels when justified by age-related dynamics. It offers a policy-neutral solution to the polarized debate on forest accounting (especially on bioenergy) and supports the credibility of forest sector mitigation under the Paris Agreement.

  16. Nonverbal behavior and the vertical dimension of social relations: a meta-analysis.

    PubMed

    Hall, Judith A; Coats, Erik J; LeBeau, Lavonia Smith

    2005-11-01

    The vertical dimension of interpersonal relations (relating to dominance, power, and status) was examined in association with nonverbal behaviors that included facial behavior, gaze, interpersonal distance, body movement, touch, vocal behaviors, posed encoding skill, and others. Results were separately summarized for people's beliefs (perceptions) about the relation of verticality to nonverbal behavior and for actual relations between verticality and nonverbal behavior. Beliefs/perceptions were stronger and much more prevalent than were actual verticality effects. Perceived and actual relations were positively correlated across behaviors. Heterogeneity was great, suggesting that verticality is not a psychologically uniform construct in regard to nonverbal behavior. Finally, comparison of the verticality effects to those that have been documented for gender in relation to nonverbal behavior revealed only a limited degree of parallelism.

  17. Gaining information about home visits in primary care: methodological issues from a feasibility study

    PubMed Central

    2014-01-01

    Background Home visits are part of general practice work in Germany. Within the context of an expanding elderly population and a decreasing number of general practitioner (GPs), open questions regarding the organisation and adequacy of GPs’ care in immobile patients remain. To answer these questions, we will conduct a representative primary data collection concerning contents and organisation of GPs’ home visits in 2014. Because this study will require considerable efforts for documentation and thus substantial involvement by participating GPs, we conducted a pilot study to see whether such a study design was feasible. Methods We used a mixed methods design with two study arms in a sample of teaching GPs of the University Halle. The quantitative arm evaluates participating GPs and documentation of home visits. The qualitative arm focuses on reasons for non-participation for GPs who declined to take part in the pilot study. Results Our study confirms previously observed reasons for non-response of GPs in the particular setting of home visits including lack of time and/or interest. In contrast to previous findings, monetary incentives were not crucial for GPs participation. Several factors influenced the documentation rate of home visits and resulted in a discrepancy between the numbers of home visits documented versus those actually conducted. The most frequently reported problem was related to obtaining patient consent, especially when patients were unable to provide informed consent due to cognitive deficits. Conclusions The results of our feasibility study provide evidence for improvement of the study design and study instruments to effectively conduct a documentation-intensive study of GPs doing home visits. Improvement of instructions and questionnaire regarding time variables and assessment of the need for home visits will be carried out to increase the reliability of future data. One particularly important methodological issue yet to be resolved is how to increase the representativeness of home visit care by including the homebound patient population that is unable to provide informed consent. PMID:24884460

  18. 76 FR 73020 - Agency Information Collection (Request for Transportation Expense Reimbursement): Activity Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... for Transportation Expense Reimbursement): Activity Under OMB Review AGENCY: Veterans Benefits... for Transportation Expense Reimbursement (38 CFR 21.8370). OMB Control Number: 2900-0580. Type of... transportation expenses. To be eligible, the child must provide supportive documentation of actual expenses...

  19. Informal Learning. Symposium 27. [AHRD Conference, 2001].

    ERIC Educational Resources Information Center

    2001

    This document contains three papers on informal learning and human resource development. "Workplace Learning Reviewed: Confronting the Rhetoric with Empirical Research" (Rob F. Poell, Ferd J. Van der Krogt) discusses the considerable discrepancy between theory on workplace learning and actual workplace learning-related developments in…

  20. Spool assembly support analysis

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

    Norman, B.F.

    1994-10-07

    This document provides the wind/seismic analysis and evaluation for the pump pit spool assemblies. Hand calculations were used for the analysis. UBC, AISC, and load factors were used in this evaluation. The results show that the actual loads are under the allowable loads and all requirements are met.

  1. A Study of Term Proximity and Document Weighting Normalization in Pseudo Relevance Feedback - UIUC at TREC 2009 Million Query Track

    DTIC Science & Technology

    2009-11-01

    is estimated using the Gaussian kernel function: c′(w, i) = N∑ j =1 c(w, j ) exp [−(i− j )2 2σ2 ] (2) where i and j are absolute positions of the...corresponding terms in the document, and N is the length of the document; c(w, j ) is the actual count of term w at position j . The PLM P (·|D, i) needs to...probability of rel- evance well. The distribution of relevance can be approximated as fol- lows: p(i|θrel) = ∑ j δ(Qj , i)∑ i ∑ j δ(Qj , i) (10

  2. Practice versus knowledge when it comes to pressure ulcer prevention.

    PubMed

    Provo, B; Piacentine, L; Dean-Baar, S

    1997-09-01

    This study was completed to determine the current knowledge and documentation patterns of nursing staff in the prevention of pressure ulcers and to identify the prevalence of pressure ulcers. This pre-post intervention study was carried out in three phases. In phase 1, 67 nursing staff members completed a modified version of Bostrom's Patient Skin Integrity Survey. A Braden Scale score, the presence of actual skin breakdown, and the presence of nursing documentation were collected for each patient (n = 43). Phase II consisted of a 20-minute educational session to all staff. In phase III, 51 nursing staff completed a second questionnaire similar to that completed in phase I. Patient data (n = 49) were again collected using the same procedure as phase I. Twenty-seven staff members completed questionnaires in both phase I and phase III of the study. No statistically significant differences were found in the knowledge of the staff before or after the educational session. The number of patients with a documented plan of care showed a statistically significant difference from phase I to phase III. The number of patients with pressure ulcers or at risk for pressure ulcer development (determined by a Braden Scale score of 16 or less) did not differ statistically from phase I to phase III. Knowledge about pressure ulcers in this sample of staff nurses was for the most part current and consistent with the recommendations in the Agency for Health Care Policy and Research guideline. Documentation of pressure ulcer prevention and treatment improved after the educational session. Although a significant change was noted in documentation, it is unclear whether it reflected an actual change in practice.

  3. Calculation algorithms for breath-by-breath alveolar gas exchange: the unknowns!

    PubMed

    Golja, Petra; Cettolo, Valentina; Francescato, Maria Pia

    2018-06-25

    Several papers (algorithm papers) describe computational algorithms that assess alveolar breath-by-breath gas exchange by accounting for changes in lung gas stores. It is unclear, however, if the effects of the latter are actually considered in literature. We evaluated dissemination of algorithm papers and the relevant provided information. The list of documents investigating exercise transients (in 1998-2017) was extracted from Scopus database. Documents citing the algorithm papers in the same period were analyzed in full text to check consistency of the relevant information provided. Less than 8% (121/1522) of documents dealing with exercise transients cited at least one algorithm paper; the paper of Beaver et al. (J Appl Physiol 51:1662-1675, 1981) was cited most often, with others being cited tenfold less. Among the documents citing the algorithm paper of Beaver et al. (J Appl Physiol 51:1662-1675, 1981) (N = 251), only 176 cited it for the application of their algorithm/s; in turn, 61% (107/176) of them stated the alveolar breath-by-breath gas exchange measurement, but only 1% (1/107) of the latter also reported the assessment of volunteers' functional residual capacity, a crucial parameter for the application of the algorithm. Information related to gas exchange was provided consistently in the methods and in the results in 1 of the 107 documents. Dissemination of algorithm papers in literature investigating exercise transients is by far narrower than expected. The information provided about the actual application of gas exchange algorithms is often inadequate and/or ambiguous. Some guidelines are provided that can help to improve the quality of future publications in the field.

  4. Application of Integrated Photogrammetric and Terrestrial Laser Scanning Data to Cultural Heritage Surveying

    NASA Astrophysics Data System (ADS)

    Klapa, Przemyslaw; Mitka, Bartosz; Zygmunt, Mariusz

    2017-12-01

    The terrestrial laser scanning technology has a wide spectrum of applications, from land surveying, civil engineering and architecture to archaeology. The technology is capable of obtaining, in a short time, accurate coordinates of points which represent the surface of objects. Scanning of buildings is therefore a process which ensures obtaining information on all structural elements a building. The result is a point cloud consisting of millions of elements which are a perfect source of information on the object and its surrounding. The photogrammetric techniques allow documenting an object in high resolution in the form of orthophoto plans, or are a basis to develop 2D documentation or obtain point clouds for objects and 3D modelling. Integration of photogrammetric data and TLS brings a new quality in surveying historic monuments. Historic monuments play an important cultural and historical role. Centuries-old buildings require constant renovation and preservation of their structural and visual invariability while maintaining safety of people who use them. The full process of surveying allows evaluating the actual condition of monuments and planning repairs and renovations. Huge sizes and specific types of historic monuments cause problems in obtaining reliable and full information on them. The TLS technology allows obtaining such information in a short time and is non-invasive. A point cloud is not only a basis for developing architectural and construction documentation or evaluation of actual condition of a building. It also is a real visualization of monuments and their entire environment. The saved image of object surface can be presented at any time and place. A cyclical TLS survey of historic monuments allows detecting structural changes and evaluating damage and changes that cause deformation of monument’s components. The paper presents application of integrated photogrammetric data and TLS illustrated on an example of historic monuments from southern Poland. The cartographic materials are a basis for determining the actual condition of monuments and performing repair works. The materials also supplement the archive of monuments by means of recording the actual image of a monument in a virtual space.

  5. Universal Access to HIV prevention, treatment and care: assessing the inclusion of human rights in international and national strategic plans

    PubMed Central

    Gruskin, Sofia; Tarantola, Daniel

    2012-01-01

    Rhetorical acknowledgment of the value of human rights for the AIDS response continues, yet practical application of human rights principles to national efforts appears to be increasingly deficient. We assess the ways in which international and national strategic plans and other core documents take into account the commitments made by countries to uphold human rights in their efforts towards achieving Universal Access. Key documents from the Joint United Nations Programme on HIV and AIDS (UNAIDS), the World Health Organization (WHO), the World Bank, the Global Fund to Fight AIDS, TB and Malaria (GFATM) and the US President’s Emergency Plan for AIDS Relief (PEPFAR) were reviewed along with 14 national HIV strategic plans chosen for their illustration of the diversity of HIV epidemic patterns, levels of income and geographical location. Whereas human rights concepts overwhelmingly appeared in both international and national strategic documents, their translation into actionable terms or monitoring frameworks was weak, unspecific or absent. Future work should analyse strategic plans, plans of operation, budgets and actual implementation so that full advantage can be taken, not only of the moral and legal value of human rights, but also their instrumental value for achieving Universal Access. PMID:18641464

  6. Organ donation in the ICU: A document analysis of institutional policies, protocols, and order sets.

    PubMed

    Oczkowski, Simon J W; Centofanti, John E; Durepos, Pamela; Arseneau, Erika; Kelecevic, Julija; Cook, Deborah J; Meade, Maureen O

    2018-04-01

    To better understand how local policies influence organ donation rates. We conducted a document analysis of our ICU organ donation policies, protocols and order sets. We used a systematic search of our institution's policy library to identify documents related to organ donation. We used Mindnode software to create a publication timeline, basic statistics to describe document characteristics, and qualitative content analysis to extract document themes. Documents were retrieved from Hamilton Health Sciences, an academic hospital system with a high volume of organ donation, from database inception to October 2015. We retrieved 12 active organ donation documents, including six protocols, two policies, two order sets, and two unclassified documents, a majority (75%) after the introduction of donation after circulatory death in 2006. Four major themes emerged: organ donation process, quality of care, patient and family-centred care, and the role of the institution. These themes indicate areas where documented institutional standards may be beneficial. Further research is necessary to determine the relationship of local policies, protocols, and order sets to actual organ donation practices, and to identify barriers and facilitators to improving donation rates. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Consolidated Development Objectives Document (CDOD) For MB-60

    NASA Technical Reports Server (NTRS)

    Greene, William D.

    2013-01-01

    This document defines the objectives related to liquid rocket engine system development to be undertaken by JAXA in support of the Space Launch System (SLS) Program managed out of the NASA Marshall Space Flight Center (MSFC). These objectives include furnishing the necessary management, labor, facilities, tools, equipment, and materials required to execute the specified activities. 1.1 Project Scope: The scope of this effort is to develop a rocket engine and associated products per the objectives and technical requirements established in this document. This engine, minus the engine controller, designated here as MB ]60, is to be developed through to a prequalification point of maturity. It is assumed that should JCNE ]1 development proceed beyond this maturity point towards actual flight qualification, the engine controller will be supplied and integrated by NASA. 1.2 Document Structure: The structure of this Consolidated Development Objectives Document (CDOD) includes a traditional description of objectives in a SOO, plus the associated Data Products Document (DPD) in an attached appendix, and then Engine Requirements Document (ERD) as another attached appendix. It is the intent that this document, in conjunction with the cited applicable documents, should constitute a complete programmatic and technical description of the development effort to be pursued.

  8. Aspiring Educational Leaders and the Internship: Voices from the Field

    ERIC Educational Resources Information Center

    Clayton, Jennifer Karyn

    2012-01-01

    This study examined the experiences of administrative interns at the completion of their experience, using a phenomenological framework, document analysis, semi-structured interviews and a survey. Findings indicate a disparity between theory espoused in programmes and actual practice of sitting administrators, ideological dissonance between…

  9. Taming the Technology.

    ERIC Educational Resources Information Center

    Clinton, Janeen S.

    This document reports on efforts to find technology-based solutions for the diverse challenges faced by students with disabling conditions. Twenty-three case studies describe actual scenarios experienced in the school district of Palm Beach County, Florida. For each case study, a situation is described, a challenge is identified, solutions are…

  10. Application of Stable Isotope Analysis to Understand Behavior of Chlorinated Solvents

    EPA Science Inventory

    The traditional approach of monitoring a reduction in the concentrations of contaminants at sites does not always offer compelling documentation that the contaminants are actually being degraded. When data on concentrations are the only data available, it is may be difficult or i...

  11. A Limitation with Least Squares Predictions

    ERIC Educational Resources Information Center

    Bittner, Teresa L.

    2013-01-01

    Although researchers have documented that some data make larger contributions than others to predictions made with least squares models, it is relatively unknown that some data actually make no contribution to the predictions produced by these models. This article explores such noncontributory data. (Contains 1 table and 2 figures.)

  12. NASAwide electronic publishing system: Prototype STI electronic document distribution, stage-4 evaluation report

    NASA Technical Reports Server (NTRS)

    Tuey, Richard C.; Collins, Mary; Caswell, Pamela; Haynes, Bob; Nelson, Michael L.; Holm, Jeanne; Buquo, Lynn; Tingle, Annette; Cooper, Bill; Stiltner, Roy

    1996-01-01

    This evaluation report contains an introduction, seven chapters, and five appendices. The Introduction describes the purpose, conceptual frame work, functional description, and technical report server of the STI Electronic Document Distribution (EDD) project. Chapter 1 documents the results of the prototype STI EDD in actual operation. Chapter 2 documents each NASA center's post processing publication processes. Chapter 3 documents each center's STI software, hardware, and communications configurations. Chapter 7 documents STI EDD policy, practices, and procedures. The appendices, which arc contained in Part 2 of this document, consist of (1) STI EDD Project Plan, (2) Team members, (3) Phasing Schedules, (4) Accessing On-line Reports, and (5) Creating an HTML File and Setting Up an xTRS. In summary, Stage 4 of the NASAwide Electronic Publishing System is the final phase of its implementation through the prototyping and gradual integration of each NASA center's electronic printing systems, desktop publishing systems, and technical report servers to be able to provide to NASA's engineers, researchers, scientists, and external users the widest practicable and appropriate dissemination of information concerning its activities and the result thereof to their work stations.

  13. LakeVOC; A Deterministic Model to Estimate Volatile Organic Compound Concentrations in Reservoirs and Lakes

    USGS Publications Warehouse

    Bender, David A.; Asher, William E.; Zogorski, John S.

    2003-01-01

    This report documents LakeVOC, a model to estimate volatile organic compound (VOC) concentrations in lakes and reservoirs. LakeVOC represents the lake or reservoir as a two-layer system and estimates VOC concentrations in both the epilimnion and hypolimnion. The air-water flux of a VOC is characterized in LakeVOC in terms of the two-film model of air-water exchange. LakeVOC solves the system of coupled differential equations for the VOC concentration in the epilimnion, the VOC concentration in the hypolimnion, the total mass of the VOC in the lake, the volume of the epilimnion, and the volume of the hypolimnion. A series of nine simulations were conducted to verify LakeVOC representation of mixing, dilution, and gas exchange characteristics in a hypothetical lake, and two additional estimates of lake volume and MTBE concentrations were done in an actual reservoir under environmental conditions. These 11 simulations showed that LakeVOC correctly handled mixing, dilution, and gas exchange. The model also adequately estimated VOC concentrations within the epilimnion in an actual reservoir with daily input parameters. As the parameter-input time scale increased (from daily to weekly to monthly, for example), the differences between the measured-averaged concentrations and the model-estimated concentrations generally increased, especially for the hypolimnion. This may be because as the time scale is increased from daily to weekly to monthly, the averaging of model inputs may cause a loss of detail in the model estimates.

  14. Einstein's creative thinking and the general theory of relativity: a documented report.

    PubMed

    Rothenberg, A

    1979-01-01

    A document written by Albert Einstein has recently come to light in which the eminent scientist described the actual sequence of his thoughts leading to the development of the general theory of relativity. The key creative thought was an instance of a type of creative cognition the author has previously designated "Janusian thinking," Janusian thinking consists of actively conceiving two or more opposite or antithetical concepts, ideas, or images simultaneously. This form of high-level secondary process cognition has been found to operate widely in art, science, and other fields.

  15. Software validation applied to spreadsheets used in laboratories working under ISO/IEC 17025

    NASA Astrophysics Data System (ADS)

    Banegas, J. M.; Orué, M. W.

    2016-07-01

    Several documents deal with software validation. Nevertheless, more are too complex to be applied to validate spreadsheets - surely the most used software in laboratories working under ISO/IEC 17025. The method proposed in this work is intended to be directly applied to validate spreadsheets. It includes a systematic way to document requirements, operational aspects regarding to validation, and a simple method to keep records of validation results and modifications history. This method is actually being used in an accredited calibration laboratory, showing to be practical and efficient.

  16. Wang OIS glossary package for reformatting documents telecommunicated to the OIS system

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

    Markow, S.R.

    1983-12-09

    Documents that are composed on a computer and then transmitted by telecommunications into a Wang Office Information System (OIS) word processing system need to be reformatted and cleaned up before they can be used properly as word processing documents suitable for further revisions or additions. This report describes a group of glossary entries created for the Wang OIS which simplifies the job of cleaning up telecommunicated documents. This glossary is a semi-automated process designed to eliminate most of the tedious work needed to be performed in removing extra spaces and returns, adjusting formats, moving material, repagination, using tabs or indents,more » and similar problems. The report briefly discusses the problems, describes the glossary approach to solving them, and gives instructions for actually using the glossary entries.« less

  17. WikiHyperGlossary (WHG): an information literacy technology for chemistry documents.

    PubMed

    Bauer, Michael A; Berleant, Daniel; Cornell, Andrew P; Belford, Robert E

    2015-01-01

    The WikiHyperGlossary is an information literacy technology that was created to enhance reading comprehension of documents by connecting them to socially generated multimedia definitions as well as semantically relevant data. The WikiHyperGlossary enhances reading comprehension by using the lexicon of a discipline to generate dynamic links in a document to external resources that can provide implicit information the document did not explicitly provide. Currently, the most common method to acquire additional information when reading a document is to access a search engine and browse the web. This may lead to skimming of multiple documents with the novice actually never returning to the original document of interest. The WikiHyperGlossary automatically brings information to the user within the current document they are reading, enhancing the potential for deeper document understanding. The WikiHyperGlossary allows users to submit a web URL or text to be processed against a chosen lexicon, returning the document with tagged terms. The selection of a tagged term results in the appearance of the WikiHyperGlossary Portlet containing a definition, and depending on the type of word, tabs to additional information and resources. Current types of content include multimedia enhanced definitions, ChemSpider query results, 3D molecular structures, and 2D editable structures connected to ChemSpider queries. Existing glossaries can be bulk uploaded, locked for editing and associated with multiple social generated definitions. The WikiHyperGlossary leverages both social and semantic web technologies to bring relevant information to a document. This can not only aid reading comprehension, but increases the users' ability to obtain additional information within the document. We have demonstrated a molecular editor enabled knowledge framework that can result in a semantic web inductive reasoning process, and integration of the WikiHyperGlossary into other software technologies, like the Jikitou Biomedical Question and Answer system. Although this work was developed in the chemical sciences and took advantage of open science resources and initiatives, the technology is extensible to other knowledge domains. Through the DeepLit (Deeper Literacy: Connecting Documents to Data and Discourse) startup, we seek to extend WikiHyperGlossary technologies to other knowledge domains, and integrate them into other knowledge acquisition workflows.

  18. Low-Cost Avionics Simulation for Aircrew Training.

    ERIC Educational Resources Information Center

    Edwards, Bernell J.

    This report documents an experiment to determine the training effectiveness of a microcomputer-based avionics system trainer as a cost-effective alternative to training in the actual aircraft. Participants--26 operationally qualified C-141 pilots with no prior knowledge of the Fuel Saving Advisory System (FSAS), a computerized fuel management…

  19. 40 CFR Appendix A to Subpart I of... - Determination of Allowable Costs

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the actual reasonable and necessary costs for preparing the pre-bid package. (4) Post-construction... built in conformance with the design drawings and specifications. f. The costs (including legal... from defects in the plans, design drawings and specifications, or other subagreement documents only to...

  20. 40 CFR Appendix A to Subpart I of... - Determination of Allowable Costs

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the actual reasonable and necessary costs for preparing the pre-bid package. (4) Post-construction... built in conformance with the design drawings and specifications. f. The costs (including legal... from defects in the plans, design drawings and specifications, or other subagreement documents only to...

  1. 40 CFR Appendix A to Subpart I of... - Determination of Allowable Costs

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... the actual reasonable and necessary costs for preparing the pre-bid package. (4) Post-construction... built in conformance with the design drawings and specifications. f. The costs (including legal... from defects in the plans, design drawings and specifications, or other subagreement documents only to...

  2. 22 CFR 1304.9 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... of producing the documents. (2) Searches—(i) Manual searches. Search fees will be assessed at the rate of $25.30 per hour. Charges for search time less than a full hour will be in increments of quarter hours. (ii) Computer searches. The FOIA Officer will charge the actual direct costs of conducting...

  3. 22 CFR 1304.9 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... of producing the documents. (2) Searches—(i) Manual searches. Search fees will be assessed at the rate of $25.30 per hour. Charges for search time less than a full hour will be in increments of quarter hours. (ii) Computer searches. The FOIA Officer will charge the actual direct costs of conducting...

  4. 22 CFR 1304.9 - Fees.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... of producing the documents. (2) Searches—(i) Manual searches. Search fees will be assessed at the rate of $25.30 per hour. Charges for search time less than a full hour will be in increments of quarter hours. (ii) Computer searches. The FOIA Officer will charge the actual direct costs of conducting...

  5. The Attribution of Universal or Personal Helplessness in Nondepressed and Depressed Elderly Females.

    ERIC Educational Resources Information Center

    Maiden, Robert J.

    The potential for feelings of hopelessness and depression in the aged is well documented. Although studies have examined the role of perceived control in ameliorating depression in the institutionalized elderly, no research has actually measured the perceived causal attributions among depressed, hopeless and/or institutionalized elderly…

  6. Examining U.S. and Spanish Annual Reports: Crisis Communication

    ERIC Educational Resources Information Center

    Palmer-Silveira, Juan C.; Ruiz-Garrido, Miguel F.

    2014-01-01

    Crisis has affected businesses worldwide. Many international corporations must cope with this turmoil, which affects their economic liability. Firms express their actual financial situation in the annual reports they issue every year. The annual report is a document that combines both promotional and informative features. Our study tries to find…

  7. Physical Access in ARL Libraries. SPEC Kit 27.

    ERIC Educational Resources Information Center

    Association of Research Libraries, Washington, DC. Office of Management Studies.

    Resulting from the Association of Research Libraries' (ARL) 1975 survey on user services, this kit presents documentation on and discusses developments in physical access services--services which facilitate the actual delivery of information sources to the user--including circulation, interlibrary loan, book delivery, and new media services. As…

  8. 7 CFR 250.54 - Recordkeeping and reviews.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... food service; (2) Documentation that the food service management company has credited it for the value... year, including, in accordance with the requirements in § 250.51(a), the value of donated foods contained in processed end products; and (3) The actual donated food values used in crediting. (b...

  9. Matematica Actual: Libro del Professor (Modern Mathematics: Teacher's Manual).

    ERIC Educational Resources Information Center

    Parot, Jean Jacques

    This document suggests learning activities for kindergarten children to develop skills of basic reasoning and numerical calculation that the children will be using throughout life. This teacher's guide provides a list of games and activities and discusses the relationship between the games and their themes and their intended educational…

  10. 24 CFR 570.208 - Criteria for national objectives.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... an activity that retains jobs, the recipient must document that the jobs would actually be lost... due to the insufficiency of the amount of the available funds, restrictions on the use of such funds...- and moderate-income persons to be considered is the creation or retention of jobs, except as provided...

  11. 24 CFR 570.208 - Criteria for national objectives.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... an activity that retains jobs, the recipient must document that the jobs would actually be lost... due to the insufficiency of the amount of the available funds, restrictions on the use of such funds...- and moderate-income persons to be considered is the creation or retention of jobs, except as provided...

  12. 24 CFR 570.208 - Criteria for national objectives.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... an activity that retains jobs, the recipient must document that the jobs would actually be lost... due to the insufficiency of the amount of the available funds, restrictions on the use of such funds...- and moderate-income persons to be considered is the creation or retention of jobs, except as provided...

  13. 24 CFR 570.208 - Criteria for national objectives.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... an activity that retains jobs, the recipient must document that the jobs would actually be lost... due to the insufficiency of the amount of the available funds, restrictions on the use of such funds...- and moderate-income persons to be considered is the creation or retention of jobs, except as provided...

  14. Mobile Phone Service Process Hiccups at Cellular Inc.

    ERIC Educational Resources Information Center

    Edgington, Theresa M.

    2010-01-01

    This teaching case documents an actual case of process execution and failure. The case is useful in MIS introductory courses seeking to demonstrate the interdependencies within a business process, and the concept of cascading failure at the process level. This case demonstrates benefits and potential problems with information technology systems,…

  15. The Impact of Codes of Conduct on Stakeholders

    ERIC Educational Resources Information Center

    Newman, Wayne R.

    2015-01-01

    The purpose of this study was to determine how an urban school district's code of conduct aligned with actual school/class behaviors, and how stakeholders perceived the ability of this document to achieve its number one goal: safe and productive learning environments. Twenty participants including students, teachers, parents, and administrators…

  16. LINKING EXPOSURE AND DOSIMETRY TO RISK FROM PHOTO-ACTIVATED TOXICITY OF PAHS

    EPA Science Inventory

    Hazard from photo-activation of PAHs has been well documented in aquatic organisms. Far less certain is the degree to which risk actually occurs in the field. One of the key difficulties in understanding this risk lies in quantifying exposure/dosimetry for both PAHs and UV radiat...

  17. Social Indicators, Policy Analysis and Simulation.

    ERIC Educational Resources Information Center

    Little, Dennis

    1972-01-01

    A secondary-level simulation designed to demonstrate the impact of policy, values, and technological and societal developments upon the quality of life within a hypothetical state is described. See related document ED 064 865 for availability of the actual game. By simulating the evaluation of policies in terms of social indicators, STAPOL (State…

  18. Experiments in Multi-Lingual Information Retrieval.

    ERIC Educational Resources Information Center

    Salton, Gerard

    A comparison was made of the performance in an automatic information retrieval environment of user queries and document abstracts available in natural language form in both English and French. The results obtained indicate that the automatic indexing and retrieval techniques actually used appear equally effective in handling the query and document…

  19. Ethics in the Information Exploitation and Manipulation Age

    ERIC Educational Resources Information Center

    Snow, Richard; Snow, Mary

    2007-01-01

    Purpose: The purpose of this paper is to elaborate the need to educate and encourage students to seek an ethical realm in which the researcher not only accurately analyses and documents a problem, but also actually advocates involvement to mitigate negative impacts. Design/methodology/approach: Geographic information systems (GIS) applications are…

  20. Sacred space, analytic space, the self, and god.

    PubMed

    Rizzuto, Ana-María

    2009-01-01

    Parental figures influence the type of religious experiences a person may have. Clinical material from the analysis of a young woman documents the importance of having an actual sacred space in which one can be oneself in religious life and a psychoanalytic space during treatment to progressively experience oneself.

  1. Children's Learning Practices in Ethiopia: Observations from Primary School Classes

    ERIC Educational Resources Information Center

    Frost, Melanie; Little, Angela W.

    2014-01-01

    This paper explores questions of relevance to Ethiopian primary education policy. It examines (i) the match/mismatch between government-prescribed pedagogy and actual student learning practices and (ii) the relationship between those practices and school, class and teacher level factors. The paper employs evidence from government documents on…

  2. Civil War Photography and Its Impact from 1863-1993.

    ERIC Educational Resources Information Center

    Seels, Jody M.; Seels, Barbara A.

    The United States Civil War was the first American war to be documented extensively by photographs, and these photographs have had tremendous impact and importance. During the war and immediately following, the cost and difficulty of reproducing photographs limited their appeal. Economic pressures actually caused Matthew Brady, the most famous…

  3. Preschool Teachers' Beliefs and Practices Related to Child-Centred Education in Turkey

    ERIC Educational Resources Information Center

    Sak, Ramazan; Tantekin-Erden, Feyza; Morrison, George S.

    2018-01-01

    This study describes the beliefs, self-reported practices and actual practices related to child-centred education of five female preschool teachers in Ankara, Turkey, and assesses the consistency between the participants' beliefs and practices. Data were collected through interviews, classroom observations and document review. The results…

  4. Extended Techniques in Trumpet Performance and Pedagogy

    ERIC Educational Resources Information Center

    Cherry, Amy K.

    2009-01-01

    The impetus for this study was the question of whether extended techniques are actually being taught in college trumpet studio settings as standard skills necessary on the instrument. The specific purposes of this document included: (1) catalogue the extended techniques available to today's trumpet performer, (2) reflect on their current use and…

  5. Why Baby Why: Howard Broomfield's Documentation of the Dunne-za Soundscape.

    ERIC Educational Resources Information Center

    Ridington, Robin

    1988-01-01

    Examines the acoustic environment and aural culture of the Dunne-za of northeastern British Columbia. Discusses the changing soundscape of a northern hunting people, techniques for recording and cataloging an ethnographic soundscape archive, and the use of audio actualities in producing ethnographic audio documentaries. (Author/SV)

  6. Explaining levels of within-group wage inequality in U.S. labor markets.

    PubMed

    McCall, L

    2000-11-01

    Most research on earnings inequality has focused on the growing gap between workers of different races and at different education, age, and income levels, but a large portion of the increasing inequality has actually occurred within these groups. This article focuses on the extent and sources of "within-group" wage inequality in more than 500 labor markets in the United States in 1990. In addition to documenting that within-group wage inequality across regions varies more widely today than over the past several decades, the analysis reveals that two frequently cited explanations of rising wage inequality over time have little impact on within-group wage inequality when measured at the local labor market level: (1) industrial shifts and (2) increased technology and trade. By contrast, flexible and insecure employment conditions (e.g., unemployment, contingent work, and immigration) are associated strongly with high local levels of within-group wage inequality, especially among women.

  7. Extensive video-game experience alters cortical networks for complex visuomotor transformations.

    PubMed

    Granek, Joshua A; Gorbet, Diana J; Sergio, Lauren E

    2010-10-01

    Using event-related functional magnetic resonance imaging (fMRI), we examined the effect of video-game experience on the neural control of increasingly complex visuomotor tasks. Previously, skilled individuals have demonstrated the use of a more efficient movement control brain network, including the prefrontal, premotor, primary sensorimotor and parietal cortices. Our results extend and generalize this finding by documenting additional prefrontal cortex activity in experienced video gamers planning for complex eye-hand coordination tasks that are distinct from actual video-game play. These changes in activation between non-gamers and extensive gamers are putatively related to the increased online control and spatial attention required for complex visually guided reaching. These data suggest that the basic cortical network for processing complex visually guided reaching is altered by extensive video-game play. Crown Copyright © 2009. Published by Elsevier Srl. All rights reserved.

  8. Multiple stresses from a single agent: Diverse responses to the experimental acidification of Little Rock Lake, Wisconsin

    USGS Publications Warehouse

    Frost, T.M.; Montz, P.K.; Kratz, T.K.; Badillo, T.; Brezonik, P.L.; Gonzalez, M.J.; Rada, R.G.; Watras, C.J.; Webster, K.E.; Wiener, J.G.; Williamson, C.E.; Morris, D.P.

    1999-01-01

    A single stress, acidification with sulfuric acid, was applied to Little Rack Lake in a whole-ecosystem manipulation. We documented a wide range of responses to the acidification, including increases in the concentrations of various chemicals, shifts in microbial processes and a major increase in water clarity to UV-B radiation. Each of these changes could in itself be considered as a separate ecosystem stress that is distinct from the intended manipulation. Acidification in Little Rock Lake was accompanied by a number of substantial changes in the occurrence of organisms. A series of detailed investigations indicates that the mechanisms underlying these organismal changes are varied but cannot usually be tied to the direct effects of acidification. Overall, our results demonstrate how multiple stresses can arise from a single agent operating on an ecosystem and suggest that singly operating stresses may actually be quite rare.

  9. Systems Maintenance Automated Repair Tasks (SMART)

    NASA Technical Reports Server (NTRS)

    2008-01-01

    SMART is an interactive decision analysis and refinement software system that uses evaluation criteria for discrepant conditions to automatically provide and populate a document/procedure with predefined steps necessary to repair a discrepancy safely, effectively, and efficiently. SMART can store the tacit (corporate) knowledge merging the hardware specification requirements with the actual "how to" repair methods, sequences, and required equipment, all within a user-friendly interface. Besides helping organizations retain repair knowledge in streamlined procedures and sequences, SMART can also help them in saving processing time and expense, increasing productivity, improving quality, and adhering more closely to safety and other guidelines. Though SMART was developed for Space Shuttle applications, its interface is easily adaptable to any hardware that can be broken down by component, subcomponent, discrepancy, and repair.

  10. Space Station needs, attributes and architectural options. Volume 2, book 1, part 3: Manned Space Station relevance to commercial telecommunications satellites

    NASA Technical Reports Server (NTRS)

    1983-01-01

    A document containing a forecast of satellite traffic and revelant technology trends to the year 2000 was prepared which includes those space station capabilities and characteristics that should be provided to make the station useful to commercial satellite owners. The document was circulated to key representative organizations within the commercial telecommunications satellite and related communities of interest, including spacecraft manufacturers, commercial satellite owners, communications carriers, networks and risk insurers. The prospectus document is presented as well as the transmittal letter and the mailing list of the people and companies that were asked to review it. Key commercial telecommunications comments are summarized the actual response letters from the industry are included.

  11. Foot strike patterns of runners at the 15-km point during an elite-level half marathon.

    PubMed

    Hasegawa, Hiroshi; Yamauchi, Takeshi; Kraemer, William J

    2007-08-01

    There are various recommendations by many coaches regarding foot landing techniques in distance running that are meant to improve running performance and prevent injuries. Several studies have investigated the kinematic and kinetic differences between rearfoot strike (RFS), midfoot strike (MFS), and forefoot strike (FFS) patterns at foot landing and their effects on running efficiency on a treadmill and over ground conditions. However, little is known about the actual condition of the foot strike pattern during an actual road race at the elite level of competition. The purpose of the present study was to document actual foot strike patterns during a half marathon in which elite international level runners, including Olympians, compete. Four hundred fifteen runners were filmed by 2 120-Hz video cameras in the height of 0.15 m placed at the 15.0-km point and obtained sagittal foot landing and taking off images for 283 runners. Rearfoot strike was observed in 74.9% of all analyzed runners, MFS in 23.7%, and FFS in 1.4%. The percentage of MFS was higher in the faster runners group, when all runners were ranked and divided into 50 runner groups at the 15.0-km point of the competition. In the top 50, which included up to the 69th place runner in actual order who passed the 15-km point at 45 minutes, 53 second (this speed represents 5.45 m x s(-1), or 15 minutes, 17 seconds per 5 km), RFS, MFS, and FFS were 62.0, 36.0, and 2.0%, respectively. Contact time (CT) clearly increased for the slower runners, or the placement order increased (r = 0.71, p < or = 0.05). The CT for RFS + FFS for every 50 runners group significantly increased with increase of the placement order. The CT for RFS was significantly longer than MFS + FFS (200.0 +/- 21.3 vs. 183.0 +/- 16 millisecond). Apparent inversion (INV) of the foot at the foot strike was observed in 42% of all runners. The percentage of INV for MFS was higher than for RFS and FFS (62.5, 32.0, and 50%, respectively). The CT with INV for MFS + FFS was significantly shorter than the CT with and without INV for RFS. Furthermore, the CT with INV was significantly shorter than push-off time without INV for RFS. The findings of this study indicate that foot strike patterns are related to running speed. The percentage of RFS increases with the decreasing of the running speed; conversely, the percentage of MFS increases as the running speed increases. A shorter contact time and a higher frequency of inversion at the foot contact might contribute to higher running economy.

  12. Task Management in the New ATLAS Production System

    NASA Astrophysics Data System (ADS)

    De, K.; Golubkov, D.; Klimentov, A.; Potekhin, M.; Vaniachine, A.; Atlas Collaboration

    2014-06-01

    This document describes the design of the new Production System of the ATLAS experiment at the LHC [1]. The Production System is the top level workflow manager which translates physicists' needs for production level processing and analysis into actual workflows executed across over a hundred Grid sites used globally by ATLAS. As the production workload increased in volume and complexity in recent years (the ATLAS production tasks count is above one million, with each task containing hundreds or thousands of jobs) there is a need to upgrade the Production System to meet the challenging requirements of the next LHC run while minimizing the operating costs. In the new design, the main subsystems are the Database Engine for Tasks (DEFT) and the Job Execution and Definition Interface (JEDI). Based on users' requests, DEFT manages inter-dependent groups of tasks (Meta-Tasks) and generates corresponding data processing workflows. The JEDI component then dynamically translates the task definitions from DEFT into actual workload jobs executed in the PanDA Workload Management System [2]. We present the requirements, design parameters, basics of the object model and concrete solutions utilized in building the new Production System and its components.

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

    Bogen, Paul Logasa; McKenzie, Amber T; Gillen, Rob

    Forensic document analysis has become an important aspect of investigation of many different kinds of crimes from money laundering to fraud and from cybercrime to smuggling. The current workflow for analysts includes powerful tools, such as Palantir and Analyst s Notebook, for moving from evidence to actionable intelligence and tools for finding documents among the millions of files on a hard disk, such as FTK. However, the analysts often leave the process of sorting through collections of seized documents to filter out the noise from the actual evidence to a highly labor-intensive manual effort. This paper presents the Redeye Analysismore » Workbench, a tool to help analysts move from manual sorting of a collection of documents to performing intelligent document triage over a digital library. We will discuss the tools and techniques we build upon in addition to an in-depth discussion of our tool and how it addresses two major use cases we observed analysts performing. Finally, we also include a new layout algorithm for radial graphs that is used to visualize clusters of documents in our system.« less

  14. NASAwide electronic publishing system-prototype STI electronic document distribution: Stage-4 evaluation report. Part 2; Appendices

    NASA Technical Reports Server (NTRS)

    Tuey, Richard C.; Collins, Mary; Caswell, Pamela; Haynes, Bob; Nelson, Michael L.; Holm, Jeanne; Buquo, Lynn; Tingle, Annette; Cooper, Bill; Stiltner, Roy

    1996-01-01

    This evaluation report contains an introduction, seven chapters, and five appendices. The Introduction describes the purpose, conceptual framework, functional description, and technical report server of the Scientific and Technical Information (STI) Electronic Document Distribution (EDD) project. Chapter 1 documents the results of the prototype STI EDD in actual operation. Chapter 2 documents each NASA center's post processing publication processes. Chapter 3 documents each center's STI software, hardware. and communications configurations. Chapter 7 documents STI EDD policy, practices, and procedures. The appendices consist of (A) the STI EDD Project Plan, (B) Team members, (C) Phasing Schedules, (D) Accessing On-line Reports, and (E) Creating an HTML File and Setting Up an xTRS. In summary, Stage 4 of the NASAwide Electronic Publishing System is the final phase of its implementation through the prototyping and gradual integration of each NASA center's electronic printing systems, desk top publishing systems, and technical report servers, to be able to provide to NASA's engineers, researchers, scientists, and external users, the widest practicable and appropriate dissemination of information concerning its activities and the result thereof to their work stations.

  15. "Keep on Truckin'" Literacy Program [for Adults]: Performance Report; Teacher's Handbook; Final External Evaluation Report.

    ERIC Educational Resources Information Center

    Indian Hills Community Coll., Ottumwa, IA.

    This document is composed of a performance report, a teacher's handbook, and an evaluation report of a workplace literacy program to prepare drivers for the Commercial Drivers' License examination. The performance report addresses actual accomplishments of five objectives. It identifies the number and characteristics of project participants who…

  16. Effective Integration of ICT in Singapore Schools: Pedagogical and Policy Implications

    ERIC Educational Resources Information Center

    Lim, Cher Ping

    2007-01-01

    This paper examines and analyses where and how information and communication technologies (ICT) are integrated in Singapore schools to engage students in higher-order thinking activities. Taking the activity system as a unit of analysis, the study documents the actual processes and sociocultural elements that engage students in higher-order…

  17. Studying the Accuracy of Software Process Elicitation: The User Articulated Model

    ERIC Educational Resources Information Center

    Crabtree, Carlton A.

    2010-01-01

    Process models are often the basis for demonstrating improvement and compliance in software engineering organizations. A descriptive model is a type of process model describing the human activities in software development that actually occur. The purpose of a descriptive model is to provide a documented baseline for further process improvement…

  18. PSSA Released Reading Items, 2000-2001. The Pennsylvania System of School Assessment.

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Education, Harrisburg. Bureau of Curriculum and Academic Services.

    This document contains materials directly related to the actual reading test of the Pennsylvania System of School Assessment (PSSA), including the reading rubric, released passages, selected-response questions with answer keys, performance tasks, and scored samples of students' responses to the tasks. All of these items may be duplicated to…

  19. What State Tests Test.

    ERIC Educational Resources Information Center

    McGee, Glenn W.

    What the Illinois Goal Assessment Program (IGAP) test actually tests and the consequences of these tests for funding decisions were studied with a random sample of 100 school districts in the Cook County suburbs of Chicago. Eighth-grade IGAP scores for reading were obtained from the state report card, a document prepared by each school district…

  20. Information Technology Usage for Epidemiological Functions in U.S. State Public Health Departments

    ERIC Educational Resources Information Center

    Stokes, Linda C.

    2012-01-01

    Information technology (IT) use for epidemiological purposes in state public health departments has been documented only for a limited number of specific applications, leaving questions about its actual utilization and hindering IT's potential for information sharing. Communications, stages of change, and systems theories all influence the…

  1. The Role of Children's Ethnicity in the Relationship between Teacher Ratings of Attention-Deficit/Hyperactivity Disorder and Observed Classroom Behavior

    ERIC Educational Resources Information Center

    Epstein, Jeffrey N.; Willoughby, Michael; Valencia, Elvia Y.; Tonev, Simon T.; Abikoff, Howard B.; Arnold, L. Eugene; Hinshaw, Stephen P.

    2005-01-01

    Significant ethnic differences have been consistently documented on attention-deficit/hyperactivity disorder (ADHD) teacher rating scales. Whether these ethnic differences result from a teacher rating bias or reflect actual classroom behavior patterns is unknown. Ethnic differences between Caucasian and African American (AA) elementary…

  2. Psychology in the Schools in International Perspective, Vol. 2.

    ERIC Educational Resources Information Center

    Catterall, Calvin D., Ed.

    The document is second in a series which examines actual and potential contributions of psychology toward solving problems of the world's schools. Written by school psychologists from 15 countries, this volume describes ways in which psychology is applied in the author's country, traces the background of school psychological services, reviews the…

  3. What is Happening in Rural Education Today: A Status Report.

    ERIC Educational Resources Information Center

    Tamblyn, Lewis R.

    Arrayed by size of place, the U.S. rural population consitutes 31.4 percent of total U.S. population. Unfortunately, "rural" and "rural education" are often discussed as if they were separate entities. Actually they are inextricably interwoven, for those very factors which describe rurality very much determine rural education. Documenting the…

  4. COMPARISON OF WEST GERMAN AND U.S. FLUE GAS DESULFURIZATION AND SELECTIVE CATALYTIC REDUCTION COSTS

    EPA Science Inventory

    The report documents a comparison of the actual cost retrofitting flue gas desulfurization (FGD) and selective catalytic reduction (SCR) on Federal Republic of German (FRG) boilers to cost estimating procedures used in the U.S. to estimate the retrofit of these controls on U.S. b...

  5. Engineering Safety- and Security-Related Requirements for Software-Intensive Systems

    DTIC Science & Technology

    2010-04-27

    Requirements Negative (shall not) Requirements Hardware Requirements equ remen s System / Documentation Requirements eve oper Requirements Operational ...Validation Actual / Proposed Defensibility C li Operational Vulnerability Analysis VulnerabilityVulnerability Safety Vulnerability performs System ...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson

  6. How to predict the spread and intensity of forest and range fires

    Treesearch

    Richard C. Rothermel

    1983-01-01

    This manual documents procedures for estimating the rate of forward spread, intensity, flame length, and size of fires burning in forests and rangelands. Contains instructions for obtaining fuel and weather data, calculating fire behavior, and interpreting the results for application to actual fire problems. This is a companion publication to "

  7. Could Stroke Trigger Be Prevented by Healthy Family Relationships?

    ERIC Educational Resources Information Center

    Rochette, Annie; Gaulin, Philippe; Tellier, Myriam

    2009-01-01

    Although major stroke risk factors are well documented, little is known about which life circumstances are perceived to be related to the actual triggering of a first stroke. The purpose was to explore self-perceived spontaneously related life circumstances surrounding the trigger of a first stroke. A qualitative design with a phenomenological…

  8. Beer and Fast Cars: How Brewers Target Blue-collar Youth through Motor Sport Sponsorships.

    ERIC Educational Resources Information Center

    Buchanan, David R.; Lev, Jane

    This study explored how motor sports sponsorships complement and amplify the brewers' media campaigns by joining masculinity, risk, excitement, and beer in the actual "lived" experiences of potential consumers. To document industry expenditures and justifications for motor sports sponsorship, trade journals and newsletters (N=25) and…

  9. Transgender People at Four Big Ten Campuses: A Policy Discourse Analysis

    ERIC Educational Resources Information Center

    Dirks, Doris Andrea

    2016-01-01

    This article examines the language used to discuss transgender people on university campuses. This study asks how, despite seemingly benefitting transgender people, the discourses carried by the documents that discuss trans people may actually undermine the intended goals of policy initiatives. For example, a report on the status of transgender…

  10. Effects of Classroom Cell Phone Use on Expected and Actual Learning

    ERIC Educational Resources Information Center

    Froese, Arnold D.; Carpenter, Christina N.; Inman, Denyse A.; Schooley, Jessica R.; Barnes, Rebecca B.; Brecht, Paul W.; Chacon, Jasmin D.

    2012-01-01

    Studies of driving indicate that the conversational aspects of using cell phones generate high risks from divided attention. Prior surveys document high rates at which students carry phones to and use them during class. Some experiments have demonstrated that cell phones distract students from learning. The present studies combined survey and…

  11. Accessing technical data bases using STDS: A collection of scenarios

    NASA Technical Reports Server (NTRS)

    Hardgrave, W. T.

    1975-01-01

    A line by line description is given of sessions using the set-theoretic data system (STDS) to interact with technical data bases. The data bases contain data from actual applications at NASA Langley Research Center. The report is meant to be a tutorial document that accompanies set processing in a network environment.

  12. Case Study on Codeswitching in a Japanese-English Bilingual Family

    ERIC Educational Resources Information Center

    Numadate, Jenny

    2008-01-01

    This paper showcases a case study documenting the intended and actual language practices of a Japanese-English bicultural family. The study focuses on a family consisting of a Japanese father, Australian mother, son and daughter living in Japan. The parents were interviewed by questionnaire to determine their intended language practices. The…

  13. Syllabus of Vocational High School Based on ESP Approach

    ERIC Educational Resources Information Center

    Dewi, Sri Utami

    2015-01-01

    This study is designed as a case study and concerned on qualitative data, which reflected what actually happened in the area. The principal, the English teachers and students are placed as the key informants. The data is gained from the informants by applying in depth interview, questionnaire, documentation and observation. The data are analyzed…

  14. We the Peoples: When American Education Began

    ERIC Educational Resources Information Center

    Warren, Donald

    2007-01-01

    "The accomplishments of Indians and their actual place in the story of the United States have never been remotely touched by ... [most] historians. The major reason for this omission is that a substantial number of practicing historians simply do not know the source documents with sufficient precision to make sense of them; ... They spend a…

  15. A Validation of Parafoveal Semantic Information Extraction in Reading Chinese

    ERIC Educational Resources Information Center

    Zhou, Wei; Kliegl, Reinhold; Yan, Ming

    2013-01-01

    Parafoveal semantic processing has recently been well documented in reading Chinese sentences, presumably because of language-specific features. However, because of a large variation of fixation landing positions on pretarget words, some preview words actually were located in foveal vision when readers' eyes landed close to the end of the…

  16. 32 CFR 750.27 - Information and supporting documentation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Federal agency. Upon written request, a copy of the report of the examining physician shall be provided... made for lost wages, a written statement from the employer itemizing actual time and wages lost; (v) If... States for the personal injury or the damages claimed. (3) Property damage. (i) Proof of ownership; (ii...

  17. A Lingua Franca for Africa. Esperanto Documents No. 36A.

    ERIC Educational Resources Information Center

    Farukuoye, Helga

    The actual possibilities for communication among Africans are unsatisfactory. While the north has adopted Arabic as its lingua franca, most African states south of the Sahara still use the language(s) of their former colonial masters as official languages, thereby neglecting their native languages. This situation excludes many people from higher…

  18. LABORATORY AND FIELD STUDIES TO EVALUATE RISKS TO LARVAL FISH FROM PHOTO-ACTIVATED TOXICITY OF PAHS

    EPA Science Inventory

    Hazard from photo-activation of PAHs has been well documented in aquatic organisms. Far less certain is the degree to which risk actually occurs in the field. This presentation outlines a series of laboratory and field experiments conducted to better understand the dosimetry and ...

  19. 19 CFR 133.13 - Documents and fee to accompany application.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 133.13 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY... persons not associated with or related to the applicant but having actual knowledge of the facts, stating that to his best knowledge and belief: (1) The applicant has used the trade name in connection with the...

  20. Documenting America's Country Schools.

    ERIC Educational Resources Information Center

    Gulliford, Andrew

    Oral history plays a vital role in accurate preservation of the rural school experience and the actual restoration of some of the country's 212,000 one-room school buildings. Oral histories provide valuable, first-hand information on who taught in and who attended one-room schools, what the curriculum included, what the building looked like, and…

  1. Flight test and evaluation of Omega navigation in a general aviation aircraft. Volume 2: Appendices

    NASA Technical Reports Server (NTRS)

    Howell, J. D.; Hoffman, W. C.; Hwoschinsky, P. V.; Wischmeyer, C. E.

    1975-01-01

    Detailed documentation for each flight of the Omega Flight Evaluation study is presented, including flight test description sheets and actual flight data plots. Computer programs used for data processing and flight planning are explained and the data formats utilized by the Custom Interface Unit are summarized.

  2. Determining nest predators of the Least Bell's Vireo through point counts, tracking stations, and video photography

    USGS Publications Warehouse

    Peterson, Bonnie L.; Kus, Barbara E.; Deutschman, Douglas H.

    2004-01-01

    We compared three methods to determine nest predators of the Least Bell's Vireo (Vireo bellii pusillus) in San Diego County, California, during spring and summer 2000. Point counts and tracking stations were used to identify potential predators and video photography to document actual nest predators. Parental behavior at depredated nests was compared to that at successful nests to determine whether activity (frequency of trips to and from the nest) and singing vs. non-singing on the nest affected nest predation. Yellow-breasted Chats (Icteria virens) were the most abundant potential avian predator, followed by Western Scrub-Jays (Aphelocoma californica). Coyotes (Canis latrans) were abundant, with smaller mammalian predators occurring in low abundance. Cameras documented a 48% predation rate with scrub-jays as the major nest predators (67%), but Virginia opossums (Didelphis virginiana, 17%), gopher snakes (Pituophis melanoleucus, 8%) and Argentine ants (Linepithema humile, 8%) were also confirmed predators. Identification of potential predators from tracking stations and point counts demonstrated only moderate correspondence with actual nest predators. Parental behavior at the nest prior to depredation was not related to nest outcome.

  3. The efficiency of utilization of potential donors for organ transplantation in Saudi Arabia: a pilot study.

    PubMed

    Al Sebayel, M I M; Khalaf, H A

    2004-09-01

    Organ shortage has been the main obstacle in the progress of organ transplantation in Saudi Arabia. The aim of this pilot study was to determine the percentage of potential donors among all deaths in Riyadh hospital intensive care units (ICUs). Mortality data were collected by a medical professional in each ICU and analyzed on weekly basis for 1 year (June 2001 through May 2002): The final analysis at the end of the year showed the number of brain death cases in all hospitals to be 114 out of 542 deaths. Fifty-four percent occurred in one hospital. Thirty-eight cases were reported to the Saudi Center for Organ Transplantation (33%). Documentation was completed in only 23 cases (60%). Only four cases became actual donors. In conclusion, there is underreporting of brain death cases. Dealing with the reported cases is inefficient since only four cases became actual donors out of 38. Improving the efficiency of ICUs in dealing with brain death cases (reporting, documentation, maintenance and consent) will require solving several problems at the medical, administrative, religious, and mass media levels.

  4. Investigation of thermolytic hydrogen generation rate of tank farm simulated and actual waste

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

    Martino, C.; Newell, D.; Woodham, W.

    To support resolution of Potential Inadequacies in the Safety Analysis for the Savannah River Site (SRS) Tank Farm, Savannah River National Laboratory conducted research to determine the thermolytic hydrogen generation rate (HGR) with simulated and actual waste. Gas chromatography methods were developed and used with air-purged flow systems to quantify hydrogen generation from heated simulated and actual waste at rates applicable to the Tank Farm Documented Safety Analysis (DSA). Initial simulant tests with a simple salt solution plus sodium glycolate demonstrated the behavior of the test apparatus by replicating known HGR kinetics. Additional simulant tests with the simple salt solutionmore » excluding organics apart from contaminants provided measurement of the detection and quantification limits for the apparatus with respect to hydrogen generation. Testing included a measurement of HGR on actual SRS tank waste from Tank 38. A final series of measurements examined HGR for a simulant with the most common SRS Tank Farm organics at temperatures up to 140 °C. The following conclusions result from this testing.« less

  5. A method for the determination of potentially profitable service patterns for commuter air carriers

    NASA Technical Reports Server (NTRS)

    Ransone, R. K.; Kuhlthau, A. R.; Deptula, D. A.

    1975-01-01

    A methodology for estimating market conception was developed as a part of the short-haul air transportation program. It is based upon an analysis of actual documents which provide a record of known travel history. Applying this methodology a forecast was made of the demand for an air feeder service between Charlottesville, Virginia and Dulles International Airport. Local business travel vouchers and local travel agent records were selected to provide the documentation. The market was determined to be profitable for an 8-passenger Cessna 402B aircraft flying a 2-hour daily service pattern designed to mesh to the best extent possible with the connecting schedules at Dulles. The Charlottesville - Dulles air feeder service market conception forecast and its methodology are documented.

  6. Actual and Potential Effects of Medical Resident Coverage on Reimbursement for Inpatient Visits by Attending Physicians

    PubMed Central

    Shine, Daniel; Jessen, Laurie; Bajaj, Jasmeet; Pencak, Dorothy; Panush, Richard

    2002-01-01

    CONTEXT The impact of residents on hospital finance has been studied; there are no data describing the economic effect of residents on attending physicians. OBJECTIVE In a community teaching hospital, we compared allowable inpatient visit codes and payments (based on documentation in the daily progress notes) between a general medicine teaching unit and nonteaching general medicine units. DESIGN Retrospective chart review, matched cohort study. SETTING Six hundred fifty–bed community teaching hospital. PATIENTS Patients were discharged July 1998 through February 1999 from Saint Barnabas Medical Center. We randomly selected 200 patients in quartets. Each quartet consisted of a pair of patients cared for by residents and a pair cared for only by an attending physician. In each pair, 1 of the patients was under the care of an attending physician who usually admitted to the teaching service, and 1 was under the care of a usually nonteaching attending. Within each quartet, patients were matched for diagnosis-related group, length of stay, and discharge date. MAIN OUTCOME MEASURES We assigned the highest daily visit code justifiable by resident and attending chart documentation, determining relative value units (RVUs) and reimbursements allowed by each patient's insurance company. RESULTS Although more seriously ill, teaching-unit patients generated a mean 1.75 RVUs daily, compared with 1.84 among patients discharged from nonteaching units (P = .3). Median reimbursement, daily and per hospitalization, was similar on teaching and nonteaching units. Nonteaching attendings documented higher mean daily RVUs than teaching attendings (1.83 vs 1.76, P = .2). Median allowable reimbursements were $267 per case ($53 daily) among teaching attendings compared with $294 per case ($58 daily) among nonteaching attendings (Z = 1.54, P = .1). When only the resident note was considered, mean daily RVUs increased 39% and median allowable dollars per day 27% (Z = 4.21, P < .001). CONCLUSIONS Nonteaching attendings appear to document their visits more carefully from a billing perspective than do teaching attendings. Properly counter-documented, resident notes could substantially increase payments to attending physicians. PMID:12133156

  7. 22 CFR 212.35 - Schedule of fees and method of payment for services rendered.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) Definitions. (1) Direct costs means those expenditures which the Agency actually incurs in searching for and... request. (2) Search includes all time spent looking for material that is responsive to a request, including page-by-page or line-by-line identification of material within documents. Line-by-line search will...

  8. 14 CFR Appendix to Part 331 - Application Form for Reimbursement Under Section 185 of Public Law 109-115

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... for the use of management, for the periods 1999 through 2005, that show your actual financial results... expenses, or special expenses (as described in the section captioned “What information must operators or... above information and all attached documents as true and accurate under penalty of law, and acknowledge...

  9. Bridging the Gap: Teachers Cooperating Together to Implement Cooperative Learning

    ERIC Educational Resources Information Center

    Jolliffe, Wendy

    2015-01-01

    Cooperative learning (CL), in spite of extensive research and documented benefits, is not widely used in England. A review of the literature shows that it requires a staged and sustained approach to implementation, which has led to a gap between its potential and actual use. The case study cited here provides one example of bridging that gap…

  10. Winchester High School Excellence in Education Grant: Reading and Writing across the Curriculum. Final Report.

    ERIC Educational Resources Information Center

    Winchester School District, MA.

    This collection of documents constitutes the final report of the first year of Winchester High School's federally funded reading and writing across the curriculum program. The project director's report presents an overview of the program and discusses anticipated and actual outcomes, including: (1) more systematic reading and writing activities in…

  11. The Use of a Parametric Feature Based CAD System to Teach Introductory Engineering Graphics.

    ERIC Educational Resources Information Center

    Howell, Steven K.

    1995-01-01

    Describes the use of a parametric-feature-based computer-aided design (CAD) System, AutoCAD Designer, in teaching concepts of three dimensional geometrical modeling and design. Allows engineering graphics to go beyond the role of documentation and communication and allows an engineer to actually build a virtual prototype of a design idea and…

  12. Disrupting the Forrest Gump Effect: Countering Suggestibility in the Social Studies Classroom through the Use of Actual Footage

    ERIC Educational Resources Information Center

    Nathan, Judith Raizy

    2017-01-01

    Film is a tool used in the social studies classroom, even if it contradicts documented history. Suggestibility, the incorporation of misinformation from historical feature film, is commonplace, and some social studies instructional methods exacerbate inaccurate memories. Existing research indicates that attempts to counter suggestibility have met…

  13. Navigating Competing Conceptions of Civic Education: Lessons from Three Israeli Civics Classrooms

    ERIC Educational Resources Information Center

    Cohen, Aviv

    2016-01-01

    The concentration of this study was the documentation and analysis of ways in which competing conceptions of citizenship play out in actual classroom settings. Examining three cases in the context of the Israeli education system, its findings show that civics teachers' views and beliefs influenced ways in which they interpreted the curriculum…

  14. Management for Educational Development in Sri Lanka.

    ERIC Educational Resources Information Center

    Fernando, Neil, Ed.

    This document reports on 4 broad action programs, constituting a total of 15 projects, in 4 pilot districts in Sri Lanka. The programs, part of a larger effort by the Ministry of Education to actualize policy guidelines, have been attempts to bridge gaps between the capability and efficiency of the established school system and the multiple levels…

  15. 78 FR 15374 - Notice of Availability of Draft Habitat Conservation Plan; Receipt of Application for Incidental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-11

    ... is 0.97 acres within the HCP boundary. Surveys have not been conducted for Hine's Emerald Dragonfly... pipeline maintenance to document the extent of actual excavation and site restoration. No surveys are... application, HCP, EAS) may be obtained on the Internet at the following address: http://www.fws.gov/midwest...

  16. 40 CFR 63.2853 - How do I determine the actual solvent loss?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... accounting month rather than a calendar month, you must document this measurement frequency selection in your... the solvent loss on an accounting month, as defined in § 63.2872, rather than a calendar month basis, and you have 12 complete accounting months of approximately equal duration in a calendar year, you may...

  17. Military Preparedness

    DTIC Science & Technology

    2015-09-01

    United States Army War College Department of Command, Leadership, and Management Carlisle Barracks, Carlisle, PA Military Preparednessa Dr...The question seems a simple one at the national level, but in defense management practice it is actually two questions rolled into one, and the...documents, readiness management processes and systems assess those capabilities and aid in remedial action to correct deficiencies. The second question is

  18. The Practice of Field Ecology: Insights for Science Education

    ERIC Educational Resources Information Center

    Bowen, G. Michael; Roth, Wolff-Michael

    2007-01-01

    In the past several years a number of authors have suggested that science education could benefit from insights gained by research in the social studies of science that documents and theorises science as it is actually done. There currently exist two gaps in the literature. First, most research in science studies are concerned with the practices…

  19. Lecture Recording System in Anatomy: Possible Benefit to Auditory Learners

    ERIC Educational Resources Information Center

    Bacro, Thierry R. H.; Gebregziabher, Mulugeta; Ariail, Jennie

    2013-01-01

    The literature reports that using Learning Recording Systems (LRS) is usually well received by students but that the pedagogical value of LRS in academic settings remains somewhat unclear. The primary aim of the current study is to document students' perceptions, actual pattern of usage, and impact of use of LRS on students' grade in a…

  20. Teachers and Students' Conceptions of Computer-Based Models in the Context of High School Chemistry: Elicitations at the Pre-Intervention Stage

    ERIC Educational Resources Information Center

    Waight, Noemi; Gillmeister, Kristina

    2014-01-01

    This study examined teachers' and students' initial conceptions of computer-based models--Flash and NetLogo models--and documented how teachers and students reconciled notions of multiple representations featuring macroscopic, submicroscopic and symbolic representations prior to actual intervention in eight high school chemistry…

  1. What Ever Happened to...? "Personalised Learning" as a Case of Policy Dissipation

    ERIC Educational Resources Information Center

    Maguire, Meg; Ball, Stephen J.; Braun, Annette

    2013-01-01

    While a great deal of attention has been given to evaluating how well policies are implemented, that is, how well they are realised in practice, less attention has been paid to understanding and documenting the ways in which schools actually deal with the multiple, and sometimes opaque and contradictory demands of different "types" of…

  2. Outcomes Research: Its Function as a Marketing Tool. AIR Forum 1979 Paper.

    ERIC Educational Resources Information Center

    Cooper, Edward M.; Leventhal, Richard C.

    The use of outcomes research as a marketing tool for postsecondary educational institutions is discussed. Few such institutions integrate outcomes information into the institutional marketing program. In most cases this type of information is used to document actual outcomes, but rarely is it used as an indicator of needed change or success of the…

  3. Teaching English in Indian Contexts: Toward a Pedagogic Model

    ERIC Educational Resources Information Center

    Kaushik, Sharda

    2011-01-01

    This study addresses an important problem in English pedagogy in one Outer Circle context, that of India, in that it investigates the match between the stated goals of English teaching in the policy documents and their implementation in actual curriculum, teaching and testing practices. In order to achieve a better match, the study suggests more…

  4. PBMA Pause and Learn Video Nuggets Transcript

    NASA Technical Reports Server (NTRS)

    Rogers, Ed

    2006-01-01

    This document is a transcript for a video about a practice practiced at Goddard Space Flight Center called Pause and Learn (PaL). The PaL process is intended to, first of all, help the team learn. So, the team that was involved in the activity, the group that actually did the work, that handled the review, or ran the tests, or developed the piece of equipment, they sit down and actually say, "What did we learn from this exercise?" The idea is to create a learning environment at various key milestones in the execution of a process, rather than wait until the end of the given process, be it a launch or a mission.

  5. Collaborative, case-based learning: how do students actually learn from each other?

    PubMed

    Thurman, Joanne; Volet, Simone E; Bolton, John R

    2009-01-01

    The value of collaborative, case-based, and problem-based learning has received increased attention in recent years. Several studies have documented veterinary staff and students' generally positive feedback on group learning activities, but one largely unaddressed question is how students actually learn from each other. This study examined how second-year veterinary students learned from each other during a collaborative, case-based learning project. Data were students' written reflections on their learning in the veterinary course and the specific learning experience, and a matched pre- and post-task questionnaire. Consistent with prior research describing veterinary students as individualistic learners, only a third of students spontaneously mentioned learning from each other as one of their most effective strategies. However, when prompted to describe a time when they felt that group members were really learning from each other, students reported highly valuable collaborative learning processes, which they explicitly linked to learning and understanding benefits. Questionnaire data were consistent, showing that students became more positive toward several aspects of the activity as well as toward group work in general. One unexpected finding was the lack of a relationship between students' self-evaluation of their learning and how well group members knew each other. These findings provide strong support for the educational value of collaborative, case-based learning. In light of other research evidence (using observation data) that the amount of time students actually engage in high-level collaborative processes may be rather limited, this article points to the need for veterinary teachers to better prepare students for group learning activities.

  6. Formal analysis of the surgical pathway and development of a new software tool to assist surgeons in the decision making in primary breast surgery.

    PubMed

    Catanuto, Giuseppe; Pappalardo, Francesco; Rocco, Nicola; Leotta, Marco; Ursino, Venera; Chiodini, Paolo; Buggi, Federico; Folli, Secondo; Catalano, Francesca; Nava, Maurizio B

    2016-10-01

    The increased complexity of the decisional process in breast cancer surgery is well documented. With this study we aimed to create a software tool able to assist patients and surgeons in taking proper decisions. We hypothesized that the endpoints of breast cancer surgery could be addressed combining a set of decisional drivers. We created a decision support system software tool (DSS) and an interactive decision tree. A formal analysis estimated the information gain derived from each feature in the process. We tested the DSS on 52 patients and we analyzed the concordance of decisions obtained by different users and between the DSS suggestions and the actual surgery. We also tested the ability of the system to prevent post breast conservation deformities. The information gain revealed that patients preferences are the root of our decision tree. An observed concordance respectively of 0.98 and 0.88 was reported when the DSS was used twice by an expert operator or by a newly trained operator vs. an expert one. The observed concordance between the DSS suggestion and the actual decision was 0.69. A significantly higher incidence of post breast conservation defects was reported among patients who did not follow the DSS decision (Type III of Fitoussi, N = 4; 33.3%, p = 0.004). The DSS decisions can be reproduced by operators with different experience. The concordance between suggestions and actual decision is quite low, however the DSS is able to prevent post- breast conservation deformities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Agreement Between Actigraphy and Diary-Recorded Measures of Sleep in Children With Epilepsy.

    PubMed

    Tsai, Shao-Yu; Lee, Wang-Tso; Lee, Chien-Chang; Jeng, Suh-Fang; Weng, Wen-Chin

    2018-03-01

    To describe sleep patterns in young children with epilepsy and to examine levels of agreement between measurements derived from actigraphy and diary recordings. Cross-sectional study. Eighty-nine toddlers and preschool-aged children with epilepsy wore an actigraph on their wrists for 7 consecutive days. Parents and caregivers maintained a concurrent sleep diary while the child was wearing the monitor. Levels of agreement between actigraphy and diary recordings were examined using the Bland and Altman method separately for all recording days, weekdays, and weekends. Discrepancies between actigraphy-derived and diary-documented sleep onset, sleep offset, actual sleep at night, wake after sleep onset, and daytime sleep were ±35, ±15, ±82, ±70, and ±29 min, respectively. Differences between actigraphy and diary-derived sleep variables were consistently greater for weekends than for weekdays. Discrepancies between actigraphy and diary-derived actual sleep at night were significantly greater for children who slept alone than for those who co-slept with a parent. Our study demonstrates an acceptable agreement between actigraphy and diary recordings for sleep onset, sleep offset, and daytime sleep, but insufficient agreement for actual sleep at night and wake after sleep onset, with parents of children sleeping alone more likely to misestimate child sleep behaviors. Deviation of weekend sleep from weekdays further decreased the accuracy of parental sleep estimates and increased the discrepancies between actigraphy and diary. Sleep in children with epilepsy assessed using diary recordings alone could be misleading, and actigraphy should be preferred over diaries when resources are available. © 2017 Sigma Theta Tau International.

  8. Bird mortality during nocturnal migration over Lake Michigan: A case study

    USGS Publications Warehouse

    Diehl, Robert H.; Bates, John M.; Willard, David E.; Gnoske, Thomas P.

    2014-01-01

    Millions of birds die each year during migration. Most of this mortality goes unobserved and conditions surrounding the actual events are often not thoroughly documented. We present a case study of substantial migrant casualties along the shores of southwestern Lake Michigan during May 1996 when we found 2,981 dead birds of 114 species, mostly migrant passerines. An unusual sequence of events allowed us to document the circumstances surrounding this migratory bird kill. Bird carcasses appeared on the southwestern shores of Lake Michigan in the days following storm systems that produced high rain and in one case, hail. Encounters between birds and precipitation over open water were recorded by weather radar, and were followed by winds that drifted dead birds toward highly populated shorelines where the kill was observed and documented. Climatologically, May 1996 was exceptional for producing weather conditions that both killed birds en masse and allowed the mortality to be documented. As a result, this is one of the more thoroughly documented instances of a weather-related mass mortality event during migration.

  9. Yucca Mountain licensing support network archive assistant.

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

    Dunlavy, Daniel M.; Bauer, Travis L.; Verzi, Stephen J.

    2008-03-01

    This report describes the Licensing Support Network (LSN) Assistant--a set of tools for categorizing e-mail messages and documents, and investigating and correcting existing archives of categorized e-mail messages and documents. The two main tools in the LSN Assistant are the LSN Archive Assistant (LSNAA) tool for recategorizing manually labeled e-mail messages and documents and the LSN Realtime Assistant (LSNRA) tool for categorizing new e-mail messages and documents. This report focuses on the LSNAA tool. There are two main components of the LSNAA tool. The first is the Sandia Categorization Framework, which is responsible for providing categorizations for documents in anmore » archive and storing them in an appropriate Categorization Database. The second is the actual user interface, which primarily interacts with the Categorization Database, providing a way for finding and correcting categorizations errors in the database. A procedure for applying the LSNAA tool and an example use case of the LSNAA tool applied to a set of e-mail messages are provided. Performance results of the categorization model designed for this example use case are presented.« less

  10. From Disinformation to Wishful Thinking

    NASA Astrophysics Data System (ADS)

    Oreskes, N.; Conway, E. M.

    2014-12-01

    In our book, Merchants of Doubt, we documented how deliberate disinformation campaigns served to confuse the American people about the reality and significance of climate change over more than two decades. We showed how a variety of strategies were used to persuade the public that the scientific "jury was still out" on climate change, including deliberate mispresentation of facts, cherry-picking of evidence, and personal attacks on scientists. And we documented the links, both conceptual and actual, between doubt-mongering about climate change and the rejection of scientific evidence of the harms of tobacco, acid rain, the ozone hole, nuclear winter, and DDT. These tactics are still in use today, but they are now reinforced by a new problem, the problem of wishful thinking. Increasingly, we see commentators who accept the reality of climate change assuring us that the problem can be solved by natural gas, or even by some as yet unknown and uninvented technological innovations. In this paper we argue that these forms of wishful thinking, while not malicious in the same way that previous doubt-mongering campaigns have been, contribute substantially to scientific illiteracy and misunderstanding both of the character of the challenges that we face and of the history of technological innovation.

  11. Videofile for Law Enforcement

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Components of a videotape storage and retrieval system originally developed for NASA have been adapted as a tool for law enforcement agencies. Ampex Corp., Redwood City, Cal., built a unique system for NASA-Marshall. The first application of professional broadcast technology to computerized record-keeping, it incorporates new equipment for transporting tapes within the system. After completing the NASA system, Ampex continued development, primarily to improve image resolution. The resulting advanced system, known as the Ampex Videofile, offers advantages over microfilm for filing, storing, retrieving, and distributing large volumes of information. The system's computer stores information in digital code rather than in pictorial form. While microfilm allows visual storage of whole documents, it requires a step before usage--developing the film. With Videofile, the actual document is recorded, complete with photos and graphic material, and a picture of the document is available instantly.

  12. Use of Image Based Modelling for Documentation of Intricately Shaped Objects

    NASA Astrophysics Data System (ADS)

    Marčiš, M.; Barták, P.; Valaška, D.; Fraštia, M.; Trhan, O.

    2016-06-01

    In the documentation of cultural heritage, we can encounter three dimensional shapes and structures which are complicated to measure. Such objects are for example spiral staircases, timber roof trusses, historical furniture or folk costume where it is nearly impossible to effectively use the traditional surveying or the terrestrial laser scanning due to the shape of the object, its dimensions and the crowded environment. The actual methods of digital photogrammetry can be very helpful in such cases with the emphasis on the automated processing of the extensive image data. The created high resolution 3D models and 2D orthophotos are very important for the documentation of architectural elements and they can serve as an ideal base for the vectorization and 2D drawing documentation. This contribution wants to describe the various usage of image based modelling in specific interior spaces and specific objects. The advantages and disadvantages of the photogrammetric measurement of such objects in comparison to other surveying methods are reviewed.

  13. Standardization of left atrial, right ventricular, and right atrial deformation imaging using two-dimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging.

    PubMed

    Badano, Luigi P; Kolias, Theodore J; Muraru, Denisa; Abraham, Theodore P; Aurigemma, Gerard; Edvardsen, Thor; D'Hooge, Jan; Donal, Erwan; Fraser, Alan G; Marwick, Thomas; Mertens, Luc; Popescu, Bogdan A; Sengupta, Partho P; Lancellotti, Patrizio; Thomas, James D; Voigt, Jens-Uwe

    2018-03-27

    The EACVI/ASE/Industry Task Force to standardize deformation imaging prepared this consensus document to standardize definitions and techniques for using two-dimensional (2D) speckle tracking echocardiography (STE) to assess left atrial, right ventricular, and right atrial myocardial deformation. This document is intended for both the technical engineering community and the clinical community at large to provide guidance on selecting the functional parameters to measure and how to measure them using 2D STE.This document aims to represent a significant step forward in the collaboration between the scientific societies and the industry since technical specifications of the software packages designed to post-process echocardiographic datasets have been agreed and shared before their actual development. Hopefully, this will lead to more clinically oriented software packages which will be better tailored to clinical needs and will allow industry to save time and resources in their development.

  14. Cultural diversity: blind spot in medical curriculum documents, a document analysis.

    PubMed

    Paternotte, Emma; Fokkema, Joanne P I; van Loon, Karsten A; van Dulmen, Sandra; Scheele, Fedde

    2014-08-22

    Cultural diversity among patients presents specific challenges to physicians. Therefore, cultural diversity training is needed in medical education. In cases where strategic curriculum documents form the basis of medical training it is expected that the topic of cultural diversity is included in these documents, especially if these have been recently updated. The aim of this study was to assess the current formal status of cultural diversity training in the Netherlands, which is a multi-ethnic country with recently updated medical curriculum documents. In February and March 2013, a document analysis was performed of strategic curriculum documents for undergraduate and postgraduate medical education in the Netherlands. All text phrases that referred to cultural diversity were extracted from these documents. Subsequently, these phrases were sorted into objectives, training methods or evaluation tools to assess how they contributed to adequate curriculum design. Of a total of 52 documents, 33 documents contained phrases with information about cultural diversity training. Cultural diversity aspects were more prominently described in the curriculum documents for undergraduate education than in those for postgraduate education. The most specific information about cultural diversity was found in the blueprint for undergraduate medical education. In the postgraduate curriculum documents, attention to cultural diversity differed among specialties and was mainly superficial. Cultural diversity is an underrepresented topic in the Dutch documents that form the basis for actual medical training, although the documents have been updated recently. Attention to the topic is thus unwarranted. This situation does not fit the demand of a multi-ethnic society for doctors with cultural diversity competences. Multi-ethnic countries should be critical on the content of the bases for their medical educational curricula.

  15. Cultural diversity: blind spot in medical curriculum documents, a document analysis

    PubMed Central

    2014-01-01

    Background Cultural diversity among patients presents specific challenges to physicians. Therefore, cultural diversity training is needed in medical education. In cases where strategic curriculum documents form the basis of medical training it is expected that the topic of cultural diversity is included in these documents, especially if these have been recently updated. The aim of this study was to assess the current formal status of cultural diversity training in the Netherlands, which is a multi-ethnic country with recently updated medical curriculum documents. Methods In February and March 2013, a document analysis was performed of strategic curriculum documents for undergraduate and postgraduate medical education in the Netherlands. All text phrases that referred to cultural diversity were extracted from these documents. Subsequently, these phrases were sorted into objectives, training methods or evaluation tools to assess how they contributed to adequate curriculum design. Results Of a total of 52 documents, 33 documents contained phrases with information about cultural diversity training. Cultural diversity aspects were more prominently described in the curriculum documents for undergraduate education than in those for postgraduate education. The most specific information about cultural diversity was found in the blueprint for undergraduate medical education. In the postgraduate curriculum documents, attention to cultural diversity differed among specialties and was mainly superficial. Conclusions Cultural diversity is an underrepresented topic in the Dutch documents that form the basis for actual medical training, although the documents have been updated recently. Attention to the topic is thus unwarranted. This situation does not fit the demand of a multi-ethnic society for doctors with cultural diversity competences. Multi-ethnic countries should be critical on the content of the bases for their medical educational curricula. PMID:25150546

  16. Knowledge cannot explain the developmental growth of working memory capacity.

    PubMed

    Cowan, Nelson; Ricker, Timothy J; Clark, Katherine M; Hinrichs, Garrett A; Glass, Bret A

    2015-01-01

    According to some views of cognitive growth, the development of working memory capacity can account for increases in the complexity of cognition. It has been difficult to ascertain, though, that there actually is developmental growth in capacity that cannot be attributed to other developing factors. Here we assess the role of item familiarity. We document developmental increases in working memory for visual arrays of English letters versus unfamiliar characters. Although letter knowledge played a special role in development between the ages of 6 and 8 years, children with adequate letter knowledge showed practically the same developmental growth in normalized functions for letters and unfamiliar characters. The results contribute to a growing body of evidence that the developmental improvement in working memory does not wholly stem from supporting processes such as encoding, mnemonic strategies, and knowledge. A video abstract is available at: https://www.youtube.com/watch?v=LJdqErLR2Hs&feature=youtu.be. © 2014 John Wiley & Sons Ltd.

  17. Use of simulated evaporation to assess the potential for scale formation during reverse osmosis desalination

    USGS Publications Warehouse

    Huff, G.F.

    2004-01-01

    The tendency of solutes in input water to precipitate efficiency lowering scale deposits on the membranes of reverse osmosis (RO) desalination systems is an important factor in determining the suitability of input water for desalination. Simulated input water evaporation can be used as a technique to quantitatively assess the potential for scale formation in RO desalination systems. The technique was demonstrated by simulating the increase in solute concentrations required to form calcite, gypsum, and amorphous silica scales at 25??C and 40??C from 23 desalination input waters taken from the literature. Simulation results could be used to quantitatively assess the potential of a given input water to form scale or to compare the potential of a number of input waters to form scale during RO desalination. Simulated evaporation of input waters cannot accurately predict the conditions under which scale will form owing to the effects of potentially stable supersaturated solutions, solution velocity, and residence time inside RO systems. However, the simulated scale-forming potential of proposed input waters could be compared with the simulated scale-forming potentials and actual scale-forming properties of input waters having documented operational histories in RO systems. This may provide a technique to estimate the actual performance and suitability of proposed input waters during RO.

  18. Challenges to Laser-Based Imaging Techniques in Gas Turbine Combustor Systems for Aerospace Applications

    NASA Technical Reports Server (NTRS)

    Locke, Randy J.; Anderson, Robert C.; Zaller, Michelle M.; Hicks, Yolanda R.

    1998-01-01

    Increasingly severe constraints on emissions, noise and fuel efficiency must be met by the next generation of commercial aircraft powerplants. At NASA Lewis Research Center (LeRC) a cooperative research effort with industry is underway to design and test combustors that will meet these requirements. To accomplish these tasks, it is necessary to gain both a detailed understanding of the combustion processes and a precise knowledge of combustor and combustor sub-component performance at close to actual conditions. To that end, researchers at LeRC are engaged in a comprehensive diagnostic investigation of high pressure reacting flowfields that duplicate conditions expected within the actual engine combustors. Unique, optically accessible flame-tubes and sector rig combustors, designed especially for these tests. afford the opportunity to probe these flowfields with the most advanced, laser-based optical diagnostic techniques. However, these same techniques, tested and proven on comparatively simple bench-top gaseous flame burners, encounter numerous restrictions and challenges when applied in these facilities. These include high pressures and temperatures, large flow rates, liquid fuels, remote testing, and carbon or other material deposits on combustor windows. Results are shown that document the success and versatility of these nonintrusive optical diagnostics despite the challenges to their implementation in realistic systems.

  19. Music as therapy in early history.

    PubMed

    Thaut, Michael H

    2015-01-01

    The notion of music as therapy is based on ancient cross-cultural beliefs that music can have a "healing" effect on mind and body. Explanations for the therapeutic mechanisms in music have almost always included cultural and social science-based causalities about the uses and functions of music in society. However, it is also important to note that the view of music as "therapy" was also always strongly influenced by the view and understanding of the concepts and causes of disease. Magical/mystical concepts of illness and "rational" medicine probably lived side by side for thousands of years. Not until the late-nineteenth and early-twentieth centuries were the scientific foundations of medicine established, which allowed the foundations of music in therapy to progress from no science to soft science and most recently to actual brain science. Evidence for "early music therapy" will be discussed in four broad historical-cultural divisions: preliterate cultures; early civilizations in Mesopotamia, Egypt, Israel; Greek Antiquity; Middle Ages, Renaissance, and Baroque. In reviewing "early music therapy" practice, from mostly unknown periods of early history (using preliterate cultures as a window) to increasingly better documented times, including preserved notation samples of actual "healing" music, five theories and applications of early music therapy can be differentiated. © 2015 Elsevier B.V. All rights reserved.

  20. Actual and Ideal Decision-Making Processes Utilized in Senior High Schools That Individualize Instruction. Technical Report No. 460.

    ERIC Educational Resources Information Center

    Watkins, Arthur Noel

    The purpose of this study was to identify and describe the decision-making processes in senior high schools that were implementing programs of individualized schooling. Field methodology, including interviews, observations, and analysis of documents, was used to gather data in six senior high schools of varying size located throughout the country,…

  1. Developing and Testing a New Measurement Instrument for Documenting Instrumental Knowledge Utilisation: The Degrees of Knowledge Utilization (DoKU) Scale

    ERIC Educational Resources Information Center

    Bøllingtoft Knudsen, Søren

    2018-01-01

    Focus on evidence-based policymaking is greater than ever, and public spending on evaluations is rising. A primary merit of these expenditures is that politicians actually use new knowledge instrumentally--to influence and inform decision making. Nevertheless, we know surprisingly little about whether and how research-based knowledge is utilised.…

  2. Developing a Community of Critically Literate Consumers . . . One Close Label-Reading at a Time

    ERIC Educational Resources Information Center

    Reissman, Rose Cherie

    2012-01-01

    This article focuses on middle school students analyzing product labels. The labels were analyzed in terms of which facts they purported to impart and to what extent these so-called facts tallied with actual data and scientific/health analyses of the products. Students then reworded the labels to include only documented facts. They also shared the…

  3. Critical Behaviors in Psychiatric-Mental Health Nursing. Volume 1: A Survey of Mental Health Nursing Practices.

    ERIC Educational Resources Information Center

    Jacobs, Angeline Marchese; And Others

    This document describes the methodology followed in obtaining abstracts (see volumes 2 and 3) of more than 8,000 critical behaviors of nurses and attendants in delivering care in 50 psychiatric and mental health facilities throughout the country. The abstracts were derived from reports of actual observations by 1,785 mental health practitioners in…

  4. Economic Evaluation of New Technologies in Higher Education. N.I.E. Report Phase 1, Volume 7 of 7.

    ERIC Educational Resources Information Center

    Heriot-Watt Univ., Edinburgh (Scotland). Esmee Fairbairn Economics Research Centre.

    Part of a series of instructional packages for use in college level economics courses, this document contains nine lecture outlines on macroeconomics. The first section deals with basic macroeconomic concepts in terms of underlying microeconomic behavior, national income and product accounting, nominal and real GNP, actual and potential GNP, and…

  5. Public Secondary School Dropouts in Pennsylvania 2003-04. Report to the General Assembly

    ERIC Educational Resources Information Center

    Hruska, Richard A., Comp.

    2005-01-01

    Act 49 of 1987 requires the Secretary of Education to provide the General Assembly with an annual report on public school dropouts in Pennsylvania. The purpose of this report is to document the actual number of students who drop out each year and to provide various characteristics about these students. The type of data collected about each dropout…

  6. Public Secondary School Dropouts in Pennsylvania, 2002-03. Report to the General Assembly.

    ERIC Educational Resources Information Center

    Hruska, Richard A., Comp.

    2004-01-01

    Act 49 of 1987 requires the Secretary of Education to provide the General Assembly with an annual report on public school dropouts in Pennsylvania. The purpose of this report is to document the actual number of students who drop out each year and to provide various characteristics about these students. The type of data collected about each dropout…

  7. Public Secondary School Dropouts in Pennsylvania 2005-06: Report to the General Assembly

    ERIC Educational Resources Information Center

    Bobek, Joanne R., Comp.

    2007-01-01

    Act 49 of 1987 requires the Secretary of Education to provide the General Assembly with an annual report on public school dropouts in Pennsylvania. The purpose of this report is to document the actual number of students who drop out each year and to provide various characteristics about these students. The type of data collected about each dropout…

  8. Earth Science

    NASA Image and Video Library

    2002-12-04

    International Space Station (ISS) crew members were able to document a rare occurrence. The dark area near the center of the frame is actually a shadow cast by the moon during the total solar eclipse of December 4, 2002. The shadow obscures an area of cloud cover. The Station, with three Expedition Six crew members aboard, was over the Indian Ocean at the time of the eclipse.

  9. A Closer Look at a Summer Reading Program: Listening to Students and Parents

    ERIC Educational Resources Information Center

    Compton-Lilly, Catherine; Caloia, Rachel; Quast, Erin; McCann, Kelly

    2016-01-01

    While existing research documents the effectiveness of summer reading programs, little is know about how and to what degree children actually read the books that are sent home or how families engage with these texts. We took this opportunity to dive in and explore what happened when books were sent home to low-income, culturally diverse families.…

  10. MSFC Skylab Kohoutek project report

    NASA Technical Reports Server (NTRS)

    1974-01-01

    Skylab 4 experiment's selection for observing of the Comet Kohoutek, 1973f is documented. The report also reflects premission planning versus the actual experiment performance based upon the changing cometary parameters. The experiment concepts, hardware, operational performance and anaomalies are discussed. Experiments which viewed the comet were mainly through the SAL and ATM, but some were handheld and EVA. A complete astronaut commentary appears as appendixes.

  11. Intelligence--Group Administered, Grades 4-6. Collection. Annotated Bibliography of Tests.

    ERIC Educational Resources Information Center

    Educational Testing Service, Princeton, NJ. Test Collection.

    Most of the 28 tests included in this bibliography assess intelligence and provide an actual I.Q. score or one that is statistically similar. (A complete list of mental or cognitive ability tests is available separately.) Although all ages are represented, the majority of tests are targeted to grades 4 through 6. This document is one in a series…

  12. Instructional Systems Design and Preservice Teachers' Processes of Thinking, Teaching and Planning: What Do They Learn and How Do They Change?

    ERIC Educational Resources Information Center

    Moallem, Mahnaz; Applefield, James

    This study explored the development and processes of thinking, planning, and decision making of two preservice teachers as they progressed through their teacher education program. The effects of training in the systems approach on two preservice teachers' thinking about instruction and on their actual instructional planning documents were…

  13. The Racial Wage Gap: The Importance of Labor Force Attachment Differences across Black, Mexican, and White Men

    ERIC Educational Resources Information Center

    Antecol, Heather; Bedard, Kelly

    2004-01-01

    Labor market attachment differs significantly across young black, Mexican, and white men. Although it has long been agreed that potential experience is a poor proxy for actual experience for women, many view it as an acceptable approximation for men. Using the NLSY, this paper documents the substantial difference between potential and actual…

  14. Two- vs. Three-Dimensional Presentation of Mental Rotation Tasks: Sex Differences and Effects of Training on Performance and Brain Activation

    ERIC Educational Resources Information Center

    Neubauer, Aljoscha C.; Bergner, Sabine; Schatz, Martina

    2010-01-01

    The well-documented sex difference in mental rotation favoring males has been shown to emerge only for 2-dimensional presentations of 3-dimensional objects, but not with actual 3-dimensional objects or with virtual reality presentations of 3-dimensional objects. Training studies using computer games with mental rotation-related content have…

  15. The Impact of School Finance Litigation on Resource Distribution: A Comparison of Court-Mandated Equity and Adequacy Reforms

    ERIC Educational Resources Information Center

    Springer, Matthew G.; Liu, Keke; Guthrie, James W.

    2009-01-01

    While there is a wealth of research on school finance equity and adequacy, and school finance theory clearly documents differences between the two concepts, no study has examined whether the reforms engendered by each approach actually differ in terms of resource distribution. The present study examines the issues using district-level data on…

  16. Data-Based Decision-Making Teams in Middle School: Observations and Implications from the Middle School Intervention Project

    ERIC Educational Resources Information Center

    Crone, Deanne A.; Carlson, Sarah E.; Haack, Marcia K.; Kennedy, Patrick C.; Baker, Scott K.; Fien, Hank

    2016-01-01

    The use of data-based decision making (DBDM) in schools to drive educational improvement and success has been strongly promoted by educational experts and policymakers, yet very little is documented about the actual DBDM practices used in schools. This study examines DBDM practices in 25 middle schools through 80 standardized observations of data…

  17. Corporate Takeovers: Assessment of Resulting Training Needs. Training and Development Research Center Project Number Thirty-Three.

    ERIC Educational Resources Information Center

    Bjorkquist, David C.

    This document reports on a study of the training needs that result from actual or impending corporate takeovers, based on needs assessments at three corporations conducted by students as part of a university class over a period of 10 weeks. The first section describes the study's background and methodology. The qualitative research methodology…

  18. Futures Forum 1999: Exploring the Future of Higher Education (Fall 1998).

    ERIC Educational Resources Information Center

    Devlin, Maureen E., Ed.

    This document, a summary of reports presented at the 1998 annual symposium of the Forum for the Future of Higher Education, covers a wide range of issues that are likely to influence how colleges and universities deal with such questions as what business they are actually in, what are their institutional strengths, how will they compete in a…

  19. The Impact of School Finance Litigation on Resource Distribution: A Comparison of Court-Mandated Equity and Adequacy Reforms

    ERIC Educational Resources Information Center

    Springer, Matthew G.; Liu, Keke; Guthrie, James W.

    2008-01-01

    While there is a wealth of research on school finance equity and adequacy, and school finance theory clearly documents differences between the two concepts, no study has examined whether the reforms engendered by each approach actually differ in terms of resource distribution. This study examines the issues using district level data on expenditure…

  20. Self-Actualization in a Marathon Growth Group: Do the Strong Get Stronger?

    ERIC Educational Resources Information Center

    Kimball, Ronald; Gelso, Charles J.

    1974-01-01

    This study examined the effects of a weekend marathon on the level of self-actualization of college students and the relationship between ego strength and extent of change in self-actualization. The group experience did increase self-actualization, but participants' initial level of ego strength was unrelated to changes in self-actualization.…

  1. [The normative legal regulation of social protection of disabled persons of able-bodied age].

    PubMed

    Medvedeva, O V; Afonina, N A; Draienkova, F R

    2017-01-01

    The article presents results of analysis of normative legal documents and basic laws relating to social protection of the disabled of able-bodied age and also to development ofpublic policy concerning the given category ofpopulation. The purpose of actual study is to analyze main normative legal documents in the field of investigation of social protection of the disabled of able-bodied age as applied to experience of the Riazanskaia oblast. The actuality of study is determined by problem of social legal defense of the disabled as one of the most complicated and requiring from society both understanding and participation in this process of many specialized institutions and structures. The analysis of study results permits to conclude that the regional legislation in its total with standards of the Federal legislation contains regulations reflecting fundamental principles and norms of the Convention of the rights of the disabled. On application of currently in force legislation and in the process of legislative activity the state and public institutions of the Riazanskaia oblast seek the possibly most broad implementation of the rights of the disabled and securing access to social, political, civil, cultural and other integration into society.

  2. The ICE hypothesis stands: How the dogma of late Cenozoic tectonic uplift can no longer be sustained in the light of data and physical laws

    NASA Astrophysics Data System (ADS)

    Nielsen, S. B.; Clausen, O. R.; Jacobsen, B. H.; Thomsen, E.; Huuse, M.; Gallagher, K.; Balling, N.; Egholm, D.

    2010-08-01

    In this reply, we address the issues raised by the comment of Chalmers et al. (2010) regarding our ICE hypothesis for the evolution of western Scandinavia. We reject their conjectures as based, uncritically and without consideration of physical mechanisms, on the long-standing dogma of late Cenozoic tectonic uplift. Our hypothesis, in contrast, honours well-documented physical laws and the present wealth of actual data constraints (as opposed to dogma-biased inferences). After careful consideration of the points raised by Chalmers et al. (2010) we maintain our simple explanation for the evolution of Scandinavian topography, as it honours well-documented actual data constraints, such as crustal structure (including its spatio-temporal variability), thermal history in the eastern North Sea, global and regional climatic change (including eustacy) and sedimentation in the adjacent basins. The inevitable conclusion is that, although more data constraints are desirable, the current best fit hypothesis, is that the Scandinavian topography is of Caledonide origin, and has been shaped by fluvial and glacial buzzsaw and periglacial processes, and most recently (last few Myr) been re-invigorated by extensive glacial erosion in the fjords and on the shelf.

  3. Don't judge a book by its cover, revisited: perceived and reported traits and values of attractive women.

    PubMed

    Segal-Caspi, Lihi; Roccas, Sonia; Sagiv, Lilach

    2012-10-01

    Research has documented a robust stereotype regarding personality attributes related to physical attractiveness (the "what is beautiful is good" stereotype). But do physically attractive women indeed possess particularly attractive inner attributes? Studying traits and values, we investigated two complementary questions: how perceived attractiveness relates to perceived personality, and how it relates to actual personality. First, 118 women reported their traits and values and were videotaped reading the weather forecast. Then, 118 judges rated the traits, values, and attractiveness of the women. As hypothesized, attractiveness correlated with attribution of desirable traits, but not with attribution of values. By contrast, attractiveness correlated with actual values, but not actual traits: Attractiveness correlated with tradition and conformity values (which were contrasted with self-direction values) and with self-enhancement values (which were contrasted with universalism values). Thus, despite the widely accepted "what is beautiful is good" stereotype, our findings suggest that the beautiful strive for conformity rather than independence and for self-promotion rather than tolerance.

  4. How to calculate the annual costs of NGO-implemented programmes to support orphans and vulnerable children: a six-step approach

    PubMed Central

    2011-01-01

    Background Information on the costs of implementing programmes designed to provide support of orphans and vulnerable children (OVC) in sub-Saharan Africa and elsewhere is increasingly being requested by donors for programme evaluation purposes. To date, little information exists to document the costs and structure of costs of OVC programmes as actually implemented "on the ground" by local non-governmental organizations (NGOs). This analysis provides a practical, six-step approach that NGOs can incorporate into routine operations to evaluate their costs of implementing their OVC programmes annually. This approach is applied to the Community-Based Care for Orphans and Vulnerable Children (CBCO) Program implemented by BIDII (a Kenyan NGO) in Eastern Province of Kenya. Methods and results The costing methodology involves the following six steps: accessing and organizing the NGO's annual financial report into logical sub-categories; reorganizing the sub-categories into input cost categories to create a financial cost profile; estimating the annual equivalent payment for programme equipment; documenting donations to the NGO for programme implementation; including a portion of NGO organizational costs not attributed to specific programmes; and including the results of Steps 3-5 into an expanded cost profile. Detailed results are provided for the CBCO programme. Conclusions This paper shows through a concrete example how NGOs implementing OVC programmes (and other public health programmes) can organize themselves for data collection and documentation prospectively during the implementation of their OVC programmes so that costing analyses become routine practice to inform programme implementation rather than a painful and flawed retrospective activity. Such information is required if the costs and outcomes achieved by OVC programmes will ever be clearly documented and compared across OVC programmes and other types of programmes (prevention, treatment, etc.). PMID:22182588

  5. How to calculate the annual costs of NGO-implemented programmes to support orphans and vulnerable children: a six-step approach.

    PubMed

    Larson, Bruce A; Wambua, Nancy

    2011-12-19

    Information on the costs of implementing programmes designed to provide support of orphans and vulnerable children (OVC) in sub-Saharan Africa and elsewhere is increasingly being requested by donors for programme evaluation purposes. To date, little information exists to document the costs and structure of costs of OVC programmes as actually implemented "on the ground" by local non-governmental organizations (NGOs). This analysis provides a practical, six-step approach that NGOs can incorporate into routine operations to evaluate their costs of implementing their OVC programmes annually. This approach is applied to the Community-Based Care for Orphans and Vulnerable Children (CBCO) Program implemented by BIDII (a Kenyan NGO) in Eastern Province of Kenya. The costing methodology involves the following six steps: accessing and organizing the NGO's annual financial report into logical sub-categories; reorganizing the sub-categories into input cost categories to create a financial cost profile; estimating the annual equivalent payment for programme equipment; documenting donations to the NGO for programme implementation; including a portion of NGO organizational costs not attributed to specific programmes; and including the results of Steps 3-5 into an expanded cost profile. Detailed results are provided for the CBCO programme. This paper shows through a concrete example how NGOs implementing OVC programmes (and other public health programmes) can organize themselves for data collection and documentation prospectively during the implementation of their OVC programmes so that costing analyses become routine practice to inform programme implementation rather than a painful and flawed retrospective activity. Such information is required if the costs and outcomes achieved by OVC programmes will ever be clearly documented and compared across OVC programmes and other types of programmes (prevention, treatment, etc.).

  6. Gaps and gains from engaging districts stakeholders for community-based health professions education in Uganda: a qualitative study.

    PubMed

    Okello, Elialilia S; Nankumbi, Joyce; Ruzaaza, Gad Ndaruhutse; Bakengesa, Evelyn; Gumikiriza, Joy; Arubaku, Wilfred; Acio, Christine; Samantha, Mary; Matte, Michael

    2015-12-01

    Community-based education research and service (COBERS) is a brand of community-based education that has been adopted by the Medical Education and Service for All Ugandans consortium. The COBERS programme is aimed at equipping students in health professional education with the knowledge, attitudes and skills required to provide appropriate health care services. For sustainability purposes, the health professional training institutions have made efforts to involve various stakeholders in the implementation of the programme. However, the actual engagement process and outcome of such efforts have not been documented. This paper documents gaps and gains made in engaging district stakeholders for community-based education. Key informant interviews, focus group discussions and document review were used to collect data. Atlas.ti, computer software for qualitative data was used to aid analysis. The analysis revealed that the adopted engagement model has registered some gains including increased awareness among district leaders about potential opportunities offered by COBERS such as boosting of human resources at health facilities, opportunities for professional development for health care workers at health facilities, and establishment of linkages between prospective employees and employers. However, the engagement model left some gaps in terms of knowledge, awareness and ownership of the programme among some sections of stakeholders. The apparent information gap about the programme among district stakeholders, especially the political leadership, may hinder concerted partnership. The findings highlight the need for health professional education institutions to broaden the scope of actively engaged stakeholders with the district level.

  7. The importance of policy in emissions inventory accuracy--a lesson from British Columbia, Canada.

    PubMed

    Krzyzanowski, Judi

    2009-04-01

    Actual atmospheric emissions in northeast British Columbia, Canada, are much higher than reported emissions. The addition of upstream oil and gas sector sources not included in the year-2000 emissions inventory of Criteria Air Contaminants (CACs) increases annual totals of nitrogen oxides, sulfur oxides, and volatile organic compound emissions by 115.1, 89.9, and 109.5%, respectively. These emissions arise from numerous small and unregulated point sources (N = 10,129). CAC summaries are given by source type and source sector. An analysis of uncertainty and reporting policy suggests that inventory omissions are not limited to the study area and that Canadian pollutant emissions are systematically underestimated. The omissions suggest that major changes in reporting procedures are needed in Canada if true estimates of annual pollutant emissions are to be documented.

  8. Generating Code Review Documentation for Auto-Generated Mission-Critical Software

    NASA Technical Reports Server (NTRS)

    Denney, Ewen; Fischer, Bernd

    2009-01-01

    Model-based design and automated code generation are increasingly used at NASA to produce actual flight code, particularly in the Guidance, Navigation, and Control domain. However, since code generators are typically not qualified, there is no guarantee that their output is correct, and consequently auto-generated code still needs to be fully tested and certified. We have thus developed AUTOCERT, a generator-independent plug-in that supports the certification of auto-generated code. AUTOCERT takes a set of mission safety requirements, and formally verifies that the autogenerated code satisfies these requirements. It generates a natural language report that explains why and how the code complies with the specified requirements. The report is hyper-linked to both the program and the verification conditions and thus provides a high-level structured argument containing tracing information for use in code reviews.

  9. Cervical Lordosis Actually Increases With Aging and Progressive Degeneration in Spinal Deformity Patients.

    PubMed

    Kim, Han Jo; Lenke, Lawrence G; Oshima, Yasushi; Chuntarapas, Tapanut; Mesfin, Addisu; Hershman, Stuart; Fogelson, Jeremy L; Riew, K Daniel

    2014-09-01

    Retrospective. The authors hypothesized that cervical lordosis (CL) would decrease with aging and increasing degeneration. It is theorized that with age and degeneration, the cervical spine loses lordosis and becomes progressively more kyphotic; however, no studies support these conclusions in patients with various spinal deformities. The authors performed a radiographic analysis of asymptomatic adults (referring to their cervical spine) of varying ages, with differing forms of spinal deformity to the thoracic/lumbar spine to see how cervical lordosis changes with increasing age. A total of 104 total spine EOS X-rays of adult (aged >18 years) spinal deformity patients without documented neck pain, prior neck surgery, or cervical deformity were reviewed. The researchers only reviewed EOS X-rays because they allow complete visualization from occiput to feet. Cervical lordosis, standard Cobb measurements, sagittal balance parameters, and cervical degeneration were quantified radiographically by the method previously described by Gore et al. Statistical analysis was performed with 1-way analysis of variance to compare significant differences between groups aged <40, 40-60 and >60 years as well as changes in sagittal balance. A p-value < .05 was considered significant. Average CL actually increased with increasing age (10.3 ± 14.7, 15.4 ± 15.1, and 23.3 ± 1.6.7 for age < 40, 40-60, and > 60 years, respectively; p < .05). Average cervical degeneration score increased at all disc space levels from C2 to C7 across age groups (0.7 ± 1.2, 9.9 ± 69, and 16.3 ± 8.9 for age <40, 40-60, and >60 years, respectively; p < .01), with the highest degeneration at the C5-6 and C6-7 disc spaces (3.7 ± 3.3 and 3.2 ± 2.9, respectively; p < .01). This increase did not correlate with the increase in CL seen with aging (r = 0.02; p = .84). Cervical lordosis increased with aging in adult spinal deformity patients. There was no relationship between cervical degeneration and lordosis despite the strong relationship seen between increasing CL in older age groups. Copyright © 2014 Scoliosis Research Society. Published by Elsevier Inc. All rights reserved.

  10. Protecting drinking water utilities from cyberthreats

    DOE PAGES

    Clark, Robert M.; Panguluri, Srinivas; Nelson, Trent D.; ...

    2017-02-01

    Cyber-security challenges have the potential for becoming one of the defining issues of our time. Cyber-attacks have become an ever-increasing threat and the United States (US) Federal Bureau of Investigation (FBI) now ranks cyber-crime as one of its most important law enforcement activities. In addition to the general problems associated with cyber-crime, critical infrastructure (CI) related to energy production, manufacturing, water supply and other systems have come under attack. For example, drinking water utilities are increasingly incorporating computer technology into their routine operations and are therefore increasingly vulnerable to cyber- threats. Systems control and data acquisition (SCADA) systems used tomore » manage automated physical processes essential to water treatment and distribution systems have become standard in medium to large drinking water utilities and in many small water systems. However, even with the application of standard information technology cybersecurity best practices these types of systems have proven to be vulnerable to cyber-attacks. In 2015, the US Department of Homeland Security (DHS) responded to 25 cybersecurity incidents in the Water Sector and to 46 incidents in the Energy Sector. Comparatively, between 2014 and 2015, the reported number of Water Sector incidents actually increased by 78.6% (from 14 to 25). The DHS is in a collaborative partnership with the US Environmental Protection Agency to ensure cybersecurity in the Water Sector. As a result of this partnership a number of guidance documents and techniques have been developed to counter cyber-attacks and minimize cyber vulnerability. These approaches are documented along with a summary of common vulnerabilities. However, a new approach which has great promise in protecting drinking water systems against hacking and cyber-attacks, based on the concept of unidirectional gateways, is presented and discussed.« less

  11. Protecting drinking water utilities from cyberthreats

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

    Clark, Robert M.; Panguluri, Srinivas; Nelson, Trent D.

    Cyber-security challenges have the potential for becoming one of the defining issues of our time. Cyber-attacks have become an ever-increasing threat and the United States (US) Federal Bureau of Investigation (FBI) now ranks cyber-crime as one of its most important law enforcement activities. In addition to the general problems associated with cyber-crime, critical infrastructure (CI) related to energy production, manufacturing, water supply and other systems have come under attack. For example, drinking water utilities are increasingly incorporating computer technology into their routine operations and are therefore increasingly vulnerable to cyber- threats. Systems control and data acquisition (SCADA) systems used tomore » manage automated physical processes essential to water treatment and distribution systems have become standard in medium to large drinking water utilities and in many small water systems. However, even with the application of standard information technology cybersecurity best practices these types of systems have proven to be vulnerable to cyber-attacks. In 2015, the US Department of Homeland Security (DHS) responded to 25 cybersecurity incidents in the Water Sector and to 46 incidents in the Energy Sector. Comparatively, between 2014 and 2015, the reported number of Water Sector incidents actually increased by 78.6% (from 14 to 25). The DHS is in a collaborative partnership with the US Environmental Protection Agency to ensure cybersecurity in the Water Sector. As a result of this partnership a number of guidance documents and techniques have been developed to counter cyber-attacks and minimize cyber vulnerability. These approaches are documented along with a summary of common vulnerabilities. However, a new approach which has great promise in protecting drinking water systems against hacking and cyber-attacks, based on the concept of unidirectional gateways, is presented and discussed.« less

  12. Essie: A Concept-based Search Engine for Structured Biomedical Text

    PubMed Central

    Ide, Nicholas C.; Loane, Russell F.; Demner-Fushman, Dina

    2007-01-01

    This article describes the algorithms implemented in the Essie search engine that is currently serving several Web sites at the National Library of Medicine. Essie is a phrase-based search engine with term and concept query expansion and probabilistic relevancy ranking. Essie’s design is motivated by an observation that query terms are often conceptually related to terms in a document, without actually occurring in the document text. Essie’s performance was evaluated using data and standard evaluation methods from the 2003 and 2006 Text REtrieval Conference (TREC) Genomics track. Essie was the best-performing search engine in the 2003 TREC Genomics track and achieved results comparable to those of the highest-ranking systems on the 2006 TREC Genomics track task. Essie shows that a judicious combination of exploiting document structure, phrase searching, and concept based query expansion is a useful approach for information retrieval in the biomedical domain. PMID:17329729

  13. REVEAL: Software Documentation and Platform Migration

    NASA Technical Reports Server (NTRS)

    Wilson, Michael A.; Veibell, Victoir T.; Freudinger, Lawrence C.

    2008-01-01

    The Research Environment for Vehicle Embedded Analysis on Linux (REVEAL) is reconfigurable data acquisition software designed for network-distributed test and measurement applications. In development since 2001, it has been successfully demonstrated in support of a number of actual missions within NASA s Suborbital Science Program. Improvements to software configuration control were needed to properly support both an ongoing transition to operational status and continued evolution of REVEAL capabilities. For this reason the project described in this report targets REVEAL software source documentation and deployment of the software on a small set of hardware platforms different from what is currently used in the baseline system implementation. This report specifically describes the actions taken over a ten week period by two undergraduate student interns and serves as a final report for that internship. The topics discussed include: the documentation of REVEAL source code; the migration of REVEAL to other platforms; and an end-to-end field test that successfully validates the efforts.

  14. The Human Right to Leisure in Old Age: Reinforcement of the Rights of an Aging Population.

    PubMed

    Karev, Iris; Doron, Israel Issi

    2017-01-01

    The right to leisure is recognized as a human right under the 1948 United Nations Universal Declaration of Human Rights. The actual meaning and material content of this human right is subject to debate. The aim of this study is to examine the extent and the context to which this human right is specifically recognized with regard to older persons. Methodologically, this study textually analyzed 17 different international older persons' human rights documents. The findings reveal that in the majority of these documents there is no reference to the right to leisure. In the remaining documents, the right to leisure is mostly referred to indirectly or in a narrow legal construction. These findings support the notion that despite the growing body of knowledge regarding the importance of meaningful leisure in old age-and its empowering and anti-ageist nature-this knowledge has not transformed into a legal human rights discourse.

  15. Chronic urticaria following acute hepatitis A.

    PubMed

    Griffin, Paul M; Kevat, Dev A S; McCarthy, James S; Woods, Marion L

    2012-09-18

    Urticaria has a documented association with the prodromal phases of hepatitis A, B and, although still contentious, likely hepatitis C. Despite the documented association there are few actual reported cases of urticaria occurring with hepatitis A infection and in all of the cases reported so far the urticaria preceded the diagnosis of hepatitis A and was acute rather than chronic. We describe a case of urticaria occurring following acute infection with hepatitis A, which persisted beyond 6 weeks and therefore was by definition chronic. Although chronic urticaria has been reported to be associated with other forms of viral hepatitis, to the best of our knowledge this has not been reported previously with hepatitis A.

  16. Finite Element Analysis and Test Results Comparison for the Hybrid Wing Body Center Section Test Article

    NASA Technical Reports Server (NTRS)

    Przekop, Adam; Jegley, Dawn C.; Rouse, Marshall; Lovejoy, Andrew E.

    2016-01-01

    This report documents the comparison of test measurements and predictive finite element analysis results for a hybrid wing body center section test article. The testing and analysis efforts were part of the Airframe Technology subproject within the NASA Environmentally Responsible Aviation project. Test results include full field displacement measurements obtained from digital image correlation systems and discrete strain measurements obtained using both unidirectional and rosette resistive gauges. Most significant results are presented for the critical five load cases exercised during the test. Final test to failure after inflicting severe damage to the test article is also documented. Overall, good comparison between predicted and actual behavior of the test article is found.

  17. Surface pH of fresh beef as a parameter to validate effectiveness of lactic acid treatment against E. coli O157:H7 and Salmonella

    USDA-ARS?s Scientific Manuscript database

    The beef industry must provide documentation to the regulatory agency that the antimicrobial interventions implemented or any subsequent change in the process is effective under the actual conditions that apply in its operation. The main objective of this study was to determine whether surface pH af...

  18. Postmodern Program Management

    DTIC Science & Technology

    2008-06-01

    Charlie Chaplin , in 1936, to make the aptly titled film Modern Times . Watch the movie to see what we mean. Postmodernism: The Humanist Reaction Along...PM, plus more. Further, because Pomo PMs do not insist on standardiza- tion to the degree Modern PMs do, they spend much less time producing the...voluminous, detailed documentation that Modern PMs require to ensure precise repeatability, and much more time on actually doing things (perhaps

  19. Strategic Mobility 21: Rail Network Capacity Analysis

    DTIC Science & Technology

    2006-09-30

    of commercial freight and passenger train movements per peak day on the rail main lines in the study area for Year 2000 (actual...levels in Year 2010 and beyond with transit times comparable to Year 2000, at least four main tracks on the south slope of Cajon Pass are required... study . Rail Network Capacity Analysis 1 1.0 INTRODUCTION This document contains the analysis of rail capacity

  20. Expansion of flight simulator capability for study and solution of aircraft directional control problems on runways, appendixes

    NASA Technical Reports Server (NTRS)

    Mcgowan, J. A.

    1978-01-01

    The models used to implement the DC-9-10 aircraft simulation for the Runway Direction Control study are presented. The study was done on the Douglas Aircraft six-degree-of-freedom motion simulator. Documentation of the models was in algebraic form, to the extent possible. Effort was directed toward presenting what was actually done rather than general forms.

  1. Browning boreal forests of western North America

    Treesearch

    David Verbyla

    2011-01-01

    The GIMMS NDVI dataset has been widely used to document a “browning trend” in North American boreal forests (Goetz et al. 2005, Bunn et al. 2007, Beck and Goetz 2011). However, there has been speculation (Alcaraz-Segura et al. 2010) that this trend may be an artifact due to processing algorithms rather than an actual decline in vegetation activity. This conclusion was...

  2. Methods and costs associated with outfitting light aircraft for remote sensing applications

    NASA Technical Reports Server (NTRS)

    Rhodes, O. L.; Zetka, E. F.

    1973-01-01

    This document was designed to provide the potential user of a light aircraft remote sensor platform/data gathering system with general information on aircraft definition, implementation complexity, costs, scheduling and operational factors involved in this type of activity. Most of the subject material was developed from actual situations and problem areas encountered during the build-up cycle and early phases of flight operations.

  3. Restoring oak ecosystems on national forest system lands in the eastern region: an adaptive management approach

    Treesearch

    Gregory Nowacki; Michael Ablutz; Dan Yaussy; Thomas Schuler; Dan Dey

    2009-01-01

    The U.S. Forest Service has recently completed an ecosystem restoration framework and enacted accompanying policy to help guide its nationwide efforts. The Eastern Region is in the midst of translating the general guidance set forth in these documents to actual on-the-ground restoration. We envision a set of coordinated field demonstrations that will initially focus on...

  4. THE ACCEPTANCE OF CARPET AS A SCHOOL FLOOR COVERING. AN ADDRESS TO MASSACHUSETTS ASSOCIATION OF SCHOOL COMMITTEES, (CHICOPEE, MASSACHUSETTS, MAY 21, 1964).

    ERIC Educational Resources Information Center

    GARRETT, JOE B.

    THIS SPEECH DISCUSSES THE ACOUSTICAL, INSULATIVE, LOW-MAINTENANCE FLOOR COVERING KNOWN AS CARPET AND ITS USE IN SCHOOL FACILITIES. IT REVIEWS THE BASIC INDEPENDENT RESEARCH WHICH HAS BEEN DONE, DOCUMENTING THE ACOUSTICAL AND MAINTENANCE PROPERTIES AS A SCHOOL FLOOR COVERING, AND TRACES THE ACTUAL EXPERIENCE OF A NUMBER OF CARPETED SCHOOLS.…

  5. DOCUMENTATION OF STEPS TO ESTABLISH A TECHNICAL COLLEGE, AND THE EVALUATION OF "PERT" AS A PLANNING TOOL FOR EDUCATORS, PHASE I.

    ERIC Educational Resources Information Center

    MCKEE, ROBERT L.; RIDLEY, KATHRYN J.

    TO ESTABLISH A COLLEGE IN 100 DAYS PRESENTED AN OPPORTUNITY TO TEST THE VALUE OF PROGRAMED ORGANIZATIONAL PROCEDURES USING PROGRAM PERFORMANCE EVALUATION AND REVIEW TECHNIQUE (PERT) UNDER ACTUAL OPERATIONAL CONDITIONS, NOT IN A SIMULATED THEORETICAL SITUATION. THROUGH THE AID OF THE PERT PLANNING SYSTEM, IT WAS DETERMINED THAT THERE WERE NINE…

  6. Issues in the Development of Long Term Care Gerontology Centers: The Centers Concept. Selected Topics in Long Term Care. Volume 6.

    ERIC Educational Resources Information Center

    Mortenson, Lee E.; Berdes, Celia M.

    This document, one in a series developed to provide technical assistance to 22 Long-Term Care Gerontology Centers, describes the current administrative and structural phenomenon of these centers. Precedents useful in assessing both the current climate and actual prospects for development of long term care centers are cited. The first section…

  7. Key Ideas for Making and Using Virtual Fieldwork Experiences

    NASA Astrophysics Data System (ADS)

    Duggan-Haas, D.; Ross, R. M.

    2016-12-01

    Fieldwork is a signature pedagogy for the geosciences, but can be challenging to manage and challenging to bring to certain settings, like large lecture courses or K-12 classrooms. Virtual Fieldwork Experiences (VFEs) are helpful in meeting these challenges, though we do not suggest that VFEs replace actual fieldwork. In designing and using VFEs, for providing related professional development, and for designing and implementing actual fieldwork, key questions to consider are: What are the most important features and results of fieldwork? What aspects can be replicated through the use of multimedia? To what extent? How can the creation of VFEs be used to catalyze, extend, document, and share what is learned from doing actual fieldwork? A decade ago, we began developing curriculum materials and offering professional development programming in which VFEs are a key feature. Over the last ten years, both the technologies available and our pedagogical approaches have changed substantially. Technologically, things that used to take hours to create can now be done in minutes, and other things that were simply not practical have become simple for users to create. The rate of change of pedagogy is slower. Our initial goal of creating VFEs that offer a true inquiry experience by themselves has been tempered over time. While VFEs can offer inquiry experiences for students, a shorter route to inquiry is framing VFEs as models for student-created VFEs that document fieldwork done by students. The effective creation and use of VFEs is dependent upon Technological Pedagogical and Content Knowledge (TPACK), the suite of understandings and skills that educators apply to teaching scientific content with technology. Educators working with VFEs often find themselves pushing their limits in one or more of the different realms of TPACK. Pushing limits is fundamental to professional growth. Our work has led to three key ideas for VFE development and use: There are questions that can be productively asked and investigated about any site. Investigating a landscape is an exercise in Earth systems science - no landscape is the product of a single process. Virtual fieldwork is a student-friendly way of documenting, analyzing, and sharing lessons learned from studying a field site. And scruffy VFEs are ok.

  8. [Consensus document for the detection and management of chronic kidney disease].

    PubMed

    Martínez-Castelao, Alberto; Górriz, José L; Bover, Jordi; Segura-de la Morena, Julián; Cebollada, Jesús; Escalada, Javier; Esmatjes, Enric; Fácila, Lorenzo; Gamarra, Javier; Gràcia, Silvia; Hernández-Moreno, Julio; Llisterri-Caro, José L; Mazón, Pilar; Montañés, Rosario; Morales-Olivas, Francisco; Muñoz-Torres, Manuel; de Pablos-Velasco, Pedro; de Santiago, Ana; Sánchez-Celaya, Marta; Suárez, Carmen; Tranche, Salvador

    2014-11-01

    Chronic kidney disease (CKD) is an important global health problem, involving to 10% of the Spanish population, promoting high morbidity and mortality for the patient and an elevate consumption of the total health resources for the National Health System. This is a summary of an executive consensus document of ten scientific societies involved in the care of the renal patient, that actualizes the consensus document published in 2007. The central extended document can be consulted in the web page of each society. The aspects included in the document are: Concept, epidemiology and risk factors for CKD. Diagnostic criteria, evaluation and stages of CKD, albuminuria and glomerular filtration rate estimation. Progression factors for renal damage. Patient remission criteria. Follow-up and objectives of each speciality control. Nephrotoxicity prevention. Cardio-vascular damage detection. Diet, life-style and treatment attitudes: hypertension, dyslipidaemia, hyperglycemia, smoking, obesity, hyperuricemia, anemia, mineral and bone disorders. Multidisciplinary management for Primary Care, other specialities and Nephrology. Integrated management of CKD patient in haemodialysis, peritoneal dialysis and renal transplant patients. Management of the uremic patient in palliative care. We hope that this document may be of help for the multidisciplinary management of CKD patients by summarizing the most updated recommendations. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  9. [Consensus document for the detection and management of chronic kidney disease].

    PubMed

    Martínez-Castelao, Alberto; Górriz, José L; Bover, Jordi; Segura-de la Morena, Julián; Cebollada, Jesús; Escalada, Javier; Esmatjes, Enric; Fácila, Lorenzo; Gamarra, Javier; Gràcia, Silvia; Hernández-Moreno, Julio; Llisterri-Caro, José L; Mazón, Pilar; Montañés, Rosario; Morales-Olivas, Francisco; Muñoz-Torres, Manuel; de Pablos-Velasco, Pedro; de Santiago, Ana; Sánchez-Celaya, Marta; Suárez, Carmen; Tranche, Salvador

    2014-11-01

    Chronic kidney disease (CKD) is an important global health problem, involving to 10% of the Spanish population, promoting high morbidity and mortality for the patient and an elevate consumption of the total health resources for the National Health System. This is a summary of an executive consensus document of ten scientific societies involved in the care of the renal patient, that actualizes the consensus document published in 2007. The central extended document can be consulted in the web page of each society. The aspects included in the document are: Concept, epidemiology and risk factors for CKD. Diagnostic criteria, evaluation and stages of CKD, albuminuria and glomerular filtration rate estimation. Progression factors for renal damage. Patient remission criteria. Follow-up and objectives of each speciality control. Nephrotoxicity prevention. Cardio-vascular damage detection. Diet, life-style and treatment attitudes: hypertension, dyslipidaemia, hyperglycemia, smoking, obesity, hyperuricemia, anemia, mineral and bone disorders. Multidisciplinary management for Primary Care, other specialities and Nephrology. Integrated management of CKD patient in haemodialysis, peritoneal dialysis and renal transplant patients. Management of the uremic patient in palliative care. We hope that this document may be of help for the multidisciplinary management of CKD patients by summarizing the most updated recommendations. Copyright © 2014. Published by Elsevier Espana.

  10. Overview: The Design, Adoption, and Analysis of a Visual Document Mining Tool for Investigative Journalists.

    PubMed

    Brehmer, Matthew; Ingram, Stephen; Stray, Jonathan; Munzner, Tamara

    2014-12-01

    For an investigative journalist, a large collection of documents obtained from a Freedom of Information Act request or a leak is both a blessing and a curse: such material may contain multiple newsworthy stories, but it can be difficult and time consuming to find relevant documents. Standard text search is useful, but even if the search target is known it may not be possible to formulate an effective query. In addition, summarization is an important non-search task. We present Overview, an application for the systematic analysis of large document collections based on document clustering, visualization, and tagging. This work contributes to the small set of design studies which evaluate a visualization system "in the wild", and we report on six case studies where Overview was voluntarily used by self-initiated journalists to produce published stories. We find that the frequently-used language of "exploring" a document collection is both too vague and too narrow to capture how journalists actually used our application. Our iterative process, including multiple rounds of deployment and observations of real world usage, led to a much more specific characterization of tasks. We analyze and justify the visual encoding and interaction techniques used in Overview's design with respect to our final task abstractions, and propose generalizable lessons for visualization design methodology.

  11. An observational study of the accuracy and completeness of an anesthesia information management system: recommendations for documentation system changes.

    PubMed

    Wilbanks, Bryan A; Moss, Jacqueline A; Berner, Eta S

    2013-08-01

    Anesthesia information management systems must often be tailored to fit the environment in which they are implemented. Extensive customization necessitates that systems be analyzed for both accuracy and completeness of documentation design to ensure that the final record is a true representation of practice. The purpose of this study was to determine the accuracy of a recently installed system in the capture of key perianesthesia data. This study used an observational design and was conducted using a convenience sample of nurse anesthetists. Observational data of the nurse anesthetists'delivery of anesthesia care were collected using a touch-screen tablet computer utilizing an Access database customized observational data collection tool. A questionnaire was also administered to these nurse anesthetists to assess perceived accuracy, completeness, and satisfaction with the electronic documentation system. The major sources of data not documented in the system were anesthesiologist presence (20%) and placement of intravenous lines (20%). The major sources of inaccuracies in documentation were gas flow rates (45%), medication administration times (30%), and documentation of neuromuscular function testing (20%)-all of the sources of inaccuracies were related to the use of charting templates that were not altered to reflect the actual interventions performed.

  12. Glucose absorption in acute peritoneal dialysis.

    PubMed

    Podel, J; Hodelin-Wetzel, R; Saha, D C; Burns, G

    2000-04-01

    During acute peritoneal dialysis (APD), it is known that glucose found in the dialysate solution contributes to the provision of significant calories. It has been well documented in continuous ambulatory peritoneal dialysis (CAPD) that glucose absorption occurs. In APD, however, it remains unclear how much glucose absorption actually does occur. Therefore, the purpose of this study was to determine whether it is appropriate to use the formula used to calculate glucose absorption in CAPD (Grodstein et al) among patients undergoing APD. Actual measurements of glucose absorption (Method I) were calculated in 9 patients undergoing APD treatment for >24 hours who were admitted to the intensive care unit. Glucose absorption using the Grodstein et al formula (Method II) was also determined and compared with the results of actual measurements. The data was then further analyzed based on the factors that influence glucose absorption, specifically dwell time and concentration. The mean total amount of glucose absorbed was 43% +/- 15%. However, when dwell time and concentration were further examined, significant differences were noted. Method I showed a cumulative increase over time. Method II showed that absorption was fixed. This suggests that with the variation in dwell time commonly seen in the acute care setting, the use of Method II may not be accurate. In each of the 2 methods, a significant difference in glucose absorption was noted when comparing the use of 1.5% and 4.25% dialysate concentrations. The established formula designed for CAPD should not be used for calculating glucose absorption in patients receiving APD because variation in dwell time and concentration should be taken into account. Because of the time constraints and staffing required to calculate each exchange individually, combined with the results of the study, we recommend the use of the percentage estimate of 40% to 50%.

  13. Hierarchical, Three-Dimensional Measurement System for Crime Scene Scanning.

    PubMed

    Marcin, Adamczyk; Maciej, Sieniło; Robert, Sitnik; Adam, Woźniak

    2017-07-01

    We present a new generation of three-dimensional (3D) measuring systems, developed for the process of crime scene documentation. This measuring system facilitates the preparation of more insightful, complete, and objective documentation for crime scenes. Our system reflects the actual requirements for hierarchical documentation, and it consists of three independent 3D scanners: a laser scanner for overall measurements, a situational structured light scanner for more minute measurements, and a detailed structured light scanner for the most detailed parts of tscene. Each scanner has its own spatial resolution, of 2.0, 0.3, and 0.05 mm, respectively. The results of interviews we have conducted with technicians indicate that our developed 3D measuring system has significant potential to become a useful tool for forensic technicians. To ensure the maximum compatibility of our measuring system with the standards that regulate the documentation process, we have also performed a metrological validation and designated the maximum permissible length measurement error E MPE for each structured light scanner. In this study, we present additional results regarding documentation processes conducted during crime scene inspections and a training session. © 2017 American Academy of Forensic Sciences.

  14. Knowledge and Valorization of Historical Sites Through 3d Documentation and Modeling

    NASA Astrophysics Data System (ADS)

    Farella, E.; Menna, F.; Nocerino, E.; Morabito, D.; Remondino, F.; Campi, M.

    2016-06-01

    The paper presents the first results of an interdisciplinary project related to the 3D documentation, dissemination, valorization and digital access of archeological sites. Beside the mere 3D documentation aim, the project has two goals: (i) to easily explore and share via web references and results of the interdisciplinary work, including the interpretative process and the final reconstruction of the remains; (ii) to promote and valorize archaeological areas using reality-based 3D data and Virtual Reality devices. This method has been verified on the ruins of the archeological site of Pausilypon, a maritime villa of Roman period (Naples, Italy). Using Unity3D, the virtual tour of the heritage site was integrated and enriched with the surveyed 3D data, text documents, CAAD reconstruction hypotheses, drawings, photos, etc. In this way, starting from the actual appearance of the ruins (panoramic images), passing through the 3D digital surveying models and several other historical information, the user is able to access virtual contents and reconstructed scenarios, all in a single virtual, interactive and immersive environment. These contents and scenarios allow to derive documentation and geometrical information, understand the site, perform analyses, see interpretative processes, communicate historical information and valorize the heritage location.

  15. Clinical Practice Patterns and Cost-Effectiveness of HER2 Testing Strategies in Breast Cancer Patients

    PubMed Central

    Phillips, Kathryn A.; Marshall, Deborah A.; Haas, Jennifer S.; Elkin, Elena B.; Liang, Su-Ying; Hassett, Michael J.; Ferrusi, Ilia; Brock, Jane E.; Van Bebber, Stephanie L

    2009-01-01

    Background Testing technologies are increasingly used to target cancer therapies. Human epidermal growth factor receptor 2 (HER2) testing to target trastuzumab for patients with breast cancer provides insights into the evidence needed for emerging testing technologies. Methods We reviewed literature on HER2 test utilization and cost-effectiveness of HER2 testing for patients with breast cancer. We examined available evidence on: percentage of eligible patients tested for HER2; test methods used; concordance of test results between community and central/reference laboratories; use of trastuzumab by HER2 test result; and cost-effectiveness of testing strategies. Results Little evidence is available to determine whether all eligible patients are tested; how many are retested to confirm results; and how many with negative HER2 test results still receive trastuzumab. Studies suggest that up to 66% of eligible patients had no documentation of testing in claims records; up to 20% of patients receiving trastuzumab were not tested or had no documentation of a positive test; and 20% of HER2 results may be incorrect. Few cost-effectiveness analyses of trastuzumab explicitly considered the economic implications of various testing strategies. Conclusions There is little information about the actual use of HER2 testing in clinical practice, but evidence suggests important variations in testing practices and key gaps in knowledge exist. Given the increasing use of targeted therapies, it is critical to build an evidence base that supports informed decision-making on emerging testing technologies in cancer care. PMID:19753618

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

    Petrosky, Charles E.; Holubetz, Terry B.

    The Idaho Department of Fish and Game has been monitoring and evaluating existing and proposed habitat improvement projects for steelhead (Salmo gairdneri) and chinook salmon (Oncorhynchus tshawytscha) in the Clearwater and Salmon River drainages over the last four years. Projects included in the evaluation are funded by, or proposed for funding by, the Bonneville Power Administration (BPA) under the Northwest Power Planning Act as off-site mitigation for downstream hydropower development on the Snake and Columbia rivers. A mitigation record is being developed to use increased smolt production at full seeding as the best measure of benefit from a habitat enhancementmore » project. Determination of full benefit from a project depends on presence of adequate numbers of fish to document actual increases in fish production. The depressed nature of upriver anadromous stocks have precluded attainment of full benefit of any habitat project in Idaho. Partial benefit will be credited to the mitigation record in the interim period of run restoration. According to the BPA Work Plan, project implementors have the primary responsibility for measuring physical habitat and estimating habitat change. To date, Idaho habitat projects have been implemented primarily by the US Forest Service (USFS). The Shoshone-Bannock Tribes (SBT) have sponsored three projects (Bear Valley Mine, Yankee Fork, and the proposed East Fork Salmon River projects). IDFG implemented two barrier-removal projects (Johnson Creek and Boulder Creek) that the USFS was unable to sponsor at that time. The role of IDFG in physical habitat monitoring is primarily to link habitat quality and habitat change to changes in actual, or potential, fish production. Individual papers were processed separately for the data base.« less

  17. Analysis of Informed Consent Document Utilization in a Minimal-Risk Genetic Study

    PubMed Central

    Desch, Karl; Li, Jun; Kim, Scott; Laventhal, Naomi; Metzger, Kristen; Siemieniak, David; Ginsburg, David

    2012-01-01

    Background The signed informed consent document certifies that the process of informed consent has taken place and provides research participants with comprehensive information about their role in the study. Despite efforts to optimize the informed consent document, only limited data are available about the actual use of consent documents by participants in biomedical research. Objective To examine the use of online consent documents in a minimal-risk genetic study. Design Prospective sibling cohort enrolled as part of a genetic study of hematologic and common human traits. Setting University of Michigan Campus, Ann Arbor, Michigan. Participants Volunteer sample of healthy persons with 1 or more eligible siblings aged 14 to 35 years. Enrollment was through targeted e-mail to student lists. A total of 1209 persons completed the study. Measurements Time taken by participants to review a 2833-word online consent document before indicating consent and identification of a masked hyperlink near the end of the document. Results The minimum predicted reading time was 566 seconds. The median time to consent was 53 seconds. A total of 23% of participants consented within 10 seconds, and 93% of participants consented in less than the minimum predicted reading time. A total of 2.5% of participants identified the masked hyperlink. Limitation The online consent process was not observed directly by study investigators, and some participants may have viewed the consent document more than once. Conclusion Few research participants thoroughly read the consent document before agreeing to participate in this genetic study. These data suggest that current informed consent documents, particularly for low-risk studies, may no longer serve the intended purpose of protecting human participants, and the role of these documents should be reassessed. Primary Funding Source National Institutes of Health. PMID:21893624

  18. Corticospinal excitability for hand muscles during motor imagery of foot changes with imagined force level

    PubMed Central

    Kanosue, Kazuyuki

    2017-01-01

    The object of this study was to clarify whether corticospinal excitability controlling hand muscles changes concurrently with increases in the imagined contraction level of foot dorsiflexion. Twelve participants performed actual and imagined dorsiflexion of their right foot at three different EMG levels (10, 40 or 80% of the maximum voluntary contraction). During isometric actual- or imagined- dorsiflexion, transcranial magnetic stimulation (TMS) was delivered to the right hand area of the left primary motor cortex. Motor evoked potentials (MEPs) were recorded from the right extensor carpi radialis (ECR) and flexor carpi radialis (FCR). During actual contraction, MEP amplitudes of ECR and FCR increased with an increased EMG level of dorsiflexion. Similarly, during imagery contraction, MEP amplitudes of ECR and FCR increased with the intensity of imagery contraction. Furthermore, a correlation between MEP amplitude during actual contraction and imagery contraction was observed for both ECR and FCR. Motor imagery of foot contraction induced an enhancement of corticospinal excitability for hand muscles that was dependent on the imagined contraction levels, just as what was observed when there was an actual contraction. PMID:28957398

  19. Self-Actualization in a Marathon Growth Group: Do the Strong Get Stronger?

    ERIC Educational Resources Information Center

    Kimball, Ronald; Gelso, Charles J.

    This study examined the effects of a weekend marathon on the level of self-actualization of college students one and four weeks following their group experience. It also studied the relationship between ego strength and extent of change in self-actualization during a marathon. Generally, the group experience did increase self-actualization and the…

  20. Honors and Theater: Spinoza's Pedagogical Experience and His Relation to F. Van Den Enden

    ERIC Educational Resources Information Center

    Rovere, Maxime

    2018-01-01

    Franciscus Van den Enden (1602-1674) is commonly considered as the man who taught Latin to B. de Spinoza (1632-1677). It is unknown if he actually taught him something else, but we do know he used a pedagogy of his own and made the young philosopher aware of the importance of pedagogical issues. The present article helps to document their…

  1. Antarctic Camps Snow Drift Management Handbook

    DTIC Science & Technology

    2014-09-01

    This is a conservative approximation as the stress will not actually be uniform throughout the ice as the load bear- ing ice will be a cone extending...ice. This figure documents the deformation (strain rate) as a function of ap- plied stress and temperature. The results presented here characterize...the stress and strain in terms of the octahedral values, invariants of the prin- cipal stress and strain components. Figure 23. Minimum strain rate

  2. An Air Force Guide to Computer Program Configuration Management

    DTIC Science & Technology

    1977-08-01

    Various other constraints may’also prevent full completion of the Part I specification for a complex missi-on CPCI in all of its typically massive detail...specifications for developmental CPCIs. Relations of documentation to actual computer program modules is often such as to prevent -ready identification and...names and organizational alignments of the contractor activities ;,.ay vary, but the functions should be represented. The prgram office CCB is the

  3. NAC Aftermarket Brake Components Project (Secondary Items)

    DTIC Science & Technology

    2007-02-06

    2. Appendix B. Test Plans and Sample Assignments for Disc Brake Pads and (Foundation) Drum Brake Shoes. 3. Appendix C. Test Plans and Sample...Assignments for Disc Brake Rotors and Drum Brake Drums . 4. Appendix D. Off-vehicle Inertia Dynamometer Test Procedures. 5. Appendix E. “Crack & Fatigue...apples” comparison testing processes, and require project outputs documents to be proofed by actual independent testing; HMMWV-ECV ( disc ) and HEMTT

  4. Examining the Learning Outcomes Included in the Turkish Science Curriculum in Terms of Science Process Skills: A Document Analysis with Standards-Based Assessment

    ERIC Educational Resources Information Center

    Duruk, Umit; Akgün, Abuzer; Dogan, Ceylan; Gülsuyu, Fatma

    2017-01-01

    Science process skills have provided a valuable chance for everyone to construct their own knowledge by means of scientific inquiry. If students are to understand what science is and how it actually works, then they should necessarily make use of their science process skills as well as scientific content knowledge compulsory to be learned in any…

  5. Educational Research in Relation to Educational Reform in Asia and Oceania (May 31-June 9, 1979). Final Report.

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    Educational research in Asia and Oceania is explored from the point of view of its effect on actual educational practices. Information is based on speeches and group discussion at a 10-day regional seminar held in Japan in 1979. This document--a report of that seminar--is presented in four chapters. In Chapter I, seminar objectives are explained,…

  6. Assessing Weapon System Acquisition Cycle Times: Setting Program Schedules

    DTIC Science & Technology

    2015-06-01

    additional research, focused as follows: 1 . Acquisition schedule development: How are schedules for acquisition programs actually set and how are they...the germinating requirements documents specific to systems reviewed. A clear statement was found for only one system (Air and Missile Defense Radar...AMDR) when specific threat capabilities were projected to be operational. • Program schedule setting varies in rigor: 1 Up to the interim version of

  7. Meteoroid and Debris Impact Features Documented on the Long Duration Exposure Facility

    DTIC Science & Technology

    1990-08-01

    surfaces was very different from the hole production (penetration) mechanism in true thin films; the laminated structure was never actually penetrated...16 METEOROID & DEBRIS SPECIAL INVESTIGATION GROUP Impacts into laminated polymeric films, such as the Kapton test specimens on experiment A0138...several layers of carbon, glass, and/or Kevlar woven fiber cloth laminated together with resin binders. Impact features in these materials were

  8. Jet Penetration into a Scaled Microfabricated Stirling Cycle Regenerator

    NASA Technical Reports Server (NTRS)

    Sun, Liyong; Simon, Terrence W.; Mantell, Susan; Ibrahim, Mournir; Gedeon, David; Tew, Roy

    2008-01-01

    The cooler and heater adjacent to the regenerator of a Stirling cycle engine have tubes or channels which form jets that pass into the regenerator while diffusing within the matrix. An inactive part of the matrix, beyond the cores of these jets, does not participate fully in the heat transfer between the flow of working fluid and the regenerator matrix material, weakening the regenerator s ability to exchange heat with the working fluid. The objective of the present program is to document this effect on the performance of the regenerator and to develop a model for generalizing the results. However, the small scales of actual Stirling regenerator matrices (on the order of tens of microns) make direct measurements of this effect very difficult. As a result, jet spreading within a regenerator matrix has not been characterized well and is poorly understood. Also, modeling is lacking experimental verification. To address this, a large-scale mockup of thirty times actual scale was constructed and operated under conditions that are dynamically similar to the engine operation. Jet penetration with round jets and slot jets into the microfabricated regenerator geometry are then measured by conventional means. The results are compared with those from a study of spreading of round jets within woven screen regenerator for further documentation of the comparative performance of the microfabricated regenerator geometry.

  9. Traditional Nurse Triage vs. Physician Tele-Presence in a Pediatric Emergency Department

    PubMed Central

    Marconi, Greg P.; Chang, Todd; Pham, Phung K.; Grajower, Daniel N.; Nager, Alan L.

    2014-01-01

    Objectives To compare traditional nurse triage (TNT) in a Pediatric Emergency Department (PED) to physician tele-presence (PTP). Methods Prospective, 2×2 crossover study with random assignment using a sample of walk-in patients seeking care in a PED at a large, tertiary care children’s hospital, from May 2012 to January 2013. Outcomes of triage times, documentation errors, triage scores, and survey responses were compared between TNT and PTP. Comparison between PTP to actual treating PED physicians regarding the accuracy of ordering blood and urine tests, throat cultures, and radiologic imaging was also studied. Results Paired samples t-tests showed a statistically significant difference in triage time between TNT and PTP (p=0.03), but no significant difference in documentation errors (p=0.10). Triage scores of TNT were 71% accurate, compared to PTP, which were 95% accurate. Both parents and children had favorable scores regarding PTP and the majority indicated they would prefer PTP again at their next PED visit. PTP diagnostic ordering was comparable to the actual PED physician ordering, showing no statistical differences. Conclusions Utilizing physician tele-presence technology to remotely perform triage is a feasible alternative to traditional nurse triage, with no clinically significant differences in time, triage scores, errors and patient and parent satisfaction. PMID:24445223

  10. Cooperation, integration, and long-term commitment: what Solomon Islanders and development workers say about health sector aid.

    PubMed

    Martiniuk, Alexandra L C; Millar, Heather C; Malefoasi, George; Vergeer, Petra; Garland, Trevor; Knight, Simon

    2008-01-01

    The Solomon Islands is experiencing instability and insecurity and also a concomitant increase in aid. This article aims to address the need for theoretical coordination frameworks to be further informed by the actual experiences, requirements, and views of the recipients of aid. Qualitative research techniques were used to better understand governmental and nongovernmental leaders' views of health sector aid in the Solomon Islands. Data were collected using previously published literature, government and nongovernmental documents, and in-person interviews. Two key themes emerged from the interviews: the need for coordination and integration of aid and the need for this integration to occur over the long-term. These themes are presented using quotations from key informants. Themes and quotations arising from the analyses may assist in understanding theoretical frameworks for coordination, particularly in postconflict states. Future needs regarding mechanisms of collaboration in the Solomons are also discussed.

  11. Recovery of Dysphagia in Lateral Medullary Stroke

    PubMed Central

    Gupta, Hitesh; Banerjee, Alakananda

    2014-01-01

    Lateral medullary stroke is typically associated with increased likelihood of occurrence of dysphagia and exhibits the most severe and persistent form. Worldwide little research exists on dysphagia in brainstem stroke. An estimated 15% of all patients admitted to stroke rehabilitation units experience a brainstem stroke out of which about 47% suffer from dysphagia. In India, a study showed that 22.3% of posterior circulation stroke patients develop dysphagia. Dearth of literature on dysphagia and its outcome in brainstem stroke particularly lateral medullary stroke motivated the author to present an actual case study of a patient who had dysphagia following a lateral medullary infarct. This paper documents the severity and management approach of dysphagia in brainstem stroke, with traditional dysphagia therapy and VitalStim therapy. Despite being diagnosed with a severe form of dysphagia followed by late treatment intervention, the patient had complete recovery of the swallowing function. PMID:25045555

  12. Virtually Out of This World!

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Ames Research Center granted Reality Capture Technologies (RCT), Inc., a license to further develop NASA's Mars Map software platform. The company incorporated NASA#s innovation into software that uses the Virtual Plant Model (VPM)(TM) to structure, modify, and implement the construction sites of industrial facilities, as well as develop, validate, and train operators on procedures. The VPM orchestrates the exchange of information between engineering, production, and business transaction systems. This enables users to simulate, control, and optimize work processes while increasing the reliability of critical business decisions. Engineers can complete the construction process and test various aspects of it in virtual reality before building the actual structure. With virtual access to and simulation of the construction site, project personnel can manage, access control, and respond to changes on complex constructions more effectively. Engineers can also create operating procedures, training, and documentation. Virtual Plant Model(TM) is a trademark of Reality Capture Technologies, Inc.

  13. Cyber safety for adolescent girls: bullying, harassment, sexting, pornography, and solicitation.

    PubMed

    Smith, Peter K; Thompson, Fran; Davidson, Julia

    2014-10-01

    To examine cyber safety for adolescent girls, specifically issues around the definition, measurement, prevalence, and impact of cyberbullying, harassment, sexting, pornography, and solicitation. Despite some continuing disagreements about definition, especially around cyberbullying and cyber harassment, and about measurement, it is clear that a significant minority of adolescents have potentially or actually harmful experiences on the Internet. There are important sex differences, and those exploited by pornography are mainly women. On some measures, these dangers have increased in recent years, although the extent can be exaggerated. The nature of Internet grooming appears to be changing. Negative effects are well documented in a range of domains, although more longitudinal studies are needed. Individual coping strategies, family and school-based support, and legal actions, all have a role to play in minimizing these dangers. Cyber safety is an important issue. More research and action is needed, and interventions need to be evaluated for their effectiveness.

  14. Recovery of Dysphagia in lateral medullary stroke.

    PubMed

    Gupta, Hitesh; Banerjee, Alakananda

    2014-01-01

    Lateral medullary stroke is typically associated with increased likelihood of occurrence of dysphagia and exhibits the most severe and persistent form. Worldwide little research exists on dysphagia in brainstem stroke. An estimated 15% of all patients admitted to stroke rehabilitation units experience a brainstem stroke out of which about 47% suffer from dysphagia. In India, a study showed that 22.3% of posterior circulation stroke patients develop dysphagia. Dearth of literature on dysphagia and its outcome in brainstem stroke particularly lateral medullary stroke motivated the author to present an actual case study of a patient who had dysphagia following a lateral medullary infarct. This paper documents the severity and management approach of dysphagia in brainstem stroke, with traditional dysphagia therapy and VitalStim therapy. Despite being diagnosed with a severe form of dysphagia followed by late treatment intervention, the patient had complete recovery of the swallowing function.

  15. Risk-adjusted cesarean section rates for the assessment of physician performance in Taiwan: a population-based study.

    PubMed

    Tang, Chao-Hsiun; Wang, Han-I; Hsu, Chun-Sen; Su, Hung-Wen; Chen, Mei-Ju; Lin, Herng-Ching

    2006-10-09

    Over the past decade, about one-third of all births nationwide in Taiwan were delivered by cesarean section (CS). Previous studies in the US and Europe have documented the need for risk adjustment for fairer comparisons among providers. In this study, we set out to determine the impact that adjustment for patient-specific risk factors has on CS among different physicians in Taiwan. There were 172,511 live births which occurred in either hospitals or obstetrics/gynecology clinics between 1 January and 31 December 2003, and for whom birth certificate data could be linked with National Health Insurance (NHI) claims data, available as the sample for this study. Physicians were divided into four equivalent groups based upon the quartile distribution of their crude (actual) CS rates. Stepwise logistic regressions were conducted to develop a predictive model and to determine the expected (risk-adjusted) CS rate and 95% confidence interval (CI) for each physician. The actual rates were then compared with the expected CS rates to see the proportion of physicians whose actual rates were below, within, or above the predicted CI in each quartile. The proportion of physicians whose CS rates were above the predicted CI increased as the quartile moved to the higher level. However, more than half of the physicians whose actual rates were higher than the predicted CI were not in the highest quartile. Conversely, there were some physicians (40 of 258 physicians) in the highest quartile who were actually providing obstetric care that was appropriate to the risk. When a stricter standard was applied to the assessment of physician performance by excluding physicians in quartile 4 for predicting CS rates, as many as 60% of physicians were found to have higher CS rates than the predicted CI, and indeed, the CS rates of no physicians in either quartile 3 or quartile 4 were below the predicted CI. Overall, our study found that the comparison of unadjusted CS rates might not provide a valid reflection of the quality of obstetric care delivered by physicians, and may ultimately lead to biased judgments by purchasers. Our study has also shown that when we changed the standard of quality assessment, the evaluation results also changed.

  16. Design and analysis of a worm gear turntable off-axis assembly method in a three-grating monochromator.

    PubMed

    Chen, Jianjun; Cui, Jicheng; Yao, Xuefeng; Liu, Jianan; Sun, Ci

    2018-04-01

    To solve the problem where the actual grating aperture decreases with an increasing scanning angle during the scanning of a three-grating monochromator, we propose an off-axis assembly method for the worm gear turntable that makes it possible to suppress this aperture reduction. We simulated and compared the traditional assembly method with the off-axis assembly method in the three-grating monochromator. Results show that the actual grating aperture can be improved by the off-axis assembly method. In fact, for any one of the three gratings, when the monochromator outputs the longest wavelength in the corresponding wavelength band, the actual grating aperture increases by 45.93%. Over the entire monochromator output band, the actual grating aperture increased by an average of 32.56% and can thus improve the monochromator's output energy. Improvement of the actual grating aperture can also reduce the stray light intensity in the monochromator and improve its output signal-to-noise ratio.

  17. Task Analysis of Shuttle Entry and Landing Activities

    NASA Technical Reports Server (NTRS)

    Holland, Albert W.; Vanderark, Stephen T.

    1993-01-01

    The Task Analysis of Shuttle Entry and Landing (E/L) Activities documents all tasks required to land the Orbiter following an STS mission. In addition to analysis of tasks performed, task conditions are described, including estimated time for completion, altitude, relative velocity, normal and lateral acceleration, location of controls operated or monitored, and level of g's experienced. This analysis precedes further investigations into potential effects of zero g on piloting capabilities for landing the Orbiter following long-duration missions. This includes, but is not limited to, researching the effects of extended duration missions on piloting capabilities. Four primary constraints of the analysis must be clarified: (1) the analysis depicts E/L in a static manner--the actual process is dynamic; (2) the task analysis was limited to a paper analysis, since it was not feasible to conduct research in the actual setting (i.e., observing or filming duration an actual E/L); (3) the tasks included are those required for E/L during nominal, daylight conditions; and (4) certain E/L tasks will vary according to the flying style of each commander.

  18. A general concept for consistent documentation of computational analyses

    PubMed Central

    Müller, Fabian; Nordström, Karl; Lengauer, Thomas; Schulz, Marcel H.

    2015-01-01

    The ever-growing amount of data in the field of life sciences demands standardized ways of high-throughput computational analysis. This standardization requires a thorough documentation of each step in the computational analysis to enable researchers to understand and reproduce the results. However, due to the heterogeneity in software setups and the high rate of change during tool development, reproducibility is hard to achieve. One reason is that there is no common agreement in the research community on how to document computational studies. In many cases, simple flat files or other unstructured text documents are provided by researchers as documentation, which are often missing software dependencies, versions and sufficient documentation to understand the workflow and parameter settings. As a solution we suggest a simple and modest approach for documenting and verifying computational analysis pipelines. We propose a two-part scheme that defines a computational analysis using a Process and an Analysis metadata document, which jointly describe all necessary details to reproduce the results. In this design we separate the metadata specifying the process from the metadata describing an actual analysis run, thereby reducing the effort of manual documentation to an absolute minimum. Our approach is independent of a specific software environment, results in human readable XML documents that can easily be shared with other researchers and allows an automated validation to ensure consistency of the metadata. Because our approach has been designed with little to no assumptions concerning the workflow of an analysis, we expect it to be applicable in a wide range of computational research fields. Database URL: http://deep.mpi-inf.mpg.de/DAC/cmds/pub/pyvalid.zip PMID:26055099

  19. Managing quality and compliance.

    PubMed

    McNeil, Alice; Koppel, Carl

    2015-01-01

    Critical care nurses assume vital roles in maintaining patient care quality. There are distinct facets to the process including standard setting, regulatory compliance, and completion of reports associated with these endeavors. Typically, multiple niche software applications are required and user interfaces are varied and complex. Although there are distinct quality indicators that must be tracked as well as a list of serious or sentinel events that must be documented and reported, nurses may not know the precise steps to ensure that information is properly documented and actually reaches the proper authorities for further investigation and follow-up actions. Technology advances have permitted the evolution of a singular software platform, capable of monitoring quality indicators and managing all facets of reporting associated with regulatory compliance.

  20. Hanford waste-form release and sediment interaction: A status report with rationale and recommendations for additional studies

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

    Serne, R.J.; Wood, M.I.

    1990-05-01

    This report documents the currently available geochemical data base for release and retardation for actual Hanford Site materials (wastes and/or sediments). The report also recommends specific laboratory tests and presents the rationale for the recommendations. The purpose of this document is threefold: to summarize currently available information, to provide a strategy for generating additional data, and to provide recommendations on specific data collection methods and tests matrices. This report outlines a data collection approach that relies on feedback from performance analyses to ascertain when adequate data have been collected. The data collection scheme emphasizes laboratory testing based on empiricism. 196more » refs., 4 figs., 36 tabs.« less

  1. An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation.

    PubMed

    Rochester, Carolyn L; Vogiatzis, Ioannis; Holland, Anne E; Lareau, Suzanne C; Marciniuk, Darcy D; Puhan, Milo A; Spruit, Martijn A; Masefield, Sarah; Casaburi, Richard; Clini, Enrico M; Crouch, Rebecca; Garcia-Aymerich, Judith; Garvey, Chris; Goldstein, Roger S; Hill, Kylie; Morgan, Michael; Nici, Linda; Pitta, Fabio; Ries, Andrew L; Singh, Sally J; Troosters, Thierry; Wijkstra, Peter J; Yawn, Barbara P; ZuWallack, Richard L

    2015-12-01

    Pulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap between the knowledge of the science and benefits of PR and the actual delivery of PR services to suitable patients. The objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide. Members of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS. This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR. The ATS and ERS commit to undertake actions that will improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.

  2. [Consensus document for the detection and management of chronic kidney disease].

    PubMed

    Martínez-Castelao, Alberto; Górriz, José L; Bover, Jordi; Segura-de la Morena, Julián; Cebollada, Jesús; Escalada, Javier; Esmatjes, Enric; Fácila, Lorenzo; Gamarra, Javier; Gràcia, Silvia; Hernández-Moreno, Julio; Llisterri-Caro, José L; Mazón, Pilar; Montañés, Rosario; Morales-Olivas, Francisco; Muñoz-Torres, Manuel; de Pablos-Velasco, Pedro; de Santiago, Ana; Sánchez-Celaya, Marta; Suárez, Carmen; Tranche, Salvador

    2014-01-01

    Chronic kidney disease (CKD) is an important global health problem, involving to 10% of the Spanish population, promoting high morbidity and mortality for the patient and an elevate consumption of the total health resources for the National Health System. This is a summary of an executive consensus document of ten scientific societies involved in the care of the renal patient, that actualizes the consensus document published in 2007. The central extended document can be consulted in the web page of each society. The aspects included in the document are: Concept, epidemiology and risk factors for CKD. Diagnostic criteria, evaluation and stages of CKD, albuminuria and glomerular filtration rate estimation. Progression factors for renal damage. Patient remission criteria. Follow-up and objectives of each speciality control. Nephrotoxicity prevention. Cardio-vascular damage detection. Diet, life-style and treatment attitudes: hypertension, dyslipidaemia, hyperglycemia, smoking, obesity, hyperuricemia, anemia, mineral and bone disorders. Multidisciplinary management for Primary Care, other specialities and Nephrology. Integrated management of CKD patient in haemodialysis, peritoneal dialysis and renal transplant patients. Management of the uremic patient in palliative care. We hope that this document may be of help for the multidisciplinary management of CKD patients by summarizing the most updated recommendations. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  3. The efficiency in the utilization of potential donors for organ transplantation in Riyadh, Saudi Arabia.

    PubMed

    Al-Sebayel, Mohammed I

    2003-07-01

    Organ transplantation programs have been successful in the Kingdom of Saudi Arabia. This success is limited by organ shortage. The aim of this study is to find out the percentage of actual donors out of all potential donors in intensive care units (ICU), and to look at problems related to the donation process, particularly from the logistical point of view. The study was conducted prospectively for a one year period, June 2001 through to May 2002, in 4 main Riyadh hospitals. Mortality data was collected by a medical professional in each ICU and analyzed on a weekly basis. Final analysis was made at the end of the year. Five hundred and forty-two deaths occurred in these ICUs. Fifty-four percent occurred in one hospital. The number of brain death cases in all hospitals was 114 cases. Thirty-eight cases were reported to the Saudi Center for Organ Transplantation (33%). Documentation was completed in only 23 cases (60%). In these, there was a significant delay in documentation (second test was carried out in 6-12 hours in 4 cases only). We have found that the reporting of brain death cases was low (33%). Dealing with the reported cases is inefficient since only 4 cases were able to become the actual donor out of 38 cases. We found also that there is a gross difference in the number of brain death cases among different hospitals. To improve the efficiency of ICUs in dealing with brain death cases (reporting, documentation, maintenance and consent) will require solving several problems at the medical, administrative, and religious and mass media levels.

  4. The left hand doesn't know what the right hand is doing: the disruptive effects of attention to the hands in skilled typewriting.

    PubMed

    Logan, Gordon D; Crump, Matthew J C

    2009-10-01

    Everyone knows that attention to the details disrupts skilled performance, but little empirical evidence documents this fact. We show that attention to the hands disrupts skilled typewriting. We had skilled typists type words preceded by cues that told them to type only the letters assigned to one hand or to type all of the letters. Cuing the hands disrupted performance markedly, slowing typing and increasing the error rate (Experiment 1); these deleterious effects were observed even when no keystrokes were actually inhibited (Experiment 3). However, cuing the same letters with colors was not disruptive (Experiment 2). We account for the disruption with a hierarchical control model, in which an inner loop controls the hands and an outer loop controls what is typed. Typing letters using only one hand requires the outer loop to monitor the inner loop's output; the outer loop slows inner-loop cycle time to increase the likelihood of inhibiting responses with the unwanted hand. This produces the disruption.

  5. Americans misperceive racial economic equality

    PubMed Central

    Kraus, Michael W.; Rucker, Julian M.; Richeson, Jennifer A.

    2017-01-01

    The present research documents the widespread misperception of race-based economic equality in the United States. Across four studies (n = 1,377) sampling White and Black Americans from the top and bottom of the national income distribution, participants overestimated progress toward Black–White economic equality, largely driven by estimates of greater current equality than actually exists according to national statistics. Overestimates of current levels of racial economic equality, on average, outstripped reality by roughly 25% and were predicted by greater belief in a just world and social network racial diversity (among Black participants). Whereas high-income White respondents tended to overestimate racial economic equality in the past, Black respondents, on average, underestimated the degree of past racial economic equality. Two follow-up experiments further revealed that making societal racial discrimination salient increased the accuracy of Whites’ estimates of Black–White economic equality, whereas encouraging Whites to anchor their estimates on their own circumstances increased their tendency to overestimate current racial economic equality. Overall, these findings suggest a profound misperception of and unfounded optimism regarding societal race-based economic equality—a misperception that is likely to have any number of important policy implications. PMID:28923915

  6. Americans misperceive racial economic equality.

    PubMed

    Kraus, Michael W; Rucker, Julian M; Richeson, Jennifer A

    2017-09-26

    The present research documents the widespread misperception of race-based economic equality in the United States. Across four studies ( n = 1,377) sampling White and Black Americans from the top and bottom of the national income distribution, participants overestimated progress toward Black-White economic equality, largely driven by estimates of greater current equality than actually exists according to national statistics. Overestimates of current levels of racial economic equality, on average, outstripped reality by roughly 25% and were predicted by greater belief in a just world and social network racial diversity (among Black participants). Whereas high-income White respondents tended to overestimate racial economic equality in the past, Black respondents, on average, underestimated the degree of past racial economic equality. Two follow-up experiments further revealed that making societal racial discrimination salient increased the accuracy of Whites' estimates of Black-White economic equality, whereas encouraging Whites to anchor their estimates on their own circumstances increased their tendency to overestimate current racial economic equality. Overall, these findings suggest a profound misperception of and unfounded optimism regarding societal race-based economic equality-a misperception that is likely to have any number of important policy implications.

  7. Adaptation to Space: An Introduction

    NASA Technical Reports Server (NTRS)

    Hargens, Alan R.

    1995-01-01

    The cardiovascular and musculoskeletal systems are normally exposed to gradients of blood pressure and weight on Earth. These gradients increase blood pressure and tissue weight in dependent tissues of the body. Exposure to actual and simulated microgravity causes blood and tissue fluid to shift from the legs to the head. Studies of humans in space have documented facial edema, space motion sickness, decreased plasma volume, muscle atrophy, and loss of bone strength. Return of astronauts to Earth is accompanied by orthostatic intolerance, decreased neuromuscular coordination, and reduced exercise capacity. These factors decrease performance during descent from orbit and increase risk during emergency egress from the spacecraft. Models of simulated microgravity include 6 deg head-down tilt, immersion, and prolonged horizontal bedrest. Head-down tilt is the most accepted model and studies using this model of up to one year have been performed in Russia. Animal models which offer clear insights into the role of gravity on vertebrates include the developing giraffe and snakes from various habitats. Finally, possible countermeasures to speed readaptation of astronauts to gravity after prolonged space flight will be discussed.

  8. Idaho Habitat and Natural Production Monitoring Part I, 1993 Annual Report.

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

    Rich, Bruce A.; Petrosky, Charles E.

    The Idaho Department of Fish and Game (IDFG) has been monitoring and evaluating proposed and existing habitat improvement projects for rainbow-steelhead trout Oncorhynchus mykiss and chinook salmon O. tshawytscha in the Clearwater River and Salmon River drainages on a large scale for the past 8 years. Projects included in the evaluation are funded by, or proposed for funding by, the Bonneville Power Administration (BPA) under the Northwest Power Planning Act as off-site mitigation for downstream hydropower development on the Snake and Columbia rivers. A mitigation record is being developed using increased carrying capacity and/or survival as the best measures ofmore » benefit from a habitat enhancement project. Determination of full benefit from a project depends on completion or maturation of the project and presence of adequate numbers of fish to document actual increases in fish production. The depressed status of upriver anadromous stocks has precluded measuring full benefits of any habitat project in Idaho. Partial benefit is credited to the mitigation record in the interim period of run restoration.« less

  9. Superfund record of decision (EPA region 6): Longhorn Army Ammunition Plant, (No Further Action at LHAAP 13 and 14), Karnack, TX, February 14, 1996

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

    NONE

    1997-03-01

    This decision document presents the selected no Further Action alternative for LHAAP 13 and 14, Longhorn Army Ammunition Plant (LHAAP), in Karnack, Texas. There are no actual or threatened releases of hazardous substances as a result of suspected previous activities from these sites that may present an imminent and substantial endangerment to public health, welfare, or the environment.

  10. Development of the Mathematics of Learning Curve Models for Evaluating Small Modular Reactor Economics

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

    Harrison, Thomas J.

    2014-03-01

    This report documents the efforts to perform dynamic model validation on the Eastern Interconnection (EI) by modeling governor deadband. An on-peak EI dynamic model is modified to represent governor deadband characteristics. Simulation results are compared with synchrophasor measurements collected by the Frequency Monitoring Network (FNET/GridEye). The comparison shows that by modeling governor deadband the simulated frequency response can closely align with the actual system response.

  11. Chemical Agent Detector Kits

    DTIC Science & Technology

    1989-04-28

    camera, and document test events and recorder procedures Thermometer +20C Psychrometer +5% 4 April 1989 TOP 8-2-555 Rough handling test and As specifie...not covered in AMC Regulation 385-131 will be performed iAW p oposals made by the Chemical Laboratory Division and approved by the Safety ¶ffice. 4.3...the packaged detector kit to higher and lower temperatures than it is expected to experience in actual packaged storage. Coordination should be made

  12. The National Shipbuilding Research Program. Environmental Studies and Testing (Phase IV)

    DTIC Science & Technology

    2000-11-15

    Subtask responded to the action taken by the State of Virginia to incorporate limitations of 50 parts per trillion TBT ( tributyltin ) in shipyard...Funds actually expended totaled $6,750. Subtask #22 - Document Technologies Available to Clean Brackish Waters to 50 parts per trillion TBT Levels. This...Subtask concluded that there were NO technologies extant to achieve a reduction in shipyard effluent TBT to below 50 ppt. This has become an

  13. Busting myths and building resilience: Practices and approaches that go beyond mere plan development.

    PubMed

    Armour, Mark

    Dwight D. Eisenhower is often quoted as saying: 'In battle, plans are useless but planning is indispensable'. How many in the business continuity profession actually think about that statement and what it really means? Audit, compliance and regulatory requirements as well as the expectations of executives and business leaders result in an inordinate amount of time and effort devoted to plan development with scant attention paid to actual planning. Practitioners need to realise that the value of the plans they develop is not derived from the finished documents but from the work devoted to completing them. Experience and practice win out above detailed plans. One need look no further than Eisenhower's D-Day invasion of Normandy as evidence. Practitioners need to learn how to be better at instituting preparedness and not simply developing better plans.

  14. System Guidelines for EMC Safety-Critical Circuits: Design, Selection, and Margin Demonstration

    NASA Technical Reports Server (NTRS)

    Lawton, R. M.

    1996-01-01

    Demonstration of required safety margins on critical electrical/electronic circuits in large complex systems has become an implementation and cost problem. These margins are the difference between the activation level of the circuit and the electrical noise on the circuit in the actual operating environment. This document discusses the origin of the requirement and gives a detailed process flow for the identification of the system electromagnetic compatibility (EMC) critical circuit list. The process flow discusses the roles of engineering disciplines such as systems engineering, safety, and EMC. Design and analysis guidelines are provided to assist the designer in assuring the system design has a high probability of meeting the margin requirements. Examples of approaches used on actual programs (Skylab and Space Shuttle Solid Rocket Booster) are provided to show how variations of the approach can be used successfully.

  15. Three-dimensional measurement system for crime scene documentation

    NASA Astrophysics Data System (ADS)

    Adamczyk, Marcin; Hołowko, Elwira; Lech, Krzysztof; Michoński, Jakub; MÄ czkowski, Grzegorz; Bolewicki, Paweł; Januszkiewicz, Kamil; Sitnik, Robert

    2017-10-01

    Three dimensional measurements (such as photogrammetry, Time of Flight, Structure from Motion or Structured Light techniques) are becoming a standard in the crime scene documentation process. The usage of 3D measurement techniques provide an opportunity to prepare more insightful investigation and helps to show every trace in the context of the entire crime scene. In this paper we would like to present a hierarchical, three-dimensional measurement system that is designed for crime scenes documentation process. Our system reflects the actual standards in crime scene documentation process - it is designed to perform measurement in two stages. First stage of documentation, the most general, is prepared with a scanner with relatively low spatial resolution but also big measuring volume - it is used for the whole scene documentation. Second stage is much more detailed: high resolution but smaller size of measuring volume for areas that required more detailed approach. The documentation process is supervised by a specialised application CrimeView3D, that is a software platform for measurements management (connecting with scanners and carrying out measurements, automatic or semi-automatic data registration in the real time) and data visualisation (3D visualisation of documented scenes). It also provides a series of useful tools for forensic technicians: virtual measuring tape, searching for sources of blood spatter, virtual walk on the crime scene and many others. In this paper we present our measuring system and the developed software. We also provide an outcome from research on metrological validation of scanners that was performed according to VDI/VDE standard. We present a CrimeView3D - a software-platform that was developed to manage the crime scene documentation process. We also present an outcome from measurement sessions that were conducted on real crime scenes with cooperation with Technicians from Central Forensic Laboratory of Police.

  16. Retinal Atherosclerosis, Ophthalmologically Reported and Documented with OSA in 1987, is now Totally Reversed, and Recorded, Photographically. The Supposition then was that Equivalent Cortical Damage could Respond to the same Healing Protocol.

    NASA Astrophysics Data System (ADS)

    Niemi, Paul N.; O., D.; Mc Leod, David M.; Mc Leod, Roger D.

    2007-10-01

    Documented retinal atherosclerosis, ``silver streaking'' of retinal capillaries, was reported and documented with OSA, in October 1987. That retinal damage, despite claims it usually progresses and is nonreversible, is now completely cleared. The original OSA presentation proposed that equivalent cortical damage was probably present throughout the brain at that time, as attested by failing short-term memory performance and transient ischemic attacks, TIAs, brief vision strokes. The supposition then was that ophthalmologic access to the retina, by some accounts the progenitor of all brain evolution, could provide a means of monitoring the actual circulatory state of inaccessible parts of the brain. To the extent that retinal health was naturopathically restored, and memory performance seems also to have significantly kept pace, is it a tenable premise that such protocols have rather general importance? Can applied optics help establish more appropriate diagnoses, and evaluate treatments for dementia and Alzheimer's disease?

  17. The Precise and Efficient Identification of Medical Order Forms Using Shape Trees

    NASA Astrophysics Data System (ADS)

    Henker, Uwe; Petersohn, Uwe; Ultsch, Alfred

    A powerful and flexible technique to identify, classify and process documents using images from a scanning process is presented. The types of documents can be described to the system as a set of differentiating features in a case base using shape trees. The features are filtered and abstracted from an extremely reduced scanner image of the document. Classification rules are stored with the cases to enable precise recognition and further mark reading and Optical Character Recognition (OCR) process. The method is implemented in a system which actually processes the majority of requests for medical lab procedures in Germany. A large practical experiment with data from practitioners was performed. An average of 97% of the forms were correctly identified; none were identified incorrectly. This meets the quality requirements for most medical applications. The modular description of the recognition process allows for a flexible adaptation of future changes to the form and content of the document’s structures.

  18. 77 FR 34218 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Regional Haze

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... in the sulfur content of coke for the BART-subject potlines ( 2- 6), actually results in increased SO... low sulfur coke may not be available after 2013, but asserts that if increased emissions from the... an increase in sulfur content of coke used in the potlines, but Indiana's submittal does not actually...

  19. The willingness and actual situation of Chinese cancer patients and their family members participating in medical decision-making.

    PubMed

    Zhang, Jie; Yang, Dan; Deng, Yaotiao; Wang, Ying; Deng, Lei; Luo, Xinmei; Zhong, Wuning; Liu, Jie; Wang, Yuqing; Jiang, Yu

    2015-12-01

    In China, not only patients and physicians are involved in medical decision-making (MDM) but also the patients' family members. The objective is to investigate the willingness and actual situation of cancer patients and their family members participating in the MDM process. In this cross-sectional study, questionnaires were administered to 247 pairs of cancer inpatients and their relatives. Information regarding participants' willingness and actual experience during the decision-making process was documented. Eligible participants were cancer inpatients or their relatives, 18 years of age or older, and informed of the cancer diagnosis. All the patients should have received chemotherapy. The effective response rate was 72.9% (180/247). Over half of the patients (53.3%) and family members (57.8%) were willing to be part of the MDM process. In contrast, only 35.0% of patients and 46.1% of family members actually experienced this process (p = 0.001 and p = 0.011, respectively). Fewer family members (42.2%) than patients (53.3%) believed that patients should be involved in the MDM process (p < 0.001). Patients who were the head of their family (odds ratio 2.577, 95% CI 1.198-5.556, p = 0.015) experienced more involvement in MDM. Although more than half of Chinese cancer patients and family members wanted to be part of MDM, the actual participation was below their expectation. Majority of family members do not want the patients to be involved in the process of MDM. Copyright © 2015 John Wiley & Sons, Ltd.

  20. [Variation characteristics and influencing factors of actual evapotranspiration under various vegetation types: A case study in the Huaihe River Basin, China.

    PubMed

    Wu, Rong Jun; Xing, Xiao Yong

    2016-06-01

    The actual evapotranspiration was modelled utilizing the boreal ecosystem productivity simulator (BEPS) in Huaihe River Basin from 2001 to 2012. In the meantime, the quantitative analyses of the spatial-temporal variations of actual evapotranspiration characteristics and its influencing factors under different vegetation types were conducted. The results showed that annual evapotranspiration gradually decreased from southeast to northwest, tended to increase annually, and the monthly change for the average annual evapotranspiration was double-peak curve. The differences of evapotranspiration among vegetation types showed that the farmland was the largest contributor for the evapotranspiration of Huaihe Basin. The annual actual evapotranspiration of the mixed forest per unit area was the largest, and that of the bare ground per unit area was the smallest. The changed average annual evapotranspiration per unit area for various vegetation types indicated an increased tendency other than the bare ground, with a most significant increase trend for the evergreen broadleaf forest. The thermodynamic factors (such as average temperature) were the dominant factors affecting the actual evapotranspiration in the Huaihe Basin, followed by radiation and moisture factors.

  1. Changes in mortality of Yellowstone's grizzly bears

    USGS Publications Warehouse

    Mattson, David J.

    1998-01-01

    Records of grizzly bear (Ursus arctos) deaths are currently used by managers to indicate trends in actual grizzly bear mortality and to judge the effectiveness of management. Two assumptions underlie these current uses: first, that recorded mortality is an unbiased indicator of actual mortality, and second, that changes in mortality after implementation of management strategies are sufficient grounds to infer the effects of management. I examined the defensibility of these 2 assumptions relative to alternate explanations, circumstantial evidence, and the potential costs of error. The potentially complex relation between actual and recorded mortality, as currently tallied and used, was reason to expect that the association between these 2 values would be weak. This expectation was supported by the prevalence (60-76%) of radio-marked bears among recorded deaths, the variation in apparent likelihood of documentation among causes of death, and variation in the prevalence of different causes over time. For these reasons, recorded mortality is likely to be an unreliable indicator of actual mortality. Use of whitebark pine (Pinus albicaulis) seeds by grizzly bears had a major effect on annual variation in recorded mortality. Low numbers of recorded deaths, 1984-92, were attributable to relatively frequent large whitebark pine seed crops. There was little or no residual trend potentially ascribed to management intervention during 1976-92. Management intervention was probably responsible for observed changes in recorded causes of death and stabilized recorded mortality over the period covered by this analysis.

  2. Perceived gender inequality, sexual communication self-efficacy, and sexual behaviour among female undergraduate students in the Mekong Delta of Vietnam.

    PubMed

    Bui, Thanh Cong; Markham, Christine M; Ross, Michael W; Williams, Mark L; Beasley, R Palmer; Tran, Ly T H; Nguyen, Huong T H; Le, Thach Ngoc

    2012-09-01

    Worldwide, the literature on sexual behaviour has documented associations between gender-based relationship inequality and sexual communication ability and the actual use of condoms or other contraceptives among young women. This study aimed to examine these associations among undergraduate female students in the Mekong Delta of Vietnam. A cross-sectional survey of 1181 female third-year students from two universities in the Mekong Delta was conducted. Latent variable modelling and logistic regression were employed to examine the hypothesised associations. Among the 72.4% of students who had ever had boyfriends, 44.8% indicated that their boyfriends had asked for sex, 13% had had penile-vaginal sex and 10.3% had had oral sex. For those who had had penile-vaginal sex, 33% did not use any contraceptive method, including condoms, during their first sexual intercourse. The greater a student's perception that women were subordinate to men, the lower her self-efficacy for sexual communication and the lower her actual frequency of discussing safer sex matters and asking her partner to use a condom. Sexual communication self-efficacy was associated with actual contraceptive use (P=0.039) but only marginally with condom use (P=0.092) at first sexual intercourse. Sexual health promotion strategies should address the influence of gender relations on young women's sexual communication self-efficacy and the subsequent impact on actual contraceptive and condom use.

  3. Early Validation of Failure Detection, Isolation, and Recovery Design Using Heterogeneous Modelling and Simulation

    NASA Astrophysics Data System (ADS)

    van der Plas, Peter; Guerriero, Suzanne; Cristiano, Leorato; Rugina, Ana

    2012-08-01

    Modelling and simulation can support a number of use cases across the spacecraft development life-cycle. Given the increasing complexity of space missions, the observed general trend is for a more extensive usage of simulation already in the early phases. A major perceived advantage is that modelling and simulation can enable the validation of critical aspects of the spacecraft design before the actual development is started, as such reducing the risk in later phases.Failure Detection, Isolation, and Recovery (FDIR) is one of the areas with a high potential to benefit from early modelling and simulation. With the increasing level of required spacecraft autonomy, FDIR specifications can grow in such a way that the traditional document-based review process soon becomes inadequate.This paper shows that FDIR modelling and simulation in a system context can provide a powerful tool to support the FDIR verification process. It is highlighted that FDIR modelling at this early stage requires heterogeneous modelling tools and languages, in order to provide an adequate functional description of the different components (i.e. FDIR functions, environment, equipment, etc.) to be modelled.For this reason, an FDIR simulation framework is proposed in this paper. This framework is based on a number of tools already available in the Avionics Systems Laboratory at ESTEC, which are the Avionics Test Bench Functional Engineering Simulator (ATB FES), Matlab/Simulink, TASTE, and Real Time Developer Studio (RTDS).The paper then discusses the application of the proposed simulation framework to a real case-study, i.e. the FDIR modelling of a satellite in support of actual ESA mission. Challenges and benefits of the approach are described. Finally, lessons learned and the generality of the proposed approach are discussed.

  4. Zero end-digit preference in recorded blood pressure and its impact on classification of patients for pharmacologic management in primary care — PREDICT-CVD–6

    PubMed Central

    Broad, Joanna; Wells, Sue; Marshall, Roger; Jackson, Rod

    2007-01-01

    Background Most blood pressure recordings end with a zero end-digit despite guidelines recommending measurement to the nearest 2 mmHg. The impact of rounding on management of cardiovascular disease (CVD) risk is unknown. Aim To document the use of rounding to zero end-digit and assess its potential impact on eligibility for pharmacologic management of CVD risk. Design of study Cross-sectional study. Setting A total of 23 676 patients having opportunistic CVD risk assessment in primary care practices in New Zealand. Method To simulate rounding in practice, for patients with systolic blood pressures recorded without a zero end-digit, a second blood pressure measure was generated by arithmetically rounding to the nearest zero end-digit. A 10-year Framingham CVD risk score was estimated using actual and rounded blood pressures. Eligibility for pharmacologic treatment was then determined using the Joint British Societies' JBS2 and the British Hypertension Society BHS–IV guidelines based on actual and rounded blood pressure values. Results Zero end-digits were recorded in 64% of systolic and 62% of diastolic blood pressures. When eligibility for drug treatment was based only on a Framingham 10-year CVD risk threshold of 20% or more, rounding misclassified one in 41 of all those patients subject to this error. Under the two guidelines which use different combinations of CVD risk and blood pressure thresholds, one in 19 would be misclassified under JBS2 and one in 12 under the BHS–IV guidelines mostly towards increased treatment. Conclusion Zero end-digit preference significantly increases a patient's likelihood of being classified as eligible for drug treatment. Guidelines that base treatment decisions primarily on absolute CVD risk are less susceptible to these errors. PMID:17976291

  5. Zero end-digit preference in recorded blood pressure and its impact on classification of patients for pharmacologic management in primary care - PREDICT-CVD-6.

    PubMed

    Broad, Joanna; Wells, Sue; Marshall, Roger; Jackson, Rod

    2007-11-01

    Most blood pressure recordings end with a zero end-digit despite guidelines recommending measurement to the nearest 2 mmHg. The impact of rounding on management of cardiovascular disease (CVD) risk is unknown. To document the use of rounding to zero end-digit and assess its potential impact on eligibility for pharmacologic management of CVD risk. Cross-sectional study. A total of 23,676 patients having opportunistic CVD risk assessment in primary care practices in New Zealand. To simulate rounding in practice, for patients with systolic blood pressures recorded without a zero end-digit, a second blood pressure measure was generated by arithmetically rounding to the nearest zero end-digit. A 10-year Framingham CVD risk score was estimated using actual and rounded blood pressures. Eligibility for pharmacologic treatment was then determined using the Joint British Societies' JBS2 and the British Hypertension Society BHS-IV guidelines based on actual and rounded blood pressure values. Zero end-digits were recorded in 64% of systolic and 62% of diastolic blood pressures. When eligibility for drug treatment was based only on a Framingham 10year CVD risk threshold of 20% or more, rounding misclassified one in 41 of all those patients subject to this error. Under the two guidelines which use different combinations of CVD risk and blood pressure thresholds, one in 19 would be misclassified under JBS2 and one in 12 under the BHS-IV guidelines mostly towards increased treatment. Zero end-digit preference significantly increases a patient's likelihood of being classified as eligible for drug treatment. Guidelines that base treatment decisions primarily on absolute CVD risk are less susceptible to these errors.

  6. International issues in transplantation. Setting the scene and flagging the most urgent and controversial issues.

    PubMed

    Miranda, B; Matesanz, R

    1998-12-30

    Organ transplantation is the primary technique for treatment of end-stage organ failure and has benefited more than one million persons world wide. A number of patients have survived for well over 25 years and survival rates at 5 years can be 70% or higher for many organ transplant programs. However, currently more than 40,000 patients are waiting for a kidney, and in western Europe mortality rates for patients waiting for a heart, liver, or lung range from 15 to 30%. The potential need for transplants is even greater and this imbalance between supply and demand creates technical and ethical problems including the risk of organ trafficking. Consequently the number of available organs must be increased. In some cases the organ shortage reflects a true lack of donors, but more often it results from the failure to turn potential into actual donors. The transplant commission of the Council of Europe has just approved a document recommending that member states ensure that all potential donors are identified and as many as possible converted to actual donors. Even with the highest organ donation rate, the indications for organ and tissue transplantation will continue to increase, perpetuating the gap between supply and demand. Organ transplantation, whether living or cadaveric, might be supplemented or replaced by the use of artificial organs, although problems such as power supply, thrombosis, infection, and biocompatibility pose obstacles to long-term function. The use of animals as an alternative source is considered, but so many problems still remain unresolved that xenotransplantation cannot be put forth as a solution at this time. This paper reviews these issues and, citing the Spanish experience, offers strategies to improve the organ donation rate.

  7. Validating the operational bias and hypothesis of universal exponent in landslide frequency-area distribution.

    PubMed

    Huang, Jr-Chuan; Lee, Tsung-Yu; Teng, Tse-Yang; Chen, Yi-Chin; Huang, Cho-Ying; Lee, Cheing-Tung

    2014-01-01

    The exponent decay in landslide frequency-area distribution is widely used for assessing the consequences of landslides and with some studies arguing that the slope of the exponent decay is universal and independent of mechanisms and environmental settings. However, the documented exponent slopes are diverse and hence data processing is hypothesized for this inconsistency. An elaborated statistical experiment and two actual landslide inventories were used here to demonstrate the influences of the data processing on the determination of the exponent. Seven categories with different landslide numbers were generated from the predefined inverse-gamma distribution and then analyzed by three data processing procedures (logarithmic binning, LB, normalized logarithmic binning, NLB and cumulative distribution function, CDF). Five different bin widths were also considered while applying LB and NLB. Following that, the maximum likelihood estimation was used to estimate the exponent slopes. The results showed that the exponents estimated by CDF were unbiased while LB and NLB performed poorly. Two binning-based methods led to considerable biases that increased with the increase of landslide number and bin width. The standard deviations of the estimated exponents were dependent not just on the landslide number but also on binning method and bin width. Both extremely few and plentiful landslide numbers reduced the confidence of the estimated exponents, which could be attributed to limited landslide numbers and considerable operational bias, respectively. The diverse documented exponents in literature should therefore be adjusted accordingly. Our study strongly suggests that the considerable bias due to data processing and the data quality should be constrained in order to advance the understanding of landslide processes.

  8. Multi-voxel pattern analysis reveals increased memory targeting and reduced use of retrieved details during single-agenda source monitoring

    PubMed Central

    McDuff, Susan G. R.; Frankel, Hillary C.; Norman, Kenneth A.

    2009-01-01

    We used multi-voxel pattern analysis (MVPA) of fMRI data to gain insight into how subjects’ retrieval agendas influence source memory judgments (was item X studied using source Y?). In Experiment 1, we used a single-agenda test where subjects judged whether items were studied with the targeted source or not. In Experiment 2, we used a multi-agenda test where subjects judged whether items were studied using the targeted source, studied using a different source, or nonstudied. To evaluate the differences between single- and multi-agenda source monitoring, we trained a classifier to detect source-specific fMRI activity at study, and then we applied the classifier to data from the test phase. We focused on trials where the targeted source and the actual source differed, so we could use MVPA to track neural activity associated with both the targeted source and the actual source. Our results indicate that single-agenda monitoring was associated with increased focus on the targeted source (as evidenced by increased targeted-source activity, relative to baseline) and reduced use of information relating to the actual, non-target source. In the multi-agenda experiment, high-levels of actual-source activity were associated with increased correct rejections, suggesting that subjects were using recollection of actual-source information to avoid source memory errors. In the single-agenda experiment, there were comparable levels of actual-source activity (suggesting that recollection was taking place), but the relationship between actual-source activity and behavior was absent (suggesting that subjects were failing to make proper use of this information). PMID:19144851

  9. Health information literacy and competencies of information age students: results from the interactive online Research Readiness Self-Assessment (RRSA).

    PubMed

    Ivanitskaya, Lana; O'Boyle, Irene; Casey, Anne Marie

    2006-04-21

    In an era of easy access to information, university students who will soon enter health professions need to develop their information competencies. The Research Readiness Self-Assessment (RRSA) is based on the Information Literacy Competency Standards for Higher Education, and it measures proficiency in obtaining health information, evaluating the quality of health information, and understanding plagiarism. This study aimed to measure the proficiency of college-age health information consumers in finding and evaluating electronic health information; to assess their ability to discriminate between peer-reviewed scholarly resources and opinion pieces or sales pitches; and to examine the extent to which they are aware of their level of health information competency. An interactive 56-item online assessment, the Research Readiness Self-Assessment (RRSA), was used to measure the health information competencies of university students. We invited 400 students to take part in the study, and 308 participated, giving a response rate of 77%. The RRSA included multiple-choice questions and problem-based exercises. Declarative and procedural knowledge were assessed in three domains: finding health information, evaluating health information, and understanding plagiarism. Actual performance was contrasted with self-reported skill level. Upon answering all questions, students received a results page that summarized their numerical results and displayed individually tailored feedback composed by an experienced librarian. Even though most students (89%) understood that a one-keyword search is likely to return too many documents, few students were able to narrow a search by using multiple search categories simultaneously or by employing Boolean operators. In addition, nearly half of the respondents had trouble discriminating between primary and secondary sources of information as well as between references to journal articles and other published documents. When presented with questionable websites on nonexistent nutritional supplements, only 50% of respondents were able to correctly identify the website with the most trustworthy features. Less than a quarter of study participants reached the correct conclusion that none of the websites made a good case for taking the nutritional supplements. Up to 45% of students were unsure if they needed to provide references for ideas expressed in paraphrased sentences or sentences whose structure they modified. Most respondents (84%) believed that their research skills were good, very good, or excellent. Students' self-perceptions of skill tended to increase with increasing level of education. Self-reported skills were weakly correlated with actual skill level, operationalized as the overall RRSA score (Cronbach alpha = .78 for 56 RRSA items). While the majority of students think that their research skills are good or excellent, many of them are unable to conduct advanced information searches, judge the trustworthiness of health-related websites and articles, and differentiate between various information sources. Students' self-reports may not be an accurate predictor of their actual health information competencies.

  10. Health Information Literacy and Competencies of Information Age Students: Results From the Interactive Online Research Readiness Self-Assessment (RRSA)

    PubMed Central

    O’Boyle, Irene; Casey, Anne Marie

    2006-01-01

    Background In an era of easy access to information, university students who will soon enter health professions need to develop their information competencies. The Research Readiness Self-Assessment (RRSA) is based on the Information Literacy Competency Standards for Higher Education, and it measures proficiency in obtaining health information, evaluating the quality of health information, and understanding plagiarism. Objective This study aimed to measure the proficiency of college-age health information consumers in finding and evaluating electronic health information; to assess their ability to discriminate between peer-reviewed scholarly resources and opinion pieces or sales pitches; and to examine the extent to which they are aware of their level of health information competency. Methods An interactive 56-item online assessment, the Research Readiness Self-Assessment (RRSA), was used to measure the health information competencies of university students. We invited 400 students to take part in the study, and 308 participated, giving a response rate of 77%. The RRSA included multiple-choice questions and problem-based exercises. Declarative and procedural knowledge were assessed in three domains: finding health information, evaluating health information, and understanding plagiarism. Actual performance was contrasted with self-reported skill level. Upon answering all questions, students received a results page that summarized their numerical results and displayed individually tailored feedback composed by an experienced librarian. Results Even though most students (89%) understood that a one-keyword search is likely to return too many documents, few students were able to narrow a search by using multiple search categories simultaneously or by employing Boolean operators. In addition, nearly half of the respondents had trouble discriminating between primary and secondary sources of information as well as between references to journal articles and other published documents. When presented with questionable websites on nonexistent nutritional supplements, only 50% of respondents were able to correctly identify the website with the most trustworthy features. Less than a quarter of study participants reached the correct conclusion that none of the websites made a good case for taking the nutritional supplements. Up to 45% of students were unsure if they needed to provide references for ideas expressed in paraphrased sentences or sentences whose structure they modified. Most respondents (84%) believed that their research skills were good, very good, or excellent. Students’ self-perceptions of skill tended to increase with increasing level of education. Self-reported skills were weakly correlated with actual skill level, operationalized as the overall RRSA score (Cronbach alpha = .78 for 56 RRSA items). Conclusions While the majority of students think that their research skills are good or excellent, many of them are unable to conduct advanced information searches, judge the trustworthiness of health-related websites and articles, and differentiate between various information sources. Students’ self-reports may not be an accurate predictor of their actual health information competencies. PMID:16867969

  11. Effect of starvation and exercise on actual and total activity of the branched-chain 2-oxo acid dehydrogenase complex in rat tissues.

    PubMed Central

    Wagenmakers, A J; Schepens, J T; Veerkamp, J H

    1984-01-01

    Starvation does not change the actual activity per g of tissue of the branched-chain 2-oxo acid dehydrogenase in skeletal muscles, but affects the total activity to a different extent, depending on the muscle type. The activity state (proportion of the enzyme present in the active state) does not change in diaphragm and decreases in quadriceps muscle. Liver and kidney show an increase of both activities, without a change of the activity state. In heart and brain no changes were observed. Related to organ wet weights, the actual activity present in the whole-body muscle mass decreases on starvation, whereas the activities present in liver and kidney do not change, or increase slightly. Exercise (treadmill-running) of untrained rats for 15 and 60 min causes a small increase of the actual activity and the activity state of the branched-chain 2-oxo acid dehydrogenase complex in heart and skeletal muscle. Exercise for 1 h, furthermore, increased the actual and the total activity in liver and kidney, without a change of the activity state. In brain no changes were observed. The actual activity per g of tissue in skeletal muscle was less than 2% of that in liver and kidney, both before and after exercise and starvation. Our data indicate that the degradation of branched-chain 2-oxo acids predominantly occurs in liver and to a smaller extent in kidney and skeletal muscle in fed, starved and exercised rats. PMID:6508743

  12. Role of standard documents in advancing the standardization of microfluidics connectors

    NASA Astrophysics Data System (ADS)

    Tantra, Ratna; van Heeren, Henne; Jarman, John

    2016-04-01

    An emerging trend within the microfluidic community is to standardize common parts in order to facilitate design and production activities. The goal is clear: to enhance interoperability and promote plug-and-play. A recent launch of a pan-European project, Microfluidic (MF) Manufacturing, has identified an item that is in immediate need of standardization: having in place geometrical specifications for MF connectors. In order to accelerate the adoption of such standards, there is a need to consider the pivotal role of standard documents. The purpose of this paper is to provide background information on document standards development. In addition, the future implications related to the MF manufacturing project will be discussed. A strengths, weaknesses, opportunities, and threats analysis has been carried out to identify points of action. The findings show that although there is a need to publish under International Organization for Standardization (ISO), the actual realization of a full ISO standard document is not feasible. The recommendation is to initially publish via an ISO Workshop Agreement. Parallel to such activity, there is a need to encourage stakeholders help kick start a currently dormant working group that supports microfluidics under ISO to help pave the way for future standardization activities in the microfluidics community.

  13. Documentation of quality improvement exposure by internal medicine residency applicants.

    PubMed

    Kolade, Victor O; Sethi, Anuradha

    2016-01-01

    Quality improvement (QI) has become an essential component of medical care in the United States. In residency programs, QI is a focus area of the Clinical Learning Environment Review visits conducted by the Accreditation Council for Graduate Medical Education. The readiness of applicants to internal medicine residency to engage in QI on day one is unknown. To document the reporting of QI training or experience in residency applications. Electronic Residency Application Service applications to a single internal medicine program were reviewed individually looking for reported QI involvement or actual projects in the curriculum vitae (CVs), personal statements (PSs), and letters of recommendation (LORs). CVs were also reviewed for evidence of education in QI such as completion of Institute for Healthcare Improvement (IHI) modules. Of 204 candidates shortlisted for interview, seven had QI items on their CVs, including one basic IHI certificate. Three discussed their QI work in their PSs, and four had recommendation letters describing their involvement in QI. One applicant had both CV and LOR evidence, so that 13 (6%) documented QI engagement. Practice of or instruction in QI is rarely mentioned in application documents of prospective internal medicine interns.

  14. Inside the Hotline: A compilation of 1991 monthly Hotline reports. Annual report

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

    Not Available

    1992-03-01

    The Resource Conservation and Recovery Act (RCRA)/Superfund (SF)/Office of Underground Storage Tanks (OUST) and Emergency Planning and Community Right-to-Know (EPCRA) Hotlines were established to respond to inquiries from the regulated community and the public concerning waste management and disposal regulations. The Hotline also serves as a referral point on the availability and distribution of program related documents and published materials. The document is a compilation of questions and answers, Federal Register summaries from individual Monthly Hotline Reports for the period of January to December 1991. It also contains user-friendly indices which are arranged according to subject matter, regulatory and statorymore » citations. The document can be used by its reader to explore the application of the regulations in different scenarios or to shed light on complex issues. Neither the questions nor the FR summaries are intended to fully represent or be used in place of the regulations. For an understanding of the actual regulatory requirements in any given situation, the reader must consult the appropriate sections of Title 40 of the Code of Federal Regulations, pertinent FR and EPA guidance documents, as well as relevant State regulations.« less

  15. Characterizing social media metrics of scholarly papers: the effect of document properties and collaboration patterns.

    PubMed

    Haustein, Stefanie; Costas, Rodrigo; Larivière, Vincent

    2015-01-01

    A number of new metrics based on social media platforms--grouped under the term "altmetrics"--have recently been introduced as potential indicators of research impact. Despite their current popularity, there is a lack of information regarding the determinants of these metrics. Using publication and citation data from 1.3 million papers published in 2012 and covered in Thomson Reuters' Web of Science as well as social media counts from Altmetric.com, this paper analyses the main patterns of five social media metrics as a function of document characteristics (i.e., discipline, document type, title length, number of pages and references) and collaborative practices and compares them to patterns known for citations. Results show that the presence of papers on social media is low, with 21.5% of papers receiving at least one tweet, 4.7% being shared on Facebook, 1.9% mentioned on blogs, 0.8% found on Google+ and 0.7% discussed in mainstream media. By contrast, 66.8% of papers have received at least one citation. Our findings show that both citations and social media metrics increase with the extent of collaboration and the length of the references list. On the other hand, while editorials and news items are seldom cited, it is these types of document that are the most popular on Twitter. Similarly, while longer papers typically attract more citations, an opposite trend is seen on social media platforms. Finally, contrary to what is observed for citations, it is papers in the Social Sciences and humanities that are the most often found on social media platforms. On the whole, these findings suggest that factors driving social media and citations are different. Therefore, social media metrics cannot actually be seen as alternatives to citations; at most, they may function as complements to other type of indicators.

  16. Discrepancies between home medication and patient documentation in primary care.

    PubMed

    Rose, Olaf; Jaehde, Ulrich; Köberlein-Neu, Juliane

    2018-04-01

    Medication Reconciliation leads to quick detection of drug-related problems, studies in ambulatory care are scarce. The recently introduced Medication Plan in Germany serves as an ideal basis for Medication Reconciliation. The study aim was to provide accurate data on the magnitude of discrepancy between the prescription and the actually taken medicine. Clinical relevance of discrepancies was assessed to estimate the impact on medication safety. Patients were assessed at home, data was reconciled with the physician's documentation. Discrepancies were analyzed and stratified. Risk for hospitalization, risk for falls and the potential for drug-drug interactions was estimated based on literature. Drugs were tested for its origin and grouped to indication clusters. Detected DRPs at a Medication Review were linked to the results at Medication Reconciliation. Medication of 142 elderly patients from 12 practices was reconciled. 1498 drugs were found at the home assessment, 1099 (73.4%) of which were detected in the physician's documentation. 94.4% of the patients were affected by discrepancies. A total of 2.8 ± 2.4 drugs was undocumented per patient. 26.6% of missing drugs were prescribed by medical specialists, 42.5% of drugs of unknown origin were prescription drugs. 53.9% of the patients used a undocumented drug, which carried a high risk for hospitalization. 23.1% of the drugs not covered were used for treatment of cardiovascular diseases. 65.8% of the differing drugs caused at least one DRP. A high discrepancy between the drugs used by the patient and the medication documented by the primary care physician could be found. Relating drugs had a profound systemic effect and were particular relevant to medication safety. Many drugs were prescription drugs. The majority of differing drugs caused DRPs. A collaborative Medication Reconciliation as part of a Medication Management could compile the entire medication and increase patient safety. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Monitoring rationale, strategy, issues, and methods: UMRR-EMP LTRMP fish component

    USGS Publications Warehouse

    Ickes, Brian S.; Sauer, Jennifer S.; Rogala, James T.

    2014-01-01

    The Long Term Resource Monitoring Program (LTRMP), an element of the multiagency partnership Upper Mississippi River Restoration-Environmental Management Program, has been monitoring fishes in the Upper Mississippi River System (UMRS) for over two decades, using scientific and highly standardized methods. Today, the LTRMP’s data assets represent one of the world’s largest and most extensive datasets on a great river. Methods and procedures used over the past two decades have been documented and have proven a key tool towards gaining data that are (a) scientifically valid, (b) comparable over time, and (c) comparable over space. These procedures manuals coordinate and standardize methods, procedures, and field behaviors in the execution of long-term monitoring, permitting the informed management and control of important sources of error actually under program control. As LTRMP databases have matured in scope and accumulated more years' worth of data, their utility in research and management in the UMRS basin has increased notably. To maximize their utility, data users need not only be aware of “how the data were collected,” as portrayed in the procedures manuals, but also “why the data were collected in the way they were, at the scales they were, and in the manner that they were.” Whereas the procedures manuals contribute information as to the “how” the data were gained, this document seeks to contribute information as to the “why.” As such, this document is intended to be a companion document to the procedures manuals. Herein, we present information on the rationale for monitoring nearly one-fifth of the entire North American freshwater fish fauna (representing the greatest freshwater fish diversity on the planet at temperate latitudes); strategies employed and their reasoning; and discussions on issues associated with the sampling design itself, data arising therefrom, and uses of those data in different contexts.

  18. Characterizing Social Media Metrics of Scholarly Papers: The Effect of Document Properties and Collaboration Patterns

    PubMed Central

    Haustein, Stefanie; Costas, Rodrigo; Larivière, Vincent

    2015-01-01

    A number of new metrics based on social media platforms—grouped under the term “altmetrics”—have recently been introduced as potential indicators of research impact. Despite their current popularity, there is a lack of information regarding the determinants of these metrics. Using publication and citation data from 1.3 million papers published in 2012 and covered in Thomson Reuters’ Web of Science as well as social media counts from Altmetric.com, this paper analyses the main patterns of five social media metrics as a function of document characteristics (i.e., discipline, document type, title length, number of pages and references) and collaborative practices and compares them to patterns known for citations. Results show that the presence of papers on social media is low, with 21.5% of papers receiving at least one tweet, 4.7% being shared on Facebook, 1.9% mentioned on blogs, 0.8% found on Google+ and 0.7% discussed in mainstream media. By contrast, 66.8% of papers have received at least one citation. Our findings show that both citations and social media metrics increase with the extent of collaboration and the length of the references list. On the other hand, while editorials and news items are seldom cited, it is these types of document that are the most popular on Twitter. Similarly, while longer papers typically attract more citations, an opposite trend is seen on social media platforms. Finally, contrary to what is observed for citations, it is papers in the Social Sciences and humanities that are the most often found on social media platforms. On the whole, these findings suggest that factors driving social media and citations are different. Therefore, social media metrics cannot actually be seen as alternatives to citations; at most, they may function as complements to other type of indicators. PMID:25780916

  19. PV_LIB Toolbox

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

    2012-09-11

    While an organized source of reference information on PV performance modeling is certainly valuable, there is nothing to match the availability of actual examples of modeling algorithms being used in practice. To meet this need, Sandia has developed a PV performance modeling toolbox (PV_LIB) for Matlab. It contains a set of well-documented, open source functions and example scripts showing the functions being used in practical examples. This toolbox is meant to help make the multi-step process of modeling a PV system more transparent and provide the means for model users to validate and understand the models they use and ormore » develop. It is fully integrated into Matlab's help and documentation utilities. The PV_LIB Toolbox provides more than 30 functions that are sorted into four categories« less

  20. REVEAL: Software Documentation and Platform Migration

    NASA Technical Reports Server (NTRS)

    Wilson, Michael A.; Veibell, Victoir T.

    2011-01-01

    The Research Environment for Vehicle Embedded Analysis on Linux (REVEAL) is reconfigurable data acquisition software designed for network-distributed test and measurement applications. In development since 2001, it has been successfully demonstrated in support of a number of actual missions within NASA's Suborbital Science Program. Improvements to software configuration control were needed to properly support both an ongoing transition to operational status and continued evolution of REVEAL capabilities. For this reason the project described in this report targets REVEAL software source documentation and deployment of the software on a small set of hardware platforms different from what is currently used in the baseline system implementation. This presentation specifically describes the actions taken over a ten week period by two undergraduate student interns and serves as an overview of the content of the final report for that internship.

  1. [New documental evidence on the history of homeopathy in Latin America: a case study of links between Rio de Janeiro and Buenos Aires].

    PubMed

    Tarcitano, Conrado Mariano; Waisse, Silvia

    2016-01-01

    Homeopathy began to spread soon after it was formulated by Samuel Hahnemann in the early 1800s, reaching the Southern Cone in the 1830s. In processes of this kind, one figure is often cited as being responsible for introducing it, often attaining quasi-mythical status. Little is known, however, about how homeopathy reached Argentina at that time. Through archival research, we discovered that medical and lay homeopaths circulated between Rio de Janeiro and Buenos Aires. Given the well-known proselytizing of the circles gravitating around lay homeopaths B. Mure and J.V. Martins in Rio de Janeiro, the documents indicate that this movement actually went as far as Argentina, which had not been confirmed until now.

  2. Seasonal variations in red pine (Pinus resinosa) and jack pine (Pinus banksiana) foliar physio-chemistry and their potential influence on stand-scale wildland fire behavior

    Treesearch

    Matt Jolly; John Hintz; Rodman L. Linn; Rachael C. Kropp; Elliot T. Conrad; Russell A. Parsons; Judith Winterkamp

    2016-01-01

    The 'Spring Dip' in conifer live foliar moisture content (LFMC) has been well documented but the actual drivers of these variations have not been fully investigated. Here we span this knowledge gap by measuring LFMC, foliar chemistry, foliar density and foliar flammability on new and old foliage for an entire year from both Pinus resinosa (red pine) and Pinus...

  3. Technical Feasibility Study for Zero Energy K-12 Schools

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

    Bonnema, Eric; Goldwasser, David; Torcellini, Paul

    This technical feasibility study provides documentation and research results supporting a possible set of strategies to achieve source zero energy K-12 school buildings as defined by the U.S. Department of Energy (DOE) zero energy building (ZEB) definition (DOE 2015a). Under this definition, a ZEB is an energy-efficient building in which, on a source energy basis, the actual annual delivered energy is less than or equal to the on-site renewable exported energy.

  4. Microcircuit Device Reliability. Digital Failure Rate Data

    DTIC Science & Technology

    1981-01-01

    Center Staff I IT Research Institute Under Contract to: Rome Air Development Center Griffiss AFB, NY 13441 fortes Ordering No. MDR- 17 biKi frbi...r ■■ ■—■ — SECURITY CLASSIFICATION Or THIS PAGE (Whin Dmlm Enlti»<l) REPORT DOCUMENTATION PAGE «EPO«TNUMBER MDR- 17 4. TITLE (md...MDR- 17 presents com- parisons between actual field experienced failure rates and MIL-HDBK-217C, Notice 1, predicted failure rates. The use of

  5. External Validity of Contingent Valuation: Comparing Hypothetical and Actual Payments.

    PubMed

    Ryan, Mandy; Mentzakis, Emmanouil; Jareinpituk, Suthi; Cairns, John

    2017-11-01

    Whilst contingent valuation is increasingly used in economics to value benefits, questions remain concerning its external validity that is do hypothetical responses match actual responses? We present results from the first within sample field test. Whilst Hypothetical No is always an Actual No, Hypothetical Yes exceed Actual Yes responses. A constant rate of response reversals across bids/prices could suggest theoretically consistent option value responses. Certainty calibrations (verbal and numerical response scales) minimise hypothetical-actual discrepancies offering a useful solution. Helping respondents resolve uncertainty may reduce the discrepancy between hypothetical and actual payments and thus lead to more accurate policy recommendations. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  6. Elevation-dependent temperature trends in the Rocky Mountain Front Range: changes over a 56- and 20-year record.

    PubMed

    McGuire, Chris R; Nufio, César R; Bowers, M Deane; Guralnick, Robert P

    2012-01-01

    Determining the magnitude of climate change patterns across elevational gradients is essential for an improved understanding of broader climate change patterns and for predicting hydrologic and ecosystem changes. We present temperature trends from five long-term weather stations along a 2077-meter elevational transect in the Rocky Mountain Front Range of Colorado, USA. These trends were measured over two time periods: a full 56-year record (1953-2008) and a shorter 20-year (1989-2008) record representing a period of widely reported accelerating change. The rate of change of biological indicators, season length and accumulated growing-degree days, were also measured over the 56 and 20-year records. Finally, we compared how well interpolated Parameter-elevation Regression on Independent Slopes Model (PRISM) datasets match the quality controlled and weather data from each station. Our results show that warming signals were strongest at mid-elevations over both temporal scales. Over the 56-year record, most sites show warming occurring largely through increases in maximum temperatures, while the 20-year record documents warming associated with increases in maximum temperatures at lower elevations and increases in minimum temperatures at higher elevations. Recent decades have also shown a shift from warming during springtime to warming in July and November. Warming along the gradient has contributed to increases in growing-degree days, although to differing degrees, over both temporal scales. However, the length of the growing season has remained unchanged. Finally, the actual and the PRISM interpolated yearly rates rarely showed strong correlations and suggest different warming and cooling trends at most sites. Interpretation of climate trends and their seasonal biases in the Rocky Mountain Front Range are dependent on both elevation and the temporal scale of analysis. Given mismatches between interpolated data and the directly measured station data, we caution against an over-reliance on interpolation methods for documenting local patterns of climatic change.

  7. Elevation-Dependent Temperature Trends in the Rocky Mountain Front Range: Changes over a 56- and 20-Year Record

    PubMed Central

    McGuire, Chris R.; Nufio, César R.; Bowers, M. Deane; Guralnick, Robert P.

    2012-01-01

    Determining the magnitude of climate change patterns across elevational gradients is essential for an improved understanding of broader climate change patterns and for predicting hydrologic and ecosystem changes. We present temperature trends from five long-term weather stations along a 2077-meter elevational transect in the Rocky Mountain Front Range of Colorado, USA. These trends were measured over two time periods: a full 56-year record (1953–2008) and a shorter 20-year (1989–2008) record representing a period of widely reported accelerating change. The rate of change of biological indicators, season length and accumulated growing-degree days, were also measured over the 56 and 20-year records. Finally, we compared how well interpolated Parameter-elevation Regression on Independent Slopes Model (PRISM) datasets match the quality controlled and weather data from each station. Our results show that warming signals were strongest at mid-elevations over both temporal scales. Over the 56-year record, most sites show warming occurring largely through increases in maximum temperatures, while the 20-year record documents warming associated with increases in maximum temperatures at lower elevations and increases in minimum temperatures at higher elevations. Recent decades have also shown a shift from warming during springtime to warming in July and November. Warming along the gradient has contributed to increases in growing-degree days, although to differing degrees, over both temporal scales. However, the length of the growing season has remained unchanged. Finally, the actual and the PRISM interpolated yearly rates rarely showed strong correlations and suggest different warming and cooling trends at most sites. Interpretation of climate trends and their seasonal biases in the Rocky Mountain Front Range are dependent on both elevation and the temporal scale of analysis. Given mismatches between interpolated data and the directly measured station data, we caution against an over-reliance on interpolation methods for documenting local patterns of climatic change. PMID:22970205

  8. Prosthesis use in adult acquired major upper-limb amputees: patterns of wear, prosthetic skills and the actual use of prostheses in activities of daily life.

    PubMed

    Østlie, Kristin; Lesjø, Ingrid Marie; Franklin, Rosemary Joy; Garfelt, Beate; Skjeldal, Ola Hunsbeth; Magnus, Per

    2012-11-01

    To describe patterns of prosthesis wear and perceived prosthetic usefulness in adult acquired upper-limb amputees (ULAs). To describe prosthetic skills in activities of daily life (ADL) and the actual use of prostheses in the performance of ADL tasks. To estimate the influence of prosthetic skills on actual prosthesis use and the influence of background factors on prosthetic skills and actual prosthesis use. Cross-sectional study analysing population-based questionnaire data (n = 224) and data from interviews and clinical testing in a referred/convenience sample of prosthesis-wearing ULAs (n = 50). Effects were analysed using linear regression. 80.8% wore prostheses. 90.3% reported their most worn prosthesis as useful. Prosthetic usefulness profiles varied with prosthetic type. Despite demonstrating good prosthetic skills, the amputees reported actual prosthesis use in only about half of the ADL tasks performed in everyday life. In unilateral amputees, increased actual use was associated with sufficient prosthetic training and with the use of myoelectric vs cosmetic prostheses, regardless of amputation level. Prosthetic skills did not affect actual prosthesis use. No background factors showed significant effect on prosthetic skills. Most major ULAs wear prostheses. Individualised prosthetic training and fitting of myoelectric rather than passive prostheses may increase actual prosthesis use in ADL.

  9. Evidence of effectiveness of health care professionals using handheld computers: a scoping review of systematic reviews.

    PubMed

    Mickan, Sharon; Tilson, Julie K; Atherton, Helen; Roberts, Nia Wyn; Heneghan, Carl

    2013-10-28

    Handheld computers and mobile devices provide instant access to vast amounts and types of useful information for health care professionals. Their reduced size and increased processing speed has led to rapid adoption in health care. Thus, it is important to identify whether handheld computers are actually effective in clinical practice. A scoping review of systematic reviews was designed to provide a quick overview of the documented evidence of effectiveness for health care professionals using handheld computers in their clinical work. A detailed search, sensitive for systematic reviews was applied for Cochrane, Medline, EMBASE, PsycINFO, Allied and Complementary Medicine Database (AMED), Global Health, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. All outcomes that demonstrated effectiveness in clinical practice were included. Classroom learning and patient use of handheld computers were excluded. Quality was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. A previously published conceptual framework was used as the basis for dual data extraction. Reported outcomes were summarized according to the primary function of the handheld computer. Five systematic reviews met the inclusion and quality criteria. Together, they reviewed 138 unique primary studies. Most reviewed descriptive intervention studies, where physicians, pharmacists, or medical students used personal digital assistants. Effectiveness was demonstrated across four distinct functions of handheld computers: patient documentation, patient care, information seeking, and professional work patterns. Within each of these functions, a range of positive outcomes were reported using both objective and self-report measures. The use of handheld computers improved patient documentation through more complete recording, fewer documentation errors, and increased efficiency. Handheld computers provided easy access to clinical decision support systems and patient management systems, which improved decision making for patient care. Handheld computers saved time and gave earlier access to new information. There were also reports that handheld computers enhanced work patterns and efficiency. This scoping review summarizes the secondary evidence for effectiveness of handheld computers and mhealth. It provides a snapshot of effective use by health care professionals across four key functions. We identified evidence to suggest that handheld computers provide easy and timely access to information and enable accurate and complete documentation. Further, they can give health care professionals instant access to evidence-based decision support and patient management systems to improve clinical decision making. Finally, there is evidence that handheld computers allow health professionals to be more efficient in their work practices. It is anticipated that this evidence will guide clinicians and managers in implementing handheld computers in clinical practice and in designing future research.

  10. Real-time analysis application for identifying bursty local areas related to emergency topics.

    PubMed

    Sakai, Tatsuhiro; Tamura, Keiichi

    2015-01-01

    Since social media started getting more attention from users on the Internet, social media has been one of the most important information source in the world. Especially, with the increasing popularity of social media, data posted on social media sites are rapidly becoming collective intelligence, which is a term used to refer to new media that is displacing traditional media. In this paper, we focus on geotagged tweets on the Twitter site. These geotagged tweets are referred to as georeferenced documents because they include not only a short text message, but also the documents' posting time and location. Many researchers have been tackling the development of new data mining techniques for georeferenced documents to identify and analyze emergency topics, such as natural disasters, weather, diseases, and other incidents. In particular, the utilization of geotagged tweets to identify and analyze natural disasters has received much attention from administrative agencies recently because some case studies have achieved compelling results. In this paper, we propose a novel real-time analysis application for identifying bursty local areas related to emergency topics. The aim of our new application is to provide new platforms that can identify and analyze the localities of emergency topics. The proposed application is composed of three core computational intelligence techniques: the Naive Bayes classifier technique, the spatiotemporal clustering technique, and the burst detection technique. Moreover, we have implemented two types of application interface: a Web application interface and an android application interface. To evaluate the proposed application, we have implemented a real-time weather observation system embedded the proposed application. we used actual crawling geotagged tweets posted on the Twitter site. The weather observation system successfully detected bursty local areas related to observed emergency weather topics.

  11. Health information technology impact on productivity.

    PubMed

    Eastaugh, Steven R

    2012-01-01

    Managers work to achieve the greatest output for the least input effort, better balancing all factors of delivery to achieve the most with the smallest resource effort. Documentation of actual health information technology (HIT) cost savings has been elusive. Information technology and linear programming help to control hospital costs without harming service quality or staff morale. This study presents production function results from a study of hospital output during the period 2008-2011. The results suggest that productivity varies widely among the 58 hospitals as a function of staffing patterns, methods of organization, and the degree of reliance on information support systems. Financial incentives help to enhance productivity. Incentive pay for staff based on actual productivity gains is associated with improved productivity. HIT can enhance the marginal value product of nurses and staff, so that they concentrate their workday around patient care activities. The implementation of electronic health records (EHR) was associated with a 1.6 percent improvement in productivity.

  12. The 2003 Goddard Rocket Replica Project: A Reconstruction of the World's First Functional Liquid Rocket System

    NASA Technical Reports Server (NTRS)

    Farr, R. A.; Elam, S. K.; Hicks, G. D.; Sanders, T. M.; London, J. R.; Mayne, A. W.; Christensen, D. L.

    2003-01-01

    As a part of NASA s 2003 Centennial of Flight celebration, engineers and technicians at Marshall Space Flight Center (MSFC), Huntsville, Alabama, in cooperation with the Alabama-Mississippi AIAA Section, have reconstructed historically accurate, functional replicas of Dr. Robert H. Goddard s 1926 first liquid- fuel rocket. The purposes of this project were to clearly understand, recreate, and document the mechanisms and workings of the 1926 rocket for exhibit and educational use, creating a vital resource for researchers studying the evolution of liquid rocketry for years to come. The MSFC team s reverse engineering activity has created detailed engineering-quality drawings and specifications describing the original rocket and how it was built, tested, and operated. Static hot-fire tests, as well as flight demonstrations, have further defined and quantified the actual performance and engineering actual performance and engineering challenges of this major segment in early aerospace history.

  13. Famous North American wolves and the credibility of early wildlife literature

    USGS Publications Warehouse

    Gipson, P.S.; Ballard, W.B.; Nowak, R.M.

    1999-01-01

    We evaluated the credibility of early literature about famous North American wolves (Canis lupus). Many famous wolves were reported to be older than they actually were, and we estimated they did not live long enough to have caused purported damage to livestock and game animals. Wolf kill rates on free-ranging livestock appeared to be inflated compared to recently published kill rates on native ungulates and livestock. Surplus killing of sheep and goats may have accounted for some high kill rates, but surplus killing of free-ranging longhorn cattle probably did not occur. Some famous wolves may actually have been dogs (C. familiaris), wolf-dog hybrids, or possibly coyote (C. latrans)-dog hybrids. We documented instances where early authors appeared to embellish or fabricate information about famous wolves. Caution should be exercised when using early literature about wolves as a basis for wolf management decisions.

  14. Publication of science data on CD-ROM: A guide and example

    NASA Technical Reports Server (NTRS)

    Angelici, Gary; Skiles, J. W.

    1993-01-01

    CD-ROM (Compact Disk-Read Only Memory) is becoming the standard media not only in audio recording, but also in the publication of data and information accessible on many computer platforms. Little has been written about the complicated process involved in creating easy-to-use, high quality, and useful CD-ROM's containing scientific data. This document is a manual designed to aid those who are responsible for the publication of scientific data on CD-ROM. All aspects and steps of the procedure are covered, from feasibility assessment through disk design, data preparation, disc mastering, and CD-ROM distribution. General advice and actual examples are based on lessons learned from the publication of scientific data for an interdisciplinary field experiment. Appendices include actual files from a CD-ROM, a purchase request for CD-ROM mastering services, and the disk art for the first disk published for the project.

  15. People with Disability in Vocational High Schools: between School and Work

    NASA Astrophysics Data System (ADS)

    Haryanti, R. H.

    2018-02-01

    Vocational education is positioned within the framework of Vocational Education for All. Therefore, the alignment between the world of education and the world of work is an issue that is always actual within the framework of vocational education, including being an actual issue for people with disabilities. This article aims to map how the state frames disability and vocational education issues within the framework of public policy. The research was conducted using qualitative research method in which the data obtained from the study of documentation. Analysis of the data using content analysis. The results of the study show that the State Policy has not fully framed the issue of vocational education for the disabled into special policies. The vocational education policy for the disabled is still integrated in the major policies in certain institutions. No policy innovations have yet significantly provided a special place for the disabled.

  16. Accuracy of visual estimates of joint angle and angular velocity using criterion movements.

    PubMed

    Morrison, Craig S; Knudson, Duane; Clayburn, Colby; Haywood, Philip

    2005-06-01

    A descriptive study to document undergraduate physical education majors' (22.8 +/- 2.4 yr. old) estimates of sagittal plane elbow angle and angular velocity of elbow flexion visually was performed. 42 subjects rated videotape replays of 30 movements organized into three speeds of movement and two criterion elbow angles. Video images of the movements were analyzed with Peak Motus to measure actual values of elbow angles and peak angular velocity. Of the subjects 85.7% had speed ratings significantly correlated with true peak elbow angular velocity in all three angular velocity conditions. Few (16.7%) subjects' ratings of elbow angle correlated significantly with actual angles. Analysis of the subjects with good ratings showed the accuracy of visual ratings was significantly related to speed, with decreasing accuracy for slower speeds of movement. The use of criterion movements did not improve the small percentage of novice observers who could accurately estimate body angles during movement.

  17. Teen pregnancy in Inuit communities - gaps still needed to be filled.

    PubMed

    Moisan, Caroline; Baril, Chloé; Muckle, Gina; Belanger, Richard E

    2016-01-01

    Teen pregnancy is depicted around the world as an important cause of health disparities both for the child and the mother. Accordingly, much effort has been invested in its prevention and led to its decline in the northern hemisphere since the mid-1990s. Despite that, high rates are still observed in the circumpolar regions. As Inuit communities have granted better understanding of teenage pregnancy a priority for the coming years, this article comprehensively reviews this multidimensional issue. By depicting current prevalence, likely determinants and possible impacts documented among Inuit of Canada, Alaska and Greenland, and contrasting them to common knowledge that has emerged from other populations over the years, great gaps surface. In some regions, the number of pregnancies per number of Inuit women aged between 15 and 19 years has increased since the turn of the millennium, while statistics from others are either absent or difficult to compare. Only few likely determinants of teenage pregnancy such as low education and some household factors have actually been recognized among Inuit populations. Documented impacts of early pregnancy on Inuit women and their children are also limited compared to those from other populations. As a way to better address early pregnancy in the circumpolar context, the defence for additional scientific efforts and the provision of culturally adapted sexual health prevention programmes appear critical.

  18. Teen pregnancy in Inuit communities – gaps still needed to be filled

    PubMed Central

    Moisan, Caroline; Baril, Chloé; Muckle, Gina; Belanger, Richard E.

    2016-01-01

    Teen pregnancy is depicted around the world as an important cause of health disparities both for the child and the mother. Accordingly, much effort has been invested in its prevention and led to its decline in the northern hemisphere since the mid-1990s. Despite that, high rates are still observed in the circumpolar regions. As Inuit communities have granted better understanding of teenage pregnancy a priority for the coming years, this article comprehensively reviews this multidimensional issue. By depicting current prevalence, likely determinants and possible impacts documented among Inuit of Canada, Alaska and Greenland, and contrasting them to common knowledge that has emerged from other populations over the years, great gaps surface. In some regions, the number of pregnancies per number of Inuit women aged between 15 and 19 years has increased since the turn of the millennium, while statistics from others are either absent or difficult to compare. Only few likely determinants of teenage pregnancy such as low education and some household factors have actually been recognized among Inuit populations. Documented impacts of early pregnancy on Inuit women and their children are also limited compared to those from other populations. As a way to better address early pregnancy in the circumpolar context, the defence for additional scientific efforts and the provision of culturally adapted sexual health prevention programmes appear critical. PMID:27938638

  19. Healthy People 2010

    NASA Technical Reports Server (NTRS)

    Angotti, Catherine M.

    2001-01-01

    Major Healthy People (HP) 2000 goals closely tied to prevention were not met nationally: physical activity did not improve; evidence that it actually decreased; obesity did not decrease but instead increased in all groups, actually doubling in children; and incidence of type 2 diabetes did not decrease, but instead evidence showed that it increased in all age groups.

  20. Environmental Assessment All-Terrain Vehicle Training Area at Grand Forks AFB, North Dakota

    DTIC Science & Technology

    2004-03-17

    during actual construction, and over the long-term due to reduced storm water quality caused by the increase of exposed soil. The short-term effects...actual construction, and over the long-term due to reduced storm water quality caused by the increase of exposed soil. The short-term effects come

  1. Gastro-intestinal autoimmunity: preclinical experiences and successful therapy of fistulizing bowel diseases and gut Graft versus host disease by mesenchymal stromal cells.

    PubMed

    Voswinkel, Jan; Francois, Sabine; Gorin, Norbert-Claude; Chapel, Alain

    2013-07-01

    Mesenchymal stromal cells (MSC) are multipotent adult stem cells with the potential to regenerate tissue damage and inhibit inflammation and fibrosis in parallel. As they are non-immunogenic, MSC can be safely auto- and allotransplanted and consequently represent a therapeutic option for refractory connective tissue diseases and fistulizing colitis like Crohn's disease. Actually, there are more than 200 registered clinical trial sites for evaluating MSC therapy, 22 are on autoimmune diseases and 27 are actually recruiting bowel disease' patients. More than 1,500 patients with bowel diseases like Crohn's disease were treated in clinical trials by local as well as systemic MSC therapy. Phase I and II trials on fistula documented the feasibility and safety of MSC therapy, and a significant superiority compared to fibrin glue in fistulizing bowel diseases was demonstrated. Autologous as well as allogeneic use of Bone marrow as well as of adipose tissue-derived MSC are feasible. In refractory Graft versus host disease, especially in refractory gut Graft versus host diseases, encouraging results were reported using MSC. Systemic MSC therapy of refractory irradiation-induced colitis was safe and effective on pain, diarrhea, hemorrhage, inflammation and fistulization accompanied by modulation of the lymphocyte subsets toward an increase in T regulatory cells and a decrease in activated effector T cells. Mesenchymal stem cells represent a safe therapy for patients with refractory inflammatory bowel diseases.

  2. The ideal subject distance for passport pictures.

    PubMed

    Verhoff, Marcel A; Witzel, Carsten; Kreutz, Kerstin; Ramsthaler, Frank

    2008-07-04

    In an age of global combat against terrorism, the recognition and identification of people on document images is of increasing significance. Experiments and calculations have shown that the camera-to-subject distance - not the focal length of the lens - can have a significant effect on facial proportions. Modern passport pictures should be able to function as a reference image for automatic and manual picture comparisons. This requires a defined subject distance. It is completely unclear which subject distance, in the taking of passport photographs, is ideal for the recognition of the actual person. We show here that the camera-to-subject distance that is perceived as ideal is dependent on the face being photographed, even if the distance of 2m was most frequently preferred. So far the problem of the ideal camera-to-subject distance for faces has only been approached through technical calculations. We have, for the first time, answered this question experimentally with a double-blind experiment. Even if there is apparently no ideal camera-to-subject distance valid for every face, 2m can be proposed as ideal for the taking of passport pictures. The first step would actually be the determination of a camera-to-subject distance for the taking of passport pictures within the standards. From an anthropological point of view it would be interesting to find out which facial features allow the preference of a shorter camera-to-subject distance and which allow the preference of a longer camera-to-subject distance.

  3. Actual change and inaccurate recall contribute to posttraumatic growth following radiotherapy.

    PubMed

    Ransom, Sean; Sheldon, Kennon M; Jacobsen, Paul B

    2008-10-01

    People with cancer often report that they experience personal growth as a result of the disease, but such reports have unclear validity. Some suggest such growth results from Rogers's (1951) hypothesized organismic valuing process (OVP), an innate tendency for people to gravitate toward well-being; others suggest this growth may be a positive illusion resulting from temporal self-comparisons. To test these conceptualizations, the authors examined 83 individuals with Stages 0-III breast or prostate cancer. Patients completed measures of positive attributes and personal life goals before radiotherapy (Time 1) and after radiotherapy (Time 2). At Time 2, participants also attempted to recreate their Time 1 responses and completed a posttraumatic growth (PTG) measure. PTG was significantly related with actual increases (but not perceived increases) in the relative importance of intrinsic goals versus extrinsic goals and with perceived increases (but not actual increases) in positive attributes. These measures were unrelated to one another and thus explained unique variance in PTG. Data suggest that both actual change processes related to the OVP and biases in autobiographic recall may independently contribute to PTG reports. (c) 2008 APA, all rights reserved.

  4. Nosql for Storage and Retrieval of Large LIDAR Data Collections

    NASA Astrophysics Data System (ADS)

    Boehm, J.; Liu, K.

    2015-08-01

    Developments in LiDAR technology over the past decades have made LiDAR to become a mature and widely accepted source of geospatial information. This in turn has led to an enormous growth in data volume. The central idea for a file-centric storage of LiDAR point clouds is the observation that large collections of LiDAR data are typically delivered as large collections of files, rather than single files of terabyte size. This split of the dataset, commonly referred to as tiling, was usually done to accommodate a specific processing pipeline. It makes therefore sense to preserve this split. A document oriented NoSQL database can easily emulate this data partitioning, by representing each tile (file) in a separate document. The document stores the metadata of the tile. The actual files are stored in a distributed file system emulated by the NoSQL database. We demonstrate the use of MongoDB a highly scalable document oriented NoSQL database for storing large LiDAR files. MongoDB like any NoSQL database allows for queries on the attributes of the document. As a specialty MongoDB also allows spatial queries. Hence we can perform spatial queries on the bounding boxes of the LiDAR tiles. Inserting and retrieving files on a cloud-based database is compared to native file system and cloud storage transfer speed.

  5. The Value of Identifying and Recovering Lost GN&C Lessons Learned: Aeronautical, Spacecraft, and Launch Vehicle Examples

    NASA Technical Reports Server (NTRS)

    Dennehy, Cornelius J.; Labbe, Steve; Lebsock, Kenneth L.

    2010-01-01

    Within the broad aerospace community the importance of identifying, documenting and widely sharing lessons learned during system development, flight test, operational or research programs/projects is broadly acknowledged. Documenting and sharing lessons learned helps managers and engineers to minimize project risk and improve performance of their systems. Often significant lessons learned on a project fail to get captured even though they are well known 'tribal knowledge' amongst the project team members. The physical act of actually writing down and documenting these lessons learned for the next generation of NASA GN&C engineers fails to happen on some projects for various reasons. In this paper we will first review the importance of capturing lessons learned and then will discuss reasons why some lessons are not documented. A simple proven approach called 'Pause and Learn' will be highlighted as a proven low-impact method of organizational learning that could foster the timely capture of critical lessons learned. Lastly some examples of 'lost' GN&C lessons learned from the aeronautics, spacecraft and launch vehicle domains are briefly highlighted. In the context of this paper 'lost' refers to lessons that have not achieved broad visibility within the NASA-wide GN&C CoP because they are either undocumented, masked or poorly documented in the NASA Lessons Learned Information System (LLIS).

  6. Lying and Truth-Telling in Children: From Concept to Action

    PubMed Central

    Xu, Fen; Bao, Xuehua; Fu, Genyue; Talwar, Victoria; Lee, Kang

    2010-01-01

    While there has been extensive research on children's moral knowledge about lying and truth-telling and their actual lie- or truth-telling behaviors, research to examine the relationship between the 2 is extremely rare. This study examined one hundred and twenty 7-, 9-, and 11-year-olds' moral understanding of lies and their actual lying behaviors in a politeness situation. Results revealed that as age increased, children increasingly evaluated others' lying in politeness situations less negatively and were more inclined to tell lies in such situations themselves. Contrary to previous findings, children's socio-moral knowledge about lying was significantly related to their actual behaviors particularly when children's rationales underlying their moral judgments were consistent with their motives for actual lie- or truth-telling in the politeness situation. PMID:20438462

  7. Beamwidth effects on Z-R relations and area-integrated rainfall

    NASA Technical Reports Server (NTRS)

    Rosenfeld, Daniel; Atlas, David; Wolff, David B.; Amitai, Eyal

    1992-01-01

    The effective radar reflectivity Ze measured by a radar is the convolution of the actual distribution of reflectivity with the beam radiation pattern. Because of the nonlinearity between Z and rain rate R, Ze gives a biased estimator of R whenever the reflectivity field is nonuniform. In the presence of sharp horizontal reflectivity gradients, the measured pattern of Ze extends beyond the actual precipitation boundaries to produce false precipitation echoes. When integrated across the radar image of the storm, the false echo areas contribute to the sum to produce overestimates of the areal rainfall. As the range or beamwidth increases, the ratio of measured to actual rainfall increases. Beyond some range, the normal decrease of reflectivity with height dominates and the measured rainfall underestimates the actual amount.

  8. ACTUAL WASTE TESTING OF GYCOLATE IMPACTS ON THE SRS TANK FARM

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

    Martino, C.

    2014-05-28

    Glycolic acid is being studied as a replacement for formic acid in the Defense Waste Processing Facility (DWPF) feed preparation process. After implementation, the recycle stream from DWPF back to the high-level waste Tank Farm will contain soluble sodium glycolate. Most of the potential impacts of glycolate in the Tank Farm were addressed via a literature review and simulant testing, but several outstanding issues remained. This report documents the actual-waste tests to determine the impacts of glycolate on storage and evaporation of Savannah River Site high-level waste. The objectives of this study are to address the following: Determine the extentmore » to which sludge constituents (Pu, U, Fe, etc.) dissolve (the solubility of sludge constituents) in the glycolate-containing 2H-evaporator feed. Determine the impact of glycolate on the sorption of fissile (Pu, U, etc.) components onto sodium aluminosilicate solids. The first objective was accomplished through actual-waste testing using Tank 43H and 38H supernatant and Tank 51H sludge at Tank Farm storage conditions. The second objective was accomplished by contacting actual 2H-evaporator scale with the products from the testing for the first objective. There is no anticipated impact of up to 10 g/L of glycolate in DWPF recycle to the Tank Farm on tank waste component solubilities as investigated in this test. Most components were not influenced by glycolate during solubility tests, including major components such as aluminum, sodium, and most salt anions. There was potentially a slight increase in soluble iron with added glycolate, but the soluble iron concentration remained so low (on the order of 10 mg/L) as to not impact the iron to fissile ratio in sludge. Uranium and plutonium appear to have been supersaturated in 2H-evaporator feed solution mixture used for this testing. As a result, there was a reduction of soluble uranium and plutonium as a function of time. The change in soluble uranium concentration was independent of added glycolate concentration. The change in soluble plutonium content was dependent on the added glycolate concentration, with higher levels of glycolate (5 g/L and 10 g/L) appearing to suppress the plutonium solubility. The inclusion of glycolate did not change the dissolution of or sorption onto actual-waste 2H-evaporator pot scale to an extent that will impact Tank Farm storage and concentration. The effects that were noted involved dissolution of components from evaporator scale and precipitation of components onto evaporator scale that were independent of the level of added glycolate.« less

  9. 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth

    PubMed Central

    2012-01-01

    Background The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), that produced its first Guidelines in 2005, felt the need to revise them and increase their scientific quality. The aim is to offer to all professionals and their patients an evidence-based updated review of the actual evidence on conservative treatment of idiopathic scoliosis (CTIS). Methods All types of professionals (specialty physicians, and allied health professionals) engaged in CTIS have been involved together with a methodologist and a patient representative. A review of all the relevant literature and of the existing Guidelines have been performed. Documents, recommendations, and practical approach flow charts have been developed according to a Delphi procedure. A methodological and practical review has been made, and a final Consensus Session was held during the 2011 Barcelona SOSORT Meeting. Results The contents of the document are: methodology; generalities on idiopathic scoliosis; approach to CTIS in different patients, with practical flow-charts; literature review and recommendations on assessment, bracing, physiotherapy, Physiotherapeutic Specific Exercises (PSE) and other CTIS. Sixty-five recommendations have been given, divided in the following topics: Bracing (20 recommendations), PSE to prevent scoliosis progression during growth (8), PSE during brace treatment and surgical therapy (5), Other conservative treatments (3), Respiratory function and exercises (3), Sports activities (6), Assessment (20). No recommendations reached a Strength of Evidence level I; 2 were level II; 7 level III; and 20 level IV; through the Consensus procedure 26 reached level V and 10 level VI. The Strength of Recommendations was Grade A for 13, B for 49 and C for 3; none had grade D. Conclusion These Guidelines have been a big effort of SOSORT to paint the actual situation of CTIS, starting from the evidence, and filling all the gray areas using a scientific method. According to results, it is possible to understand the lack of research in general on CTIS. SOSORT invites researchers to join, and clinicians to develop good research strategies to allow in the future to support or refute these recommendations according to new and stronger evidence. PMID:22264320

  10. Physician as partner or salesman? Shared decision-making in real-time encounters.

    PubMed

    Karnieli-Miller, Orit; Eisikovits, Zvi

    2009-07-01

    The results of recent research have led to the increased advocacy of shared decision-making regarding medical treatment. Nonetheless, only a limited number of studies have focused on the process of decision-making in real-time encounters. The present paper aims to document and analyze this process. Specifically, we assess whether these decisions are the result of partnership or of persuasive tactics based on power and hierarchical relationships. We will describe and analyze different strategies used by pediatric gastroenterologists in breaking bad news encounters, as well as their consequences. The analysis is based on a multi-method, multi-participant phenomenological study on breaking bad news to adolescents and their families regarding a chronic illness. It included 17 units of analysis (actual encounters and 52 interviews with physicians, parents and adolescents). Data were collected from three hospitals in Northern Israel using observations and audiotapes of diagnosis disclosure encounters and audio-taped interviews with all participants. The analysis identified eight different presentation tactics used in actual encounters during which physicians made various use of language, syntax and different sources of power to persuade patients to agree with their preferred treatment choice. The tactics included various ways of presenting the illness, treatment and side effects; providing examples from other success or failure stories; sharing the decision only concerning technicalities; and using plurals and authority. The findings suggest that shared decision-making may be advocated as a philosophical tenet or a value, but it is not necessarily implemented in actual communication with patients. Rather, treatment decisions tend to be unilaterally made, and a variety of persuasive approaches are used to ensure agreement with the physician's recommendation. The discussion is focused on the complexity of sharing a decision, especially in the initial bad news encounter; and the potentially harmful implications on building a trusting relationship between the physician and the family when a decision is not shared.

  11. Documentation and Analysis of Rate Development and Cost Accumulation at Naval Air Rework Facility Norfolk.

    DTIC Science & Technology

    1985-12-01

    DODINST 7220.29-H; Uniform Cost Accounting System; SI Cost Accumula, 4r ?, 𔄃 Ac S TRACT (Continue on reverse if necessary and iaentify by tiock number...actual cost accumulation/Uniform Cost Accounting System (DODINST 7220.29 H, Ref. 1) as used in the Naval Aviation depot level maintenance system to a...Mcepted cost accounting practices as identified in the accounting litera- ture and the Cost Accounting Standards and Regulations. . ,’ The research

  12. Chronology of KSC and KSC related events for 1983

    NASA Technical Reports Server (NTRS)

    Nail, K., Jr. (Compiler)

    1984-01-01

    Materials for this chronology were selected from Aviation Week and Space Technology, Defense Daily, Miami Herald, Sentinel Star (Orlando), Today (Cocoa), Spaceport News (KSC), NASA News Releases, and other sources. The document is intended to serve as a record of KSC events and as a reference source for historians and other researchers. Arrangement is by month; items are by date of the published sources. Actual date of the event may be indicated in parenthesis, when the article itself does not make that information explicit.

  13. Numerical Algorithms for the Analysis of Expert Opinions Elicited in Text Format

    DTIC Science & Technology

    2013-04-01

    generative process just described actually means. No “real” intelligible document will ever be gen- erated from such a process, rather, a bag of words...Linguistics, 1992, pp. 977–981. Bra89. N. Bratchell, Cluster analysis, Chememeotrics and Intelligent Laboratory Sys- tems 6 (1989), 105–125. Bre99. P...with graphical models, Journal of Arti- ficial Intelligence Research 2 96 (1994), 159–225. UNCLASSIFIED 39 DSTO–TR–2797 UNCLASSIFIED Bun02. Wray L

  14. STS-29 MS Bagian juggles audio cassettes on Discovery's, OV-103's, middeck

    NASA Image and Video Library

    1989-03-18

    STS29-02-033 (3-18 March 1989) --- In what appears to be a juggling act in the microgravity of space, James P. Bagian, a physician, is actually attempting to organize audio cassettes. Other frames taken during the flight document Bagian's medical testing of his fellow crewmembers. This photographic frame was among NASA's third STS-29 photo release. Monday, March 20, 1989. Crewmembers were Astronauts Michael L. Coats, John E. Blaha, James F. Buchli, Robert C. Springer and James P. Bagian.

  15. [Direct lymphography with special reference to peripheral lymphedema. Historical retrospect--technique--indications--alternative procedures--image documentation].

    PubMed

    Gregl, A

    1991-06-01

    Indication for direct lymphography during the past forty years shows a downward tendency, mainly because of new alternative modern imaging methods. Nevertheless, in agreement with the actual literature it can be shown by own investigations with 8000 patients from 1964 to 1989 that one cannot give up lymphography totally. On principle lymphography is still carried out in case of testicular tumors, malignant lymphomas, unclear fever, lymphatic vessel injury and facultative in peripheric lymph edemas.

  16. Decision & Management Tools for DNAPL Sites: Optimization of Chlorinated Solvent Source and Plume Remediation Considering Uncertainty

    DTIC Science & Technology

    2010-09-01

    differentiated between source codes and input/output files. The text makes references to a REMChlor-GoldSim model. The text also refers to the REMChlor...To the extent possible, the instructions should be accurate and precise. The documentation should differentiate between describing what is actually...Windows XP operating system Model Input Paran1eters. · n1e input parameters were identical to those utilized and reported by CDM (See Table .I .from

  17. The Civilian Airline Industry’s Role in Military Pilot Retention. Beggarman or Thief? Documented Briefing,

    DTIC Science & Technology

    1995-01-01

    against civilian airline hiring, as reported by the Future Aviation Professionals of America ( FAPA ). The hiring data cited in the graph include...requirement for new pilot hires by major airlines. Data through 1992 are historical, from FAPA . Future data, from 1993 onward, are from the Blue Ribbon...historical data, we use actual data from FAPA . For future projections, we assume that (1) the airlines will continue to hire larger shares of military

  18. Multispectral scanner system for ERTS: Four band scanner system. Volume 2: Engineering model panoramic pictures and engineering tests

    NASA Technical Reports Server (NTRS)

    1972-01-01

    This document is Volume 2 of three volumes of the Final Report for the four band Multispectral Scanner System (MSS). The results are contained of an analysis of pictures of actual outdoor scenes imaged by the engineering model MSS for spectral response, resolution, noise, and video correction. Also included are the results of engineering tests on the MSS for reflectance and saturation from clouds. Finally, two panoramic pictures of Yosemite National Park are provided.

  19. Rare Cardiopulmonary Complications of Chronically Decompensated Myasthenia Gravis

    PubMed Central

    Chisholm, Joseph C.; Gilson, Alan

    1980-01-01

    Although myasthenia gravis (MG) is frequently mentioned in standard textbooks and journal articles as a rare cause for pulmonary hypertension and right heart failure, no case can actually be found in the literature. The case described in this report is the first documented case of chronically decompensated MG manifesting itself as pulmonary hypertension, severe right heart failure, and functional prolapse of both the mitral and tricuspid valves. Interestingly, no hepatic biochemical abnormalities were present in spite of significant congestive hepatomegaly. PMID:7420443

  20. 'SON-GO-KU' : a dream of automated library

    NASA Astrophysics Data System (ADS)

    Sato, Mamoru; Kishimoto, Juji

    In the process of automating libraries, the retrieval of books through the browsing of shelves is being overlooked. The telematic library is a document based DBMS which can deliver the content of books by simulating the browsing process. The retrieval actually simulates the process a person would use in selecting a book in a real library, where a visual presentation using a graphic display is substituted. The characteristics of prototype system "Son-Go-Ku" for such retrieval implemented in 1988 are mentioned.

  1. Federal New Buildings Handbook for Net Zero Energy, Water, and Waste

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

    None

    In 2015, the U.S. Department of Energy’s Office of Energy Efficiency and Renewable Energy (EERE) defined zero energy buildings as "an energy-efficient building where, on a source energy basis, the actual annual delivered energy is less than or equal to the on-site renewable exported energy." This document is focused on applying EERE’s definition of zero energy buildings to federal sector new buildings. However, it is not intended to replace, substitute, or modify any statutory or regulatory requirements and mandates.

  2. Transient Heat Transfer in Coated Superconductors.

    DTIC Science & Technology

    1982-10-29

    of the use of the SCEPTRE code are contained in the instruction manual and the book on the code. 30 An example of an actual SCEPTRE program is given in...22. 0. Tsukomoto and S. Kobayashi, J. of Appl. Physics, 46, 1359, (1975) 23. Y Iwasa and B.A. Apgar , Cryogenics 18, 267, (1978) 24. D.E. Baynham, V.W...Computer program for circuit and Systems Analysis. Prentice Hall 1971 and J.C. Bowers et. al. Users Manual for Super-Sceptre Government Document AD/A-OIl

  3. Solar photovoltaics for development applications

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

    Shepperd, L.W.; Richards, E.H.

    1993-08-01

    This document introduces photovoltaic technology to individuals and groups specializing in development activities. Examples of actual installations illustrate the many services supplied by photovoltaic systems in development applications, including water pumping, lighting, health care, refrigeration, communications, and a variety of productive uses. The various aspects of the technology are explored to help potential users evaluate whether photovoltaics can assist them in achieving their organizational goals. Basic system design, financing techniques, and the importance of infrastructure are included, along with additional sources of information and major US photovoltaic system suppliers.

  4. Virtual Surgical Planning for Correction of Delayed Presentation Scaphocephaly Using a Modified Melbourne Technique.

    PubMed

    Macmillan, Alexandra; Lopez, Joseph; Mundinger, Gerhard S; Major, Melanie; Medina, Miguel A; Dorafshar, Amir H

    2018-02-23

    Late treatment of scaphocephaly presents challenges including need for more complex surgery to achieve desired head shape. Virtual surgical planning for total vault reconstruction may mitigate some of these challenges, but has not been studied in this unique and complex clinical setting. A retrospective chart review was conducted for patients with scaphocephaly who presented to our institution between 2000 and 2014. Patients presenting aged 12 months or older who underwent virtual surgical planning-assisted cranial vault reconstruction were included. Patient demographic, intraoperative data, and postoperative outcomes were recorded. Pre- and postoperative anthropometric measurements were obtained to document the fronto-occipital (FO) and biparietal (BP) distance and calculate cephalic index (CI). Virtual surgical planning predicted, and actual postoperative anthropometric measurements were compared. Five patients were identified who fulfilled inclusion criteria. The mean age was 50.6 months. One patient demonstrated signs of elevated intracranial pressure preoperatively. Postoperatively, all but one needed no revisional surgery (Whitaker score of 1). No patient demonstrated postoperative evidence of bony defects, bossing, or suture restenosis. The mean preoperative, simulated, and actual postoperative FO length was 190.3, 182, and 184.3 mm, respectively. The mean preoperative, simulated, and actual postoperative BP length was 129, 130.7, and 131 mm, respectively. The mean preoperative, simulated, and actual postoperative CI was 66, 72, and 71.3, respectively. Based on our early experience, virtual surgical planning using a modified Melbourne technique for total vault remodeling achieves good results in the management of late presenting scaphocephaly.

  5. Perceived gender inequality, sexual communication self-efficacy, and sexual behaviour among female undergraduate students in the Mekong Delta of Vietnam

    PubMed Central

    Bui, Thanh Cong; Markham, Christine M.; Ross, Michael W.; Williams, Mark L.; Beasley, R. Palmer; Tran, Ly T. H.; Nguyen, Huong T. H.; Le, Thach Ngoc

    2012-01-01

    Background Worldwide, the literature on sexual behaviour has documented associations between gender-based relationship inequality and sexual communication ability and the actual use of condoms or other contraceptives among young women. This study aimed to examine these associations among undergraduate female students in the Mekong Delta of Vietnam. Methods A cross-sectional survey of 1181 female third-year students from two universities in the Mekong Delta was conducted. Latent variable modelling and logistic regression were employed to examine the hypothesised associations. Results Among the 72.4% of students who had ever had boyfriends, 44.8% indicated that their boyfriends had asked for sex, 13% had had penile–vaginal sex and 10.3% had had oral sex. For those who had had penile–vaginal sex, 33% did not use any contraceptive method, including condoms, during their first sexual intercourse. The greater a student’s perception that women were subordinate to men, the lower her self-efficacy for sexual communication and the lower her actual frequency of discussing safer sex matters and asking her partner to use a condom. Sexual communication self-efficacy was associated with actual contraceptive use (P = 0.039) but only marginally with condom use (P = 0.092) at first sexual intercourse. Conclusion Sexual health promotion strategies should address the influence of gender relations on young women’s sexual communication self-efficacy and the subsequent impact on actual contraceptive and condom use. PMID:22877589

  6. The Impact of Ethics Review on a Research-Led University Curriculum: Results of a Qualitative Study in Australia.

    PubMed

    Wynn, L L

    2016-04-01

    In the human sciences, a student research-centered pedagogy is constrained by institutional ethics review, yet there is little research on the impact of ethics review on research-led teaching. This article documents a range of ways that Australian universities are responding to ethics review of undergraduate human research. Forty teachers and administrators were interviewed at 14 universities using purposive sampling to document the range of ways teachers are avoiding ethics review or incorporating it into their curriculum. Some reported halting undergraduate research or evading ethics review, regarding it as meaningless bureaucracy divorced from actual ethical thinking. Those who incorporated ethics review into student research did so by collaborating with administrators. Institutions can facilitate research-led teaching by designing dedicated forms and decentralized review procedures for student research. © The Author(s) 2016.

  7. A Qualitative Exploration of a Clinical Ethicist's Role and Contributions During Family Meetings.

    PubMed

    Bruce, Courtenay R; Bibler, Trevor M; Pena, Adam M; Kusin, Betsy

    2016-12-01

    Despite the interpersonal nature of family meetings and the frequency in which they occur, the clinical ethics literature is devoid of any rich descriptions of what clinical ethicists should actually be doing during family meetings. Here, we propose a framework for describing and understanding "transitioning" facilitation skills based on a retrospective review of our internal documentation of 100 consecutive cases (June 01, 2013-December 31, 2014) wherein a clinical ethicist facilitated at least one family meeting. The internal documents were analyzed using qualitative methodologies, i.e., "codes", to identify emergent themes. We identified four different transitioning strategies clinical ethicists use to reach a meaningful resolution. These transitioning strategies serve as a jumping-off point for additional analyses, future research, evaluating clinical ethics consultation, and overall performance improvement of a consultation service.

  8. GEOTAIL Spacecraft historical data report

    NASA Technical Reports Server (NTRS)

    Boersig, George R.; Kruse, Lawrence F.

    1993-01-01

    The purpose of this GEOTAIL Historical Report is to document ground processing operations information gathered on the GEOTAIL mission during processing activities at the Cape Canaveral Air Force Station (CCAFS). It is hoped that this report may aid management analysis, improve integration processing and forecasting of processing trends, and reduce real-time schedule changes. The GEOTAIL payload is the third Delta 2 Expendable Launch Vehicle (ELV) mission to document historical data. Comparisons of planned versus as-run schedule information are displayed. Information will generally fall into the following categories: (1) payload stay times (payload processing facility/hazardous processing facility/launch complex-17A); (2) payload processing times (planned, actual); (3) schedule delays; (4) integrated test times (experiments/launch vehicle); (5) unique customer support requirements; (6) modifications performed at facilities; (7) other appropriate information (Appendices A & B); and (8) lessons learned (reference Appendix C).

  9. Optimization in the systems engineering process

    NASA Technical Reports Server (NTRS)

    Lemmerman, Loren A.

    1993-01-01

    The essential elements of the design process consist of the mission definition phase that provides the system requirements, the conceptual design, the preliminary design and finally the detailed design. Mission definition is performed largely by operations analysts in conjunction with the customer. The result of their study is handed off to the systems engineers for documentation as the systems requirements. The document that provides these requirements is the basis for the further design work of the design engineers at the Lockheed-Georgia Company. The design phase actually begins with conceptual design, which is generally conducted by a small group of engineers using multidisciplinary design programs. Because of the complexity of the design problem, the analyses are relatively simple and generally dependent on parametric analyses of the configuration. The result of this phase is a baseline configuration from which preliminary design may be initiated.

  10. Fluid and electrolyte control in simulated and actual spaceflight

    NASA Technical Reports Server (NTRS)

    Leach, C. S.; Johnson, P. C., Jr.

    1985-01-01

    Effects of microgravity on body fluid distribution and electrolyte and hormonal levels of astronauts have been studied since the early manned space missions. Bedrested subjects have been used as controls to separate effects of microgravity from those of hypokinesia. These investigations have led to documentation of the physiological effects of spaceflight and to a unified theory of response to microgravity. During flight, crewmembers have decreased thirst and a net loss of body water, sodium, and potassium. These changes seem to be initiated by passive transfer of extracellular fluid resulting in increased central venous pressure (CVP), to which the homeostatic mechanisms respond. A new equilibrium state is maintained during flight; it does not change in response to negative calcium and nitrogen balances during flight. On reexposure to gravity, profound water and salt retention occurs to replete extracellular fluid. Attempts to avoid cardiac deconditioning by repleting water and salt before leaving microgravity have somewhat ameliorated postural hypotension but have had little effect on CVP, cardiac chamber size or electrolyte dynamics.

  11. A new characterization of the icing environment below 10,000 feet AGL from 7,000 miles of measurements in supercooled clouds

    NASA Technical Reports Server (NTRS)

    Jeck, R. K.

    1985-01-01

    A growing requirement over the past decade for a new assessment of aircraft icing conditions in wintertime clouds at altitudes up to about 10,000 feet is discussed. The requirement was documented in past workshops and comes primarily from the helicopter community which wants ice-protected rotorcraft to meet increasing demands for all-weather operations. Currently, only a few of the larger helicopters are equipped with certification of ice-protection devices. This is because the current FAA criteria for design and certification of ice-protection equipment results in power and payload penalties that smaller rotorcraft cannot tolerate. The FAA criteria were actually designed for large, transport-category aircraft capable of flying to 20,000 feet or more. For this reason, there have been concerns that the current criteria may be too severe for low-performance aircraft, such as helicopters, which generally operate at altitudes below 10,000 feet.

  12. Human photosensitivity: from pathophysiology to treatment.

    PubMed

    Verrotti, A; Tocco, A M; Salladini, C; Latini, G; Chiarelli, F

    2005-11-01

    Photosensitivity is a condition detected on the electroencephalography (EEG) as a paroxysmal reaction to Intermittent Photic Stimulation (IPS). This EEG response, elicited by IPS or by other visual stimuli of daily life, is called Photo Paroxysmal Response (PPR). PPRs are well documented in epileptic and non-epileptic subjects. Photosensitivity rarely in normal individuals evolves into epilepsy. Photosensitive epilepsy is a rare refex epilepsy characterized by seizures in photosensitive individuals. The development of modern technology has increased the exposition to potential seizure precipitants in people of all ages, but especially in children and adolescents. Actually, videogames, computers and televisions are the most common triggers in daily life of susceptible persons. The mechanisms of generation of PPR are poorly understood, but genetic factors play an important rule. The control of visually induced seizures has, generally a good prognosis. In patients known to be visually sensitive, avoidance of obvious source and stimulus modifications are very important and useful to seizure prevention, but in the large majority of patients with epilepsy and photosensitivity antiepileptic drugs are needed.

  13. A novel approach for detection of anomalies using measurement data of the Ironton-Russell bridge

    NASA Astrophysics Data System (ADS)

    Zhang, Fan; Norouzi, Mehdi; Hunt, Victor; Helmicki, Arthur

    2015-04-01

    Data models have been increasingly used in recent years for documenting normal behavior of structures and hence detect and classify anomalies. Large numbers of machine learning algorithms were proposed by various researchers to model operational and functional changes in structures; however, a limited number of studies were applied to actual measurement data due to limited access to the long term measurement data of structures and lack of access to the damaged states of structures. By monitoring the structure during construction and reviewing the effect of construction events on the measurement data, this study introduces a new approach to detect and eventually classify anomalies during construction and after construction. First, the implementation procedure of the sensory network that develops while the bridge is being built and its current status will be detailed. Second, the proposed anomaly detection algorithm will be applied on the collected data and finally, detected anomalies will be validated against the archived construction events.

  14. Environmental assessment for proposed energy conservation standards for three types of consumer products: dishwashers, clothes washers and clothes dryers

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

    Not Available

    1989-01-01

    This environmental assessment (EA) evaluates the environmental impacts resulting from new or amended energy-efficiency standards for dishwashers, clothes washers and clothes dryers as mandated by the National Appliance Energy Conservation Act of 1987. A complete description of the Engineering and Economic Analysis of the proposed standards may be found elsewhere in the Technical Support Document (TSD). All eleven of the scenarios for product design changes described in the Engineering Analysis of the TSD are analyzed in the environmental assessment in the form of levels of pollutant reduction. Level 1 represents the least amount of pollutant reduction, while higher numbered levelsmore » represent increasingly more stringent standards, with correspondingly greater reductions in pollutants. Values for energy savings that result from product design changes are taken from the TSD. These energy savings are based on recent data on actual usage rather than DOE test procedures. 12 refs., 1 fig., 12 tabs.« less

  15. Evaluation of modal pushover-based scaling of one component of ground motion: Tall buildings

    USGS Publications Warehouse

    Kalkan, Erol; Chopra, Anil K.

    2012-01-01

    Nonlinear response history analysis (RHA) is now increasingly used for performance-based seismic design of tall buildings. Required for nonlinear RHAs is a set of ground motions selected and scaled appropriately so that analysis results would be accurate (unbiased) and efficient (having relatively small dispersion). This paper evaluates accuracy and efficiency of recently developed modal pushover–based scaling (MPS) method to scale ground motions for tall buildings. The procedure presented explicitly considers structural strength and is based on the standard intensity measure (IM) of spectral acceleration in a form convenient for evaluating existing structures or proposed designs for new structures. Based on results presented for two actual buildings (19 and 52 stories, respectively), it is demonstrated that the MPS procedure provided a highly accurate estimate of the engineering demand parameters (EDPs), accompanied by significantly reduced record-to-record variability of the responses. In addition, the MPS procedure is shown to be superior to the scaling procedure specified in the ASCE/SEI 7-05 document.

  16. Catch reconstructions reveal that global marine fisheries catches are higher than reported and declining

    PubMed Central

    Pauly, Daniel; Zeller, Dirk

    2016-01-01

    Fisheries data assembled by the Food and Agriculture Organization (FAO) suggest that global marine fisheries catches increased to 86 million tonnes in 1996, then slightly declined. Here, using a decade-long multinational ‘catch reconstruction' project covering the Exclusive Economic Zones of the world's maritime countries and the High Seas from 1950 to 2010, and accounting for all fisheries, we identify catch trajectories differing considerably from the national data submitted to the FAO. We suggest that catch actually peaked at 130 million tonnes, and has been declining much more strongly since. This decline in reconstructed catches reflects declines in industrial catches and to a smaller extent declining discards, despite industrial fishing having expanded from industrialized countries to the waters of developing countries. The differing trajectories documented here suggest a need for improved monitoring of all fisheries, including often neglected small-scale fisheries, and illegal and other problematic fisheries, as well as discarded bycatch. PMID:26784963

  17. Mechanisms by which pesticides affect insect immunity.

    PubMed

    James, R R; Xu, J

    2012-02-01

    The current state of knowledge regarding the effect of pesticides on insect immunity is reviewed here. A basic understanding of these interactions is needed for several reasons, including to improve methods for controlling pest insects in agricultural settings, for controlling insect vectors of human diseases, and for reducing mortality in beneficial insects. Bees are particularly vulnerable to sublethal pesticide exposures because they gather nectar and pollen, concentrating environmental toxins in their nests in the process. Pesticides do have effects on immunity. Organophosphates and some botanicals have been found to impact hemocyte number, differentiation, and thus affect phagocytosis. The phenoloxidase cascade and malanization have also been shown to be affected by several insecticides. Many synthetic insecticides increase oxidative stress, and this could have severe impacts on the production of some antimicrobial peptides in insects, but research is needed to determine the actual effects. Pesticides can also affect grooming behaviors, rendering insects more susceptible to disease. Despite laboratory data documenting pesticide/pathogen interactions, little field data is available at the population level. Published by Elsevier Inc.

  18. Impact of Distributed Energy Resources on the Reliability of a Critical Telecommunications Facility

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

    Robinson, D.; Atcitty, C.; Zuffranieri, J.

    2006-03-01

    Telecommunications has been identified by the Department of Homeland Security as a critical infrastructure to the United States. Failures in the power systems supporting major telecommunications service nodes are a main contributor to major telecommunications outages, as documented by analyses of Federal Communications Commission (FCC) outage reports by the National Reliability Steering Committee (under auspices of the Alliance for Telecommunications Industry Solutions). There are two major issues that are having increasing impact on the sensitivity of the power distribution to telecommunication facilities: deregulation of the power industry, and changing weather patterns. A logical approach to improve the robustness of telecommunicationmore » facilities would be to increase the depth and breadth of technologies available to restore power in the face of power outages. Distributed energy resources such as fuel cells and gas turbines could provide one more onsite electric power source to provide backup power, if batteries and diesel generators fail. But does the diversity in power sources actually increase the reliability of offered power to the office equipment, or does the complexity of installing and managing the extended power system induce more potential faults and higher failure rates? This report analyzes a system involving a telecommunications facility consisting of two switch-bays and a satellite reception system.« less

  19. LANL Environmental ALARA Program Status Report for CY 2016

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

    Whicker, Jeffrey Jay; Mcnaughton, Michael; Ruedig, Elizabeth

    2017-02-24

    Los Alamos National Laboratory (LANL) ensures that radiation exposures to members of the public and the environment from LANL operations, past and present, are below regulatory thresholds and are as low as reasonably achievable (ALARA) through compliance with DOE Order 458.1 Radiation Protection for the Public and the Environment, and LANL Policy 412 Environmental Radiation Protection (LANL2016a). In 2007, a finding (RL.2-F-1) and observation (RL.2-0-1) in the NNSA/ LASO report, September 2007, Release of Property (Land) Containing Residual Radioactive Material Self-Assessment Report, indicated that LANL had no policy or documented process in place for the release of property containing residualmore » radioactive material. In response, LANL developed PD410, Los Alamos National Laboratory Environmental ALARA Program. The most recent version of this document became effective in 2014 (LANL 2014a). The document provides program authorities, responsibilities, descriptions, processes, and thresholds for conducting qualitative and quantitative ALARA analyses for prospective and actual radiation exposures to the public and t o the environment resulting from DOE activities conducted on the LANL site.« less

  20. LANL Environmental ALARA Program Status Report for CY 2015

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

    Whicker, Jeffrey Jay; Mcnaughton, Michael; Gillis, Jessica Mcdonnel

    2016-03-29

    Los Alamos National Laboratory (LANL) ensures that radiation exposures to members of the public and the environment from LANL operations, past and present, are below regulatory thresholds and are as low as reasonably achievable (ALARA) through compliance with DOE Order 458.1 Radiation Protection for the Public and the Environment, and LANL Policy 412 Environmental Radiation Protection. In 2007, a finding (RL.2-F-1) and observation (RL.2-0-1) in the NNSA/ LASO report, September 2007, Release of Property (Land) Containing Residual Radioactive Material Self-Assessment Report, indicated that LANL had no policy or documented process in place for the release of property containing residual radioactivemore » material. In response, LANL developed PD410, Los Alamos National Laboratory Environmental ALARA Program. The most recent version of this document became effective on September 28, 2011. The document provides program authorities, responsibilities, descriptions, processes, and thresholds for conducting qualitative and quantitative ALARA analyses for prospective and actual radiation exposures to the public and t o the environment resulting from DOE activities conducted on the LANL site.« less

  1. ASRDI oxygen technology survey. Volume 3: Heat transfer and fluid dynamics. Abstracts of selected technical reports and publications

    NASA Technical Reports Server (NTRS)

    Schmidt, A. F. (Editor)

    1972-01-01

    Selected information is presented from an assemblage of reports and publications on heat transfer and fluid dynamics with direct applicability to oxygen systems. For each document cited, an abstract has been prepared together with key words and a listing of most important references found in the document. Additionally, an author index, a subject index, and a key word index have been provided to simplify the retrieval of specific information from this work. In each subject area - e.g., boiling heat transfer - the individual citations are listed alphabetically by first author, with review papers dually noted under the appropriate subject category and under review papers. Of the documents reviewed and evaluated for inclusion in this publication, coverage of existing information directly concerned with oxygen was given primary emphasis. However, work not specifically oxygen-designated but considered applicable to oxygen by the reviewer e.g., a two-phase friction factor correlation derived from nitrogen experiments is occasionally given where no actual oxygen data exist, as an aid to the reader. Approximately 130 abstracts are listed.

  2. Understanding the relationship between actual and potential evapotranspirations from long- term water balance analysis and flux observation

    NASA Astrophysics Data System (ADS)

    Yang, D.; Yang, H.; Sun, F.

    2007-12-01

    Increase in air temperature and decrease in pan evaporation was found to be common worldwide during the past half century. This results in controversy in view of the changes to the hydrological cycle. Increases in precipitation have been expected due to the Clausius¡§CClapyeron relation in that the specific humidity increases exponentially with the greenhouse-gas induced temperature increasing and confirmed by measurements over northern extratropical land areas. The hydrologic cycle is expected to be intensified (or accelerated). However, the decreased pan evaporation is found to be well related to the global dimming, i.e., the decreased solar radiation induced by the pollution increasing, thus evaporation (i.e., the latent heat flux) should be steadily decreasing from the energy balance perspective. Many researchers explained that the potential evaporation (usually measured by pan) is decreased with increasing of precipitation; however, the increased soil moisture (due to precipitation increasing) can be evaporated because of extra energy available. Therefore, the actual and potential evaporation are in complementary relationship, which is expected to unify the controversy between global warming and dimming. This means that pan evaporation decrease implicates acceleration of the global hydrologic cycle, i.e., increase in the terrestrial evaporation. Based on the complementary theory, many operational formulae have been introduced to estimated actual evaporation from the potential evaporation. Our recent water balance analysis of 108 catchments in non-humid regions of China has shown that there are no general opposite trends between potential and actual evaporation in the same period. A novel phenomenon has been found that the complementary relationships in evaporation are distinctly confirmed when the annual actual and potential evaporation are plotted against annual precipitation; However, complementary relationships disappear in many catchments when actual and potential evaporations are plotted against the time (year) during the same period. This means that complementary idea cannot provide universally correct predictions on the trend of actual evaporation only from the potential one. In this research, we examine the coupled water-energy balance based on Budyko hypothesis and proposed a conceptual model for predicting the inter-annual variability of annual water balance, and the change trends of water balances due to climate changes. The wet environment evaporation was defined as the boundary condition in the Bouchet hypothesis and introduced into complementary relationship (CR), which combined the actual evaporation with potential evaporation in an equation. However, the CR was derived in a closed system where no horizontal energy advection existed. The effect of the horizontal advection on the CR in a real open system was also analyzed in this study. Using the long-term water balance analysis in the 108 study catchments and flux observation at 7 sites in Asia monsoon region, the regional and seasonal variability of the complementary relationship was examined. Key Words: climate change, evapotranspiration, water balance, flux observation, Budyko hypothesis, Bouchet hypothesis

  3. Automated Generation of Technical Documentation and Provenance for Reproducible Research

    NASA Astrophysics Data System (ADS)

    Jolly, B.; Medyckyj-Scott, D.; Spiekermann, R.; Ausseil, A. G.

    2017-12-01

    Data provenance and detailed technical documentation are essential components of high-quality reproducible research, however are often only partially addressed during a research project. Recording and maintaining this information during the course of a project can be a difficult task to get right as it is a time consuming and often boring process for the researchers involved. As a result, provenance records and technical documentation provided alongside research results can be incomplete or may not be completely consistent with the actual processes followed. While providing access to the data and code used by the original researchers goes some way toward enabling reproducibility, this does not count as, or replace, data provenance. Additionally, this can be a poor substitute for good technical documentation and is often more difficult for a third-party to understand - particularly if they do not understand the programming language(s) used. We present and discuss a tool built from the ground up for the production of well-documented and reproducible spatial datasets that are created by applying a series of classification rules to a number of input layers. The internal model of the classification rules required by the tool to process the input data is exploited to also produce technical documentation and provenance records with minimal additional user input. Available provenance records that accompany input datasets are incorporated into those that describe the current process. As a result, each time a new iteration of the analysis is performed the documentation and provenance records are re-generated to provide an accurate description of the exact process followed. The generic nature of this tool, and the lessons learned during its creation, have wider application to other fields where the production of derivative datasets must be done in an open, defensible, and reproducible way.

  4. Document Set Differentiability Analyzer v. 0.1

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

    Osborn, Thor D.

    Software is a JMP Scripting Language (JSL) script designed to evaluate the differentiability of a set of documents that exhibit some conceptual commonalities but are expected to describe substantially different – thus differentiable – categories. The script imports the document set, a subset of which may be partitioned into an additions pool. The bulk of the documents form a basis pool. Text analysis is applied to the basis pool to extract a mathematical representation of its conceptual content, referred to as the document concept space. A bootstrapping approach is applied to that mathematical representation in order to generate a representationmore » of a large population of randomly designed documents that could be written within the concept space, notably without actually writing the text of those documents.The Kolmogorov-Smirnov test is applied to determine whether the basis pool document set exhibits superior differentiation relative to the randomly designed virtual documents produced by bootstrapping. If an additions pool exists, the documents are incrementally added to the basis pool, choosing the best differentiated remaining document at each step. In this manner the impact of additional categories to overall document set differentiability may be assessed.The software was developed to assess the differentiability of job description document sets. Differentiability is key to meaningful categorization. Poor job differentiation may have economic, ethical, and/or legal implications for an organization. Job categories are used in the assignment of market-based salaries; consequently, poor differentiation of job duties may set the stage for legal challenges if very similar jobs pay differently depending on title, a circumstance that also invites economic waste.The software can be applied to ensure job description set differentiability, reducing legal, economic, and ethical risks to an organization and its people. The extraction of the conceptual space to a mathematical representation enables identification of exceedingly similar documents. In the event of redundancy, two jobs may be collapsed into one. If in the judgment of the subject matter experts the jobs are truly different, the conceptual similarities are highlighted, inviting inclusion of appropriate descriptive content to explicitly characterize those differences. When additional job categories may be needed as the organization changes, the software enables evaluation of proposed additions to ensure that the resulting document set remains adequately differentiated.« less

  5. Body Weight and Suicidal Behavior in Adolescent Females: The Role of Self-Perceptions.

    PubMed

    Minor, Travis; Ali, Mir M; Rizzo, John A

    2016-03-01

    Suicide is the third leading cause of death among adolescents and recent data indicate that the suicide rate, particularly for young girls, is increasing. Excess body weight among adolescents has also been documented widely over the last two decades and is considered one of the most pressing public health concerns today. Previous literature has examined the relationship between actual body weight and suicidal behavior, but there is little evidence on self-perception of weight and suicidal behaviors. This study examines the relationship between body weight and suicidal behaviors using a rich longitudinal data set of a large nationally-representative sample of female adolescents to account for a number of confounding factors. The study explores the relationship, not only between actual weight status and suicidal behaviors, but also between self-perception of weight and suicidal behaviors. Using data from a nationally-representative sample of adolescents in the United States, the study ascertains the effect of body weight status on suicidal behaviors by estimating endogeneity-corrected models including school-level fixed effects to account for bi-directionality and unobserved confounders. Actual body weight status was calculated using interviewer-measured height and weight. The study also used a measure of self-perceived weight status to compare how actual versus self-perceived weight status affects suicidal behavior. Thinking about committing suicide and attempting to commit suicide in the past 12 months were utilized as dichotomous measures of suicidal behaviors. Potential mediators between suicidal behaviors and weight status such as family history of suicide, participation in risky health behaviors and parental characteristics were also controlled for in the analysis. The analytical sample consists of 5,430 adolescent females aged 11 to 18. The results suggest that both self-perceived and measured weight status (overweight or obese) increase a female adolescent's probability of suicidal ideation, with self-perceived weight status causing a larger increase in suicidal ideation. There is some evidence that body weight status affects suicide attempts, but these results are much less robust. Finally, endogeneity bias is shown to be of concern in all estimates, and failing to account for this bias is likely to understate any estimated effect. The results have important implications for the design of public health programs to prevent adolescent suicide, especially among female adolescents. Understanding the mechanisms through which adolescents are motivated to take such dire actions will help to allocate resources into the treatment areas which are most effective in stemming the rise of suicidal behaviors. This study identifies one key factor, self-perception of weight, which may be an avenue for mental health care providers to continue exploring. Further research on this topic could include not only studying the impact of body weight on suicidal behaviors, but also examining the relationships between body weight and other important mental health outcomes such as psychological distress and major depressive episodes.

  6. CC130 pilot fatigue during re-supply missions to former Yugoslavia.

    PubMed

    Paul, M A; Pigeau, R A; Weinberg, H

    2001-11-01

    Deployment of troops in foreign theaters requires a massive airlift capability. The fatigue encountered in such operations can be severe enough to pose a flight safety hazard. The current study documents sleep and the effect of fatigue on aircrew performance during re-supply missions in support of Canadian troops in Bosnia in 1996. Ten routine re-supply missions from Trenton, Canada, to Zagreb, Croatia, were studied and involved 9 pilots and 9 co-pilots. To document their sleep hygiene, all pilots wore wrist actigraphs from approximately 5 d prior to the mission, until the mission was completed. Psychomotor performance was tested during the actual flights. Three psychomotor trials during the outbound transatlantic leg (Trenton to Lyneham, UK) were employed, one trial on the Lyneham-Zagreb-Lyneham leg, and three trials on the return transatlantic leg from Lyneham to Trenton. The amount of daily sleep during the 3-d period prior to the mission steadily decreased from an average of 8 h 40 min per day to 6 h 30 min (p < 0.001). During the missions, the worst night of sleep occurred during the second night overseas. During both transatlantic legs, there were significant decrements in the subjective ratings of alertness (p < 0.001), and increases in physical (p < 0.001) and mental fatigue (p < 0.001). Performance on the logical reasoning task as well as the multitask showed probable fatigue effects during the outbound leg of the missions. Our transport pilots showed a pattern of progressively decreasing sleep. Self-rated scores for alertness, mental and physical fatigue, indicate a deterioration of alertness, and an increase in fatigue throughout the long transatlantic flights.

  7. Validating the Operational Bias and Hypothesis of Universal Exponent in Landslide Frequency-Area Distribution

    PubMed Central

    Huang, Jr-Chuan; Lee, Tsung-Yu; Teng, Tse-Yang; Chen, Yi-Chin; Huang, Cho-Ying; Lee, Cheing-Tung

    2014-01-01

    The exponent decay in landslide frequency-area distribution is widely used for assessing the consequences of landslides and with some studies arguing that the slope of the exponent decay is universal and independent of mechanisms and environmental settings. However, the documented exponent slopes are diverse and hence data processing is hypothesized for this inconsistency. An elaborated statistical experiment and two actual landslide inventories were used here to demonstrate the influences of the data processing on the determination of the exponent. Seven categories with different landslide numbers were generated from the predefined inverse-gamma distribution and then analyzed by three data processing procedures (logarithmic binning, LB, normalized logarithmic binning, NLB and cumulative distribution function, CDF). Five different bin widths were also considered while applying LB and NLB. Following that, the maximum likelihood estimation was used to estimate the exponent slopes. The results showed that the exponents estimated by CDF were unbiased while LB and NLB performed poorly. Two binning-based methods led to considerable biases that increased with the increase of landslide number and bin width. The standard deviations of the estimated exponents were dependent not just on the landslide number but also on binning method and bin width. Both extremely few and plentiful landslide numbers reduced the confidence of the estimated exponents, which could be attributed to limited landslide numbers and considerable operational bias, respectively. The diverse documented exponents in literature should therefore be adjusted accordingly. Our study strongly suggests that the considerable bias due to data processing and the data quality should be constrained in order to advance the understanding of landslide processes. PMID:24852019

  8. Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study

    PubMed Central

    Bruehl, Stephen; Liu, Xiaoxia; Burns, John W.; Chont, Melissa; Jamison, Robert N.

    2013-01-01

    Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7 days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P < 0.001). LBP participants showed higher levels of daily anger expression than controls (P < 0.001). Generalized estimating equation analyses in the LBP group revealed a lagged main effect of greater behavioral anger expression on increased chronic pain intensity in the subsequent assessment period (P < 0.05). Examination of a trait × situation model for anger-out revealed prospective associations between elevated chronic pain intensity and later increases in behavioral anger expression that were restricted largely to individuals low in trait anger-out (P < 0.001). Trait × situation interactions for trait anger suppression (anger-in) indicated similar influences of pain intensity on subsequent behavioral anger expression occurring among low anger-in persons (P < 0.001). Overlap with trait and state negative affect did not account for study findings. This study for the first time documents lagged within-day influences of behavioral anger expression on subsequent chronic pain intensity. Trait anger regulation style may moderate associations between behavioral anger expression and chronic pain intensity. PMID:22940462

  9. The Portrayal of Industrial Melanism in American College General Biology Textbooks

    NASA Astrophysics Data System (ADS)

    Fulford, Janice Marie; Rudge, David Wÿss

    2016-08-01

    The phenomenon of industrial melanism (IM) became widely acknowledged as a well-documented example of natural selection largely as a result of H.B.D. Kettlewell's pioneering research on the subject in the early 1950s. It was quickly picked up by American biology textbooks starting in the early 1960s and became ubiquitous throughout the 1970s, 1980s and 1990s. While recent research on the phenomenon broadly supports Kettlewell's explanation of IM in the peppered moth, which in turn has strengthened this example of natural selection, textbook IM entries have actually declined in recent years in favor of other examples. In a previous paper, we drew attention to the pivotal role visual aspects played in the introduction of IM into (and its subsequent removal from) textbook accounts. The present article continues this investigation by analyzing textual passages on industrial melanism within a stratified random sample of textbooks from the 1960s to the 2000s. The fact that this example of natural selection was included by multiple publishers independently, in a short period of time, makes it uniquely qualified for a textbook study of this kind. The purpose of the present project was to determine whether these textbooks contain what has come to be known as the standard peppered moth story. Three complete series were also inspected for change across time. Our analysis focused on (1) the amount of text devoted to industrial melanism; (2) what specific science content elements were present; and (3) what, if any, nature of science (NOS) aspects were included. The study documents an increase in the amount of text devoted to industrial melanism over the decades. In spite of this increase, only modest changes in science content and NOS aspects were found.

  10. The role of liquid chromatography-tandem mass spectrometry (LC-MS/MS) to test blood and urine samples for the toxicological investigation of drug-facilitated crimes.

    PubMed

    Deveaux, Marc; Chèze, Marjorie; Pépin, Gilbert

    2008-04-01

    The authors present an overview of the drug-facilitated crime (DFC) phenomenon, especially in France. Recently, there has been an increase in reports of incidents (mainly sexual assaults and robbery) as well as in scientific publications and congress presentations on the topic. From enquiries conducted nationally, a list of drugs reportedly associated with DFC was established and includes benzodiazepines and benzodiazepine-like drugs (zolpidem, zopiclone), minor tranquilizers and neuroleptics, barbiturates, narcotics, hallucinogens, and anaesthetics. Some of these molecules are specific to France in DFC cases. A study using healthy volunteers who had taken benzodiazepines (lorazepam, bromazepam, flunitrazepam, clonazepam), zolpidem and zopiclone, showed that the only way to increase the duration of detection of these drugs is to use liquid chromatography-tandem mass spectrometry (LC-MS/MS) to test blood and urine samples. The very high sensitivity of this method appears to be an essential condition to document the cases, because the drugs tested were still detectable in urine at least 6 days after the ingestion of one therapeutic dose. Limits of detection were always lower than 0.5 ng/mL in urine. The actual list of molecules and metabolites the authors screened for in urine and blood by LC-MS/MS, in every DFC, is given in detail: 25 benzodiazepines and benzodiazepine-like drugs, 11 minor tranquilizers and neuroleptics, 2 barbiturates, 12 narcotics, 4 hallucinogens, and 1 anaesthetic. However, the distinction between continual therapeutic use of a psychotropic drug or illegal narcotic and a single ingestion has to be documented by sequential analysis of hair, again with LC-MS/MS.

  11. The documentation and reintegration of a lost past

    NASA Astrophysics Data System (ADS)

    Balletti, C.; Brussa, N.; Gottardi, C.; Guerra, F.

    2014-05-01

    The paper describes how new digital methodologies can be used within the field of Cultural Heritage, not only with the aim of documenting the actual state of an architecture but to review the past transformations it has undergone, conserving and representing these histories as well. Over the last few years, the methodologies of acquisition and integrated representation for 3D patrimony documentation have developed and consolidated considerably: the possibilities of the digital realm can augment the understanding and the valorisation of a monument. The specific case offered in the present paper, the Scuola Vecchia della Misericordia in Venice, is a significant example. It suggests not only the theme of the "no longer existing" regarding its façade, which has undergone evident modifications, but also the recontextualization of a number of decorative elements, such as the bas-reliefs which once marked the entrance and are today conserved in the Victoria and Albert Museum, London. The described experience shows how integrated methodology, from high resolution laser scanning and photogrammetric survey to 3d modelling, can develop a reliably virtual diachronical reconstruction from different sources of an historical building. Geomatic tools combined with computer graphics provide a better understanding of building history through the use historical documents, playing a paramount role in preserving and valorizing the cultural and environmental heritage.

  12. Underwater Photogrammetry and 3d Reconstruction of Marble Cargos Shipwreck

    NASA Astrophysics Data System (ADS)

    Balletti, C.; Beltrame, C.; Costa, E.; Guerra, F.; Vernier, P.

    2015-04-01

    Nowadays archaeological and architectural surveys are based on the acquisition and processing of point clouds, allowing a high metric precision, essential prerequisite for a good documentation. Digital image processing and laser scanner have changed the archaeological survey campaign, from manual and direct survey to a digital one and, actually, multi-image photogrammetry is a good solution for the underwater archaeology. This technical documentation cannot operate alone, but it has to be supported by a topographical survey to georeference all the finds in the same reference system. In the last years the Ca' Foscari and IUAV University of Venice are conducting a research on integrated survey techniques to support underwater metric documentation. The paper will explain all the phases regarding the survey's design, images acquisition, topographic measure and the data processing of two Roman shipwrecks in south Sicily. The cargos of the shipwrecks are composed by huge marble blocks, but they are different for morphological characteristic of the sites, for the depth and for their distribution on the seabed. Photogrammetrical and topographical surveys were organized in two distinct methods, especially for the second one, due to the depth that have allowed an experimentation of GPS RTK's measurements on one shipwreck. Moreover, this kind of three-dimensional documentation is useful for educational and dissemination aspect, for the ease of understanding by wide public.

  13. Atypical sources of childhood lead poisoning in the United States: a systematic review from 1966-2006.

    PubMed

    Gorospe, Emmanuel C; Gerstenberger, Shawn L

    2008-09-01

    Lead poisoning from atypical sources, which excludes the well-established lead-based paint ingestions and exposure in occupational settings, are increasingly reported in medical literature. Our objective is to increase awareness on atypical sources of lead exposure and to formulate recommendations for their detection based on actual reported cases. We systematically retrieved and reviewed reports on pediatric lead poisoning in the U.S. from atypical sources by searching Medline, Embase, CINAHL, Academic Search Premier, AltHealth, websites of state lead poisoning prevention programs, and the U.S. Consumer Product Safety Commission database for reports published from January 1966 to December 2006. We retrieved 28 published reports that met our inclusion criteria. Of these reports, 20 are case reports and 8 case series, documenting a total of 82 incidents of lead poisoning in children from atypical sources. There are varied sources of atypical lead exposure among U.S. children. The sources were grouped in the following categories based on their utility: fashion accessories, folk remedies, imported condiments & candies, pellets & bullets, and lastly, recreational & domestic items. Based on these findings, we have formulated a questionnaire that may assist in the identification of atypical lead sources in the home.

  14. Truths and myths of oocyte sensitivity to controlled rate freezing.

    PubMed

    Coticchio, G; Bonu, M A; Sciajno, R; Sereni, E; Bianchi, V; Borini, A

    2007-07-01

    The mammalian oocyte is especially sensitive to cryopreservation. Because of its size and physiology, it can easily undergo cell death or sub-lethal damage as a consequence of intracellular ice formation, increase in the concentration of solutes and other undesired effects during the conversion of extracellular water into ice. This has generated the belief that oocyte storage cannot be achieved with the necessary efficiency and safety. However, many concerns raised by oocyte freezing are the result of unproven hypotheses or observations conducted under sometimes inappropriate conditions. For instance, spindle organization can undergo damage under certain freezing conditions but not with other protocols. The controversial suggestion that cryopreservation induces cortical granule discharge and zona pellucida hardening somehow questions the routine use of sperm microinjection. Damage to mouse oocytes caused by solute concentration is well documented but, in the human, there is no solid evidence that modifications of freezing mixtures, to prevent this problem, provide an actual advantage. The hope of developing oocyte cryopreservation as a major IVF option is becoming increasingly realistic, but major efforts are still required to clarify the authentic implications of oocyte cryopreservation at the cellular level and identify freezing conditions compatible with the preservation of viability and developmental ability.

  15. Evaluation of an occupational rehabilitation program.

    PubMed

    Goodman, Glenn; Browning, Margaret; Campbell, Sims; Hudak, Huison

    2005-01-01

    The purpose of this study was to report the findings of a program evaluation for an occupational rehabilitation program in the Midwest. An ex-post facto chart review was performed on 50 charts using demographic data, results from tests of performance and pain measures, and data from patient satisfaction questionnaires to find evidence of excellence in the program, and to identify areas for improvement. Over 97% of the participants actually completed the program and 76% returned to work within 3 months after program completion. Ninety-two percent indicated overall satisfaction with the program, and all aspects of the program were rated with a mean score of 4.25 or above on a 1 to 5 Likert scale. Evaluation of perceived pain scales of the participants indicate no discernable relationship between intensity of pain and successful return to work. The program showed a high completion rate, a high return to work rate, and high levels of patient satisfaction. Suggestions for improvement include an increase in use of real and simulated work activities, better documentation of pain measures, better programs to address psychosocial issues, lengthening the program, and increased communication with case managers and professionals outside of the work program.

  16. Near infrared (NIR) spectroscopy for in-line monitoring of polymer extrusion processes.

    PubMed

    Rohe, T; Becker, W; Kölle, S; Eisenreich, N; Eyerer, P

    1999-09-13

    In recent years, near infrared (NIR) spectroscopy has become an analytical tool frequently used in many chemical production processes. In particular, on-line measurements are of interest to increase process stability and to document constant product quality. Application to polymer processing e.g. polymer extrusion, could even increase product quality. Interesting parameters are composition of the processed polymer, moisture, or reaction status in reactive extrusion. For this issue a transmission sensor was developed for application of NIR spectroscopy to extrusion processes. This sensor includes fibre optic probes and a measuring cell to be adapted to various extruders for in-line measurements. In contrast to infrared sensors, it only uses optical quartz components. Extrusion processes at temperatures up to 300 degrees C and pressures up to 37 MPa have been investigated. Application of multivariate data analysis (e.g. partial least squares, PLS) demonstrated the performance of the system with respect to process monitoring: in the case of polymer blending, deviations between predicted and actual polymer composition were quite low (in the range of +/-0.25%). So the complete system is suitable for harsh industrial environments and could lead to improved polymer extrusion processes.

  17. Effects on Text Simplification: Evaluation of Splitting up Noun Phrases

    PubMed Central

    Leroy, Gondy; Kauchak, David; Hogue, Alan

    2016-01-01

    To help increase health literacy, we are developing a text simplification tool that creates more accessible patient education materials. Tool development is guided by data-driven feature analysis comparing simple and difficult text. In the present study, we focus on the common advice to split long noun phrases. Our previous corpus analysis showed that easier texts contained shorter noun phrases. Subsequently, we conduct a user study to measure the difficulty of sentences containing noun phrases of different lengths (2-gram, 3-gram and 4-gram), conditions (split or not) and, to simulate unknown terms, use of pseudowords (present or not). We gathered 35 evaluations for 30 sentences in each condition (3×2×2 conditions) on Amazon’s Mechanical Turk (N=12,600). We conducted a three-way ANOVA for perceived and actual difficulty. Splitting noun phrases had a positive effect on perceived difficulty but a negative effect on actual difficulty. The presence of pseudowords increased perceived and actual difficulty. Without pseudowords, longer noun phrase led to increased perceived and actual difficulty. A follow-up study using the phrases (N = 1,350) showed that measuring awkwardness may indicate when to split noun phrases. We conclude that splitting noun phrases benefits perceived difficulty, but hurts actual difficulty when the phrasing becomes less natural. PMID:27043754

  18. A holistic approach to age estimation in refugee children.

    PubMed

    Sypek, Scott A; Benson, Jill; Spanner, Kate A; Williams, Jan L

    2016-06-01

    Many refugee children arriving in Australia have an inaccurately documented date of birth (DOB). A medical assessment of a child's age is often requested when there is a concern that their documented DOB is incorrect. This study's aim was to assess the accuracy a holistic age assessment tool (AAT) in estimating the age of refugee children newly settled in Australia. A holistic AAT that combines medical and non-medical approaches was used to estimate the ages of 60 refugee children with a known DOB. The tool used four components to assess age: an oral narrative, developmental assessment, anthropometric measures and pubertal assessment. Assessors were blinded to the true age of the child. Correlation coefficients for the actual and estimated age were calculated for the tool overall and individual components. The correlation coefficient between the actual and estimated age from the AAT was very strong at 0.9802 (boys 0.9748, girls 0.9876). The oral narrative component of the tool performed best (R = 0.9603). Overall, 86.7% of age estimates were within 1 year of the true age. The range of differences was -1.43 to 3.92 years with a standard deviation of 0.77 years (9.24 months). The AAT is a holistic, simple and safe instrument that can be used to estimate age in refugee children with results comparable with radiological methods currently used. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  19. Does order and timing in performance of imagined and actual movements affect the motor imagery process? The duration of walking and writing task.

    PubMed

    Papaxanthis, Charalambos; Pozzo, Thierry; Skoura, Xanthi; Schieppati, Marco

    2002-08-21

    The purpose of the present study was to investigate the effects on the duration of imagined movements of changes in timing and order of performance of actual and imagined movement. Two groups of subjects had to actually execute and imagine a walking and a writing task. The first group first executed 10 trials of the actual movements (block A) and then imagined the same movements at different intervals: immediately after actual movements (block I-1) and after 25 min (I-2), 50 min (I-3) and 75 min (I-4) interval. The second group first imagined and then actually executed the tasks. The duration of actual and imagined movements, recorded by means of an electronic stopwatch operated by the subjects, was analysed. The duration of imagined movements was very similar to those of actual movements, for both tasks, regardless of either the interval elapsed from the actual movements (first group) or the order of performance (second group). However, the variability of imagined movement duration was significantly increased compared to variability of the actual movements, for both motor tasks and groups. The findings give evidence of similar cognitive processes underlying both imagination and actual performance of movement. Copyright 2002 Elsevier Science B.V.

  20. Categorizing document by fuzzy C-Means and K-nearest neighbors approach

    NASA Astrophysics Data System (ADS)

    Priandini, Novita; Zaman, Badrus; Purwanti, Endah

    2017-08-01

    Increasing of technology had made categorizing documents become important. It caused by increasing of number of documents itself. Managing some documents by categorizing is one of Information Retrieval application, because it involve text mining on its process. Whereas, categorization technique could be done both Fuzzy C-Means (FCM) and K-Nearest Neighbors (KNN) method. This experiment would consolidate both methods. The aim of the experiment is increasing performance of document categorize. First, FCM is in order to clustering training documents. Second, KNN is in order to categorize testing document until the output of categorization is shown. Result of the experiment is 14 testing documents retrieve relevantly to its category. Meanwhile 6 of 20 testing documents retrieve irrelevant to its category. Result of system evaluation shows that both precision and recall are 0,7.

  1. Delivering preference for place of death in a specialist palliative care setting.

    PubMed

    Oxenham, David; Finucane, Anne; Arnold, Elizabeth; Russell, Papiya

    2013-01-01

    Over the last 10 years, one of the key themes of public policy in palliative care has been achievement of choice in place of death. In Marie Curie Hospice Edinburgh a baseline audit conducted in 2006 showed that only a small proportion (18%) of patients referred to hospice services died at home. The audit also revealed that only 31% of those who expressed a preference to die at home were able to do so, whereas 91% of those who chose a setting other than home achieved their preference. Overall achievement of preferred place of death was 56%. However a significant number of patients (29%) did not have a recorded preference. A programme of quality improvement has continued over the last 7 years to improve identification, communication and achievement of preferred place of death for all patients. The mechanisms to change practice have been: changes to documentation; changes to clinical systems to support use of documentation; support for clinical staff to recognise the value of discussing preferences; and support for clinical staff to develop new skills. In addition the programme has been incorporated into local clinical strategy and this has enabled gaps in service to be addressed with a new service to support early discharge of those patients who wish to die at home. A recent audit showed that all patients had a recorded preference or a documented reason why their preference was unclarified. One third of patients died at home - nearly double the proportion that died at home in the baseline audit. Seventy one per cent of patients who wished to die at home actually died at home - a substantial increase from 31% at baseline. Achievement of preferred place of death for patients wishing to die in the hospice remained high at 88%. The focus on assessment of preference for place of death has led to substantial improvements in the identification and achievement of preference for patients dying under the care of the hospice. Furthermore, it has been associated with an increase in the overall proportion of patients who die at home.

  2. Effect of arousal on internal clock speed in real action and mental imagery.

    PubMed

    Ozel, Sylvie; Larue, Jacques; Dosseville, Fabrice

    2004-09-01

    The possible implication of an internal clock as a mechanism accounting for the temporal homology between actual and mental walking is studied. To observe this phenomenon, stressful sound stimuli were used to increase arousal, which is known to activate the internal clock. Seventeen participants performed three tasks: (1) a time production task, used as a reference task reflecting the internal clock speed; (2) an actual walking task; and (3) a mental walking task, all three in two sound conditions (no noise and noise). The results showed a significant effect of arousal on time in each task. The effect of noise, increasing the arousal level, was greater in time production and mental imagery tasks than in real action. In addition, the percentages of change between the two sound conditions for actual and mental walking time were not statistically different. These findings are further evidence of the existence of a timing process common to actual and mental walking. The data are consistent with the implication of an internal clock in both actual and mental walking.

  3. Effects of Muslims praying (Salat) on EEG gamma activity.

    PubMed

    Doufesh, Hazem; Ibrahim, Fatimah; Safari, Mohammad

    2016-08-01

    This study investigates the difference of mean gamma EEG power between actual and mimic Salat practices in twenty healthy Muslim subjects. In the actual Salat practice, the participants were asked to recite and performing the physical steps in all four stages of Salat; whereas in the mimic Salat practice, they were instructed to perform only the physical steps without recitation. The gamma power during actual Salat was statistically higher than during mimic Salat in the frontal and parietal regions in all stages. In the actual Salat practice, the left hemisphere exhibited significantly higher mean gamma power in all cerebral regions and all stages, except the central-parietal region in the sitting position, and the frontal area in the bowing position. Increased gamma power during Salat, possibly related to an increase in cognitive and attentional processing, supports the concept of Salat as a focus attention meditation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Input Files and Procedures for Analysis of SMA Hybrid Composite Beams in MSC.Nastran and ABAQUS

    NASA Technical Reports Server (NTRS)

    Turner, Travis L.; Patel, Hemant D.

    2005-01-01

    A thermoelastic constitutive model for shape memory alloys (SMAs) and SMA hybrid composites (SMAHCs) was recently implemented in the commercial codes MSC.Nastran and ABAQUS. The model is implemented and supported within the core of the commercial codes, so no user subroutines or external calculations are necessary. The model and resulting structural analysis has been previously demonstrated and experimentally verified for thermoelastic, vibration and acoustic, and structural shape control applications. The commercial implementations are described in related documents cited in the references, where various results are also shown that validate the commercial implementations relative to a research code. This paper is a companion to those documents in that it provides additional detail on the actual input files and solution procedures and serves as a repository for ASCII text versions of the input files necessary for duplication of the available results.

  5. FOSSIL2 energy policy model documentation: FOSSIL2 documentation

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

    None

    1980-10-01

    This report discusses the structure, derivations, assumptions, and mathematical formulation of the FOSSIL2 model. Each major facet of the model - supply/demand interactions, industry financing, and production - has been designed to parallel closely the actual cause/effect relationships determining the behavior of the United States energy system. The data base for the FOSSIL2 program is large, as is appropriate for a system dynamics simulation model. When possible, all data were obtained from sources well known to experts in the energy field. Cost and resource estimates are based on DOE data whenever possible. This report presents the FOSSIL2 model at severalmore » levels. Volumes II and III of this report list the equations that comprise the FOSSIL2 model, along with variable definitions and a cross-reference list of the model variables. Volume III lists the model equations and a one line definition for equations, in a short, readable format.« less

  6. The callipyge mutation and other genes that affect muscle hypertrophy in sheep

    PubMed Central

    2005-01-01

    Genetic strategies to improve the profitability of sheep operations have generally focused on traits for reproduction. However, natural mutations exist in sheep that affect muscle growth and development, and the exploitation of these mutations in breeding strategies has the potential to significantly improve lamb-meat quality. The best-documented mutation for muscle development in sheep is callipyge (CLPG), which causes a postnatal muscle hypertrophy that is localized to the pelvic limbs and loin. Enhanced skeletal muscle growth is also observed in animals with the Carwell (or rib-eye muscling) mutation, and a double-muscling phenotype has been documented for animals of the Texel sheep breed. However, the actual mutations responsible for these muscular hypertrophy phenotypes in sheep have yet to be identified, and further characterization of the genetic basis for these phenotypes will provide insight into the biological control of muscle growth and body composition. PMID:15601596

  7. Validation of the Activities of Community Transportation model for individuals with cognitive impairments.

    PubMed

    Sohlberg, McKay Moore; Fickas, Stephen; Lemoncello, Rik; Hung, Pei-Fang

    2009-01-01

    To develop a theoretical, functional model of community navigation for individuals with cognitive impairments: the Activities of Community Transportation (ACTs). Iterative design using qualitative methods (i.e. document review, focus groups and observations). Four agencies providing travel training to adults with cognitive impairments in the USA participated in the validation study. A thorough document review and series of focus groups led to the development of a comprehensive model (ACTs Wheels) delineating the requisite steps and skills for community navigation. The model was validated and updated based on observations of 395 actual trips by travellers with navigational challenges from the four participating agencies. Results revealed that the 'ACTs Wheel' models were complete and comprehensive. The 'ACTs Wheels' represent a comprehensive model of the steps needed to navigate to destinations using paratransit and fixed-route public transportation systems for travellers with cognitive impairments. Suggestions are made for future investigations of community transportation for this population.

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

    Poloski, Adam P.; Wells, Beric E.; Tingey, Joel M.

    The U.S. Department of Energy (DOE) Office of River Protection’s Waste Treatment and Immobilization Plant (WTP) will process and treat radioactive waste that is stored in tanks at the Hanford Site. Piping, pumps, and mixing vessels have been selected to transport, store, and mix the high-level waste slurries in the WTP. This report addresses the analyses performed by the Rheology Working Group (RWG) and Risk Assessment Working Group composed of Pacific Northwest National Laboratory (PNNL), Bechtel National Inc. (BNI), CH2M HILL, DOE Office of River Protection (ORP) and Yasuo Onishi Consulting, LLC staff on data obtained from documented Hanford wastemore » analyses to determine a best-estimate of the rheology of the Hanford tank wastes and their settling behavior. The actual testing activities were performed and reported separately in referenced documentation. Because of this, many of the required topics below do not apply and are so noted.« less

  9. Supplement to the December 1974 Space Investigation Documentation System (SIDS) report

    NASA Technical Reports Server (NTRS)

    1975-01-01

    A listing and brief description of spacecraft and experiments designed to update the December 1974 Space Investigations Documentation System (SIDS) report to March 31, 1975 was presented. The information is given in two sections. In the first, spacecraft and experiment descriptions are sorted by spacecraft common name. Within each spacecraft lising, experiments are sorted by the principal investigator's or team leader's last name. Each spacecraft entry heading contains the spacecraft common name, alternate names, NSSDC ID code, last reported state of the spacecraft, actual or planned launch date, weight, launch site and vehicle, sponsor, orbit parameters, personnel. Each experiment entry heading contains the experiment name, NSSDC ID code, last reported status, the Office of Space Science (OSS) division, the relevant SIDS disciplines, personnel. In the second, all spacecraft and experiment names described in the previous section and in the December 1974 report are sorted out.

  10. Airspace Technology Demonstration 3 (ATD-3): Multi-Flight Common Route (MFCR) Technology Transfer Document Summary Version 1.0

    NASA Technical Reports Server (NTRS)

    Sheth, Kapil; Bilimoria, Karl; Amer, Maryam M.; Wang, Easter M.

    2017-01-01

    This summary document and accompanying technology artifacts satisfy the second of three Research Transition Products (RTPs) defined in the ATD-3 Applied Traffic Flow Management (ATFM) Research Transition Team (RTT) Plan. This transfer consists of NASA's Multi-Flight Common Route (MFCR) research for efficient route corrections for en-route weather avoidance. The MFCR concept builds on the experience of the legacy Dynamic Weather Routes (DWR) and focuses on a better balance of potential savings with ATC acceptability, common route corrections options for multiple flights on similar routings, and better use of existing and/or modern automation for communication and coordination of route change options. All of these capabilities are expected to improve system performance significantly in terms of actual delay-reducing clearances issued to flights compared to that of the DWR tool and operating concept.

  11. Sleepy driver near-misses may predict accident risks.

    PubMed

    Powell, Nelson B; Schechtman, Kenneth B; Riley, Robert W; Guilleminault, Christian; Chiang, Rayleigh Ping-ying; Weaver, Edward M

    2007-03-01

    To quantify the prevalence of self-reported near-miss sleepy driving accidents and their association with self-reported actual driving accidents. A prospective cross-sectional internet-linked survey on driving behaviors. Dateline NBC News website. Results are given on 35,217 (88% of sample) individuals with a mean age of 37.2 +/- 13 years, 54.8% women, and 87% white. The risk of at least one accident increased monotonically from 23.2% if there were no near-miss sleepy accidents to 44.5% if there were > or = 4 near-miss sleepy accidents (P < 0.0001). After covariate adjustments, subjects who reported at least one near-miss sleepy accident were 1.13 (95% CI, 1.10 to 1.16) times as likely to have reported at least one actual accident as subjects reporting no near-miss sleepy accidents (P < 0.0001). The odds of reporting at least one actual accident in those reporting > or = 4 near-miss sleepy accidents as compared to those reporting no near-miss sleepy accidents was 1.87 (95% CI, 1.64 to 2.14). Furthermore, after adjustments, the summary Epworth Sleepiness Scale (ESS) score had an independent association with having a near-miss or actual accident. An increase of 1 unit of ESS was associated with a covariate adjusted 4.4% increase of having at least one accident (P < 0.0001). A statistically significant dose-response was seen between the numbers of self-reported sleepy near-miss accidents and an actual accident. These findings suggest that sleepy near-misses may be dangerous precursors to an actual accident.

  12. Effect of neurolinguistic programming training on self-actualization as measured by the Personal Orientation Inventory.

    PubMed

    Duncan, R C; Konefal, J; Spechler, M M

    1990-06-01

    Neurolinguistic programming training is based on principles that should enable the trainee to be more "present"-oriented, inner-directed, flexible, self-aware, and responsive to others, that is, more self-actualized. This study reports within-person changes on self-actualization measures of the Personal Orientation Inventory following a 24-day residential training in neurolinguistic programming. Significant positive mean changes were found for 18 master practitioners on nine of the 12 scales and for 36 practitioners on 10 of the 12 scales. Findings are consistent with the hypothesis that training increases individual self-actualization scores.

  13. Long-term Trends in Interplanetary Magnetic Field Strength and Solar Wind Structure during the 20th Century

    NASA Technical Reports Server (NTRS)

    Richardson, I. G.; Cliver, E. W.; Cane, H. V.; White, Nicholas E. (Technical Monitor)

    2002-01-01

    Lockwood et al have recently reported an approximately 40% increase in the radial component of the interplanetary magnetic field (IMF) at Earth between 1964 and 1996. We argue that this increase does not constitute a secular trend but is largely the consequence of lower than average fields during solar cycle 20 (1964-1976) in comparison with surrounding cycles. For times after 1976 the average IMF strength has actually decreased slightly. Examination of the cosmic ray intensity, an indirect measure of the IMF strength, over the last five solar cycles (19-23) also indicates that cycle averages of the IMF strength have been relatively constant since approximately 1954. We also consider the origin of the well-documented increase in the geomagnetic alphaalpha index that occurred primarily during the first half of the twentieth century. We surmise that the coronal mass ejection (CME) rate for recent solar cycles was approximately twice as high as that for solar cycles 100 years ago. However, this change in the CME rate and the accompanying increase in 27-day recurrent storm activity reported by others are unable to account completely for the increase in alphaalpha. Rather, the CMEs and recurrent high-speed streams at the beginning of the twentieth century must have been embedded in a background of slow solar wind that was less geoeffective (having, for example, lower IMF strength and/or flow speed) than its modern counterpart.

  14. Interactional aspects of care during hospitalization: perspectives of family caregivers of psychiatrically ill in a tertiary care setting in India.

    PubMed

    Dinakaran, P; Mehrotra, Seema; Bharath, Srikala

    2014-12-01

    There are very few studies on user-perspectives about mental health care services that explore perspectives of family caregivers in India. An exploratory study was undertaken to understand the perceived importance of various aspects of interactions with mental health service providers during hospitalization, from the perspectives of family caregivers. In addition, it also aimed at documenting their actual experience of interactional aspects of care during the hospitalization of their relatives. The study was conducted on fifty family caregivers of patients with varied psychiatric diagnoses hospitalized in a tertiary psychiatric care setting in South India. Measures of Interactional aspects of care were developed to assess perceived importance of six different interactional domains of care and the actual experience of care in these domains. Provision of informational inputs and addressing of concerns raised emerged as the domains of care given highest importance. The item pertaining to 'sharing with the caregiver about different alternatives for treatment' received negative ratings in terms of actual experience by maximum number of participants (18%). Significant differences on perceived importance of four domains of interactional aspects of care (dignity, confidentiality and fairness, addressing concerns raised, informational inputs and prompt attention and consistent care) emerged between caregiver subgroups based on educational level of the caregiver, socio-economic status, hospitalization history and broad diagnostic categories. In addition, the care givers of patients with psychoses assigned significantly more positive ratings on actual experience for all the domains of interactional aspects of care. The findings have implications for further research and practice. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Aerospace Medicine and Biology: A continuing bibliography with indexes, supplement 139

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The biological, physiological, psychological, and environmental effects to which man is subjected during and following simulated or actual flight in the earth's atmosphere or in interplanetary space are referenced. Similar effects on biological organisms of lower order are also included. Related topics such as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors are discussed. Applied research is emphasized, but references to fundamental studies and theoretical principles related to experimental development are also included. A total of 242 reports, articles, and other documents are listed.

  16. Space Shuttle Abort Evolution

    NASA Technical Reports Server (NTRS)

    Henderson, Edward M.; Nguyen, Tri X.

    2011-01-01

    This paper documents some of the evolutionary steps in developing a rigorous Space Shuttle launch abort capability. The paper addresses the abort strategy during the design and development and how it evolved during Shuttle flight operations. The Space Shuttle Program made numerous adjustments in both the flight hardware and software as the knowledge of the actual flight environment grew. When failures occurred, corrections and improvements were made to avoid a reoccurrence and to provide added capability for crew survival. Finally some lessons learned are summarized for future human launch vehicle designers to consider.

  17. Applying a Mixed-Methods Evaluation to Healthy Kids, Healthy Communities

    PubMed Central

    Brownson, Ross C.; Kemner, Allison L.; Brennan, Laura K.

    2016-01-01

    From 2008 to 2014, the Healthy Kids, Healthy Communities (HKHC) national program funded 49 communities across the United States and Puerto Rico to implement healthy eating and active living policy, system, and environmental changes to support healthier communities for children and families, with special emphasis on reaching children at highest risk for obesity on the basis of race, ethnicity, income, or geographic location. Evaluators designed a mixed-methods evaluation to capture the complexity of the HKHC projects, understand implementation, and document perceived and actual impacts of these efforts. PMID:25828217

  18. Modelling hurricane exposure and wind speed on a mesoclimate scale: a case study from Cusuco NP, Honduras.

    PubMed

    Batke, Sven P; Jocque, Merlijn; Kelly, Daniel L

    2014-01-01

    High energy weather events are often expected to play a substantial role in biotic community dynamics and large scale diversity patterns but their contribution is hard to prove. Currently, observations are limited to the documentation of accidental records after the passing of such events. A more comprehensive approach is synthesising weather events in a location over a long time period, ideally at a high spatial resolution and on a large geographic scale. We provide a detailed overview on how to generate hurricane exposure data at a meso-climate level for a specific region. As a case study we modelled landscape hurricane exposure in Cusuco National Park (CNP), Honduras with a resolution of 50 m×50 m patches. We calculated actual hurricane exposure vulnerability site scores (EVVS) through the combination of a wind pressure model, an exposure model that can incorporate simple wind dynamics within a 3-dimensional landscape and the integration of historical hurricanes data. The EVSS was calculated as a weighted function of sites exposure, hurricane frequency and maximum wind velocity. Eleven hurricanes were found to have affected CNP between 1995 and 2010. The highest EVSS's were predicted to be on South and South-East facing sites of the park. Ground validation demonstrated that the South-solution (i.e. the South wind inflow direction) explained most of the observed tree damage (90% of the observed tree damage in the field). Incorporating historical data to the model to calculate actual hurricane exposure values, instead of potential exposure values, increased the model fit by 50%.

  19. Modelling Hurricane Exposure and Wind Speed on a Mesoclimate Scale: A Case Study from Cusuco NP, Honduras

    PubMed Central

    Batke, Sven P.; Jocque, Merlijn; Kelly, Daniel L.

    2014-01-01

    High energy weather events are often expected to play a substantial role in biotic community dynamics and large scale diversity patterns but their contribution is hard to prove. Currently, observations are limited to the documentation of accidental records after the passing of such events. A more comprehensive approach is synthesising weather events in a location over a long time period, ideally at a high spatial resolution and on a large geographic scale. We provide a detailed overview on how to generate hurricane exposure data at a meso-climate level for a specific region. As a case study we modelled landscape hurricane exposure in Cusuco National Park (CNP), Honduras with a resolution of 50 m×50 m patches. We calculated actual hurricane exposure vulnerability site scores (EVVS) through the combination of a wind pressure model, an exposure model that can incorporate simple wind dynamics within a 3-dimensional landscape and the integration of historical hurricanes data. The EVSS was calculated as a weighted function of sites exposure, hurricane frequency and maximum wind velocity. Eleven hurricanes were found to have affected CNP between 1995 and 2010. The highest EVSS’s were predicted to be on South and South-East facing sites of the park. Ground validation demonstrated that the South-solution (i.e. the South wind inflow direction) explained most of the observed tree damage (90% of the observed tree damage in the field). Incorporating historical data to the model to calculate actual hurricane exposure values, instead of potential exposure values, increased the model fit by 50%. PMID:24614168

  20. Evidence of Effectiveness of Health Care Professionals Using Handheld Computers: A Scoping Review of Systematic Reviews

    PubMed Central

    2013-01-01

    Background Handheld computers and mobile devices provide instant access to vast amounts and types of useful information for health care professionals. Their reduced size and increased processing speed has led to rapid adoption in health care. Thus, it is important to identify whether handheld computers are actually effective in clinical practice. Objective A scoping review of systematic reviews was designed to provide a quick overview of the documented evidence of effectiveness for health care professionals using handheld computers in their clinical work. Methods A detailed search, sensitive for systematic reviews was applied for Cochrane, Medline, EMBASE, PsycINFO, Allied and Complementary Medicine Database (AMED), Global Health, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. All outcomes that demonstrated effectiveness in clinical practice were included. Classroom learning and patient use of handheld computers were excluded. Quality was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. A previously published conceptual framework was used as the basis for dual data extraction. Reported outcomes were summarized according to the primary function of the handheld computer. Results Five systematic reviews met the inclusion and quality criteria. Together, they reviewed 138 unique primary studies. Most reviewed descriptive intervention studies, where physicians, pharmacists, or medical students used personal digital assistants. Effectiveness was demonstrated across four distinct functions of handheld computers: patient documentation, patient care, information seeking, and professional work patterns. Within each of these functions, a range of positive outcomes were reported using both objective and self-report measures. The use of handheld computers improved patient documentation through more complete recording, fewer documentation errors, and increased efficiency. Handheld computers provided easy access to clinical decision support systems and patient management systems, which improved decision making for patient care. Handheld computers saved time and gave earlier access to new information. There were also reports that handheld computers enhanced work patterns and efficiency. Conclusions This scoping review summarizes the secondary evidence for effectiveness of handheld computers and mhealth. It provides a snapshot of effective use by health care professionals across four key functions. We identified evidence to suggest that handheld computers provide easy and timely access to information and enable accurate and complete documentation. Further, they can give health care professionals instant access to evidence-based decision support and patient management systems to improve clinical decision making. Finally, there is evidence that handheld computers allow health professionals to be more efficient in their work practices. It is anticipated that this evidence will guide clinicians and managers in implementing handheld computers in clinical practice and in designing future research. PMID:24165786

  1. Utilization of Radiation Therapy in Norway After the Implementation of The National Cancer Plan—A National, Population-Based Study

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

    Åsli, Linn M., E-mail: linn.merete.asli@kreftregisteret.no; Kvaløy, Stein O.; Jetne, Vidar

    2014-11-01

    Purpose: To estimate actual utilization rates of radiation therapy (RT) in Norway, describe time trends (1997-2010), and compare these estimates with corresponding optimal RT rates. Methods and Materials: Data from the population-based Cancer Registry of Norway was used to identify all patients diagnosed with cancer and/or treated by RT for cancer in 1997-2010. Radiation therapy utilization rates (RURs) were calculated as (1) the proportion of incident cancer cases who received RT at least once within 1 year of diagnosis (RUR{sub 1Y}); and (2) the proportion who received RT within 5 years of diagnosis (RUR{sub 5Y}). The number of RT treatment courses per incidentmore » cancer case (TCI) was also calculated for all cancer sites combined. The actual RURs were compared with corresponding Australian and Canadian epidemiologic- and evidence-based model estimates and criterion-based benchmark estimates of optimal RURs. The TCIs were compared with TCI estimates from the 1997 Norwegian/National Cancer Plan (NCP). Joinpoint regression was used to identify changes in trends and to estimate annual percentage change (APC) in actual RUR{sub 1Y} and actual TCI. Results: The actual RUR{sub 5Y} (all sites) increased significantly to 29% in 2005 but still differed markedly from the Australian epidemiologic- and evidence-based model estimate of 48%. With the exception of RUR{sub 5Y} for breast cancer and RUR{sub 1Y} for lung cancers, all actual RURs were markedly lower than optimal RUR estimates. The actual TCI increased significantly during the study period, reaching 42.5% in 2010, but was still lower than the 54% recommended in the NCP. The trend for RUR{sub 1Y} (all sites) and TCI changed significantly, with the annual percentage change being largest during the first part of the study period. Conclusions: Utilization rates of RT in Norway increased after the NCP was implemented and RT capacity was increased, but they still seem to be lower than optimal levels.« less

  2. Participation of surgical residents in operations: challenging a common classification.

    PubMed

    Bezemer, Jeff; Cope, Alexandra; Faiz, Omar; Kneebone, Roger

    2012-09-01

    One important form of surgical training for residents is their participation in actual operations, for instance as an assistant or supervised surgeon. The aim of this study was to explore what participation in operations entails and how it might be described and analyzed. A qualitative study was undertaken in a major teaching hospital in London. A total of 122 general surgical operations were observed. A subsample of 14 laparoscopic cholecystectomies involving one or more residents was analyzed in detail. Audio and video recordings of eight operations were transcribed and analyzed linguistically. The degree of participation of trainees frequently shifted as the operation progressed to the next stage. Participation also varied within each stage. When trainees operated under supervision, the supervisors constantly adjusted their degree of control over the resident's operative maneuvers. Classifications such as "assistant" and "supervised surgeon" describing a trainee's overall participation in an operation potentially misrepresent the varying involvement of resident and supervisor. Video recordings provide a useful alternative for documenting and analyzing actual participation in operations.

  3. Payload/GSE/data system interface: Users guide for the VPF (Vertical Processing Facility)

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Payload/GSE/data system interface users guide for the Vertical Processing Facility is presented. The purpose of the document is three fold. First, the simulated Payload and Ground Support Equipment (GSE) Data System Interface, which is also known as the payload T-0 (T-Zero) System is described. This simulated system is located with the Cargo Integration Test Equipment (CITE) in the Vertical Processing Facility (VPF) that is located in the KSC Industrial Area. The actual Payload T-0 System consists of the Orbiter, Mobile Launch Platforms (MLPs), and Launch Complex (LC) 39A and B. This is referred to as the Pad Payload T-0 System (Refer to KSC-DL-116 for Pad Payload T-0 System description). Secondly, information is provided to the payload customer of differences between this simulated system and the actual system. Thirdly, a reference guide of the VPF Payload T-0 System for both KSC and payload customer personnel is provided.

  4. Evaluating Flight Crew Operator Manual Documentation

    NASA Technical Reports Server (NTRS)

    Sherry, Lance; Feary, Michael

    1998-01-01

    Aviation and cognitive science researchers have identified situations in which the pilot s expectations for the behavior of the avionics are not matched by the actual behavior of the avionics. Researchers have attributed these "automation surprises" to the complexity of the avionics mode logic, the absence of complete training, limitations in cockpit displays, and ad-hoc conceptual models of the avionics. Complete canonical rule-based descriptions of the behavior of the autopilot provide the basis for understanding the perceived complexity of the autopilots, the differences between the pilot s and autopilot s conceptual models, and the limitations in training materials and cockpit displays. This paper compares the behavior of the autopilot Vertical Speed/Flight Path Angle (VS-FPA) mode as described in the Flight Crew Operators Manual (FCOM) and the actual behavior of the VS-FPA mode defined in the autopilot software. This example demonstrates the use of the Operational Procedure Model (OPM) as a method for using the requirements specification for the design of the software logic as information requirements for training.

  5. Consideration of health inequalities in systematic reviews: a mapping review of guidance.

    PubMed

    Maden, Michelle

    2016-11-28

    Given that we know that interventions shown to be effective in improving the health of a population may actually widen the health inequalities gap while others reduce it, it is imperative that all systematic reviewers consider how the findings of their reviews may impact (reduce or increase) on the health inequality gap. This study reviewed existing guidance on incorporating considerations of health inequalities in systematic reviews in order to examine the extent to which they can help reviewers to incorporate such issues. A mapping review was undertaken to identify guidance documents that purported to inform reviewers on whether and how to incorporate considerations of health inequalities. Searches were undertaken in Medline, CINAHL and The Cochrane Library Methodology Register. Review guidance manuals prepared by international organisations engaged in undertaking systematic reviews, and their associated websites were scanned. Studies were included if they provided an overview or discussed the development and testing of guidance for dealing with the incorporation of considerations of health inequalities in evidence synthesis. Results are summarised in narrative and tabular forms. Twenty guidance documents published between 2009 and 2016 were included. Guidance has been produced to inform considerations of health inequalities at different stages of the systematic review process. The Campbell and Cochrane Equity Group have been instrumental in developing and promoting such guidance. Definitions of health inequalities and guidance differed across the included studies. All but one guidance document were transparent in their method of production. Formal methods of evaluation were reported for six guidance documents. Most of the guidance was operationalised in the form of examples taken from published systematic reviews. The number of guidance items to operationalise ranges from 3 up to 26 with a considerable overlap noted. Adhering to the guidance will require more work for the reviewers. It requires a deeper understanding of how reviewers can operationalise the guidance taking into consideration the barriers and facilitators involved. This has implications not only for understanding the usefulness and burden of the guidance but also for the uptake of guidance and its ultimate goal of improving health inequalities considerations in systematic reviews.

  6. Monotone Increasing Binary Similarity and Its Application to Automatic Document-Acquisition of a Category

    NASA Astrophysics Data System (ADS)

    Suzuki, Izumi; Mikami, Yoshiki; Ohsato, Ario

    A technique that acquires documents in the same category with a given short text is introduced. Regarding the given text as a training document, the system marks up the most similar document, or sufficiently similar documents, from among the document domain (or entire Web). The system then adds the marked documents to the training set to learn the set, and this process is repeated until no more documents are marked. Setting a monotone increasing property to the similarity as it learns enables the system to 1) detect the correct timing so that no more documents remain to be marked and to 2) decide the threshold value that the classifier uses. In addition, under the condition that the normalization process is limited to what term weights are divided by a p-norm of the weights, the linear classifier in which training documents are indexed in a binary manner is the only instance that satisfies the monotone increasing property. The feasibility of the proposed technique was confirmed through an examination of binary similarity and using English and German documents randomly selected from the Web.

  7. Against the Grain: The Influence of Changing Agricultural Management on the Earth System

    NASA Astrophysics Data System (ADS)

    Foley, J. A.

    2007-12-01

    The rise of modern agriculture was one of the most transformative events in human history, and has forever changed our relationship to the natural world. By clearing tropical forests, practicing subsistence agriculture on marginal lands and intensifying industrialized farmland production, agricultural practices are changing the worldês landscapes in pervasive ways. In the past decade, we have made tremendous progress in monitoring agricultural expansion from satellites, and modeling associated environmental impacts. In the past decade, the Earth System Science research community has begun to recognize the importance of agricultural lands, particularly as they continue expanding at the expense of important natural ecosystems, potentially altering the planetês carbon cycle and climate. With the advent of new remote sensing and global modeling methods, several efforts have documented the expansion of agricultural lands, the corresponding loss of natural ecosystems, and how this may influence the earth system. But the geographic expansion of agricultural lands is not the whole story. While significant agricultural expansion (or extensification) has occurred in the past few decades, the intensification of agricultural practices Ð under the aegis of the -Green Revolution" Ð has dramatically altered the relationship between humans and environmental systems across the world. Simply put, many of the worldês existing agricultural lands are being used much more intensively as opportunities for agricultural expansion are being exhausted elsewhere. In the last 40 years, global agricultural production has more than doubled Ð although global cropland has increased by only 12% Ð mainly through the use of high yielding varieties of grain, increased reliance on irrigation, massive increases in chemical fertilization, and increased mechanization. Indeed, in the past 40 years there has been a 700% increase in global fertilizer use and a 70% increase in irrigated cropland area. While these modern agricultural practices have successfully increased food production, they have caused extensive environmental damage across the planet. Unfortunately, the current generation of remote sensing datasets and global models only considers the geographic extent of agricultural land; the actual practice of agriculture (what is grown, how it is grown, what inputs are used) is almost completely ignored. This is a serious oversight. In this presentation, I will present new efforts to document the patterns of global agricultural practices and management regimes, and new techniques for incorporating them into global ecological and climate models.

  8. Overcoming the knowledge-behavior gap: The effect of evidence-based HPV vaccination leaflets on understanding, intention, and actual vaccination decision.

    PubMed

    Wegwarth, O; Kurzenhäuser-Carstens, S; Gigerenzer, G

    2014-03-10

    Informed decision making requires transparent and evidence-based (=balanced) information on the potential benefit and harms of medical preventions. An analysis of German HPV vaccination leaflets revealed, however, that none met the standards of balanced risk communication. We surveyed a sample of 225 girl-parent pairs in a before-after design on the effects of balanced and unbalanced risk communication on participants' knowledge about cervical cancer and the HPV vaccination, their perceived risk, their intention to have the vaccine, and their actual vaccination decision. The balanced leaflet increased the number of participants who were correctly informed about cervical cancer and the HPV vaccine by 33 to 66 absolute percentage points. In contrast, the unbalanced leaflet decreased the number of participants who were correctly informed about these facts by 0 to 18 absolute percentage points. Whereas the actual uptake of the HPV vaccination 14 months after the initial study did not differ between the two groups (22% balanced leaflet vs. 23% unbalanced leaflet; p=.93, r=.01), the originally stated intention to have the vaccine reliably predicted the actual vaccination decision for the balanced leaflet group only (concordance between intention and actual uptake: 97% in the balanced leaflet group, rs=.92, p=.00; 60% in the unbalanced leaflet group, rs=.37, p=.08). In contrast to a unbalanced leaflet, a balanced leaflet increased people's knowledge of the HPV vaccination, improved perceived risk judgments, and led to an actual vaccination uptake, which first was robustly predicted by people's intention and second did not differ from the uptake in the unbalanced leaflet group. These findings suggest that balanced reporting about HPV vaccination increases informed decisions about whether to be vaccinated and does not undermine actual uptake. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Missed Opportunities for Nutritional Rehabilitation in Children Admitted to Surgical Wards

    PubMed Central

    Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish

    2016-01-01

    Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a “missed opportunity.” Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. “Identification” and hence management of malnutrition need more attention. PMID:27429836

  10. A Knowledge-Based System For Analysis, Intervention Planning and Prevention of Defects in Immovable Cultural Heritage Objects and Monuments

    NASA Astrophysics Data System (ADS)

    Valach, J.; Cacciotti, R.; Kuneš, P.; ČerÅanský, M.; Bláha, J.

    2012-04-01

    The paper presents a project aiming to develop a knowledge-based system for documentation and analysis of defects of cultural heritage objects and monuments. The MONDIS information system concentrates knowledge on damage of immovable structures due to various causes, and preventive/remedial actions performed to protect/repair them, where possible. The currently built system is to provide for understanding of causal relationships between a defect, materials, external load, and environment of built object. Foundation for the knowledge-based system will be the systemized and formalized knowledge on defects and their mitigation acquired in the process of analysis of a representative set of cases documented in the past. On the basis of design comparability, used technologies, materials and the nature of the external forces and surroundings, the developed software system has the capacity to indicate the most likely risks of new defect occurrence or the extension of the existing ones. The system will also allow for a comparison of the actual failure with similar cases documented and will propose a suitable technical intervention plan. The system will provide conservationists, administrators and owners of historical objects with a toolkit for defect documentation for their objects. Also, advanced artificial intelligence methods will offer accumulated knowledge to users and will also enable them to get oriented in relevant techniques of preventive interventions and reconstructions based on similarity with their case.

  11. ChemBrowser: a flexible framework for mining chemical documents.

    PubMed

    Wu, Xian; Zhang, Li; Chen, Ying; Rhodes, James; Griffin, Thomas D; Boyer, Stephen K; Alba, Alfredo; Cai, Keke

    2010-01-01

    The ability to extract chemical and biological entities and relations from text documents automatically has great value to biochemical research and development activities. The growing maturity of text mining and artificial intelligence technologies shows promise in enabling such automatic chemical entity extraction capabilities (called "Chemical Annotation" in this paper). Many techniques have been reported in the literature, ranging from dictionary and rule-based techniques to machine learning approaches. In practice, we found that no single technique works well in all cases. A combinatorial approach that allows one to quickly compose different annotation techniques together for a given situation is most effective. In this paper, we describe the key challenges we face in real-world chemical annotation scenarios. We then present a solution called ChemBrowser which has a flexible framework for chemical annotation. ChemBrowser includes a suite of customizable processing units that might be utilized in a chemical annotator, a high-level language that describes the composition of various processing units that would form a chemical annotator, and an execution engine that translates the composition language to an actual annotator that can generate annotation results for a given set of documents. We demonstrate the impact of this approach by tailoring an annotator for extracting chemical names from patent documents and show how this annotator can be easily modified with simple configuration alone.

  12. The Paucity Problem: Where Have All the Space Reactor Experiments Gone?

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

    Bess, John D.; Marshall, Margaret A.

    2016-10-01

    The Handbooks of the International Criticality Safety Benchmark Evaluation Project (ICSBEP) and the International Reactor Physics Experiment Evaluation Project (IRPhEP) together contain a plethora of documented and evaluated experiments essential in the validation of nuclear data, neutronics codes, and modeling of various nuclear systems. Unfortunately, only a minute selection of handbook data (twelve evaluations) are of actual experimental facilities and mockups designed specifically for space nuclear research. There is a paucity problem, such that the multitude of space nuclear experimental activities performed in the past several decades have yet to be recovered and made available in such detail that themore » international community could benefit from these valuable historical research efforts. Those experiments represent extensive investments in infrastructure, expertise, and cost, as well as constitute significantly valuable resources of data supporting past, present, and future research activities. The ICSBEP and IRPhEP were established to identify and verify comprehensive sets of benchmark data; evaluate the data, including quantification of biases and uncertainties; compile the data and calculations in a standardized format; and formally document the effort into a single source of verified benchmark data. See full abstract in attached document.« less

  13. Dancers' Perceived and Actual Knowledge of Anatomy.

    PubMed

    Kotler, Dana H; Lynch, Meaghan; Cushman, Daniel; Hu, Jason; Garner, Jocelyn

    2017-06-15

    Dancers are highly susceptible to musculoskeletal injuries and frequently require interaction with medical professionals. While many dancers have a finely tuned awareness of their bodies, their knowledge of the fundamentals of human anatomy is not uniform. There is a paucity of literature on the benefits of human anatomy education in dancers, though it seems intuitive that there should be a relationship. The purpose of this study was to assess dancers' perceived and actual knowledge of basic musculoskeletal anatomy and its relationship to function. Adult dancers at the undergraduate, pre-professional, and professional levels were surveyed through an anonymous online questionnaire. Questions included demographic information, dance techniques studied, anatomy training, and injury history. Subjects rated their perceived knowledge of anatomy and were tested with 15 multiple-choice questions on basic musculoskeletal anatomy. Four hundred seventy-five surveys were completed. Ordinal regression showed a correlation of perceived to actual knowledge of anatomy (p < 0.001). Factors that correlated with increases in both perceived and actual knowledge of anatomy included having taken an anatomy course of any type (p < 0.001) and increased age (p ≤ 0.001). Years of dance training and professional dancer status both significantly correlated with increased knowledge of anatomy (p < 0.001) but not perceived knowledge. Chi-square analysis showed that dancers with training in either modern or jazz dance had a significantly higher perceived, but not actual, knowledge when compared to those without training in those styles of dance (p < 0.001 and p = 0.011, respectively). In conclusion, dancers generally scored well on questions pertaining to basic musculoskeletal anatomy, and their perception correlated with their actual knowledge of anatomy. Factors that contribute to dancers' knowledge of anatomy include age, years of experience, professional dancer status, and anatomy training.

  14. Remote sensing of changes in morphology and physiology of trees under stress

    NASA Technical Reports Server (NTRS)

    Olson, C. E., Jr.; Rohde, W. G.; Ward, J. M.

    1971-01-01

    Measurements on foliage samples collected from several drought and salt treated plants revealed that leaf thickness decreased with increasing severity of the drought treatment and increased with increasing severity of treatment with NaCl, but remained essentially unaffected by treatment with CaCl2. Airborne data collected by multispectral scanner indicated that false color images provide selective enhancement of a diseased area. Comparison of simulated and actual aerial color and color IR photography revealed that the color renditions of the MSS simulations agreed closely with those of the actual photography.

  15. Examining perceived and actual diabetes knowledge among nurses working in a tertiary hospital.

    PubMed

    Alotaibi, Abdulellah; Gholizadeh, Leila; Al-Ganmi, Ali; Perry, Lin

    2017-06-01

    With the worldwide increase in the incidence and prevalence of diabetes, there has been an increase in the scope and scale of nursing care and education required for patients with diabetes. The high prevalence of diabetes in Saudi Arabia makes this a particular priority for this country. The aim of this study was to examine nurses' perceived and actual knowledge of diabetes and its care and management in Saudi Arabia. A convenience sample of 423 nurses working in Prince Sultan Medical Military City in Saudi Arabia was surveyed in this descriptive, cross-sectional study. Perceived knowledge was assessed using the Diabetes Self-Report Tool, while the Diabetes Basic Knowledge Tool was used to assess the actual knowledge of participants. The nurses generally had a positive view of their diabetes knowledge, with a mean score (SD) of 46.9 (6.1) (of maximum 60) for the Diabetes Self-Report Tool. Their actual knowledge scores ranged from 2 to 35 with a mean (SD) score of 25.4 (6.2) (of maximum of 49). Nurses' perceived and actual knowledge of diabetes varied according to their demographic and practice details. Perceived competency, current provision of diabetes care, education level and attendance at any diabetes education programs predicted perceived knowledge; these factors, with gender predicted, with actual diabetes knowledge scores. In this multi-ethnic workforce, findings indicated a significant gap between participants' perceived and actual knowledge. Factors predictive of high levels of knowledge provide pointers to ways to improve diabetes knowledge amongst nurses. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  16. Increasing the applicability of wind power projects via a multi-criteria approach: methodology and case study

    NASA Astrophysics Data System (ADS)

    Polatidis, Heracles; Morales, Jan Borràs

    2016-11-01

    In this paper a methodological framework for increasing the actual applicability of wind farms is developed and applied. The framework is based on multi-criteria decision aid techniques that perform an integrated technical and societal evaluation of a number of potential wind power projects that are a variation of a pre-existing actual proposal that faces implementation difficulties. A number of evaluation criteria are established and assessed via particular related software or are comparatively evaluated among each other on a semi-qualitative basis. The preference of a diverse audience of pertinent stakeholders can be also incorporated in the overall analysis. The result of the process is an identification of a new project that will exhibit increased actual implementation potential compared with the original proposal. The methodology is tested in a case study of a wind farm in the UK and relevant conclusions are drawn.

  17. Financial analysis of revision knee surgery based on NHS tariffs and hospital costs: does it pay to provide a revision service?

    PubMed

    Kallala, R F; Vanhegan, I S; Ibrahim, M S; Sarmah, S; Haddad, F S

    2015-02-01

    Revision total knee arthroplasty (TKA) is a complex procedure which carries both a greater risk for patients and greater cost for the treating hospital than does a primary TKA. As well as the increased cost of peri-operative investigations, blood transfusions, surgical instrumentation, implants and operating time, there is a well-documented increased length of stay which accounts for most of the actual costs associated with surgery. We compared revision surgery for infection with revision for other causes (pain, instability, aseptic loosening and fracture). Complete clinical, demographic and economic data were obtained for 168 consecutive revision TKAs performed at a tertiary referral centre between 2005 and 2012. Revision surgery for infection was associated with a mean length of stay more than double that of aseptic cases (21.5 vs 9.5 days, p < 0.0001). The mean cost of a revision for infection was more than three times that of an aseptic revision (£30 011 (sd 4514) vs £9655 (sd 599.7), p < 0.0001). Current NHS tariffs do not fully reimburse the increased costs of providing a revision knee surgery service. Moreover, especially as greater costs are incurred for infected cases. These losses may adversely affect the provision of revision surgery in the NHS. ©2015 The British Editorial Society of Bone & Joint Surgery.

  18. Financing tuberculosis control: the role of a global financial monitoring system.

    PubMed

    Floyd, Katherine; Pantoja, Andrea; Dye, Christopher

    2007-05-01

    Control of tuberculosis (TB), like health care in general, costs money. To sustain TB control at current levels, and to make further progress so that global targets can be achieved, information about funding needs, sources of funding, funding gaps and expenditures is important at global, regional, national and sub-national levels. Such data can be used for resource mobilization efforts; to document how funding requirements and gaps are changing over time; to assess whether increases in funding can be translated into increased expenditures and whether increases in expenditure are producing improvements in programme performance; and to identify which countries or regions have the greatest needs and funding gaps. In this paper, we discuss a global system for financial monitoring of TB control that was established in WHO in 2002. By early 2007, this system had accounted for actual or planned expenditures of more than US$ 7 billion and was systematically reporting financial data for countries that carry more than 90% of the global burden of TB. We illustrate the value of this system by presenting major findings that have been produced for the period 2002-2007, including results that are relevant to the achievement of global targets for TB control set for 2005 and 2015. We also analyse the strengths and limitations of the system and its relevance to other health-care programmes.

  19. Validation of maturity offset in a longitudinal sample of Polish boys.

    PubMed

    Malina, Robert M; Kozieł, Sławomir M

    2014-01-01

    Abstract This study attempted to validate an anthropometric equation for predicting age at peak height velocity (APHV) in 193 Polish boys followed longitudinally 8-18 years (1961-1972). Actual APHV was derived with Preece-Baines Model 1. Predicted APHV was estimated at each observation using chronological age (CA), stature, mass, sitting height and estimated leg length. Mean predicted APHV increased from 8 to 18 years. Actual APHV was underestimated at younger ages and overestimated at older ages. Mean differences between predicted and actual APHV were reasonably stable between 13 and 15 years. Predicted APHV underestimated actual APHV 3 years before, was almost identical with actual age 2 years before, and then overestimated actual age through 3 years after PHV. Predicted APHV did not differ among boys of contrasting maturity status 8-11 years, but diverged among groups 12-15 years. In conclusion, predicted APHV is influenced by CA and by early and late timing of actual PHV. Predicted APHV has applicability among average maturing boys 12-16 years in contrast to late and early maturing boys. Dependence upon age and individual differences in actual APHV limits utility of predicted APHV in research with male youth athletes and in talent programmes.

  20. Imagined Steps: Mental Simulation of Coordinated Rhythmic Movements Effects on Pro-sociality

    PubMed Central

    Cross, Liam; Atherton, Gray; Wilson, Andrew D.; Golonka, Sabrina

    2017-01-01

    Rhythmically coordinating with a partner can increase pro-sociality, but pro-sociality does not appear to change in proportion to coordination success, or particular classes of coordination. Pro-social benefits may have more to do with simply coordinating in a social context than the details of the actual coordination (Cross et al., 2016). This begs the question, how stripped down can a coordination task be and still affect pro-sociality? Would it be sufficient simply to imagine coordinating with others? Imagining a social interaction can lead to many of the same effects as actual interaction (Crisp and Turner, 2009). We report the first experiments to explore whether imagined coordination affects pro-sociality similarly to actual coordination. Across two experiments and over 450 participants, mentally simulated coordination is shown to promote some, but not all, of the pro-social consequences of actual coordination. Imagined coordination significantly increased group cohesion and de-individuation, but did not consistently affect cooperation. PMID:29081761

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