Implementation of the Nutrition Care Process and International Dietetics and Nutrition Terminology in a single-center hemodialysis unit: comparing paper vs electronic records.

PubMed

Rossi, Megan; Campbell, Katrina Louise; Ferguson, Maree

2014-01-01

There is little doubt surrounding the benefits of the Nutrition Care Process and International Dietetics and Nutrition Terminology (IDNT) to dietetics practice; however, evidence to support the most efficient method of incorporating these into practice is lacking. The main objective of our study was to compare the efficiency and effectiveness of an electronic and a manual paper-based system for capturing the Nutrition Care Process and IDNT in a single in-center hemodialysis unit. A cohort of 56 adult patients receiving maintenance hemodialysis were followed for 12 months. During the first 6 months, patients received the usual standard care, with documentation via a manual paper-based system. During the following 6-month period (Months 7 to 12), nutrition care was documented by an electronic system. Workload efficiency, number of IDNT codes used related to nutrition-related diagnoses, interventions, monitoring and evaluation using IDNT, nutritional status using the scored Patient-Generated Subjective Global Assessment Tool of Quality of Life were the main outcome measures. Compared with paper-based documentation of nutrition care, our study demonstrated that an electronic system improved the efficiency of total time spent by the dietitian by 13 minutes per consultation. There were also a greater number of nutrition-related diagnoses resolved using the electronic system compared with the paper-based documentation (P<0.001). In conclusion, the implementation of an electronic system compared with a paper-based system in a population receiving hemodialysis resulted in significant improvements in the efficiency of nutrition care and effectiveness related to patient outcomes. Copyright © 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Alternate Waveforms for a Low-Cost Civil Global Positioning System Receiver.

DTIC Science & Technology

1980-06-01

implementation. 17 Is. D i* on. S’ *. l7Gfo ai" ositioning System Navigation Receiver DOCUMENT IS AVAILASLe TO THE PUSLIC THROUGH THE NATIONAL TECHNICALRanging...be included were ranging performance, data hand- ling capability, time-to-first fix, acquisition and re-acquisition capability, and sensitivity to...seconds). This receiver would exhibit less sensitivity to multipath and to signal dropouts because it would continuously track all satellites in view and

Title list of documents made publicly available, June 1-30, 1997

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

NONE

This document is a monthly publication describing information received and published by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, {open_quotes}docketed{close_quotes} does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records.

U.S. Central Command Headquarters’ Use of the Government Purchase Card

DTIC Science & Technology

2011-01-25

required the coordinator to document training sessions. During our review, the squadron was developing a new electronic system to support the...approving officials and cardholders. 2. Establish a plan to ensure that the new electronic Government Purchase Card Tracking system is completed...tickets,” invoices, shipping/packing documents or receiving reports, or electronic purchase confirmations are acceptable) for each purchase and other

Title list of documents made publicly available. Volume 17, No. 5

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

NONE

1995-07-01

The Title List of Documents Made Publicly Available is a monthly publication. It contains descriptions of the information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (3) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index,more » and a Report Number Index.« less

Title list of documents made publicly available, December 1--31, 1993, Volume 15, No. 12

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

NONE

The Title List of Documents Made Publicly Available is a monthly publication. It contains descriptions of the information received and generated by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index,more » and a Report Number Index.« less

Title list of documents made publicly available: May 1--31, 1997. Volume 19, Number 5

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

NONE

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and amore » Report Number Index.« less

Title list of documents made publicly available, September 1-30, 1997

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

NONE

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and amore » Report Number Index.« less

Title list of documents made publicly available. Volume 17, No. 7

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

NONE

1995-09-01

The Title List of Documents Made Publicly Available is a monthly publication. It contains descriptions of the information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index,more » and a Report Number Index.« less

Title list of documents made publicly available, March 1--31, 1998. Volume 20, Number 3

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

NONE

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a personal author index, a corporate source index, and amore » report number index.« less

Title list of documents made publicly available, January 1, 1997--January 31, 1997

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

NONE

1997-04-01

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and amore » Report Number Index.« less

Paper trails. Document management is no silver bullet, but it can patch holes as hospitals transition to paperless.

PubMed

Gamble, Kate Huvane

2009-10-01

Hospitals are leveraging content management to ease the transition from a paper-based to electronic environment. Document management is used to scan, index and archive medical records and financial documents. Even fully integrated health systems receive outside documents such as lab results and referrals that must be incorporated into the patient record. The data in scanned documents cannot be used for trending purposes without manual work. The market for natural language processing, a tool used to extract data elements from scanned documents, could ramp up significantly in the near future.

Static Evaluation of a NAVSTAR GPS (Magnavox Z-Set) Receiver - May-September 1979

DOT National Transportation Integrated Search

1980-05-01

The report documents the results of the static testing of a NAVSTAR Global Positioning System (GPS) single channel sequential receiver (Magnavox Z-Set). These tests were performed at the Coast Guard District 11 office in Long Beach, CA from May to Se...

Title list of documents made publicly available, November 1-30, 1995

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

NONE

1996-01-01

The Title List of Documents Made Publicly Available is a monthly publication. It contains descriptions of the information received and generated by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Indexmore » and a Report Number Index. The docketed information contained in the Title List includes the information formerly issued through the Department of Energy publication Power Reactor Docker Information, last published in January 1979. NRC documents that are publicly available may be examined without charge at the NRC Public Document Room (PDR). Duplicate copies may be obtained for a fee. Standing orders for certain categories of documents are also available. Clients may search for and order desired titles through the PDR computerized Bibliographic Retrieval System, which is accessible both at the PDR and remotely. The PDR is staffed by professional technical librarians, who provide reference assistance to users.« less

10 CFR 13.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... identity when filing documents and serving participants electronically through the E-Filing system, and... transmitted electronically from the E-Filing system to the submitter confirming receipt of electronic filing... presentation of the docket and a link to its files. E-Filing System means an electronic system that receives...

[Law courts and clinical documentation].

PubMed

Jiménez Carnicero, M P; Magallón, A I; Gordillo, A

2006-01-01

Background. Until 2004, requests for clinical documentation proceeding from the Judicial Administration on Specialist Care of Pamplona were received in six different centres and were processed independently, with different procedures, and documents were even sent in duplicate, with the resulting work load. This article describes the procedure for processing requests for documentation proceeding from the Law Courts and analyses the requests received. Methods. A circuit was set up to channel the judicial requests that arrived at the Specialist Health Care Centres of Pamplona and at the Juridical Regime Service of the Health System of Navarra-Osasunbidea, and a Higher Technician in Health Documentation was contracted to centralise these requests. A proceedings protocol was established to unify criteria and speed up the process, and a database was designed to register the proceedings. Results. In the course of 2004, 210 requests for documentation by legal requirement were received. Of these, 24 were claims of patrimonial responsibility and 13 were requested by lawyers with the patient's authorisation. The most frequent jurisdictional order was penal (43.33%). Ninety-three point one five percent (93.15%) of the requests proceeded from law courts in the autonomous community of Navarra. The centre that received the greatest number of requests was the "Príncipe de Viana" Consultation Centre (33.73%).The most frequently requested documentation was a copy of reports (109) and a copy of the complete clinical record (39). On two occasions the original clinical record was required. The average time of response was 6.6 days. Conclusions. The centralisation of administration has brought greater agility to the process and homogeneity in the criteria of processing. Less time is involved in preparing and dispatching the documentation, the dispatch of duplicate documents is avoided, the work load has been reduced and the dispersal of documentation is avoided, a situation that guarantees greater privacy for the patient.

Investigation of The Omaha System for dentistry.

PubMed

Jurkovich, M W; Ophaug, M; Salberg, S; Monsen, K

2014-01-01

Today, dentists and hygienists have inadequate tools to identify contributing factors to dental disease, diagnosis of disease or to document outcomes in a standardized and machine readable format. Increasing demand to find the most effective care methodologies make the development of further terminologies for dentistry more urgent. Preventive care is the focus of early efforts to define best practices. We reviewed one possibility with a history of public health documentation that might assist in these early efforts at identifying best practices. This paper examines, through a survey of dentists, the Omaha System Problem Classification Scheme. The survey requested that dentists rate the usefulness of knowing about specific signs and symptoms for each of the 42 problems within the Problem list of the Omaha System. Using a weighted scoring system, 22 of the 42 problems received over 50% of the possible maximum score and 30 of the 42 problems received at least 25% of the possible points. These findings suggests that further evaluation of The Omaha System, may be useful to dentistry. At a minimum, the survey provides additional information about non-physiological problems, signs, and symptoms that may be appropriate for documentation purposes within an electronic health record (EHR) used in dentistry.

Waste receiving and processing facility module 1 data management system software project management plan

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

Clark, R.E.

1994-11-02

This document provides the software development plan for the Waste Receiving and Processing (WRAP) Module 1 Data Management System (DMS). The DMS is one of the plant computer systems for the new WRAP 1 facility (Project W-026). The DMS will collect, store, and report data required to certify the low level waste (LLW) and transuranic (TRU) waste items processed at WRAP 1 as acceptable for shipment, storage, or disposal.

Privacy Impact Assessment for the Compass Financials IT System

EPA Pesticide Factsheets

This system collects data on accounts receivable, accounts payable, human resources and travel data. This document describes how the data will be collected in the system, how it will be used, access to the data, and the purpose of data collection.

Centralized Accounting and Electronic Filing Provides Efficient Receivables Collection.

ERIC Educational Resources Information Center

School Business Affairs, 1983

1983-01-01

An electronic filing system makes financial control manageable at Bowling Green State University, Ohio. The system enables quick access to computer-stored consolidated account data and microfilm images of charges, statements, and other billing documents. (MLF)

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

Mendonsa, D; Nekoogar, F; Martz, H

This document describes the functionality of every component in the DHS/IDD archival and storage hardware system shown in Fig. 1. The document describes steps by step process of image data being received at LLNL then being processed and made available to authorized personnel and collaborators. Throughout this document references will be made to one of two figures, Fig. 1 describing the elements of the architecture and the Fig. 2 describing the workflow and how the project utilizes the available hardware.

Coupled optical/thermal/fluid analysis and design requirements for operation and testing of a supercritical CO 2 solar receiver.

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

Khivsara, Sagar

Recent studies have evaluated closed-loop supercritical carbon dioxide (s-CO 2) Brayton cycles to be a higher energy-density system in comparison to conventional superheated steam Rankine systems. At turbine inlet conditions of 923K and 25 MPa, high thermal efficiency (~50%) can be achieved. Achieving these high efficiencies will make concentrating solar power (CSP) technologies a competitive alternative to current power generation methods. To incorporate a s-CO 2 Brayton power cycle in a solar power tower system, the development of a solar receiver capable of providing an outlet temperature of 923 K (at 25 MPa) is necessary. To satisfy the temperature requirementsmore » of a s-CO 2 Brayton cycle with recuperation and recompression, it is required to heat s-CO 2 by a temperature of ~200 K as it passes through the solar receiver. Our objective was to develop an optical-thermal-fluid model to design and evaluate a tubular receiver that will receive a heat input ~1 MWth from a heliostat field. We also undertook the documentation of design requirements for the development, testing and safe operation of a direct s-CO 2 solar receiver. The main purpose of this document is to serve as a reference and guideline for design and testing requirements, as well as to address the technical challenges and provide initial parameters for the computational models that will be employed for the development of s-CO 2 receivers.« less

Title list of documents made publicly available, January 1-31, 1998

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

NONE

1998-03-01

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and amore » Report Number Index. The docketed information in the Title List includes the information formerly issued through the Department of Energy publication Power Reactor Docket Information, last published in January 1979. NRC documents that are publicly available may be examined without charge at the NRC Public Document Room (PDR). Duplicate copies in paper, microfiche, or (selectively) diskette, may be obtained for a fee.« less

Preliminary design of a solar central receiver for a site-specific repowering application (Saguaro Power Plant). Volume III. Specifications. Final report, October 1982-September 1983

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

Weber, E.R.

1983-09-01

This volume on specifications for the Saguaro Power Plant includes the following: subsystem interface definition document; solar collector subsystem specification; receiver specification; thermal energy storage specification; solar steam generator specification; and master control system specification.

Title list of documents made publicly available: June 1--30, 1995. Volume 17, Number 6

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

NONE

1995-08-01

This monthly publication contains descriptions of the information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and a Report Number Index.

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

Morris, E.B.

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed, material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index and amore » Report Number Index.« less

Title list of documents made publicly available: April 1--30, 1996. Volume 18, Number 4

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

NONE

1996-06-01

This publication describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and a Report Number Index.

Operation of a Radar Altimeter over the Greenland Ice Sheet

NASA Technical Reports Server (NTRS)

Grund, Matthew D.

1996-01-01

This thesis presents documentation for the Advanced Application Flight Experiment (AAFE) pulse compression radar altimeter and its role in the NASA Multisensor Airborne Altimetry Experiment over Greenland in 1993. The AAFE Altimeter is a Ku-band microwave radar which has demonstrated 14 centimeter range precision in operation over arctic ice. Recent repairs and improvements were required to make the Greenland missions possible. Transmitter, receiver and software modifications, as well as the integration of a GPS receiver are thoroughly documented. Procedures for installation, and operation of the radar are described. Finally, suggestions are made for further system improvements.

76 FR 80780 - Review of the Emergency Alert System

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-27

... Emergency Alert System AGENCY: Federal Communications Commission. ACTION: Final rule. SUMMARY: In this document, the Commission amends its rules governing the Emergency Alert System (EAS) rules to extend the deadline for EAS Participants to be able to receive Common Alerting Protocol (CAP)- formatted EAS alerts to...

An Optical Receiver Post Processing System for the Integrated Radio and Optical Communications Software Defined Radio Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Tokars, Roger P.; Wroblewski, Adam C.

2016-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administrations (NASA) Glenn Research Center is investigating the feasibility of a hybrid radio frequency (RF) and optical communication system for future deep space missions. As a part of this investigation, a test bed for a radio frequency (RF) and optical software defined radio (SDR) has been built. Receivers and modems for the NASA deep space optical waveform are not commercially available so a custom ground optical receiver system has been built. This paper documents the ground optical receiver, which is used in order to test the RF and optical SDR in a free space optical communications link.

An Optical Receiver Post-Processing System for the Integrated Radio and Optical Communications Software Defined Radio Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Tokars, Roger P.; Wroblewski, Adam C.

2016-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administration's (NASA) Glenn Research Center is investigating the feasibility of a hybrid radio frequency (RF) and optical communication system for future deep space missions. As a part of this investigation, a test bed for a radio frequency (RF) and optical software defined radio (SDR) has been built. Receivers and modems for the NASA deep space optical waveform are not commercially available so a custom ground optical receiver system has been built. This paper documents the ground optical receiver, which is used in order to test the RF and optical SDR in a free space optical communications link.

Differences in the diagnosis and management of systemic lupus erythematosus by primary care and specialist providers in the American Indian/Alaska Native population.

PubMed

McDougall, J A; Helmick, C G; Lim, S S; Johnston, J M; Gaddy, J R; Gordon, C; Ferucci, E D

2018-06-01

Objectives The objective of this study is to investigate differences in the diagnosis and management of systemic lupus erythematosus (SLE) by primary care and specialist physicians in a population-based registry. Methods This study includes individuals from the 2009 Indian Health Service lupus registry population with a diagnosis of SLE documented by either a primary care provider or specialist. SLE classification criteria, laboratory testing, and medication use at any time during the course of disease were determined by medical record abstraction. Results Of the 320 individuals with a diagnosis of SLE, 249 had the diagnosis documented by a specialist, with 71 documented by primary care. Individuals with a specialist diagnosis of SLE were more likely to have medical record documentation of meeting criteria for SLE by all criteria sets (American College of Rheumatology, 79% vs 22%; Boston Weighted, 82% vs 32%; and Systemic Lupus International Collaborating Clinics, 83% vs 35%; p < 0.001 for all comparisons). In addition, specialist diagnosis was associated with documentation of ever having been tested for anti-double-stranded DNA antibody and complement 3 and complement 4 ( p < 0.001). Documentation of ever receiving hydroxychloroquine was also more common with specialist diagnosis (86% vs 64%, p < 0.001). Conclusions Within the population studied, specialist diagnosis of SLE was associated with a higher likelihood of having SLE classification criteria documented, being tested for biomarkers of disease, and ever receiving treatment with hydroxychloroquine. These data support efforts both to increase specialist access for patients with suspected SLE and to provide lupus education to primary care providers.

PPM/NAR 8.4-GHz noise temperature statistics for DSN 64-meter antennas, 1982-1984

NASA Technical Reports Server (NTRS)

Slobin, S. D.; Andres, E. M.

1986-01-01

From August 1982 through November 1984, X-band downlink (8.4-GHz) system noise temperature measurements were made on the DSN 64-m antennas during tracking periods. Statistics of these noise temperature values are needed by the DSN and by spacecraft mission planners to assess antenna, receiving, and telemetry system needs, present performance, and future performance. These measurements were made using the DSN Mark III precision power monitor noise-adding radiometers located at each station. It is found that for DSS 43 and DSS 63, at the 90% cumulative distribution level, equivalent zenith noise temperature values fall between those presented in the earlier (1977) and present (1983) versions of DSN/Flight Project design documents. Noise temperatures measured for DSS 14 (Goldstone) are higher than those given in existing design documents and this disagreement will be investigated as a diagnostic of possible PPM or receiving system performance problems.

Solar thermal repowering utility value analysis. Final report

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

Taylor, R.; Day, J.; Reed, B.

The retrofit of solar central receiver energy supply systems to existing steam-electric generating stations (repowering) is being considered as a major programmatic thrust by DOE. The determination of a government response appropriate to the opportunities of repowering is an important policy question, and is the major reason for the analysis. The study objective is to define a government role in repowering that constitutes an efficient program investment in pursuit of viable private markets for heliostat-based energy systems. In support of that objective, the study is designed to identify the scope and nature of the repowering opportunity within the larger contextmore » of its contributions to central receiver technology development and commercialization. The Supply and Integration Tasks are documented elsewhere. This report documents the Demand Task, determining and quantifying the sources of the value of repowering and of central receiver technology in general to electric utilities. The modeling tools and assumptions used in the Demand Task are described and the results are presented and interpreted. (MCW)« less

Procedure for Implementing the Cross-Media Electronic Reporting Regulation (CROMERR) for EPA and Co-Regulator Systems

EPA Pesticide Factsheets

This procedure describes how to apply for and obtain approval of electronic reporting systems used to receive electronic documents in lieu of paper where the report is made pursuant to requirements or authority codified in CFR 40.

77 FR 26701 - Review of the Emergency Alert System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-07

... Emergency Alert System AGENCY: Federal Communications Commission. ACTION: Final rule. SUMMARY: In this document, the Federal Communications Commission (Commission) amends its rules governing the Emergency Alert... the manner in which EAS Participants must be able to receive alert messages formatted in the Common...

Document Monitor

NASA Technical Reports Server (NTRS)

1988-01-01

The charters of Freedom Monitoring System will periodically assess the physical condition of the U.S. Constitution, Declaration of Independence and Bill of Rights. Although protected in helium filled glass cases, the documents are subject to damage from light vibration and humidity. The photometer is a CCD detector used as the electronic film for the camera system's scanning camera which mechanically scans the document line by line and acquires a series of images, each representing a one square inch portion of the document. Perkin-Elmer Corporation's photometer is capable of detecting changes in contrast, shape or other indicators of degradation with 5 to 10 times the sensitivity of the human eye. A Vicom image processing computer receives the data from the photometer stores it and manipulates it, allowing comparison of electronic images over time to detect changes.

43 CFR 45.12 - Where and how must documents be filed?

Code of Federal Regulations, 2011 CFR

2011-10-01

... documents be filed? (a) Place of filing. Any documents relating to a case under this subpart must be filed... sending the document by facsimile if: (A) The document is 20 pages or less, including all attachments; (B... is received. However, any document received after 5 p.m. at the place where the filing is due is...

43 CFR 45.12 - Where and how must documents be filed?

Code of Federal Regulations, 2010 CFR

2010-10-01

... documents be filed? (a) Place of filing. Any documents relating to a case under this subpart must be filed... sending the document by facsimile if: (A) The document is 20 pages or less, including all attachments; (B... is received. However, any document received after 5 p.m. at the place where the filing is due is...

Reconciling disparate information in continuity of care documents: Piloting a system to consolidate structured clinical documents.

PubMed

Hosseini, Masoud; Jones, Josette; Faiola, Anthony; Vreeman, Daniel J; Wu, Huanmei; Dixon, Brian E

2017-10-01

Due to the nature of information generation in health care, clinical documents contain duplicate and sometimes conflicting information. Recent implementation of Health Information Exchange (HIE) mechanisms in which clinical summary documents are exchanged among disparate health care organizations can proliferate duplicate and conflicting information. To reduce information overload, a system to automatically consolidate information across multiple clinical summary documents was developed for an HIE network. The system receives any number of Continuity of Care Documents (CCDs) and outputs a single, consolidated record. To test the system, a randomly sampled corpus of 522 CCDs representing 50 unique patients was extracted from a large HIE network. The automated methods were compared to manual consolidation of information for three key sections of the CCD: problems, allergies, and medications. Manual consolidation of 11,631 entries was completed in approximately 150h. The same data were automatically consolidated in 3.3min. The system successfully consolidated 99.1% of problems, 87.0% of allergies, and 91.7% of medications. Almost all of the inaccuracies were caused by issues involving the use of standardized terminologies within the documents to represent individual information entries. This study represents a novel, tested tool for de-duplication and consolidation of CDA documents, which is a major step toward improving information access and the interoperability among information systems. While more work is necessary, automated systems like the one evaluated in this study will be necessary to meet the informatics needs of providers and health systems in the future. Copyright © 2017 Elsevier Inc. All rights reserved.

76 FR 40987 - Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2012

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-12

... comments to be received before the close of the comment period. 3. By express or overnight mail. You may... they are received, generally beginning approximately 3 weeks after publication of a document, at the.... Background 2. Regulatory Update 3. Statutory Update 4. Loss-Sharing Ratio and Fixed Dollar Loss (FDL) Ratio 5...

36 CFR 212.5 - Road system management.

Code of Federal Regulations, 2013 CFR

2013-07-01

... part 219), to meet applicable statutory and regulatory requirements, to reflect long-term funding... safety or to environmental degradation. (c) Cost recovery on National Forest System roads. The Chief may... fees or other collections received by the Chief under the terms of an agreement or other document...

78 FR 65976 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-04

... title, by any of the following methods: * Federal Rulemaking Portal: http://www.regulations.gov . Follow the instructions for submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark... submissions received must include the agency name and docket number for this Federal Register document. The...

18 CFR 430.13 - Protected area permits for new withdrawals.

Code of Federal Regulations, 2012 CFR

2012-04-01

... approved by the Commission. (3) A program to monitor and control ground water infiltration to the receiving sewer system. The program must quantify ground water infiltration to the system and document reductions in infiltration. The program should include such measures as leakage surveys of sewer mains, metering...

18 CFR 430.13 - Protected area permits for new withdrawals.

Code of Federal Regulations, 2014 CFR

2014-04-01

... approved by the Commission. (3) A program to monitor and control ground water infiltration to the receiving sewer system. The program must quantify ground water infiltration to the system and document reductions in infiltration. The program should include such measures as leakage surveys of sewer mains, metering...

18 CFR 430.13 - Protected area permits for new withdrawals.

Code of Federal Regulations, 2013 CFR

2013-04-01

... approved by the Commission. (3) A program to monitor and control ground water infiltration to the receiving sewer system. The program must quantify ground water infiltration to the system and document reductions in infiltration. The program should include such measures as leakage surveys of sewer mains, metering...

18 CFR 430.13 - Protected area permits for new withdrawals.

Code of Federal Regulations, 2011 CFR

2011-04-01

... approved by the Commission. (3) A program to monitor and control ground water infiltration to the receiving sewer system. The program must quantify ground water infiltration to the system and document reductions in infiltration. The program should include such measures as leakage surveys of sewer mains, metering...

INFORMATION RETRIEVAL EXPERIMENT. FINAL REPORT.

ERIC Educational Resources Information Center

SELYE, HANS

THIS REPORT IS A BRIEF REVIEW OF RESULTS OF AN EXPERIMENT TO DETERMINE THE INFORMATION RETRIEVAL EFFICIENCY OF A MANUAL SPECIALIZED INFORMATION SYSTEM BASED ON 700,000 DOCUMENTS IN THE FIELDS OF ENDOCRINOLOGY, STRESS, MAST CELLS, AND ANAPHYLACTOID REACTIONS. THE SYSTEM RECEIVES 30,000 PUBLICATIONS ANNUALLY. DETAILED INFORMATION IS REPRESENTED BY…

Waste Receiving and Processing (WRAP) Facility PMS Test Report For Data Management System (DMS) Security Test DMS-Y2K

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

PALMER, M.E.

1999-09-21

Test Plan HNF-4351 defines testing requirements for installation of a new server in the WRAP Facility. This document shows the results of the test reports on the DMS-Y2K and DMS-F81 (Security) systems.

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.

PubMed

Nair, Bala G; Peterson, Gene N; Newman, Shu-Fang; Wu, Wei-Ying; Kolios-Morris, Vickie; Schwid, Howard A

2012-06-01

Continuation of perioperative beta-blockers for surgical patients who are receiving beta-blockers prior to arrival for surgery is an important quality measure (SCIP-Card-2). For this measure to be considered successful, name, date, and time of the perioperative beta-blocker must be documented. Alternately, if the beta-blocker is not given, the medical reason for not administering must be documented. Before the study was conducted, the institution lacked a highly reliable process to document the date and time of self-administration of beta-blockers prior to hospital admission. Because of this, compliance with the beta-blocker quality measure was poor (-65%). To improve this measure, the anesthesia care team was made responsible for documenting perioperative beta-blockade. Clear documentation guidelines were outlined, and an electronic Anesthesia Information Management System (AIMS) was configured to facilitate complete documentation of the beta-blocker quality measure. In addition, real-time electronic alerts were generated using Smart Anesthesia Messenger (SAM), an internally developed decision-support system, to notify users concerning incomplete beta-blocker documentation. Weekly compliance for perioperative beta-blocker documentation before the study was 65.8 +/- 16.6%, which served as the baseline value. When the anesthesia care team started documenting perioperative beta-blocker in AIMS, compliance was 60.5 +/- 8.6% (p = .677 as compared with baseline). Electronic alerts with SAM improved documentation compliance to 94.6 +/- 3.5% (p < .001 as compared with baseline). To achieve high compliance for the beta-blocker measure, it is essential to (1) clearly assign a medical team to perform beta-blocker documentation and (2) enhance features in the electronic medical systems to alert the user concerning incomplete documentation.

Advanced distributed simulation technology: Digital Voice Gateway Reference Guide

NASA Astrophysics Data System (ADS)

Vanhook, Dan; Stadler, Ed

1994-01-01

The Digital Voice Gateway (referred to as the 'DVG' in this document) transmits and receives four full duplex encoded speech channels over the Ethernet. The information in this document applies only to DVG's running firmware of the version listed on the title page. This document, previously named Digital Voice Gateway Reference Guide, BBN Systems and Technologies Corporation, Cambridge, MA 02138, was revised for revision 2.00. This new revision changes the network protocol used by the DVG, to comply with the SINCGARS radio simulation (For SIMNET 6.6.1). Because of the extensive changes to revision 2.00 a separate document was created rather than supplying change pages.

Connecting Land-Based Networks to Ships

DTIC Science & Technology

2013-06-01

multipoint wireless broadband systems, and WiMAX networks were initially deployed for fixed and nomadic (portable) applications. These standards...CAPABILITIES OF SHIP-TO-SHORE COMMUNICATIONS A. US Navy Automated Digital Network System (ADNS) The U.S. Navy’s Automated Digital Network System (ADNS...submit digitally any necessary documents to the terminal operators, contact their logistics providers, access tidal information and receive

Kansas Manpower Utilization System for Training (K-MUST): Final Report: Volume 1: System Documentation.

ERIC Educational Resources Information Center

Scott, Robert E.; And Others

K-MUST, Kansas Manpower Utilization System for Training, provides an information base and management tools to be used by occupational education planners and administrators to optimize the societal and student benefits received from the expenditure of vocational monies. This first part of a two part report describes techniques used to develop,…

77 FR 5616 - Proposed Technical Standard Order (TSO)-C151c, Terrain Awareness and Warning System (TAWS)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-03

... (TSO)-C151c, Terrain Awareness and Warning System (TAWS) ACTION: Notice of availability and request for... second draft of Technical Standard Order (TSO)- C151c, Terrain Awareness and Warning System. Comments received from the initial June 2011 release, resulted in changes to the proposed document significant...

Documentation of pain care processes does not accurately reflect pain management delivered in primary care.

PubMed

Krebs, Erin E; Bair, Matthew J; Carey, Timothy S; Weinberger, Morris

2010-03-01

Researchers and quality improvement advocates sometimes use review of chart-documented pain care processes to assess the quality of pain management. Studies have found that primary care providers frequently fail to document pain assessment and management. To assess documentation of pain care processes in an academic primary care clinic and evaluate the validity of this documentation as a measure of pain care delivered. Prospective observational study. 237 adult patients at a university-affiliated internal medicine clinic who reported any pain in the last week. Immediately after a visit, we asked patients to report the pain treatment they received. Patients completed the Brief Pain Inventory (BPI) to assess pain severity at baseline and 1 month later. We extracted documentation of pain care processes from the medical record and used kappa statistics to assess agreement between documentation and patient report of pain treatment. Using multivariable linear regression, we modeled whether documented or patient-reported pain care predicted change in pain at 1 month. Participants' mean age was 53.7 years, 66% were female, and 74% had chronic pain. Physicians documented pain assessment for 83% of visits. Patients reported receiving pain treatment more often (67%) than was documented by physicians (54%). Agreement between documentation and patient report was moderate for receiving a new pain medication (k = 0.50) and slight for receiving pain management advice (k = 0.13). In multivariable models, documentation of new pain treatment was not associated with change in pain (p = 0.134). In contrast, patient-reported receipt of new pain treatment predicted pain improvement (p = 0.005). Chart documentation underestimated pain care delivered, compared with patient report. Documented pain care processes had no relationship with pain outcomes at 1 month, but patient report of receiving care predicted clinically significant improvement. Chart review measures may not accurately reflect the pain management patients receive in primary care.

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

M. J. Appel

This cleanup verification package documents completion of remedial action for the 118-F-3, Minor Construction Burial Ground waste site. This site was an open field covered with cobbles, with no vegetation growing on the surface. The site received irradiated reactor parts that were removed during conversion of the 105-F Reactor from the Liquid 3X to the Ball 3X Project safety systems and received mostly vertical safety rod thimbles and step plugs.

GENESIS: GPS Environmental and Earth Science Information System

NASA Technical Reports Server (NTRS)

Hajj, George

1999-01-01

This presentation reviews the GPS ENvironmental and Earth Science Information System (GENESIS). The objectives of GENESIS are outlined (1) Data Archiving, searching and distribution for science data products derived from Space borne TurboRogue Space Receivers for GPS science and other ground based GPS receivers, (2) Data browsing using integrated visualization tools, (3) Interactive web/java-based data search and retrieval, (4) Data subscription service, (5) Data migration from existing GPS archived data, (6) On-line help and documentation, and (7) participation in the WP-ESIP federation. The presentation reviews the products and services of Genesis, and the technology behind the system.

Determination of Receiver Susceptibility to Radio Frequency Interference from Portable Electronic Devices

NASA Technical Reports Server (NTRS)

Nguyen, Truong X.; Ely, Jay J.

2002-01-01

With the increasing pressures to allow wireless devices on aircraft, the susceptibility of aircraft receivers to interference from Portable Electronic Devices (PEDs) becomes an increasing concern. Many investigations were conducted in the past, with limited success, to quantify device emissions, path loss, and receiver interference susceptibility thresholds. This paper outlines the recent effort in determining the receiver susceptibility thresholds for ILS, VOR and GPS systems. The effort primarily consists of analysis of data available openly as reported in many RTCA and ICAO documents as well as manufacturers data on receiver sensitivity. Shortcomings with the susceptibility threshold data reported in the RTCA documents are presented, and an approach for an in-depth study is suggested. In addition, intermodulation products were observed and demonstrated in a laboratory experiment when multiple PEDs were in the proximity of each other. These intermodulation effects generate spurious frequencies that may fall within aircraft communication or navigation bands causing undesirable effects. Results from a preliminary analysis are presented that show possible harmful combinations of PEDs and the potentially affected aircraft bands.

Title list of documents made publicly available, March 1--31, 1995: Volume 17, No. 3

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

NONE

The Title List of Documents Made Publicly Available is a monthly publication. It contains descriptions of the information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index,more » and a Report Number Index. The docketed information contained in the Title List includes the information formerly issued through the Department of Energy publication Power Reactor Docket Information, last published in January 1979. NRC documents that are publicly available may be examined without charge at the NRC Public Document Room (PDR). Duplicate copies may be obtained for a fee. Standing orders for certain categories of documents are also available. Clients may search for and order desired titles through the PDR computerized Bibliographic Retrieval System, which is accessible both at the PDR and remotely. The PDR is staffed by professional technical librarians, who provide reference assistance to users. See NOTES at the end of the preface for information about reaching the PDR. Microfiche of the docketed information listed in the Title List is available for sale on a subscription basis from the National Technical Information Service (NTIS).« less

25 CFR 1000.69 - How can a Tribe/Consortium obtain comments or selection documents received or utilized after OSG...

Code of Federal Regulations, 2010 CFR

2010-04-01

...-DETERMINATION AND EDUCATION ACT Other Financial Assistance for Planning and Negotiation Grants for Non-BIA... documents received or utilized after OSG has made a decision on a planning grant application? 1000.69... selection documents received or utilized after OSG has made a decision on a planning grant application? A...

76 FR 70374 - List of Approved Spent Fuel Storage Casks: MAGNASTOR® System, Revision 2

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-14

... Trussell, Office of Federal and State Materials and Environmental Management Programs, U.S. Nuclear... Management System (ADAMS): Publicly available documents created or received at the NRC are available online... protection of public health and safety continues to be ensured. The direct final rule will become effective...

LEEDS Decision Tools for E-Craft

DTIC Science & Technology

2011-02-15

currently valid 0MB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) 15-Feb-2011 2. REPORT TYPE Final... RIT has received no feedback regarding which system monitoring would be most beneficial to MSB. TASKS 1. Decision support research Data/analysis...project, a Project Initiation Document (PID) was written by RIT and submitted to MSB for its approval. This document is attached in Appendix A. It

A compendium of solar dish/Stirling technology

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

Stine, W.B.; Diver, R.B.

1994-01-01

This report surveys the emerging dish/Stirling technology. It documents -- using consistent terminology the design characteristics of dish concentrators, receivers, and Stirling engines applicable to solar electric power generation. Development status and operating experience for each system and an overview of dish/Stirling technology are also presented. This report enables comparisons of concentrator, receiver, and engine technologies. Specifications and performance data are presented on systems and on components that are in use or that could be used in dish/Stirling systems. This report is organized into two parts: The first part (Chapters 1 through 4) provides an overview of dish/Stirling technology --more » the dish/ Stirling components (concentrator, receiver, and engine/alternator), current technology, basic theory, and technology development. The second part (Chapters 5 through 7) provides a detailed survey of the existing dish/Stirling concentrators, receivers, and engine/alternators.« less

Global Positioning System: A Guide for the Approval of GPS Receiver Installation and Operation

DOT National Transportation Integrated Search

1996-10-01

This guide is designed to assist Federal Aviation Adalnlatratlon (FAA) Aviation Safety : Inspectors (ASIs) in evaluating new Global Positioning Systena (GPS) installations and : operations. Because there aro aany documents providing Information, regu...

Improvement in rheumatic fever and rheumatic heart disease management and prevention using a health centre-based continuous quality improvement approach.

PubMed

Ralph, Anna P; Fittock, Marea; Schultz, Rosalie; Thompson, Dale; Dowden, Michelle; Clemens, Tom; Parnaby, Matthew G; Clark, Michele; McDonald, Malcolm I; Edwards, Keith N; Carapetis, Jonathan R; Bailie, Ross S

2013-12-18

Rheumatic heart disease (RHD) remains a major health concern for Aboriginal Australians. A key component of RHD control is prevention of recurrent acute rheumatic fever (ARF) using long-term secondary prophylaxis with intramuscular benzathine penicillin (BPG). This is the most important and cost-effective step in RHD control. However, there are significant challenges to effective implementation of secondary prophylaxis programs. This project aimed to increase understanding and improve quality of RHD care through development and implementation of a continuous quality improvement (CQI) strategy. We used a CQI strategy to promote implementation of national best-practice ARF/RHD management guidelines at primary health care level in Indigenous communities of the Northern Territory (NT), Australia, 2008-2010. Participatory action research methods were employed to identify system barriers to delivery of high quality care. This entailed facilitated discussion with primary care staff aided by a system assessment tool (SAT). Participants were encouraged to develop and implement strategies to overcome identified barriers, including better record-keeping, triage systems and strategies for patient follow-up. To assess performance, clinical records were audited at baseline, then annually for two years. Key performance indicators included proportion of people receiving adequate secondary prophylaxis (≥80% of scheduled 4-weekly penicillin injections) and quality of documentation. Six health centres participated, servicing approximately 154 people with ARF/RHD. Improvements occurred in indicators of service delivery including proportion of people receiving ≥40% of their scheduled BPG (increasing from 81/116 [70%] at baseline to 84/103 [82%] in year three, p = 0.04), proportion of people reviewed by a doctor within the past two years (112/154 [73%] and 134/156 [86%], p = 0.003), and proportion of people who received influenza vaccination (57/154 [37%] to 86/156 [55%], p = 0.001). However, the proportion receiving ≥80% of scheduled BPG did not change. Documentation in medical files improved: ARF episode documentation increased from 31/55 (56%) to 50/62 (81%) (p = 0.004), and RHD risk category documentation from 87/154 (56%) to 103/145 (76%) (p < 0.001). Large differences in performance were noted between health centres, reflected to some extent in SAT scores. A CQI process using a systems approach and participatory action research methodology can significantly improve delivery of ARF/RHD care.

VLBI2010 Receiver Back End Comparison

NASA Technical Reports Server (NTRS)

Petrachenko, Bill

2013-01-01

VLBI2010 requires a receiver back-end to convert analog RF signals from the receiver front end into channelized digital data streams to be recorded or transmitted electronically. The back end functions are typically performed in two steps: conversion of analog RF inputs into IF bands (see Table 2), and conversion of IF bands into channelized digital data streams (see Tables 1a, 1b and 1c). The latter IF systems are now completely digital and generically referred to as digital back ends (DBEs). In Table 2 two RF conversion systems are compared, and in Tables 1a, 1b, and 1c nine DBE systems are compared. Since DBE designs are advancing rapidly, the data in these tables are only guaranteed to be current near the update date of this document.

40 CFR 62.14620 - What site-specific documentation is required?

Code of Federal Regulations, 2010 CFR

2010-07-01

... the incinerator and associated air pollution control systems within the standards established under... required? 62.14620 Section 62.14620 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED...) Procedures for receiving, handling, and charging waste. (3) Incinerator startup, shutdown, and malfunction...

Comprehensive Psychopathological Assessment Based on the Association for Methodology and Documentation in Psychiatry (AMDP) System: Development, Methodological Foundation, Application in Clinical Routine, and Research.

PubMed

Stieglitz, Rolf-Dieter; Haug, Achim; Fähndrich, Erdmann; Rösler, Michael; Trabert, Wolfgang

2017-01-01

The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology. The motivation for its development was based on the need for an assessment procedure for the reliable documentation of the effectiveness of newly developed psychopharmacological substances. Subsequently, the AMDP-System began to be applied in the context of investigations into a number of methodological issues in psychiatry (e.g., the frequency and specificity of particular symptoms, the comparison of rating scales). The System then became increasingly important also in clinical practice and, today, represents the most used instrument for the documentation of psychopathology in the German-speaking countries of Europe. This paper intends to offer an overview of the AMDP-System, its origins, design, and functionality. After an initial account of the history and development of the AMDP-System, the discussion will in turn focus on the System's underlying methodological principles, the transfer of clinical skills and competencies in its practical application, and its use in research and clinical practice. Finally, potential future areas of development in relation to the AMDP-System are explored.

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…

40 CFR 1602.6 - Requests for amendment or correction of records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... documentation that you think would be helpful. (b) CSB responses. Within ten working days of receiving your... Disagreement must be sent to the CSB, which will place it in the system of records in which the disputed record... filed and where in the system of records it may be found. (e) Notification of amendment/correction or...

Contraceptive Provision in the VA Healthcare System to Women Who Report Military Sexual Trauma

PubMed Central

Mattocks, Kristin; Schwarz, Eleanor Bimla; Borrero, Sonya; Skanderson, Melissa; Zephyrin, Laurie; Brandt, Cynthia; Haskell, Sally

2014-01-01

Abstract Background: Women Veterans who suffered military sexual trauma (MST) may be at high risk for unintended pregnancy and benefit from contraceptive services. The objective of this study is to compare documented provision of contraceptives to women Veterans using the Department of Veterans Affairs (VA) health system who report or deny MST. Methods: This retrospective cohort study included women Veterans aged 18–45 years who served in Operation Enduring or Iraqi Freedom and had at least one visit to a VA medical center between 2002 and 2010. Data were obtained from VA administrative and clinical databases. Chi-squared tests and logistic regression were conducted to evaluate the association between MST, ascertained by routine clinical screening, and first documented receipt of hormonal or long-acting contraception. Results: Of 68,466 women Veterans, 13% reported, 59% denied and 28% had missing data for the MST screen. Among the entire study cohort, 30% of women had documented receipt of a contraceptive method. Women reporting MST were significantly more likely than those denying MST to receive a method of contraception (adjusted odds ratio [aOR] 1.12, 95% confidence interval [CI] 1.07–1.18) including an intrauterine device (odds ratio [OR] 1.29, 95% CI 1.17–1.41) or contraceptive injection (OR 1.17, 95% CI 1.05–1.29). Women who were younger, unmarried, seen at a women's health clinic, or who had more than one visit were more likely to receive contraception. Conclusions: A minority of women Veterans of reproductive age receive contraceptive services from the VA. Women Veterans who report MST, and particularly those who seek care at VA women's health clinics, are more likely to receive contraception. PMID:24787680

Lessons learned from the implementation of clinical messaging systems.

PubMed

Barnes, Mike

2007-10-11

The Regenstrief Institute has designed and implemented two clinical messaging systems over the past six years, both called DOCS4DOCS. These systems receive HL7 messages from data sources and deliver results to clinicians via the web, fax, or as HL7 directed to an EMR. This paper focuses on some of the lessons we have learned, both good and bad. We discuss important issues in clinical messaging including provider mapping, document delivery and duplicate prevention, creating uniform HL7 outbound feeds, user authentication, the problems of allowing Active-X controls, why automatic printing of documents is not important although a frequently requested feature, and assorted other pearls of wisdom we have acquired.

Lessons Learned from the Implementation of Clinical Messaging Systems

PubMed Central

Barnes, Mike

2007-01-01

The Regenstrief Institute has designed and implemented two clinical messaging systems over the past six years, both called DOCS4DOCS®. These systems receive HL7 messages from data sources and deliver results to clinicians via the web, fax, or as HL7 directed to an EMR. This paper focuses on some of the lessons we have learned, both good and bad. We discuss important issues in clinical messaging including provider mapping, document delivery and duplicate prevention, creating uniform HL7 outbound feeds, user authentication, the problems of allowing Active-X controls, why automatic printing of documents is not important although a frequently requested feature, and assorted other pearls of wisdom we have acquired. PMID:18693793

7 CFR 1.670 - How must documents be filed and served under §§ 1.670 through 1.673?

Code of Federal Regulations, 2014 CFR

2014-01-01

... complete copy of the document must be served on each license party and FERC, using: (i) One of the methods..., documents must be filed using one of the methods set forth in § 1.612(b). (2) A document is considered filed on the date it is received. However, any document received after 5 p.m. at the place where the filing...

Evaluation of Standardization of Transfer of Accountability between Inpatient Pharmacists.

PubMed

Tsoi, Vivian; Dewhurst, Norman; Tom, Elaine

2018-01-01

A compelling body of evidence supports the notion that transfer of accountability (TOA) improves communication, continuity of care, and patient safety. TOA involves the transmission and receipt of information between clinicians at each transition of care. Without a notification system alerting pharmacists to patient transfers, pharmacists' ability to seek out and complete TOA may be hindered. A standardized policy and process for TOA, with automated workflow, was implemented at the study hospital in 2015, to ensure consistency and timeliness of documentation by pharmacists. To evaluate pharmacists' adherence to and satisfaction with the TOA policy and process. A retrospective audit was conducted, using a random sample of individuals who were inpatients between June 2014 and February 2016. Transition points for TOA were identified, and the computerized pharmacy system was reviewed to determine whether TOA had been documented at each transition point. After the audit, an online survey was distributed to assess pharmacists' response to and satisfaction with the TOA policy and workflow. Before the TOA workflow was implemented, TOA documentation by pharmacists ranged from 11% (10/93) to 43% (48/111) of transitions. Eight months after implementation of the workflow, the rate of TOA documentation was 87% (68/78), exceeding the institution's target of 70%. Of the 32 pharmacists surveyed, most were satisfied with the TOA policy and agreed that the standardized workflow was simple to use, increased the number of TOAs provided and received, and improved the quality of completed TOAs. Respondents also indicated that the TOA workflow had improved patient care (mean score 4.09/5, standard deviation 0.64). The standardized TOA policy and process were well received by pharmacists, and resulted in consistent TOA documentation and a TOA documentation rate that exceeded the institutional target.

Personalization of Rule-based Web Services.

PubMed

Choi, Okkyung; Han, Sang Yong

2008-04-04

Nowadays Web users have clearly expressed their wishes to receive personalized services directly. Personalization is the way to tailor services directly to the immediate requirements of the user. However, the current Web Services System does not provide any features supporting this such as consideration of personalization of services and intelligent matchmaking. In this research a flexible, personalized Rule-based Web Services System to address these problems and to enable efficient search, discovery and construction across general Web documents and Semantic Web documents in a Web Services System is proposed. This system utilizes matchmaking among service requesters', service providers' and users' preferences using a Rule-based Search Method, and subsequently ranks search results. A prototype of efficient Web Services search and construction for the suggested system is developed based on the current work.

40 CFR 60.2910 - What site-specific documentation is required?

Code of Federal Regulations, 2010 CFR

2010-07-01

... the incinerator and associated air pollution control systems within the standards established under... required? 60.2910 Section 60.2910 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR...) Procedures for receiving, handling, and charging waste. (3) Incinerator startup, shutdown, and malfunction...

5 CFR 890.308 - Disenrollment.

Code of Federal Regulations, 2010 CFR

2010-01-01

... enrollment records or does not receive documentation necessary to resolve the discrepancy from the employing... documentation to resolve the discrepancy. Appropriate documentation includes, but is not limited to, a copy of... date which is the last day of the pay period in which information of the death is received. Reliable...

[3-dimensional imaging systems: first experience in planning and documentation of plastic surgery procedures].

PubMed

Spanholtz, T A; Leitsch, S; Holzbach, T; Volkmer, E; Engelhardt, T; Giunta, R E

2012-08-01

A reproducible 3-dimensional photographic system enables plastic surgeons to perform preoperative planning and helps them to understand the patient's expectations. There are a few systems available that allow a reproducible 3-dimensional scans of the patient with direct simulation of the planned procedure. The Vectra Volumetric 3D Surface Imaging® by Canfield® provides such an option and helps the surgeons to document and compare postoperative changes at different time points. Since January 2011 we are digitally documenting all patients receiving form-modulating procedures in our plastic surgery unit. We present the spectrum of clinical implications and discuss advantages and disadvantages of the system. Furthermore, we have studied the accuracy of the system in comparison to direct measurement in 15 volunteers. The system is especially suited for planning and evaluation of breast augmentation, facial aesthetic and reconstructive surgery as well as volumetric measurements before and after liposuction and lipofilling. Computer-assisted measurements correlate with a median deviation of 2.3% with manually measured distances in the face. We found the user-friendly Vectra® system to be a reliable and reproducible device for planning plastic surgery therapies and for documenting postoperative results. © Georg Thieme Verlag KG Stuttgart · New York.

Comprehensive Psychopathological Assessment Based on the Association for Methodology and Documentation in Psychiatry (AMDP) System: Development, Methodological Foundation, Application in Clinical Routine, and Research

PubMed Central

Stieglitz, Rolf-Dieter; Haug, Achim; Fähndrich, Erdmann; Rösler, Michael; Trabert, Wolfgang

2017-01-01

The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology. The motivation for its development was based on the need for an assessment procedure for the reliable documentation of the effectiveness of newly developed psychopharmacological substances. Subsequently, the AMDP-System began to be applied in the context of investigations into a number of methodological issues in psychiatry (e.g., the frequency and specificity of particular symptoms, the comparison of rating scales). The System then became increasingly important also in clinical practice and, today, represents the most used instrument for the documentation of psychopathology in the German-speaking countries of Europe. This paper intends to offer an overview of the AMDP-System, its origins, design, and functionality. After an initial account of the history and development of the AMDP-System, the discussion will in turn focus on the System’s underlying methodological principles, the transfer of clinical skills and competencies in its practical application, and its use in research and clinical practice. Finally, potential future areas of development in relation to the AMDP-System are explored. PMID:28439242

The Ocean Tracking Network and its contribution to ocean biological observation

NASA Astrophysics Data System (ADS)

Whoriskey, F. G.

2016-02-01

Animals move to meet their needs for food, shelter, reproduction and to avoid unfavorable environments. In aquatic systems, it is essential that we understand these movements if we are to sustainably manage populations and maintain healthy ecosystems. Thus the ability to document and monitor changes in aquatic animal movements is a biological observing system need. The Ocean Tracking Network (OTN) is a global research, technology development, and data management platform headquartered at Dalhousie University, in Halifax, Nova Scotia working to fill this need. OTN uses electronic telemetry to document the local-to-global movements and survival of aquatic animals, and to correlate them to oceanographic or limnological variables that are influencing movements. Such knowledge can assist with planning for and managing of anthropogenic impacts on present and future animal distributions, including those due to climate change. OTN works with various tracking methods including satellite and data storage tag systems, but its dominant focus is acoustic telemetry. OTN is built on global partnerships for the sharing of equipment and data, and has stimulated technological development in telemetry by bringing researchers with needs for new capabilities together with manufacturers to generate, test, and operationalize new technologies. This has included pioneering work into the use of marine autonomous vehicles (Slocum electric gliders; Liquid Robotics Wave Glider) in animal telemetry research. Similarly, OTN scientists worked with the Sea Mammal Research Unit to develop mobile acoustic receiver that have been placed on grey seals and linked via Bluetooth to a satellite transmitter/receiver. This provided receiver coverage in areas occupied by the seals during their typically extensive migrations and allowed for the examination of ecosystem linkages by documenting behavioral interactions the seals had with the physical environment, conspecifics, and other tagged species.

Modified timing module for Loran-C receiver

NASA Technical Reports Server (NTRS)

Lilley, R. W.

1983-01-01

Full hardware documentation is provided for the circuit card implementing the Loran-C timing loop, and the receiver event-mark and re-track functions. This documentation is to be combined with overall receiver drawings to form the as-built record for this device. Computer software to support this module is integrated with the remainder of the receiver software, in the LORPROM program.

75 FR 404 - Privacy Act of 1974; Department of Homeland Security U.S. Immigration and Customs Enforcement-009...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-05

.... Government. The Privacy Act exemptions for this system go unchanged and the Final Rule remains in place. This... the docket to read background documents or comments received go to http://www.regulations.gov . FOR...

48 CFR 2115.404-71 - Profit analysis factors.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... 2115.404-71 Section 2115.404-71 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT... weight. Innovations of benefit to the FEGLI Program will generally receive a plus weight; documented..., etc., having viability to the Program at large. Improvements and innovations recognized and rewarded...

Second generation heliostat development for solar central receiver systems. Volume 4, appendices F-J: Control software test results manufacturing pile installation pile coatings

NASA Astrophysics Data System (ADS)

1981-03-01

Support documentation for a second generation heliostat project is presented. Flowcharts of control software are included. Numerical and graphic test results are provided. Project management information is also provided.

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

Morris, E.B.

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the U.S. Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. As used here, docketed does not refer to Court dockets; it refers to the system by which NRC maintains its regulatory records. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and amore » Report Number Index. The docketed information contained in the Title List includes the information formerly issued through the Department of Energy publication Power Reactor Docket Information, last published in January 1979.« less

Miconazole therapy for treatment of fungal infections in cancer patients.

PubMed

Jordan, W M; Bodey, G P; Rodriguez, V; Ketchel, S J; Henney, J

1979-12-01

The effectiveness of miconazole was evaluated in 37 documented fungal infections, 32 of which were major infections. All patients were receiving therapy for advanced malignancy, with 28 patients having acute leukemia. The overall cure rate was 41% and it was also 41% for major fungal infections. Nine of 22 patients with Candida albicans infections were cured, and 3 of 11 patients with Candida tropicalis infections were cured. A total of 183 patients who received miconazole for presumed or documented fungal infection were evaluated for toxicity. Nausea and vomiting and central nervous system toxicity were the most common side effects, occurring in 25 and 16% of the patients, respectively. Overall, the drug was tolerated well, with only four patients requiring the drug to be permanently discontinued because of toxicity.

Parabolic Dish Solar Thermal Power Annual Program Review Proceedings

NASA Technical Reports Server (NTRS)

Lucas, J. W.

1982-01-01

The results of activities of the parabolic dish technology and applications development element of DOE's Solar Thermal Energy System Program are presented. Topics include the development and testing of concentrators, receivers, and power conversion units; system design and development for engineering experiments; economic analysis and marketing assessment; and advanced development activities. A panel discussion concerning industrial support sector requirements is also documented.

Final Report Computational Analysis of Dynamical Systems

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

Guckenheimer, John

2012-05-08

This is the final report for DOE Grant DE-FG02-93ER25164, initiated in 1993. This grant supported research of John Guckenheimer on computational analysis of dynamical systems. During that period, seventeen individuals received PhD degrees under the supervision of Guckenheimer and over fifty publications related to the grant were produced. This document contains copies of these publications.

47 CFR 54.409 - Consumer qualification for Lifeline.

Code of Federal Regulations, 2010 CFR

2010-10-01

... that the consumer receives benefits from at least one of the programs mentioned in this paragraph or... identifying in that document the program or programs from which that consumer receives benefits, an eligible... signature on a document certifying under penalty of perjury that: (1) The consumer receives benefits from...

Documenting Penicillin Allergy: The Impact of Inconsistency.

PubMed

Shah, Nirav S; Ridgway, Jessica P; Pettit, Natasha; Fahrenbach, John; Robicsek, Ari

2016-01-01

Allergy documentation is frequently inconsistent and incomplete. The impact of this variability on subsequent treatment is not well described. To determine how allergy documentation affects subsequent antibiotic choice. Retrospective, cohort study. 232,616 adult patients seen by 199 primary care providers (PCPs) between January 1, 2009 and January 1, 2014 at an academic medical system. Inter-physician variation in beta-lactam allergy documentation; antibiotic treatment following beta-lactam allergy documentation. 15.6% of patients had a reported beta-lactam allergy. Of those patients, 39.8% had a specific allergen identified and 22.7% had allergic reaction characteristics documented. Variation between PCPs was greater than would be expected by chance (all p<0.001) in the percentage of their patients with a documented beta-lactam allergy (7.9% to 24.8%), identification of a specific allergen (e.g. amoxicillin as opposed to "penicillins") (24.0% to 58.2%) and documentation of the reaction characteristics (5.4% to 51.9%). After beta-lactam allergy documentation, patients were less likely to receive penicillins (Relative Risk [RR] 0.16 [95% Confidence Interval: 0.15-0.17]) and cephalosporins (RR 0.28 [95% CI 0.27-0.30]) and more likely to receive fluoroquinolones (RR 1.5 [95% CI 1.5-1.6]), clindamycin (RR 3.8 [95% CI 3.6-4.0]) and vancomycin (RR 5.0 [95% CI 4.3-5.8]). Among patients with beta-lactam allergy, rechallenge was more likely when a specific allergen was identified (RR 1.6 [95% CI 1.5-1.8]) and when reaction characteristics were documented (RR 2.0 [95% CI 1.8-2.2]). Provider documentation of beta-lactam allergy is highly variable, and details of the allergy are infrequently documented. Classification of a patient as beta-lactam allergic and incomplete documentation regarding the details of the allergy lead to beta-lactam avoidance and use of other antimicrobial agents, behaviors that may adversely impact care quality and cost.

Tone-Based Command of Deep Space Probes using Ground Antennas

NASA Technical Reports Server (NTRS)

Bokulic, Robert S.; Jensen, J. Robert

2008-01-01

A document discusses a technique for enabling the reception of spacecraft commands at received signal levels as much as three orders of magnitude below those of current deep space systems. Tone-based commanding deals with the reception of commands that are sent in the form of precise frequency offsets using an open-loop receiver. The key elements of this technique are an ultrastable oscillator and open-loop receiver onboard the spacecraft, both of which are part of the existing New Horizons (Pluto flyby) communications system design. This enables possible flight experimentation for tone-based commanding during the long cruise of the spacecraft to Pluto. In this technique, it is also necessary to accurately remove Doppler shift from the uplink signal presented to the spacecraft. A signal processor in the spacecraft performs a discrete Fourier transform on the received signal to determine the frequency of the received signal. Due to the long-term drift in the oscillators and orbit prediction model, the system is likely to be implemented differentially, where changes in the uplink frequency convey the command information.

Is the digitization of laparoscopic movement using accessible alternative technologies possible?

PubMed

Lorias Espinoza, Daniel; Gutiérrez Gnecchi, José Antonio; Martínez, Arturo Minor

2012-05-01

It is widely documented that laparoscopic surgeons require training, and an objective evaluation of the training that they receive. The most advanced evaluation systems integrate the digitization of the movement of laparoscopic tools. A great number of these systems, however, do not permit the use of real tools and their high cost limits their academic impact. Likewise, it is documented that new and accessible systems need to be developed. The aim of this article is to explore the possibility of digitizing the movement of laparoscopic tools in a three-dimensional workspace, using accessible alternative technology. Our proposal uses a commercial Wii video game control in conjunction with a program for determining kinematic variables during the execution of a recognition task.

76 FR 42737 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-19

...: This action will be effective on August 29, 2011, unless comments are received that result in a... contacts. Application materials such as interview reports; test results; resumes; Knowledge, Skills and...; records documenting disabilities or job-related injuries; and general in processing and out processing...

Improvement in rheumatic fever and rheumatic heart disease management and prevention using a health centre-based continuous quality improvement approach

PubMed Central

2013-01-01

Background Rheumatic heart disease (RHD) remains a major health concern for Aboriginal Australians. A key component of RHD control is prevention of recurrent acute rheumatic fever (ARF) using long-term secondary prophylaxis with intramuscular benzathine penicillin (BPG). This is the most important and cost-effective step in RHD control. However, there are significant challenges to effective implementation of secondary prophylaxis programs. This project aimed to increase understanding and improve quality of RHD care through development and implementation of a continuous quality improvement (CQI) strategy. Methods We used a CQI strategy to promote implementation of national best-practice ARF/RHD management guidelines at primary health care level in Indigenous communities of the Northern Territory (NT), Australia, 2008–2010. Participatory action research methods were employed to identify system barriers to delivery of high quality care. This entailed facilitated discussion with primary care staff aided by a system assessment tool (SAT). Participants were encouraged to develop and implement strategies to overcome identified barriers, including better record-keeping, triage systems and strategies for patient follow-up. To assess performance, clinical records were audited at baseline, then annually for two years. Key performance indicators included proportion of people receiving adequate secondary prophylaxis (≥80% of scheduled 4-weekly penicillin injections) and quality of documentation. Results Six health centres participated, servicing approximately 154 people with ARF/RHD. Improvements occurred in indicators of service delivery including proportion of people receiving ≥40% of their scheduled BPG (increasing from 81/116 [70%] at baseline to 84/103 [82%] in year three, p = 0.04), proportion of people reviewed by a doctor within the past two years (112/154 [73%] and 134/156 [86%], p = 0.003), and proportion of people who received influenza vaccination (57/154 [37%] to 86/156 [55%], p = 0.001). However, the proportion receiving ≥80% of scheduled BPG did not change. Documentation in medical files improved: ARF episode documentation increased from 31/55 (56%) to 50/62 (81%) (p = 0.004), and RHD risk category documentation from 87/154 (56%) to 103/145 (76%) (p < 0.001). Large differences in performance were noted between health centres, reflected to some extent in SAT scores. Conclusions A CQI process using a systems approach and participatory action research methodology can significantly improve delivery of ARF/RHD care. PMID:24350582

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Campbell, Chip; Carpenter, Russell; Davis, Ed; Kizhner, Semion; Lightsey, E. Glenn; Davis, George; Jackson, Larry

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X-38 Crew Return Vehicle (CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and modified in software by the NASA Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design of tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Campbell, Chip; Carpenter, Russell; Davis, Ed; Kizhner, Semion; Lightsey, E. Glenn; Davis, George; Jackson, Larry

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X-38 Crew Return Vehicle (CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and Modified in software by the NASA Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design and tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges of that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Lightsey, Glenn; Campbell, Chip; Carpenter, Russell; Davis, George; Jackson, Larry; Davis, Ed; Kizhner, Semion

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X- 38CrewReturnVehicle(CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and modified in software by NASA:s Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design of tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

15 CFR 971.802 - Public disclosure of documents received by NOAA.

Code of Federal Regulations, 2013 CFR

2013-01-01

... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

15 CFR 971.802 - Public disclosure of documents received by NOAA.

Code of Federal Regulations, 2014 CFR

2014-01-01

... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

15 CFR 971.802 - Public disclosure of documents received by NOAA.

Code of Federal Regulations, 2012 CFR

2012-01-01

... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

15 CFR 971.802 - Public disclosure of documents received by NOAA.

Code of Federal Regulations, 2010 CFR

2010-01-01

... received by NOAA. 971.802 Section 971.802 Commerce and Foreign Trade Regulations Relating to Commerce and... Miscellaneous § 971.802 Public disclosure of documents received by NOAA. (a) Purpose. This section provides a... assure that NOAA has a complete and proper basis for determining the legality and appropriateness of...

Relationships between public health nurse-delivered physical activity interventions and client physical activity behavior.

PubMed

Olsen, Jeanette M; Horning, Melissa L; Thorson, Diane; Monsen, Karen A

2018-04-01

The purpose of this study was to identify physical activity interventions delivered by public health nurses (PHNs) and examine their association with physical activity behavior change among adult clients. Physical activity is a public health priority, yet little is known about nurse-delivered physical activity interventions in day-to-day practice or their outcomes. This quantitative retrospective evaluation examined de-identified electronic-health-record data. Adult clients with at least two Omaha System Physical activity Knowledge, Behavior, and Status (KBS) ratings documented by PHNs between October 2010-June 2016 (N=419) were included. Omaha System baseline and follow-up Physical activity KBS ratings, interventions, and demographics were examined. Younger clients typically receiving maternal-child/family services were more likely to receive interventions than older clients (p<0.001). A total of 2869 Physical activity interventions were documented among 197 clients. Most were from categories of Teaching, Guidance, Counseling (n=1639) or Surveillance (n=1183). Few were Case Management (n=46). Hierarchical regression modeling explained 15.4% of the variance for change in Physical activity Behavior rating with significant influence from intervention dose (p=0.03) and change in Physical activity Knowledge (p<0.001). This study identified and described physical activity interventions delivered by PHNs. Implementation of department-wide policy requiring documentation of Physical activity assessment for all clients enabled the evaluation. A higher dose of physical activity interventions and increased Physical activity knowledge were associated with increased Physical activity Behavior. More research is needed to identify factors influencing who receives interventions and how interventions are selected. Copyright © 2017 Elsevier Inc. All rights reserved.

Factors associated with use of pre-operative chemoradiation therapy for rectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium

PubMed Central

Charlton, Mary E.; Lin, Chi; Jiang, Dingfeng; Stitzenberg, Karyn B.; Halfdanarson, Thorvardur R.; Pendergast, Jane F.; Chrischilles, Elizabeth A.; Wallace, Robert B.

2012-01-01

Purpose Pre-operative (pre-op) chemoradiation therapy (CRT) improves local control and reduces toxicity more than post-operative (post-op) CRT for the treatment of stages II/III rectal cancer, but studies suggest many patients still receive post-op CRT. We examined patient beliefs, and clinical and provider characteristics associated with receipt of recommended therapy. Methods We identified stage II/III rectal cancer patients who had primary site resection and CRT among subjects in the Cancer Care Outcomes Research and Surveillance Consortium, a population- and health system-based prospective cohort of newly diagnosed colorectal cancer patients from 2003 to 2005. Patient surveys and abstracted medical records were used to construct variables and determine sequence of CRT and surgery. Logistic regression was used to model the association between predictors and receipt of pre-op CRT. Results Of the 201 patients, 66% received pre-op and 34% received post-op CRT. Those visiting a medical oncologist and/or radiation oncologist prior to a surgeon had a 96% (95% CI, 92% to 100%) predicted probability of receiving pre-op CRT, compared to 48% (95% CI, 41% to 55%) for those visiting a surgeon first. Among those visiting a surgeon first, documentation of recommended staging procedures was associated with receiving pre-op CRT. Conclusion Sequence of provider visits and documentation of recommended staging procedures were important predictors of receiving pre-op CRT. Initial multidisciplinary evaluation led to better adherence to CRT guidelines. Further evaluation of provider characteristics, referral patterns and related health system processes should be undertaken to inform targeted interventions to reduce variation from recommended care. PMID:22992624

Acceptance test procedure for the L-070 project mechanical equipment and instrumentation

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

Loll, C.M.

1996-04-19

This document contains the acceptance test procedure for the mechanical equipment and instrumentation installed per the L-070 Project. The specific system to be tested are the pump controls for the 3906 Lift Station and 350-A Lift Station. In addition, verification that signals are being received by the 300 Area Treated Effluent Disposal Facility control system, is also performed.

Southern California Priority Corridor Showcase Program evaluation : Corridor-wide Rideshare Data Exchange Project evaluation report

DOT National Transportation Integrated Search

2004-11-01

As required by federal law, all Intelligent Transportation System (ITS) projects that : receive federal funding must undergo an evaluation to help assess the costs and benefits : of ITS. This document is one of 23 reports produced as part of the Sout...

SpecialNet. A National Computer-Based Communications Network.

ERIC Educational Resources Information Center

Morin, Alfred J.

1986-01-01

"SpecialNet," a computer-based communications network for educators at all administrative levels, has been established and is managed by National Systems Management, Inc. Users can send and receive electronic mail, share information on electronic bulletin boards, participate in electronic conferences, and send reports and other documents to each…

75 FR 65060 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... documented using the Statistical Package for the Social Sciences (SPSS). Information collected in SPSS... information will be used for statistical reports for the purpose of evaluating the need for development of... . All comments received will be available for public inspection in the Office of Regulation Policy and...

76 FR 60812 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-30

..., unless comments are received which result in a contrary determination. ADDRESSES: You may submit comments... Manpower Data Center (DMDC), 1137 Branchton Road, Boyers, PA 16020-0168.'' Categories of individuals... data to open and conduct the case; and documents initiated by the subject. Defense Manpower Data Center...

48 CFR 252.232-7003 - Electronic submission of payment requests and receiving reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... not acceptable electronic forms for submission of payment requests. However, scanned documents are... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Electronic submission of... PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.232-7003 Electronic submission of payment...

48 CFR 252.232-7003 - Electronic submission of payment requests and receiving reports.

Code of Federal Regulations, 2011 CFR

2011-10-01

... not acceptable electronic forms for submission of payment requests. However, scanned documents are... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Electronic submission of... PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.232-7003 Electronic submission of payment...

48 CFR 252.232-7003 - Electronic submission of payment requests and receiving reports.

Code of Federal Regulations, 2014 CFR

2014-10-01

... not acceptable electronic forms for submission of payment requests. However, scanned documents are... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Electronic submission of... PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.232-7003 Electronic submission of payment...

48 CFR 252.232-7003 - Electronic submission of payment requests and receiving reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... not acceptable electronic forms for submission of payment requests. However, scanned documents are... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Electronic submission of... PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.232-7003 Electronic submission of payment...

48 CFR 252.232-7003 - Electronic submission of payment requests and receiving reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... not acceptable electronic forms for submission of payment requests. However, scanned documents are... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Electronic submission of... PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.232-7003 Electronic submission of payment...

The "Oprahfication" of Literacy: Reading "Oprah's Book Club."

ERIC Educational Resources Information Center

Hall, R. Mark

2003-01-01

Considers how although the influence of "Oprah's Book Club" has been well documented in the popular media, it has received little attention from the academic community. Examines the club as a literacy delivery system, asking how literacy takes its shape from the interests of both Winfrey and her readers. (SG)

7 CFR 400.403 - Required system of records.

Code of Federal Regulations, 2011 CFR

2011-01-01

... and Storage of Social Security Account Numbers and Employer Identification Numbers § 400.403 Required..., and storing documents containing SSN or EIN data before they accept or receive any applications for insurance. This data should include: name; address; city and state; SSN or EIN; and policy numbers which...

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 366)

NASA Technical Reports Server (NTRS)

1992-01-01

This bibliography lists 248 reports, articles, and other documents introduced into the NASA Scientific and Technical Information System during Aug. 1992. Subject coverage concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion.

Potential System Integration Issues in the Joint Multi-Role (JMR) Joint Common Architecture (JCA) Demonstration System

DTIC Science & Technology

2015-12-01

the MIS System/Subsystem Specification ( SSS ), and supplementary BAA document. On June 26, 2014, the SEI provided a draft interim report of the...findings and issues. The SEI team also received July 3, 2014, versions of the MIS Stakeholder Requirements, MIS SSS , and build plan and July 17, 2014...versions of the MIS SSS together with the MIS system model. On July 14–15, 2014, the SEI presented a summary of the issues at the two contractors

The Development of a Tactical Dual-Wavelength Nephelometer.

DTIC Science & Technology

1982-11-24

Instrument Layout 50 4.5 Optical Systems 53 4.6 Electronic Systems 56 4.6.1 Transmitter System 56 4.6.2 Receiver Systems 58 5. R&D TEST AND ACCEPTANCE PLAN 61... PLAN , 136 HSS-B-086, 10 DEC1981. APPENDIX B ARVIN CALSPAN DOCUMENTATION OF 155 EXTINCTION AND PARTICLE SIZE MEASUREMENTS FOR CHAMBER TESTS OF MAY 1982. 6...121 FP’enn Aerosol Models. 8.9 Aerosol Extinction Coefficients at Two Wavelenghts 129 and their Ratio for Four Deirmendjian Aerosol Models. 10

Processing the Viking lander camera data

NASA Technical Reports Server (NTRS)

Levinthal, E. C.; Tucker, R.; Green, W.; Jones, K. L.

1977-01-01

Over 1000 camera events were returned from the two Viking landers during the Primary Mission. A system was devised for processing camera data as they were received, in real time, from the Deep Space Network. This system provided a flexible choice of parameters for three computer-enhanced versions of the data for display or hard-copy generation. Software systems allowed all but 0.3% of the imagery scan lines received on earth to be placed correctly in the camera data record. A second-order processing system was developed which allowed extensive interactive image processing including computer-assisted photogrammetry, a variety of geometric and photometric transformations, mosaicking, and color balancing using six different filtered images of a common scene. These results have been completely cataloged and documented to produce an Experiment Data Record.

A database for TMT interface control documents

NASA Astrophysics Data System (ADS)

Gillies, Kim; Roberts, Scott; Brighton, Allan; Rogers, John

2016-08-01

The TMT Software System consists of software components that interact with one another through a software infrastructure called TMT Common Software (CSW). CSW consists of software services and library code that is used by developers to create the subsystems and components that participate in the software system. CSW also defines the types of components that can be constructed and their roles. The use of common component types and shared middleware services allows standardized software interfaces for the components. A software system called the TMT Interface Database System was constructed to support the documentation of the interfaces for components based on CSW. The programmer describes a subsystem and each of its components using JSON-style text files. A command interface file describes each command a component can receive and any commands a component sends. The event interface files describe status, alarms, and events a component publishes and status and events subscribed to by a component. A web application was created to provide a user interface for the required features. Files are ingested into the software system's database. The user interface allows browsing subsystem interfaces, publishing versions of subsystem interfaces, and constructing and publishing interface control documents that consist of the intersection of two subsystem interfaces. All published subsystem interfaces and interface control documents are versioned for configuration control and follow the standard TMT change control processes. Subsystem interfaces and interface control documents can be visualized in the browser or exported as PDF files.

A Guidance Document for Kentucky's Oil and Gas Operations

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

None, None

1998-11-10

This technical report is a summary of the progress made for "A Guidance Document for Kentucky's Oil and Gas Operators". During this quarter, the document received continued review and editing in an elec-tronic format to satisfy the United States Department of Energy (DOE). Comments received from oil and gas operators reviewing this document prompted contact to be made with the United States Environmental Protection Agency (USEPA) to develop an addendum section to provide better explanation of USEPA requirements for Class II injection wells in Kentucky.

InstrumentationPod (IPOD) User Guide

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

Parker, Robert F.

2014-06-12

This document describes the Instrumentation Pod (IPOD) and its operation and use. The IPOD is a low-power detector system comprising a 3He tube with preamp for neutron detection, a microcontroller-based data acquisition system, a GPS receiver for locationdetermination and time-synchronization, and power filtering and protection. The IPOD is intended to be bolted to the top of Dual-Use Casks stored at Baikal-1 in Kazakhstan in order to maintain continuity of knowledge of the materials stored within the cask. The data acquisition system receives pulses from the neutron-detection preamp, combines this information with other sensor data, and stores the result on twomore » SD cards that are part of the data acquisition system. Firmware in the data acquisition system controls collection and storing of the data and enables configuration of the acquisition parameters.« less

Outcomes of Computerized Physician Order Entry in an Electronic Health Record After Implementation in an Outpatient Oncology Setting

PubMed Central

Harshberger, Cara A.; Harper, Abigail J.; Carro, George W.; Spath, Wayne E.; Hui, Wendy C.; Lawton, Jessica M.; Brockstein, Bruce E.

2011-01-01

Purpose: Computerized physician order entry (CPOE) in electronic health records (EHR) has been recognized as an important tool in optimal health care provision that can reduce errors and improve safety. The objective of this study is to describe documentation completeness and user satisfaction of medical charts before and after implementation of an outpatient oncology EHR/ CPOE system in a hospital-based outpatient cancer center within three treatment sites. Methods: This study is a retrospective chart review of 90 patients who received one of the following regimens between 1999 and 2006: FOLFOX, AC, carboplatin + paclitaxel, ABVD, cisplatin + etoposide, R-CHOP, and clinical trials. Documentation completeness scores were assigned to each chart based on the number of documented data points found out of the total data points assessed. EHR/CPOE documentation completeness was compared with completeness of paper charts orders of the same regimens. A user satisfaction survey of the paper chart and EHR/CPOE system was conducted among the physicians, nurses, and pharmacists who worked with both systems. Results: The mean percentage of identified data points successfully found in the EHR/CPOE charts was 93% versus 67% in the paper charts (P < .001). Regimen complexity did not alter the number of data points found. The survey response rate was 64%, and the results showed that satisfaction was statistically significant in favor of the EHR/CPOE system. Conclusion: Using EHR/CPOE systems improves completeness of medical record and chemotherapy order documentation and improves user satisfaction with the medical record system. EHR/CPOE requires constant vigilance and maintenance to optimize patient safety. PMID:22043187

Comparison of provider-documented and patient-reported brief intervention for unhealthy alcohol use in VA outpatients.

PubMed

Lapham, Gwen T; Rubinsky, Anna D; Shortreed, Susan M; Hawkins, Eric J; Richards, Julie; Williams, Emily C; Berger, Douglas; Chavez, Laura J; Kivlahan, Daniel R; Bradley, Katharine A

2015-08-01

Performance measures for brief alcohol interventions (BIs) are currently based on provider documentation of BI. However, provider documentation may not be a reliable measure of whether or not patients are offered clinically meaningful BIs. In particular, BI documented with clinical decision support in an electronic medical record (EMR) could appear identical irrespective of the quality of BI provided. We hypothesized that differences in how BI was implemented across health systems could lead to differences in the proportion of documented BI recalled and reported by patients across health systems. Male outpatients with unhealthy alcohol use identified by confidential satisfaction surveys (2009-2012) were assessed for whether they reported receiving BI in the past year (patient-reported BI) and whether they had BI documented in the EMR during the same period (documented BI). We evaluated and compared the prevalence of documented BI to patient-reported BI across 21 VA networks to determine whether documented BI had a variable association with patient-reported BI across the networks. Of 9896 eligible male outpatients with unhealthy alcohol use, 59.0% (95% CI 57.4-60.5%) reported BI (50.4-64.9% across networks) and 37.4% (95% CI 36.0-38.9%) had BI documented in the EMR (28.0-44.2% across networks). Overall, 72.9% (95% CI 70.8-75.5%) of patients with documented BI also reported BI. The association between documented BI and patient-reported BI did not vary across VA networks in adjusted logistic regression models. Performance measures of BI that rely on provider documentation in EMRs appear comparable to patient report for comparing care across VA networks. Published by Elsevier Ireland Ltd.

Existing data on the 216-Z liquid waste sites

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

Owens, K.W.

1981-05-01

During 36 years of operation at the Hanford Site, the ground has been used for disposal of liquid and solid transuranic and/or low-level wastes. Liquid waste was disposed in surface and subsurface cribs, trenches, French drains, reverse wells, ditches and ponds. Disposal structures associated with Z Plant received liquid waste from plutonium finishing and reclamation, waste treatment and laboratory operations. The nineteen 216-Z sites have received 83% of the plutonium discharged to 325 liquid waste facilities at the Hanford Site. The purpose of this document is to support the Hanford Defense Waste Environmental Impact Statement by drawing the existing datamore » together for the 216-Z liquid waste disposal sites. This document provides an interim reference while a sitewide Waste Information Data System (WIDS) is developed and put on line. Eventually these and additional site data for all Hanford waste disposal sites will be available on WIDS. Compilation of existing data is the first step in evaluating the need and developing the technology for long-term management of these waste sites. The scope of this document is confined to data describing the status of the 216-Z waste sites as of December 31, 1979. Information and sketches are taken from existing documents and drawings.« less

The Land-Grant Tradition

ERIC Educational Resources Information Center

National Association of State Universities and Land-Grant Colleges, 2008

2008-01-01

This document provides an overview and history of the land-grant system, as well as copies of the original and amended legislation affecting the land-grant colleges. Land-grant colleges or universities have been designated by their state legislatures or Congress to receive the benefits of the Morrill Acts of 1862, 1890 and 1994. The original…

75 FR 48997 - NUREG-1946, “Inservice Testing of Pumps and Valves, and Inservice Examination and Testing of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-12

..., and Inservice Examination and Testing of Dynamic Restraints (Snubbers) at Nuclear Power Plants, Draft... Dynamic Restraints (Snubbers) at Nuclear Power Plants, Draft Report for Comment.'' DATES: Please submit... System (ADAMS): Publicly available documents created or received at the NRC are available electronically...

Activity Theory as a Lens to Understand How Facebook Develops Knowledge Application Skills

ERIC Educational Resources Information Center

Bagarukayo, Emily; Ssentamu, Proscovia; Mayisela, Tabisa; Brown, Cheryl

2016-01-01

Uganda's higher education system has generally been criticized for concentrating on theory leading to a mismatch between training received and practical skills required by employers. Studies have documented the inability of graduates from some programmes at Makerere University in applying knowledge in the work environment. This could partly be…

10 CFR 13.27 - Computation of time.

Code of Federal Regulations, 2010 CFR

2010-01-01

...; and (2) By 11:59 p.m. Eastern Time for a document served by the E-Filing system. [72 FR 49153, Aug. 28... the calculation of additional days when a participant is not entitled to receive an entire filing... same filing and service method, the number of days for service will be determined by the presiding...

10 CFR 2.306 - Computation of time.

Code of Federal Regulations, 2010 CFR

2010-01-01

...:59 p.m. Eastern Time for a document served by the E-Filing system. [72 FR 49151, Aug. 28, 2007] ... the calculation of additional days when a participant is not entitled to receive an entire filing... filing and service method, the number of days for service will be determined by the presiding officer...

78 FR 54790 - Revisions to Operational Requirements for the Use of Enhanced Flight Vision Systems (EFVS) and to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-06

....gov . SUPPLEMENTARY INFORMATION: See the ``Additional Information'' section for information on how to comment on this proposal and how the FAA will handle comments received. The ``Additional Information..., environmental, energy, or federalism impacts that might result from adopting the proposals in this document. The...

Aerial Command and Control of Unmanned Aircraft Systems

DTIC Science & Technology

2010-12-01

other person designated to request documents from DTIC. Change of address Organizations receiving reports from the U.S. Army Aeromedical Research...are those of the author(s) and should not be construed as an official Department of the Army position, policy, or decision, unless so designated by...7  Procedure and design

Detailed requirements document for the Interactive Financial Management System (IFMS), volume 1

NASA Technical Reports Server (NTRS)

Dodson, D. B.

1975-01-01

The detailed requirements for phase 1 (online fund control, subauthorization accounting, and accounts receivable functional capabilities) of the Interactive Financial Management System (IFMS) are described. This includes information on the following: systems requirements, performance requirements, test requirements, and production implementation. Most of the work is centered on systems requirements, and includes discussions on the following processes: resources authority, allotment, primary work authorization, reimbursable order acceptance, purchase request, obligation, cost accrual, cost distribution, disbursement, subauthorization performance, travel, accounts receivable, payroll, property, edit table maintenance, end-of-year, backup input. Other subjects covered include: external systems interfaces, general inquiries, general report requirements, communication requirements, and miscellaneous. Subjects covered under performance requirements include: response time, processing volumes, system reliability, and accuracy. Under test requirements come test data sources, general test approach, and acceptance criteria. Under production implementation come data base establishment, operational stages, and operational requirements.

Correlates of human papillomavirus vaccination rates in low-income, minority adolescents: a multicenter study.

PubMed

Perkins, Rebecca B; Brogly, Susan B; Adams, William G; Freund, Karen M

2012-08-01

Low rates of human papillomavirus (HPV) vaccination in low-income, minority adolescents may exacerbate racial disparities in cervical cancer incidence. Using electronic medical record data and chart abstraction, we examined correlates of HPV vaccine series initiation and completion among 7702 low-income and minority adolescents aged 11-21 receiving primary care at one of seven medical centers between May 1, 2007, and June 30, 2009. Our population included 61% African Americans, 13% Caucasians, 15% Latinas, and 11% other races; 90% receive public insurance (e.g., Medicaid). We used logistic regression to estimate the associations between vaccine initiation and completion and age, race/ethnicity, number of contacts with the healthcare system, provider documentation, and clinical site of care. Of the 41% of adolescent girls who initiated HPV vaccination, 20% completed the series. A higher proportion of girls aged 11-<13 (46%) and 13-<18 (47%) initiated vaccination than those aged 18-21 (28%). In adjusted analyses, receipt of other recommended adolescent vaccines was associated with vaccine initiation, and increased contact with the medical system was associated with both initiation and completion of the series. Conversely, provider failure to document risky health behaviors predicted nonvaccination. Manual review of a subset of unvaccinated patients' charts revealed no documentation of vaccine discussions in 67% of cases. Fewer than half of low-income and minority adolescents receiving health maintenance services initiated HPV vaccination, and only 20% completed the series. Provider failure to discuss vaccination with their patients appears to be an important contributor to nonvaccination. Future research should focus on improving both initiation and completion of HPV vaccination in high-risk adolescents.

A simple 3-day "rush" venom immunotherapy protocol: documentation of safety.

PubMed

Kalogeromitros, D; Makris, M; Koti, I; Chliva, C; Mellios, A; Avgerinou, G; Theoharides, T C

2010-01-01

Venom immunotherapy (VIT) is the only effective treatment for hymenoptera hypersensitivity, but conventional protocols require a few weeks. We present the safety of a 3-day "rush" protocol that requires only 7 injections and 255 mgr cumulative dose before the 100 microg maintenance dose. Forty-nine patients (33 males, 16 females) of mean age 43.57+/-12.9 yrs received "rush" VIT. Only 7 injections were required until the maintenance dose of 100 mgr was reached on Day 5. On Day 1, four injections were administered with initial dose of 5 mgr and total dose of 75 microg. On Day 3 a cumulative dose of 180 mgr was administered in three injections (40 mgr, 60 mgr and 80 mgr). A dose of 100 mgr was administered on Day 5. Twenty-nine individuals were treated with Honey-Bee venom; 18 with Common wasp; 5 with Paper Wasp; while 13 patients received Mixed Vespid preparation. Inclusion criteria were documented IgE-mediated allergy with intradermal sensitivity to < or =0.1 mgr/ml venom concentration and concomitant detection of specific venom IgE > or =0.35 kU/l. All patients reached the maintenance dose. Forty-nine patients received 65 immunotherapy courses, resulting in 1520 injections. Thirty-three systemic reactions: 7 during building phase (1.5%); and 26 in the maintenance dose (2.4%) were observed in 9 patients. The percentage of reactions/total injection number was 2.2%; all reactions were mild-to-moderate. Fourteen patients reported documented field stings at least two months after VIT onset with only one reported mild systemic reaction. We propose a simple "rush" VIT protocol in an outpatient setting as an easy-to-perform alternative option for VIT induction phase. Copyright 2009 SEICAP. Published by Elsevier Espana. All rights reserved.

Documenting Penicillin Allergy: The Impact of Inconsistency

PubMed Central

Shah, Nirav S.; Ridgway, Jessica P.; Pettit, Natasha; Fahrenbach, John; Robicsek, Ari

2016-01-01

Background Allergy documentation is frequently inconsistent and incomplete. The impact of this variability on subsequent treatment is not well described. Objective To determine how allergy documentation affects subsequent antibiotic choice. Design Retrospective, cohort study. Participants 232,616 adult patients seen by 199 primary care providers (PCPs) between January 1, 2009 and January 1, 2014 at an academic medical system. Main Measures Inter-physician variation in beta-lactam allergy documentation; antibiotic treatment following beta-lactam allergy documentation. Key Results 15.6% of patients had a reported beta-lactam allergy. Of those patients, 39.8% had a specific allergen identified and 22.7% had allergic reaction characteristics documented. Variation between PCPs was greater than would be expected by chance (all p<0.001) in the percentage of their patients with a documented beta-lactam allergy (7.9% to 24.8%), identification of a specific allergen (e.g. amoxicillin as opposed to “penicillins”) (24.0% to 58.2%) and documentation of the reaction characteristics (5.4% to 51.9%). After beta-lactam allergy documentation, patients were less likely to receive penicillins (Relative Risk [RR] 0.16 [95% Confidence Interval: 0.15–0.17]) and cephalosporins (RR 0.28 [95% CI 0.27–0.30]) and more likely to receive fluoroquinolones (RR 1.5 [95% CI 1.5–1.6]), clindamycin (RR 3.8 [95% CI 3.6–4.0]) and vancomycin (RR 5.0 [95% CI 4.3–5.8]). Among patients with beta-lactam allergy, rechallenge was more likely when a specific allergen was identified (RR 1.6 [95% CI 1.5–1.8]) and when reaction characteristics were documented (RR 2.0 [95% CI 1.8–2.2]). Conclusions Provider documentation of beta-lactam allergy is highly variable, and details of the allergy are infrequently documented. Classification of a patient as beta-lactam allergic and incomplete documentation regarding the details of the allergy lead to beta-lactam avoidance and use of other antimicrobial agents, behaviors that may adversely impact care quality and cost. PMID:26981866

41 CFR 302-7.106 - What documentation is required to receive an advance under the commuted rate method?

Code of Federal Regulations, 2010 CFR

2010-07-01

... STORAGE OF PROPERTY 7-TRANSPORTATION AND TEMPORARY STORAGE OF HOUSEHOLD GOODS AND PROFESSIONAL BOOKS, PAPERS, AND EQUIPMENT (PBP&E) Commuted Rate § 302-7.106 What documentation is required to receive an...

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 368)

NASA Technical Reports Server (NTRS)

1992-01-01

This bibliography lists 305 reports, articles, and other documents introduced into the NASA Scientific and Technical Information System during Sep. 1992. The subject coverage concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion.

43 CFR 45.70 - How must documents be filed and served under this subpart?

Code of Federal Regulations, 2013 CFR

2013-10-01

... must be served on each license party and FERC, using: (i) One of the methods of service in § 45.13(c... one of the methods set forth in § 45.12(b). (2) A document is considered filed on the date it is received. However, any document received after 5 p.m. at the place where the filing is due is considered...

43 CFR 45.70 - How must documents be filed and served under this subpart?

Code of Federal Regulations, 2011 CFR

2011-10-01

... must be served on each license party and FERC, using: (i) One of the methods of service in § 45.13(c... one of the methods set forth in § 45.12(b). (2) A document is considered filed on the date it is received. However, any document received after 5 p.m. at the place where the filing is due is considered...

43 CFR 45.70 - How must documents be filed and served under this subpart?

Code of Federal Regulations, 2012 CFR

2012-10-01

... must be served on each license party and FERC, using: (i) One of the methods of service in § 45.13(c... one of the methods set forth in § 45.12(b). (2) A document is considered filed on the date it is received. However, any document received after 5 p.m. at the place where the filing is due is considered...

Microbiological quality of food in relation to hazard analysis systems and food hygiene training in UK catering and retail premises.

PubMed

Little, C L; Lock, D; Barnes, J; Mitchell, R T

2003-09-01

A meta-analysis of eight UK food studies was carried out to determine the microbiological quality of food and its relationship with the presence in food businesses of hazard analysis systems and food hygiene training. Of the 19,022 premises visited to collect food samples in these studies between 1997 and 2002, two thirds (66%) were catering premises and one third (34%) were retail premises. Comparison with PHLS Microbiological Guidelines revealed that significantly more ready-to-eat food samples from catering premises (20%; 2,511/12,703) were of unsatisfactory or unacceptable microbiological quality compared to samples from retail premises (12%; 1,039/8,462) (p < 0.00001). Three quarters (76%) of retail premises had hazard analysis systems in place compared with 59% of catering premises (p < 0.00001). In 87% of retail premises the manager had received some form of food hygiene training compared with 80% of catering premises (p < 0.00001). From premises where the manager had received no food hygiene training a greater proportion of samples were of unsatisfactory and unacceptable microbiological quality (20% retail, 27% catering) compared with premises where the manager had received food hygiene training (11% retail, 19% catering) (p < 0.00001). Where the manager of the premises had received food hygiene training, documented hazard analysis systems were more likely to be in place (p < 0.00001). Higher proportions of samples of unsatisfactory and unacceptable microbiological quality (17% retail, 22% catering) were from premises where there was no hazard analysis system in place compared to premises that had a documented hazard analysis system in place (10% retail, 18% catering) (p < 0.00001). Our meta-analysis suggests that the lower microbiological quality of ready-to-eat foods from catering premises compared with those collected from retail premises may reflect differences in management food hygiene training and the presence of a hazard analysis system. The importance of adequate training for food handlers and their managers as a pre-requisite for effective hazard analysis and critical control point (HACCP) based controls is therefore emphasised.

An FPGA-based reconfigurable DDC algorithm

NASA Astrophysics Data System (ADS)

Juszczyk, B.; Kasprowicz, G.

2016-09-01

This paper describes implementation of reconfigurable digital down converter in an FPGA structure. System is designed to work with quadrature signals. One of the main criteria of the project was to provied wide range of reconfiguration in order to fulfill various application rage. Potential applications include: software defined radio receiver, passive noise radars and measurement data compression. This document contains general system overview, short description of hardware used in the project and gateware implementation.

[Experiences with an anesthesia protocol written by computer].

PubMed

Karliczek, G F; Brenken, U; van den Broeke, J J; Mooi, B; de Geus, A F; Wiersma, G; Oosterhaven, S

1988-04-01

Since December 1983, we have used a computer system for charting and data logging in cardiac and thoracic anesthesia. These computers, designed as stand-alone units, were developed at our hospital based on Motorola 6809 microprocessor systems. All measurements derived from anesthetic monitoring, ventilator, and heart-lung machine are automatically sampled at regular intervals and stored for later data management. Laboratory results are automatically received from the hospital computer system. The user communicates with the system via a terminal and a keyboard; this also facilitates the entering of all comments, medications, infusions, and fluid losses. All data are continuously displayed on an A3 format anesthetic chart using a multi-pen, flat-bed plotter. The operation of the system has proved to be simple and needs less time than charting by hand, while the result, the display on the chart, is far clearer and more complete than any handwritten document. Up to now 3,200 operations (corresponding to 12,500 anesthetic h) have been documented. The failure rate of the system, defined as an interruption of the documentation for more than 30 min is 2.1%. Further development of the system is discussed. A data base for processing the stored data has been developed and is being tested at present.

48 CFR 1446.671 - Inspection, receiving and acceptance certification.

Code of Federal Regulations, 2012 CFR

2012-10-01

... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

48 CFR 1446.671 - Inspection, receiving and acceptance certification.

Code of Federal Regulations, 2014 CFR

2014-10-01

... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

48 CFR 1446.671 - Inspection, receiving and acceptance certification.

Code of Federal Regulations, 2010 CFR

2010-10-01

... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

48 CFR 1446.671 - Inspection, receiving and acceptance certification.

Code of Federal Regulations, 2011 CFR

2011-10-01

... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

48 CFR 1446.671 - Inspection, receiving and acceptance certification.

Code of Federal Regulations, 2013 CFR

2013-10-01

... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports § 1446.671... documentation shall be completed via manual or electronic means for each delivery of supplies or services in... except as noted below or on attached documents. ______ Signature and typed name of authorized Government...

40 CFR 3.2000 - What are the requirements authorized state, tribe, and local programs' reporting systems must meet?

Code of Federal Regulations, 2010 CFR

2010-07-01

... made before the electronic document is received, by means of: (A) Identifiers or attributes that are... 40 Protection of Environment 1 2010-07-01 2010-07-01 false What are the requirements authorized... Under EPA-Authorized State, Tribe, and Local Programs § 3.2000 What are the requirements authorized...

Gender Equity in Education: A Review of the Literature.

ERIC Educational Resources Information Center

Lucidi, Alison Danielle

This document reviews literature on gender equity in U.S. schools. The paper reports that there is an unconscious ignorance on the growing achievement gap between male and female students. Young women in the United States today still are not participating equally in the education system. A 1992 report found that girls do not receive equitable…

40 CFR 3.1000 - How does a state, tribe, or local government revise or modify its authorized program to allow...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 1 2010-07-01 2010-07-01 false How does a state, tribe, or local... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL CROSS-MEDIA ELECTRONIC REPORTING Electronic... state, tribe, or local government that does not have an existing electronic document receiving system...

Government documents and the online catalog.

PubMed

Lynch, F H; Lasater, M C

1990-01-01

Prior to planning for implementing the NOTIS system, the Vanderbilt Medical Center Library had not fully cataloged its government publications, and records for these materials were not in machine-readable format. A decision was made that patrons should need to look in only one place for all library materials, including the Health and Human Services Department publications received each year from the central library's Government Documents Unit. Beginning in 1985, these publications were added to the library's database, and the entire 7,200-piece collection is now in the online catalog. Working with these publications has taught the library much about the advantages and disadvantages of cataloging government documents in an online environment. It was found that OCLC cataloging copy is eventually available for most titles, although only about 10% of the records have MeSH headings. Staff time is the major expenditure; problems are caused by documents' irregular nature, frequent format changes, and difficult authority work. Since their addition to the online catalog, documents are used more and the library has better control.

Government documents and the online catalog.

PubMed Central

Lynch, F H; Lasater, M C

1990-01-01

Prior to planning for implementing the NOTIS system, the Vanderbilt Medical Center Library had not fully cataloged its government publications, and records for these materials were not in machine-readable format. A decision was made that patrons should need to look in only one place for all library materials, including the Health and Human Services Department publications received each year from the central library's Government Documents Unit. Beginning in 1985, these publications were added to the library's database, and the entire 7,200-piece collection is now in the online catalog. Working with these publications has taught the library much about the advantages and disadvantages of cataloging government documents in an online environment. It was found that OCLC cataloging copy is eventually available for most titles, although only about 10% of the records have MeSH headings. Staff time is the major expenditure; problems are caused by documents' irregular nature, frequent format changes, and difficult authority work. Since their addition to the online catalog, documents are used more and the library has better control. PMID:2295010

42 CFR 482.90 - Condition of participation: Patient and living donor selection.

Code of Federal Regulations, 2011 CFR

2011-10-01

... principles of medical ethics. Transplant centers must: (1) Ensure that a prospective living donor receives a... candidate on its waiting list, the candidate's medical record must contain documentation that the candidate... selected to receive a transplant, the center must document in the patient's medical record the patient...

18 CFR 385.2010 - Service (Rule 2010).

Code of Federal Regulations, 2012 CFR

2012-04-01

.... Name (if applicable) Address Telephone No. (k) Designation of corporate officials to receive service... the Secretary of the Commission: (i) The name of the corporate official or person that is to receive... participant filing a document in a proceeding must serve a copy of the document on: (i) Each person whose name...

18 CFR 385.2010 - Service (Rule 2010).

Code of Federal Regulations, 2011 CFR

2011-04-01

.... Name (if applicable) Address Telephone No. (k) Designation of corporate officials to receive service... the Secretary of the Commission: (i) The name of the corporate official or person that is to receive... participant filing a document in a proceeding must serve a copy of the document on: (i) Each person whose name...

18 CFR 385.2010 - Service (Rule 2010).

Code of Federal Regulations, 2014 CFR

2014-04-01

.... Name (if applicable) Address Telephone No. (k) Designation of corporate officials to receive service... the Secretary of the Commission: (i) The name of the corporate official or person that is to receive... participant filing a document in a proceeding must serve a copy of the document on: (i) Each person whose name...

18 CFR 385.2010 - Service (Rule 2010).

Code of Federal Regulations, 2013 CFR

2013-04-01

.... Name (if applicable) Address Telephone No. (k) Designation of corporate officials to receive service... the Secretary of the Commission: (i) The name of the corporate official or person that is to receive... participant filing a document in a proceeding must serve a copy of the document on: (i) Each person whose name...

Title list of documents made publicly available. Volume 17, No. 10

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

NONE

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Title list of documents made publicly available, September 1--30, 1994. Volume 16, No. 9

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

Not Available

1994-11-01

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Title list of documents made publicly available, November 1--30, 1994. Volume 16, No. 11

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

Not Available

1995-01-01

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts.

PubMed

Smith, Matthew Lee; Schneider, Ellen C; Byers, Imani N; Shubert, Tiffany E; Wilson, Ashley D; Towne, Samuel D; Ory, Marcia G

2017-01-01

Although the concepts of systems change and sustainability are not new, little is known about the factors associated with systems change sustaining multi-state, multi-level fall prevention efforts. This exploratory study focuses on three State Departments of Health (DOH) that were awarded 5-year funding from the Centers for Disease Control and Prevention to simultaneously implement four separate yet related evidence-based fall prevention initiatives at the clinical, community, and policy level. The purpose of this study was to examine changes in partnerships and collaborative activities that occurred to accomplish project goals (examining changes in the context of "before funding" and "after funding was received"). Additionally, this study explored changes in State DOH perceptions about action related to sustainability indicators in the context of "during funding" and "after funding ends." Findings from this study document the partnership and activity changes necessary to achieve defined fall prevention goals after funding is received, and that the importance of sustainability indicator documentation is seen as relevant during funding, but less so after the funding ends. Findings from this study have practice and research implications that can inform future funded efforts in terms of sector and stakeholder engagement necessary for initiating, implementing, and sustaining community- and clinical-based fall prevention interventions.

Documenting the birth of a financial economy.

PubMed

Suri, Tavneet; Jack, William; Stoker, Thomas M

2012-06-26

The birth and explosive growth of mobile money in Kenya has provided economists with an opportunity to study the evolution and impact of a new financial system. Mobile money is an innovation that allows individuals to store, send, and receive money on their mobile phone via text message. This system has opened up basic financial services to many who were previously excluded, and has had real and measurable impacts on the ability of households to protect themselves against health risks. Using a unique survey instrument covering nearly 2,300 households over 2008-2010, we first document the lightning-fast adoption of mobile money in Kenya, which was faster than most documented modern technologies in the United States. We then present evidence on how this innovation allows households to respond better to unexpected adverse health events. We find that in the face of these events, users of mobile money are better able to tap into remittances to finance additional health care costs without having to forego necessary expenditures on education, food, and other consumption needs.

Evaluation of Measles-Mumps-Rubella Vaccination Among Newly Arrived Refugees.

PubMed

Lee, Deborah; Weinberg, Michelle; Benoit, Stephen

2017-05-01

To assess US availability and use of measles-mumps-rubella (MMR) vaccination documentation for refugees vaccinated overseas. We selected 1500 refugee records from 14 states from March 2013 through July 2015 to determine whether overseas vaccination records were available at the US postarrival health assessment and integrated into the Advisory Committee on Immunization Practices schedule. We assessed number of doses, dosing interval, and contraindications. Twelve of 14 (85.7%) states provided data on 1118 (74.5%) refugees. Overseas records for 972 (86.9%) refugees were available, most from the Centers for Disease Control and Prevention's Electronic Disease Notification system (66.9%). Most refugees (829; 85.3%) were assessed appropriately for MMR vaccination; 37 (3.8%) should have received MMR vaccine but did not; 106 (10.9%) did not need the MMR vaccine but were vaccinated. Overseas documentation was available at most clinics, and MMR vaccinations typically were given when needed. Further collaboration between refugee health clinics and state immunization information systems would improve accessibility of vaccination documentation.

Letter Report to Address Comments on the Closure Report for Corrective Action Unit 224: Decon Pad and Septic Systems, Nevada Test Site, Nevada, Revision 0, March 2008

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

NSTec Environmental Restoration

2008-03-17

The Closure Report (CR) for Corrective Action Unit (CAU) 224, Decon Pad and Septic Systems, was approved by the Nevada Department of Environmental Protection (NDEP) on November 01, 2007. The approval letter contained the following two comments: Comment 1--For 06-05-01, 06-17-04, 06-23-01 provide evidence that the 6 inch VCP pipe originating from building CP-2 is no longer active and sealed to prevent possible future contamination. Comment 2--For the area that includes 06-03-01, provide evidence that active lines are no longer feeding the North and South lagoons and have been sealed to prevent possible future contamination. To address these comments, closuremore » documentation was reviewed, and site visits were conducted to locate and document the areas of concern. Additional fieldwork was conducted in March 2008 to seal the lines and openings described in the two comments. Photographs were taken of the closed drains and lines to document that the NDEP comments were adequately addressed and potential inadvertent discharge to the environment has been eliminated. Investigation and closure documentation was reviewed to identify the locations of potential drains, lines, and other features that could receive and/or transmit liquid. Based on the investigation findings and subsequent closure activities, no openings, distribution boxes, or other features (excluding known floor drains at CP-2) that could receive liquid were found at the CP-2 location (Figure 1), and potential manholes for the north and south sewage lagoons were identified for Corrective Action Site (CAS) 06-03-01 (Figure 2). The distribution box identified in Figure 1 was not located during the investigation and was assumed to have been previously removed.« less

Monitoring Resource Utilization in a Health Care Coordination Program.

PubMed

Popejoy, Lori L; Jaddoo, Julie; Sherman, Jan; Howk, Christopher; Nguyen, Raymond; Parker, Jerry C

2015-01-01

This initial article describes the development of a health care coordination intervention and documentation system designed using the Agency for Healthcare Research and Quality (AHRQ) Care Coordination Atlas framework for Centers for Medicare & Medicaid-funded innovation project, Leveraging Information Technology to Guide High-Tech, High-Touch Care (LIGHT). The study occurred at an academic medical center that serves 114 counties. Twenty-five registered nurse care managers (NCMs) were hired to work with 137 providers in 10 family community and internal medicine clinics. Patients were allocated into one of the four tiers on the basis of their chronic medical conditions and health care utilization. Using a documentation system on the basis of the AHRQ domains developed for this study, time and touch data were calculated for 8,593 Medicare, Medicaid, or dual-eligible patients. We discovered through the touch and time analysis that the majority of health care coordination activity occurred in the AHRQ domains of communication, assess needs and goals, and facilitate transitions, accounting for 79% of the NCM time and 61% of the touches. As expected, increasing tier levels resulted in increased use of NCM resources. Tier 3 accounted for roughly 16% of the patients and received 159 minutes/member (33% of total minutes), and Tier 4 accounted for 4% of patients and received 316 minutes/member (17% of all minutes). In contrast Tier 2, which did not require routine touches per protocol, had 5,507 patients (64%), and those patients received 5,246 hours of health care coordination, or 57 minutes/member, and took 48% of NCM time. 1. The AHRQ Care Coordination Atlas offered a systematic way to build a documentation system that allowed for the extraction of data that was used to calculate the amount of time and the number of touches that NCMs delivered per member. 2. Using a framework to systematically guide the work of health care coordination helped NCMs to think strategically about the care being delivered, and has implications for improving coordination of care. 3. For the purpose of reimbursement and communication with payers about quality metrics, it is vital that the type of touches and amount of time spent in delivering care coordination be documented in a manner that can be easily retrieved to guide practice decisions.

Nurses using futuristic technology in today's healthcare setting.

PubMed

Wolf, Debra M; Kapadia, Amar; Kintzel, Jessie; Anton, Bonnie B

2009-01-01

Human computer interaction (HCI) equates nurses using voice assisted technology within a clinical setting to document patient care real time, retrieve patient information from care plans, and complete routine tasks. This is a reality currently utilized by clinicians today in acute and long term care settings. Voice assisted documentation provides hands & eyes free accurate documentation while enabling effective communication and task management. The speech technology increases the accuracy of documentation, while interfacing directly into the electronic health record (EHR). Using technology consisting of a light weight headset and small fist size wireless computer, verbal responses to easy to follow cues are converted into a database systems allowing staff to obtain individualized care status reports on demand. To further assist staff in their daily process, this innovative technology allows staff to send and receive pages as needed. This paper will discuss how leading edge and award winning technology is being integrated within the United States. Collaborative efforts between clinicians and analyst will be discussed reflecting the interactive design and build functionality. Features such as the system's voice responses and directed cues will be shared and how easily data can be documented, viewed and retrieved. Outcome data will be presented on how the technology impacted organization's quality outcomes, financial reimbursement, and employee's level of satisfaction.

Title list of documents made publicly available: December 1--31, 1996. Volume 18, Number 12

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

NONE

1997-03-01

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Title List of documents made publicly available, September 1--30, 1993. Volume 15, No. 9

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

Not Available

1993-11-01

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principals Documents.

Title list of documents made publicly available: November 1--30, 1997. Volume 19, Number 11

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

NONE

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Winning performance improvement strategies--linking documentation and accounts receivable.

PubMed

Braden, J H; Swadley, D

1996-01-01

When the HIM department at The University of Texas Medical Branch set out to improve documentation and accounts receivable management, it established a plan that encompassed a broad spectrum of data management process changes. The department examined and acknowledged the deficiencies in data management processes and used performance improvement tools to achieve successful results.

77 FR 35691 - Update to Electronic Common Technical Document Module 1

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-14

... Electronic Common Technical Document (eCTD) Module 1, which is used for electronic submission of... they are received with a limit of 350. SUPPLEMENTARY INFORMATION: The eCTD is an International... Research (CBER) have been receiving submissions in the eCTD format since 2003, and the eCTD has been the...

Using Adaptive Turnaround Documents to Electronically Acquire Structured Data in Clinical Settings

PubMed Central

Biondich, Paul G.; Anand, Vibha; Downs, Stephen M.; McDonald, Clement J.

2003-01-01

We developed adaptive turnaround documents (ATDs) to address longstanding challenges inherent in acquiring structured data at the point of care. These computer-generated paper forms both request and receive patient tailored information specifically for electronic storage. In our pilot, we evaluated the usability, accuracy, and user acceptance of an ATD designed to enrich a pediatric preventative care decision support system. The system had an overall digit recognition rate of 98.6% (95% CI: 98.3 to 98.9) and a marksense accuracy of 99.2% (95% CI: 99.1 to 99.3). More importantly, the system reliably extracted all data from 56.6% (95% CI: 53.3 to 59.9) of our pilot forms without the need for a verification step. These results translate to a minimal workflow burden to end users. This suggests that ATDs can serve as an inexpensive, workflow-sensitive means of structured data acquisition in the clinical setting. PMID:14728139

22 CFR 42.65 - Supporting documents.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Immigrant Visas § 42.65 Supporting documents. (a) Authority to... establish the alien's eligibility to receive an immigrant visa. All such documents submitted and other...

22 CFR 42.65 - Supporting documents.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Immigrant Visas § 42.65 Supporting documents. (a) Authority to... establish the alien's eligibility to receive an immigrant visa. All such documents submitted and other...

22 CFR 42.65 - Supporting documents.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Immigrant Visas § 42.65 Supporting documents. (a) Authority to... establish the alien's eligibility to receive an immigrant visa. All such documents submitted and other...

22 CFR 42.65 - Supporting documents.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Immigrant Visas § 42.65 Supporting documents. (a) Authority to... establish the alien's eligibility to receive an immigrant visa. All such documents submitted and other...

22 CFR 42.65 - Supporting documents.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Immigrant Visas § 42.65 Supporting documents. (a) Authority to... establish the alien's eligibility to receive an immigrant visa. All such documents submitted and other...

27 CFR 73.31 - May I submit forms electronically to TTB?

Code of Federal Regulations, 2010 CFR

2010-04-01

... requirement in this chapter, only if: (a) We have published a notice in the Federal Register and on our Web... Register and on our Web site as stated above; (c) You submit the electronic form to an electronic document receiving system that we have designated for the receipt of that specific form; and (d) The electronic form...

Mariner 9 television pictures: Microfiche library user's guide. MTC/MTVS real-time pictures

NASA Technical Reports Server (NTRS)

Becker, R. A.

1973-01-01

This document describes the content and organization of the Mariner 9 Mission Test Computer/Mission Test Video System microfiche library. This 775 card library is intended to supply the user with a complete record of the images received from Mars orbit during the Mariner 9 mission operations, from 15 Nov. 1971 to 1 Nov. 1972.

Using Process Redesign and Information Technology to Improve Procurement

DTIC Science & Technology

1994-04-01

contrac- tor. Many large-volume contractors have automated order processing tied to ac- counting, manufacturing, and shipping subsystems. Currently...the contractor must receive the mailed order, analyze it, extract pertinent information, and en- ter that information into the automated order ... processing system. Almost all orders for small purchases are unilateral documents that do not require acceptance or acknowledgment by the contractor. For

Quantifying the improvement in sepsis diagnosis, documentation, and coding: the marginal causal effect of year of hospitalization on sepsis diagnosis.

PubMed

Jafarzadeh, S Reza; Thomas, Benjamin S; Marschall, Jonas; Fraser, Victoria J; Gill, Jeff; Warren, David K

2016-01-01

To quantify the coinciding improvement in the clinical diagnosis of sepsis, its documentation in the electronic health records, and subsequent medical coding of sepsis for billing purposes in recent years. We examined 98,267 hospitalizations in 66,208 patients who met systemic inflammatory response syndrome criteria at a tertiary care center from 2008 to 2012. We used g-computation to estimate the causal effect of the year of hospitalization on receiving an International Classification of Diseases, Ninth Revision, Clinical Modification discharge diagnosis code for sepsis by estimating changes in the probability of getting diagnosed and coded for sepsis during the study period. When adjusted for demographics, Charlson-Deyo comorbidity index, blood culture frequency per hospitalization, and intensive care unit admission, the causal risk difference for receiving a discharge code for sepsis per 100 hospitalizations with systemic inflammatory response syndrome, had the hospitalization occurred in 2012, was estimated to be 3.9% (95% confidence interval [CI], 3.8%-4.0%), 3.4% (95% CI, 3.3%-3.5%), 2.2% (95% CI, 2.1%-2.3%), and 0.9% (95% CI, 0.8%-1.1%) from 2008 to 2011, respectively. Patients with similar characteristics and risk factors had a higher of probability of getting diagnosed, documented, and coded for sepsis in 2012 than in previous years, which contributed to an apparent increase in sepsis incidence. Copyright © 2016 Elsevier Inc. All rights reserved.

Mental health measurement among women veterans receiving co-located, collaborative care services.

PubMed

Lilienthal, Kaitlin R; Buchholz, Laura J; King, Paul R; Vair, Christina L; Funderburk, Jennifer S; Beehler, Gregory P

2017-12-01

Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.

Incidence, source, and nature of complaints received in a large, urban emergency medical services system.

PubMed

Curka, P A; Pepe, P E; Zachariah, B S; Gray, G D; Matsumoto, C

1995-06-01

To document the incidence, source, and reasons for all complaints received by a large municipal emergency medical services (EMS) program. A retrospective review of all complaints received during three consecutive years (1990-1992) in a centralized EMS system serving a large municipality (population 2 million). All cases were categorized by year, source, and nature of the complaint. In the three study years, EMS responded to 416,892 incidents with nearly a half-million patient contacts. Concurrently, 371 complaints were received (incidence of 1.12 per thousand); 132 in 1990, 129 in 1991, and 110 in 1992. Most complaints involved either: 1) allegations of "rude or unprofessional conduct" (34%), 2) "didn't take patient to the hospital" (19%), or 3) "problems with medical treatment" (13%). Only 1.6% (n = 6) were response-time complaints. Other complaints included "lost/damaged property," "taken to the wrong hospital," "inappropriate billing," and "poor driving habits." The most common sources were patient's families (39%) and the patients themselves (30%). Only 7.8% were from health care providers. Reviews of complaints provide information regarding EMS system performance and reveal targets for quality improvement. For the EMS system examined, this study suggests a future training focus on interpersonal skills and heightened sensitivities, not only toward patients, but also toward bystanders and family members.

The NASA Dryden Flight Test Approach to an Aerial Refueling System

NASA Technical Reports Server (NTRS)

Hansen, Jennifer L.; Murray, James E.; Campos, Norma V.

2005-01-01

The integration of uninhabited aerial vehicles (UAVs) into controlled airspace has generated a new era of autonomous technologies and challenges. Autonomous aerial refueling would enable UAVs to travel further distances and loiter for extended periods over time-critical targets. The NASA Dryden Flight Research Center recently has completed a flight research project directed at developing a dynamic hose and drogue system model to support the development of an automated aerial refueling system. A systematic dynamic model of the hose and drogue system would include the effects of various influences on the system, such as flight condition, hose and drogue type, tanker type and weight, receiver type, and tanker and receiver maneuvering. Using two NASA F/A-18 aircraft and a conventional hose and drogue aerial refueling store from the Navy, NASA has obtained flight research data that document the response of the hose and drogue system to these effects. Preliminary results, salient trends, and important lessons are presented

The NASA Dryden AAR Project: A Flight Test Approach to an Aerial Refueling System

NASA Technical Reports Server (NTRS)

Hansen, Jennifer L.; Murray, James E.; Campos, Norma V.

2004-01-01

The integration of uninhabited aerial vehicles (UAVs) into controlled airspace has generated a new era of autonomous technologies and challenges. Autonomous aerial refueling would enable UAVs to travel further distances and loiter for extended periods over time-critical targets. The NASA Dryden Flight Research Center recently has completed a flight research project directed at developing a dynamic hose and drogue system model to support the development of an automated aerial refueling system. A systematic dynamic model of the hose and drogue system would include the effects of various influences on the system, such as flight condition, hose and drogue type, tanker type and weight, receiver type, and tanker and receiver maneuvering. Using two NASA F/A-18 aircraft and a conventional hose and drogue aerial refueling store from the Navy, NASA has obtained flight research data that document the response of the hose and drogue system to these effects. Preliminary results, salient trends, and important lessons are presented.

22 CFR 41.105 - Supporting documents and fingerprinting.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Section 41.105 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Nonimmigrant Visa § 41.105 Supporting documents... receive a nonimmigrant visa. All documents and other evidence presented by the alien, including briefs...

22 CFR 41.105 - Supporting documents and fingerprinting.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Section 41.105 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Nonimmigrant Visa § 41.105 Supporting documents... receive a nonimmigrant visa. All documents and other evidence presented by the alien, including briefs...

22 CFR 41.105 - Supporting documents and fingerprinting.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Section 41.105 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Nonimmigrant Visa § 41.105 Supporting documents... receive a nonimmigrant visa. All documents and other evidence presented by the alien, including briefs...

22 CFR 41.105 - Supporting documents and fingerprinting.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Section 41.105 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Nonimmigrant Visa § 41.105 Supporting documents... receive a nonimmigrant visa. All documents and other evidence presented by the alien, including briefs...

22 CFR 41.105 - Supporting documents and fingerprinting.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Section 41.105 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF NONIMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Application for Nonimmigrant Visa § 41.105 Supporting documents... receive a nonimmigrant visa. All documents and other evidence presented by the alien, including briefs...

Electronic reminders improve procedure documentation compliance and professional fee reimbursement.

PubMed

Kheterpal, Sachin; Gupta, Ruchika; Blum, James M; Tremper, Kevin K; O'Reilly, Michael; Kazanjian, Paul E

2007-03-01

Medicolegal, clinical, and reimbursement needs warrant complete and accurate documentation. We sought to identify and improve our compliance rate for the documentation of arterial catheterization in the perioperative setting. We first reviewed 12 mo of electronic anesthesia records to establish a baseline compliance rate for arterial catheter documentation. Residents and Certified Registered Nurse Anesthetists were randomly assigned to a control group and experimental group. When surgical incision and anesthesia end were documented in the electronic record keeper, a reminder routine checked for an invasive arterial blood pressure tracing. If a case used an arterial catheter, but no procedure note was observed, the resident or Certified Registered Nurse Anesthetist assigned to the case was sent an automated alphanumeric pager and e-mail reminder. Providers in the control group received no pager or e-mail message. After 2 mo, all staff received the reminders. A baseline compliance rate of 80% was observed (1963 of 2459 catheters documented). During the 2-mo study period, providers in the control group documented 152 of 202 (75%) arterial catheters, and the experimental group documented 177 of 201 (88%) arterial lines (P < 0.001). After all staff began receiving reminders, 309 of 314 arterial lines were documented in a subsequent 2 mo period (98%). Extrapolating this compliance rate to 12 mo of expected arterial catheter placement would result in an annual incremental $40,500 of professional fee reimbursement. The complexity of the tertiary care process results in documentation deficiencies. Inexpensive automated reminders can drastically improve compliance without the need for complicated negative or positive feedback.

Modeling, Simulation, and Measurement of Balanced Antipodal Vivaldi (BAV) Antennas for Fully Polarimetric Forward-Looking Ground-Penetrating Radar (FLGPR) Receive Channels

DTIC Science & Technology

2017-08-01

compared against the current receiver. The focus of the design was to maximize low-frequency performance, particularly below 1.0 GHz. The current...Department of the Army position unless so designated by other authorized documents. Citation of manufacturer’s or trade names does not constitute an...documents the design , simulation, and measurement of balanced antipodal Vivaldi (BAV) antenna elements for the receive channels of a US Army Research

Bi-directional communication interface for microprocessor-to-system/370

NASA Technical Reports Server (NTRS)

Fischer, J. P.

1981-01-01

The design and operation of a bi-directional communication interface between a microcomputer and the IBM System/370 is documented. The hardware unit interconnects a modem to interface to the S/370, the microcomputer with an EIA I/O port, and a terminal for sending and receiving data from either the microcomputer or the S/370. Also described is the software necessary for the two-way interface. This interface is designed so that no modifications need to be made to the terminal, modem, or microcomputer.

Enterobacter aerogenes Needle Stick Leads to Improved Biological Management System

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

Johanson, Richard E.

2004-08-01

A laboratory worker who received a needle stick from a contaminated needle while working with a culture containing Enterobactor aerogenes developed a laboratory acquired infection. Although this organism has been shown to cause community and nosocomial infections, there have been no documented cases of a laboratory acquired infections. Lessons learned from the event led to corrective actions which included modification of lab procedures, development of a biological inventory tracking and risk identification system and the establishment of an effective biological safety program.

W-026, Waste Receiving and Processing Facility data management system validation and verification report

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

Palmer, M.E.

1997-12-05

This V and V Report includes analysis of two revisions of the DMS [data management system] System Requirements Specification (SRS) and the Preliminary System Design Document (PSDD); the source code for the DMS Communication Module (DMSCOM) messages; the source code for selected DMS Screens, and the code for the BWAS Simulator. BDM Federal analysts used a series of matrices to: compare the requirements in the System Requirements Specification (SRS) to the specifications found in the System Design Document (SDD), to ensure the design supports the business functions, compare the discreet parts of the SDD with each other, to ensure thatmore » the design is consistent and cohesive, compare the source code of the DMS Communication Module with the specifications, to ensure that the resultant messages will support the design, compare the source code of selected screens to the specifications to ensure that resultant system screens will support the design, compare the source code of the BWAS simulator with the requirements to interface with DMS messages and data transfers relating to the BWAS operations.« less

3 CFR - Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense Articles and Defense Services Under the Foreign Assistance Act of 1961, as Amended, and the Arms Export Control Act, as Amended Presidential Documents Other Presidential Documents Presidential Determinatio...

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 485

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. The NASA CASI price code table, addresses of organizations, and document availability information are included before the abstract section. Two indexes-subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography With Indexes. Supplement 506

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP#2000-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. The NASA CASI price code table, addresses of organizations, and document availability information are included before the abstract section. Two indexes- subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 494

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. The NASA CASI price code table, addresses of organizations, and document availability information are included before the abstract section. Two indexes--subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 496

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP#2000-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth#s atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. The NASA CASI price code table, addresses of organizations, and document availability information are included before the abstract section. Two indexes#subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography With Indexes. Supplement 499

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP#1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth#s atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. The NASA CASI price code table, addresses of organizations, and document availability information are included before the abstract section. Two indexes-subject and author are included after the abstract section.

Using education and support strategies to improve the way nurses assess regular and transient pain - A quality improvement study of three hospitals.

PubMed

Peterson, Anna; Carlfjord, Siw; Schaller, Anne; Gerdle, Björn; Larsson, Britt

2017-07-01

Systematic and regular pain assessment has been shown to improve pain management. Well-functioning pain assessments require using strategies informed by well-established theory. This study evaluates documented pain assessments reported in medical records and by patients, including reassessment using a Numeric Rating Scale (NRS) after patients receive rescue medication. Documentation surveys (DS) and patient surveys (PS) were performed at baseline (BL), after six months, and after 12 months in 44 in-patient wards at the three hospitals in Östergötland County, Sweden. Nurses and nurse assistants received training on pain assessment and support. The Knowledge to Action Framework guided the implementation of new routines. According to DS pain assessment using NRS, pain assessment increased significantly: from 7% at baseline to 36% at 12 months (p<0.001). For PS, corresponding numbers were 33% and 50% (p<0.001). According to the PS, the proportion of patients who received rescue medication and who had been reassessed increased from 73% to 86% (p=0.003). The use of NRS to document pain assessment after patients received rescue medication increased significantly (4% vs. 17%; p<0.001). After implementing education and support strategies, systematic pain assessment increased, an encouraging finding considering the complex contexts of in-patient facilities. However, the achieved assessment levels and especially reassessments related to rescue medication were clinically unsatisfactory. Future studies should include nursing staff and physicians and increase interactivity such as providing online education support. A discrepancy between documented and reported reassessment in association with given rescue medication might indicate that nurses need better ways to provide pain relief. The fairly low level of patient-reported pain via NRS and documented use of NRS before and 12 months after the educational programme stresses the need for education on pain management in nursing education. Implementations differing from traditional educational attempts such as interactive implementations might complement educational programmes given at the work place. Standardized routines for pain management that include the possibility for nurses to deliver pain medication within well-defined margins might improve pain management and increase the use of pain assessments. Further research is needed that examines the large discrepancy between patient-reported pain management and documentation in the medical recording system of transient pain. Copyright © 2017 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

50 CFR 221.12 - Where and how must documents be filed?

Code of Federal Regulations, 2011 CFR

2011-10-01

... Hearing Process Document Filing and Service § 221.12 Where and how must documents be filed? (a) Place of... facsimile if: (A) The document is 20 pages or less, including all attachments; (B) The sending facsimile..., any document received after 5 p.m. at the place where the filing is due is considered filed on the...

A Hole in the Weather Warning System.

NASA Astrophysics Data System (ADS)

Wood, Vincent T.; Weisman, Robert A.

2003-02-01

lack of text information. These problems had forced deaf and hard of hearing people to rely on looking at the sky or having hearing people alert them as their primary methods of receiving emergency information. These problems are documented through the use of a survey of 277 deaf and hard of hearing people in Minnesota and Oklahoma as well as specific examples.During the last two years, some progress has been made to "close this hole" in the weather warning system. The Federal Communications Commission has approved new rules, requiring that all audio emergency information provided by television stations, satellite, and cable operators must also be provided visually. In addition, the use of new technology such as pager systems, weather radios adapted for use by those with special needs, the Internet, and satellite warning systems have allowed deaf and hard of hearing people to have more access to emergency information.In this article, these improvements are documented but continuing problems and possible solutions are also listed.

A Model of Human Orientation and Self Motion Perception during Body Acceleration: The Orientation Modeling System

DTIC Science & Technology

2016-09-28

previous research and modeling results. The OMS and Perception Toolbox were used to perform a case study of an F18 mishap. Model results imply that...request documents from DTIC. Change of Address Organizations receiving reports from the U.S. Army Aeromedical Research Laboratory on automatic...54  Coriolis head movement during a coordinated turn. .............................................55  Case Study

Using Natural Language Processing to Improve Efficiency of Manual Chart Abstraction in Research: The Case of Breast Cancer Recurrence

PubMed Central

Carrell, David S.; Halgrim, Scott; Tran, Diem-Thy; Buist, Diana S. M.; Chubak, Jessica; Chapman, Wendy W.; Savova, Guergana

2014-01-01

The increasing availability of electronic health records (EHRs) creates opportunities for automated extraction of information from clinical text. We hypothesized that natural language processing (NLP) could substantially reduce the burden of manual abstraction in studies examining outcomes, like cancer recurrence, that are documented in unstructured clinical text, such as progress notes, radiology reports, and pathology reports. We developed an NLP-based system using open-source software to process electronic clinical notes from 1995 to 2012 for women with early-stage incident breast cancers to identify whether and when recurrences were diagnosed. We developed and evaluated the system using clinical notes from 1,472 patients receiving EHR-documented care in an integrated health care system in the Pacific Northwest. A separate study provided the patient-level reference standard for recurrence status and date. The NLP-based system correctly identified 92% of recurrences and estimated diagnosis dates within 30 days for 88% of these. Specificity was 96%. The NLP-based system overlooked 5 of 65 recurrences, 4 because electronic documents were unavailable. The NLP-based system identified 5 other recurrences incorrectly classified as nonrecurrent in the reference standard. If used in similar cohorts, NLP could reduce by 90% the number of EHR charts abstracted to identify confirmed breast cancer recurrence cases at a rate comparable to traditional abstraction. PMID:24488511

The personal receiving document management and the realization of email function in OAS

NASA Astrophysics Data System (ADS)

Li, Biqing; Li, Zhao

2017-05-01

This software is an independent software system, suitable for small and medium enterprises, contains personal office, scientific research project management and system management functions, independently run in relevant environment, and to solve practical needs. This software is an independent software system, using the current popular B/S (browser/server) structure and ASP.NET technology development, using the Windows 7 operating system, Microsoft SQL Server2005 Visual2008 and database as a development platform, suitable for small and medium enterprises, contains personal office, scientific research project management and system management functions, independently run in relevant environment, and to solve practical needs.

Characteristics of Older Georgians Receiving Older Americans Act Nutrition Program Services and Other Home- and Community-Based Services: Findings from the Georgia Aging Information Management System (GA AIMS).

PubMed

Lee, Jung Sun; Shannon, Jerry; Brown, Arvine

2015-01-01

This descriptive study examined characteristics of older Georgians receiving Older Americans Act Nutrition Program Services and other home- and community-based services (HCBS) using state aging administrative data (N = 31,341, mean age: 76.6 ± 9.2 y, 71.2% female, 52.3% White). Home-delivered meals (HDM) was used most frequently. The characteristics of older Georgian HCBS participants varied by the type and number of HCBS received. Those receiving HDM and other in-home and caregiving services were more likely to show poorer sociodemographic, economic, and functional characteristics, and food insecurity. Those receiving multiple HCBS were most vulnerable, but showed lower level of food insecurity than those receiving single HCBS, suggesting potential combined benefits of receiving multiple programs. This study underscores the importance of documenting dynamic needs for HCBS, especially HDM, among vulnerable older adults as part of standard administrative process to identify those at high risk of institutionalization, optimize HCBS delivery and coordination, and maximize HCBS benefits.

3 CFR - Presidential Determination on the Eligibility of South Sudan To Receive Defense Articles and...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Presidential Determination on the Eligibility of South Sudan To Receive Defense Articles and Defense Services Under the Foreign Assistance Act of 1961, as Amended, and the Arms Export Control Act, as Amended Presidential Documents Other Presidential Documents Presidential Determination No. 2012-4 of...

3 CFR - Eligibility of the Southern African Development Community To Receive Defense Articles and Defense...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 3 The President 1 2010-01-01 2010-01-01 false Eligibility of the Southern African Development Community To Receive Defense Articles and Defense Services Under the Foreign Assistance Act of 1961, as Amended, and the Arms Export Control Act, as Amended Presidential Documents Other Presidential Documents Presidential Determination No. 2009-13 of...

Early warning system for aftershocks

USGS Publications Warehouse

Bakun, W.H.; Fischer, F.G.; Jensen, E.G.; VanSchaack, J.

1994-01-01

A prototype early warning system to provide San Francisco and Oakland, California a few tens-of-seconds warning of incoming strong ground shaking from already-occurred M ≧ 3.7 aftershocks of the magnitude 7.1 17 October 1989 Loma Prieta earthquake was operational on 28 October 1989. The prototype system consisted of four components: ground motion sensors in the epicentral area, a central receiver, a radio repeater, and radio receivers. One of the radio receivers was deployed at the California Department of Transportation (CALTRANS) headquarters at the damaged Cypress Street section of the I-880 freeway in Oakland, California on 28 October 1989 and provided about 20 sec of warning before shaking from the M 4.5 Loma Prieta aftershock that occurred on 2 November 1989 at 0550 UTC. In its first 6 months of operation, the system generated triggers for all 12 M > 3.7 aftershocks for which trigger documentation is preserved, did not trigger on any M ≦ 3.6 aftershocks, and produced one false trigger as a result of a now-corrected single point of failure design flaw. Because the prototype system demonstrated that potentially useful warnings of strong shaking from aftershocks are feasible, the USGS has completed a portable early warning system for aftershocks that can be deployed anywhere.

Half a Gift Is Not Half-Hearted: A Giver-Receiver Asymmetry in the Thoughtfulness of Partial Gifts.

PubMed

Kupor, Daniella; Flynn, Frank; Norton, Michael I

2017-12-01

Four studies document an asymmetry in givers' and receivers' evaluations of gifts: Givers underestimate the extent to which receivers perceive partial (but more desirable) gifts to be thoughtful, valuable, and worthy of appreciation. Study 1 documents this asymmetry and suggests that givers underestimate the extent to which partial gifts signal thoughtfulness to receivers. Study 2 replicates this asymmetry in the context of a real gift exchange among friends. Study 3 shows that this asymmetry arises because givers believe that purchasing partial gifts is a greater violation of gift-giving norms than do receivers, leading givers to expect that partial gifts will damage receivers' perceptions of a gift's value. Study 4 offers an intervention that induces givers to select the (partial) gifts that receivers prefer more than givers expect: framing a gift's separate components as complete units.

Performance interface document for the S-band diplexer for space users of NASA networks

NASA Technical Reports Server (NTRS)

Line, L. G.

1985-01-01

This report discusses the test results and interfacing information of the S-band diplexer development program supported by RTOP 310 funding. The program was implemented to reduce the S-band transponder noise figure by minimizing the receive channel insertion loss and to also provide Space Transportation System (STS) compatibility by providing 70-db rejection up to 16 GHz in the receive channel. This compatibility includes rejection of signals from the Shuttle S-band Data Link, the K-band Data Link, and the K-band Rendezvous Radar. The first of many projects to benefit from this accomplishment was the Earth Radiation Budget Satellite (ERBS).

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 492

NASA Technical Reports Server (NTRS)

1999-01-01

This report lists reports, articles and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion.

A Pilot Randomized Trial of Text-Messaging for Symptom Awareness and Diabetes Knowledge in Adolescents With Type 1 Diabetes

PubMed Central

Han, Yi; Faulkner, Melissa Spezia; Fritz, Heather; Fadoju, Doris; Muir, Andrew; Abowd, Gregory D.; Head, Lauren; Arriaga, Rosa I.

2015-01-01

Adolescents with type 1 diabetes typically receive clinical care every 3 months. Between visits, diabetes-related issues may not be frequently reflected, learned, and documented by the patients, limiting their self-awareness and knowledge about their condition. We designed a text-messaging system to help resolve this problem. In a pilot, randomized controlled trial with 30 adolescents, we examined the effect of text messages about symptom awareness and diabetes knowledge on glucose control and quality of life. The intervention group that received more text messages between visits had significant improvements in quality of life. PMID:25720675

Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs.

PubMed

Kok, Maaike; van der Werff, Gertruud F M; Geerling, Jenske I; Ruivenkamp, Jaap; Groothoff, Wies; van der Velden, Annette W G; Thoma, Monique; Talsma, Jaap; Costongs, Louk G P; Gans, Reinold O B; de Graeff, Pauline; Reyners, Anna K L

2018-05-24

Advance Care Planning (ACP) and its documentation, accessible to healthcare professionals regardless of where patients are staying, can improve palliative care. ACP is usually performed by trained facilitators. However, ACP conversations would be more tailored to a patient's specific situation if held by a patient's clinical healthcare team. This study assesses the feasibility of ACP by a patient's clinical healthcare team, and analyses the documented information including current and future problems within the palliative care domains. This multicentre study was conducted at the three Groningen Palliative Care Network hospitals in the Netherlands. Patients discharged from hospital with a terminal care indication received an ACP document from clinical staff (non-palliative care trained staff at hospitals I and II; specialist palliative care nurses at hospital III) after they had held ACP conversations. An anonymised copy of this ACP document was analysed. Documentation rates of patient and contact details were investigated, and documentation of current and future problems were analysed both quantitatively and qualitatively. One hundred sixty ACP documents were received between April 2013 and December 2014, with numbers increasing for each consecutive 3-month time period. Advance directives were frequently documented (82%). Documentation rates of current problems in the social (24%), psychological (27%) and spiritual (16%) domains were low compared to physical problems (85%) at hospital I and II, but consistently high (> 85%) at hospital III. Of 545 documented anticipated problems, 92% were physical or care related in nature, 2% social, 5% psychological, and < 1% spiritual. Half of the anticipated non-physical problems originated from hospital III. Hospital-initiated ACP documentation by a patient's clinical healthcare team is feasible: the number of documents received per time period increased throughout the study period, and overall, documentation rates were high. Nonetheless, symptom documentation predominantly regards physical symptoms. With the involvement of specialist palliative care nurses, psychological and spiritual problems are addressed more frequently. Whether palliative care education for non-palliative care experts will improve identification and documentation of non-physical problems remains to be investigated.

Documenting the birth of a financial economy

PubMed Central

Suri, Tavneet; Jack, William; Stoker, Thomas M.

2012-01-01

The birth and explosive growth of mobile money in Kenya has provided economists with an opportunity to study the evolution and impact of a new financial system. Mobile money is an innovation that allows individuals to store, send, and receive money on their mobile phone via text message. This system has opened up basic financial services to many who were previously excluded, and has had real and measurable impacts on the ability of households to protect themselves against health risks. Using a unique survey instrument covering nearly 2,300 households over 2008–2010, we first document the lightning-fast adoption of mobile money in Kenya, which was faster than most documented modern technologies in the United States. We then present evidence on how this innovation allows households to respond better to unexpected adverse health events. We find that in the face of these events, users of mobile money are better able to tap into remittances to finance additional health care costs without having to forego necessary expenditures on education, food, and other consumption needs. PMID:22689945

Terrestrial laser scanning for heritage conservation: the Cologne Cathedral documentation project

NASA Astrophysics Data System (ADS)

Pritchard, D.; Sperner, J.; Hoepner, S.; Tenschert, R.

2017-08-01

Contemporary terrestrial laser scanners and photogrammetric imaging systems are an invaluable tool in providing objectively precise, as-built records of existing architectural, engineering and industrial sites. The comprehensive three-dimensional (3D) recording of culturally important sites such as heritage buildings, monuments, and sites can serve a variety of invaluable purposes; the data can assist in the conservation, management, and repair of a structure, as well as provide a visually engaging educational resource for both the public and scholars. The acquired data acts as a form of digital preservation, a timeless virtual representation of the as-built structure. The technical capability of these systems is particularly suited for the documentation of a richly articulated and detailed building such as the high Gothic Cologne Cathedral. The 3D documentation of the Cologne Cathedral UNESCO World Heritage Site is a multiphase project developed by Heriot-Watt University, Edinburgh in partnership with the Fresenius University of Applied Sciences, Cologne, and the Metropolitankapitel der Hohen Domkirche Köln Dombauhütte. The project has also received generous support from Zoller + Fröhlich (Z+F) and the City of Cologne.

Printable, scannable biometric templates for secure documents and materials

NASA Astrophysics Data System (ADS)

Cambier, James L.; Musgrave, Clyde

2000-04-01

Biometric technology has been widely acknowledged as an effective means for enhancing private and public security through applications in physical access control, computer and computer network access control, medical records protection, banking security, public identification programs, and others. Nearly all of these applications involve use of a biometric token to control access to a physical entity or private information. There are also unique benefits to be derived from attaching a biometric template to a physical entity such as a document, package, laboratory sample, etc. Such an association allows fast, reliable, and highly accurate association of an individual person's identity to the physical entity, and can be used to enhance security, convenience, and privacy in many types of transactions. Examples include authentication of documents, tracking of laboratory samples in a testing environment, monitoring the movement of physical evidence within the criminal justice system, and authenticating the identity of both sending and receiving parties in shipment of high value parcels. A system is described which combines a biometric technology based on iris recognition with a printing and scanning technology for high-density bar codes.

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

NONE

This document is a monthly publication containing descriptions of information received and generated by the US Nuclear Regulatory Commission (NRC). This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) nondocketed material received and generated by NRC pertinent to its role as a regulatory agency. The following indexes are included: Personal Author, Corporate Source, Report Number, and Cross Reference of Enclosures to Principal Documents.

Spread Spectrum Receiver Electromagnetic Interference (EMI) Test Guide

NASA Technical Reports Server (NTRS)

Wheeler, M. L.

1998-01-01

The objective of this test guide is to document appropriate unit level test methods and techniques for the performance of EMI testing of Direct Sequence (DS) spread spectrum receivers. Consideration of EMI test methods tailored for spread spectrum receivers utilizing frequency spreading, techniques other than direct sequence (such as frequency hopping, frequency chirping, and various hybrid methods) is beyond the scope of this test guide development program and is not addressed as part of this document EMI test requirements for NASA programs are primarily developed based on the requirements contained in MIL-STD-46 1 D (or earlier revisions of MIL-STD-46 1). The corresponding test method guidelines for the MIL-STD-461 D tests are provided in MIL-STD-462D. These test methods are well documented with the exception of the receiver antenna port susceptibility tests (intermodulation, cross modulation, and rejection of undesired signals) which must be tailored to the specific type of receiver that is being tested. Thus, test methods addressed in this guide consist only of antenna port tests designed to evaluate receiver susceptibility characteristics. MIL-STD-462D should be referred for guidance pertaining to test methods for EMI tests other than the antenna port tests. The scope of this test guide includes: (1) a discussion of generic DS receiver performance characteristics; (2) a summary of S-band TDRSS receiver operation; (3) a discussion of DS receiver EMI susceptibility mechanisms and characteristics; (4) a summary of military standard test guidelines; (5) recommended test approach and methods; and (6) general conclusions and recommendations for future studies in the area of spread spectrum receiver testing.

Title list of documents made publicly available, October 1-31, 1997

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

NONE

1997-12-01

This monthly publication describes the information received and published by the U.S. Nuclear Regulatory Commission (NRC). It includes: (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) non-docketed material received and published. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and a Report Number index. Seven docketed items are included which pertain to licensing, radioactive waste, nuclear power plant design. The 26 non-docketed items include committee reports; NRC correspondence, issuances, and reports; inspections and deficiency findings; and waste management documents.

Integrating Requirements Engineering, Modeling, and Verification Technologies into Software and Systems Engineering

DTIC Science & Technology

2007-10-28

Software Engineering, FASE󈧉, volume 3442 of Lecture Notes in Computer Science, pages 175--189. Springer, 2005. Andreas Bauer, Martin Leucker, and Jonathan ...of Personnel receiving masters degrees NAME Markus Strohmeier Gerrit Hanselmann Jonathan Streit Ernst Sassen 4Total Number: Names of personnel...developed and documented mainly within the master thesis by Jonathan Streit [Str06]: • Jonathan Streit. Development of a programming language like tem

EL68D Wasteway Watershed Land-Cover Generation

USGS Publications Warehouse

Ruhl, Sheila; Usery, E. Lynn; Finn, Michael P.

2007-01-01

Classification of land cover from Landsat Enhanced Thematic Mapper Plus (ETM+) for the EL68D Wasteway Watershed in the State of Washington is documented. The procedures for classification include use of two ETM+ scenes in a simultaneous unsupervised classification process supported by extensive field data collection using Global Positioning System receivers and digital photos. The procedure resulted in a detailed classification at the individual crop species level.

Critical Infrastructure: Control Systems and the Terrorist Threat

DTIC Science & Technology

2004-01-20

Congressional Research Service ˜ The Library of Congress CRS Report for Congress Received through the CRS Web Order Code RL31534 Critical...http://www.pnl.gov/main/sectors/homeland.html]. 68 Rolf Carlson, “Sandia SCADA Program High-Security SCADA LDRD Final Report ,” Sandia Report SAND2002...and Industry Division Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to

Critical Infrastructure: Control Systems and the Terrorist Threat

DTIC Science & Technology

2003-07-14

Congressional Research Service ˜ The Library of Congress CRS Report for Congress Received through the CRS Web Order Code RL31534 Critical...available online at [http://www.pnl.gov/main/sectors/homeland.html]. 56 Rolf Carlson, “Sandia SCADA Program High-Security SCADA LDRD Final Report ...Industry Division Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to

New Skills for New Jobs--Policy Initiatives in the Field of Education: Short Overview of the Current Situation in Europe. November 2010

ERIC Educational Resources Information Center

Education, Audiovisual and Culture Executive Agency, European Commission, 2010

2010-01-01

In recent years, several EU initiatives have been launched with the aim of supporting the development of citizens' skills as well as improving education and training systems so that they are better able to respond to the needs of the economy and society. This document summarises the information received from 25 Eurydice National Units…

United States Marine Corps Aerial Refueling Requirements Analysis

DTIC Science & Technology

2000-12-01

REFUELING REQUIREMENTS ANALYSIS William R. Gates Systems Management Department Naval Postgraduate School 555 Dyer Road, Room 229 Monterey, CA 93943...refueling customers . KC130s are rotated through the track 24 hours per day, providing customers fuel as needed. KC130 sorties are scheduled to reflect the...projected average customer (aircraft) arrival rates, average service times (time required to engage the drogue, receive fuel and 1075 Report Documentation

Technical Objective Document. Fiscal Year 1989

DTIC Science & Technology

1987-12-01

other special interest areas/technologies; and throuch a " delphi " process with the Center Technical Investment Committee *develop a "puts and takes...radar and larce optical systems in space, the detection and trackina of low observables, and the operation of sensors for tracking objects in space for...for reducing the processing time for adaptive beamforming in receive arrays, self-coherina techniques in larce distributed arrays and array self

A survey of nursing documentation, terminologies and standards in European countries

PubMed Central

Thoroddsen, Asta; Ehrenberg, Anna; Sermeus, Walter; Saranto, Kaija

2012-01-01

A survey was carried out to describe the current state of art in the use of nursing documentation, terminologies, standards and education. Key informants in European countries were targeted by the Association for Common European Nursing Diagnoses, Interventions and Outcomes (ACENDIO). Replies were received from key informants in 20 European countries. Results show that the nursing process was most often used to structure nursing documentation. Many standardized nursing terminologies were used in Europe with NANDA, NIC, NOC and ICF most frequently used. In 70% of the countries minimum requirements were available for electronic health records (EHR), but nursing not addressed specifically. Standards in use for nursing terminologies and information systems were lacking. The results should be a major concern to the nursing community in Europe. As a European platform, ACENDIO can play a role in enhancing standardization activities, and should develop its role accordingly. PMID:24199130

Acceptance test report for portable exhauster POR-007/Skid E

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

Kriskovich, J.R.

1998-07-24

This document describes Acceptance Testing performed on Portable Exhauster POR-007/Skid E. It includes measurements of bearing vibration levels, pressure decay testing, programmable logic controller interlocks, high vacuum, flow and pressure control functional testing. The purpose of Acceptance testing documented by this report was to demonstrate compliance of the exhausters with the performance criteria established within HNF-0490, Rev. 1 following a repair and upgrade effort at Hanford. In addition, data obtained during this testing is required for the resolution of outstanding Non-conformance Reports (NCR), and finally, to demonstrate the functionality of the associated software for the pressure control and high vacuummore » exhauster operating modes provided for by W-320. Additional testing not required by the ATP was also performed to assist in the disposition and close out of receiving inspection report and for application design information (system curve). Results of this testing are also captured within this document.« less

Review of nuclear pharmacy practice in hospitals

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

Kawada, T.K.; Tubis, M.; Ebenkamp, T.

1982-02-01

An operational profile for nuclear pharmacy practice is presented, and the technical and professional role of nuclear pharmacists is reviewed. Key aspects of nuclear pharmacy practice in hospitals discussed are the basic facilities and equipment for the preparation, quality control, and distribution of radioactive drug products. Standards for receiving, storing, and processing radioactive material are described. The elements of a radiopharmaceutical quality assurance program, including the working procedures, documentation systems, data analysis, and specific control tests, are presented. Details of dose preparation and administration and systems of inventory control for radioactive products are outlined.

Model documentation, Coal Market Module of the National Energy Modeling System

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

NONE

This report documents the objectives and the conceptual and methodological approach used in the development of the National Energy Modeling System`s (NEMS) Coal Market Module (CMM) used to develop the Annual Energy Outlook 1998 (AEO98). This report catalogues and describes the assumptions, methodology, estimation techniques, and source code of CMM`s two submodules. These are the Coal Production Submodule (CPS) and the Coal Distribution Submodule (CDS). CMM provides annual forecasts of prices, production, and consumption of coal for NEMS. In general, the CDS integrates the supply inputs from the CPS to satisfy demands for coal from exogenous demand models. The internationalmore » area of the CDS forecasts annual world coal trade flows from major supply to major demand regions and provides annual forecasts of US coal exports for input to NEMS. Specifically, the CDS receives minemouth prices produced by the CPS, demand and other exogenous inputs from other NEMS components, and provides delivered coal prices and quantities to the NEMS economic sectors and regions.« less

29 CFR 2520.104b-1 - Disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... documents furnished in electronic form at any location where the participant is reasonably expected to... or non-electronic form, to receiving documents through electronic media and has not withdrawn such consent; (B) In the case of documents to be furnished through the Internet or other electronic...

29 CFR 2520.104b-1 - Disclosure.

Code of Federal Regulations, 2014 CFR

2014-07-01

... documents furnished in electronic form at any location where the participant is reasonably expected to... or non-electronic form, to receiving documents through electronic media and has not withdrawn such consent; (B) In the case of documents to be furnished through the Internet or other electronic...

29 CFR 2520.104b-1 - Disclosure.

Code of Federal Regulations, 2012 CFR

2012-07-01

... documents furnished in electronic form at any location where the participant is reasonably expected to... or non-electronic form, to receiving documents through electronic media and has not withdrawn such consent; (B) In the case of documents to be furnished through the Internet or other electronic...

29 CFR 2520.104b-1 - Disclosure.

Code of Federal Regulations, 2013 CFR

2013-07-01

... documents furnished in electronic form at any location where the participant is reasonably expected to... or non-electronic form, to receiving documents through electronic media and has not withdrawn such consent; (B) In the case of documents to be furnished through the Internet or other electronic...

JSC document index

NASA Technical Reports Server (NTRS)

1988-01-01

The Johnson Space Center (JSC) document index is intended to provide a single source listing of all published JSC-numbered documents their authors, and the designated offices of prime responsibility (OPR's) by mail code at the time of publication. The index contains documents which have been received and processed by the JSC Technical Library as of January 13, 1988. Other JSC-numbered documents which are controlled but not available through the JSC Library are also listed.

Title list of documents made publicly available, July 1--31, 1996: Volume 18, No. 7

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

NONE

This monthly publication describes information received and published by US NRC. This information includes (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) nondocketed material received and published by NRC pertinent to its role as a regulatory agency. Following indexes are included: personal author, corporate source, report number, and cross reference of enclosures to principal documents.

Software Tools Streamline Project Management

NASA Technical Reports Server (NTRS)

2009-01-01

Three innovative software inventions from Ames Research Center (NETMARK, Program Management Tool, and Query-Based Document Management) are finding their way into NASA missions as well as industry applications. The first, NETMARK, is a program that enables integrated searching of data stored in a variety of databases and documents, meaning that users no longer have to look in several places for related information. NETMARK allows users to search and query information across all of these sources in one step. This cross-cutting capability in information analysis has exponentially reduced the amount of time needed to mine data from days or weeks to mere seconds. NETMARK has been used widely throughout NASA, enabling this automatic integration of information across many documents and databases. NASA projects that use NETMARK include the internal reporting system and project performance dashboard, Erasmus, NASA s enterprise management tool, which enhances organizational collaboration and information sharing through document routing and review; the Integrated Financial Management Program; International Space Station Knowledge Management; Mishap and Anomaly Information Reporting System; and management of the Mars Exploration Rovers. Approximately $1 billion worth of NASA s projects are currently managed using Program Management Tool (PMT), which is based on NETMARK. PMT is a comprehensive, Web-enabled application tool used to assist program and project managers within NASA enterprises in monitoring, disseminating, and tracking the progress of program and project milestones and other relevant resources. The PMT consists of an integrated knowledge repository built upon advanced enterprise-wide database integration techniques and the latest Web-enabled technologies. The current system is in a pilot operational mode allowing users to automatically manage, track, define, update, and view customizable milestone objectives and goals. The third software invention, Query-Based Document Management (QBDM) is a tool that enables content or context searches, either simple or hierarchical, across a variety of databases. The system enables users to specify notification subscriptions where they associate "contexts of interest" and "events of interest" to one or more documents or collection(s) of documents. Based on these subscriptions, users receive notification when the events of interest occur within the contexts of interest for associated document or collection(s) of documents. Users can also associate at least one notification time as part of the notification subscription, with at least one option for the time period of notifications.

Document management: one paving stone in the path to EHR.

PubMed

Cottrell, Carlton M

2005-05-01

Reducing the use of paper records through a document management strategy is an essential first step in implementing the electronic health record. Efficient document management can help to decrease claim denials as well as days in accounts receivable-to name only a few benefits.

Using health-system-wide data to understand hepatitis B virus prophylaxis and reactivation outcomes in patients receiving rituximab.

PubMed

Schmajuk, Gabriela; Tonner, Chris; Trupin, Laura; Li, Jing; Sarkar, Urmimala; Ludwig, Dana; Shiboski, Stephen; Sirota, Marina; Dudley, R Adams; Murray, Sara; Yazdany, Jinoos

2017-03-01

Hepatitis B virus (HBV) reactivation in the setting of rituximab use is a potentially fatal but preventable safety event. The rate of HBV screening and proportion of patients at risk who receive antiviral prophylaxis in patients initiating rituximab is unknown.We analyzed electronic health record (EHR) data from 2 health systems, a university center and a safety net health system, including diagnosis grouper codes, problem lists, medications, laboratory results, procedures codes, clinical encounter notes, and scanned documents. We identified all patients who received rituximab between 6/1/2012 and 1/1/2016. We calculated the proportion of rituximab users with inadequate screening for HBV according to the Centers for Disease Control guidelines for detecting latent HBV infection before their first rituximab infusion during the study period. We also assessed the proportion of patients with positive hepatitis B screening tests who were prescribed antiviral prophylaxis. Finally, we characterized safety failures and adverse events.We included 926 patients from the university and 132 patients from the safety net health system. Sixty-one percent of patients from the university had adequate screening for HBV compared with 90% from the safety net. Among patients at risk for reactivation based on results of HBV testing, 66% and 92% received antiviral prophylaxis at the university and safety net, respectively.We found wide variations in hepatitis B screening practices among patients receiving rituximab, resulting in unnecessary risks to patients. Interventions should be developed to improve patient safety procedures in this high-risk patient population.

Resident-initiated interventions to improve inpatient heart-failure management.

PubMed

Oujiri, James; Hakeem, Abdul; Pack, Quinn; Holland, Robert; Meyers, David; Hildebrand, Christopher; Bridges, Alan; Roach, Mary A; Vogelman, Bennett

2011-02-01

Third-year internal medicine residents participating in a quality improvement rotation identified gaps between the Joint Commission's ORYX quality guidelines and clinical practices for the inpatient management of heart failure (HF) at the William S. Middleton Memorial Veterans Hospital. Residents focused on the performance metrics associated with tobacco-cessation counselling documentation, ejection fraction assessment and angiotensin-converting enzyme inhibitor/angiotensin receptor blocker prescriptions. After analysing data collected by the External Peer Review Program, residents reviewed the institution's admissions and discharge processes with the aim of improving quality and compliance. In redesigning these processes, residents created an admissions template and a discharge face sheet, and compared specific ORYX measure compliance rates before and after institution-wide implementation. Following implementation of the tobacco-cessation admissions template, 100% of HF patients who used tobacco received documented cessation counselling, compared with 59% prior to intervention (p<0.01, n=32). Following implementation of the mandatory discharge face sheet, 97% of HF patients (compared with 92% preintervention, p>0.05) received comprehensive discharge instruction; LV function assessment went from 98% to 100% (p>0.05); and angiotensin-converting enzyme inhibitor/angiotensin receptor blocker prescription for left ventricular systolic dysfunction at discharge (or documentation of a contra-indication) went from 82% to 100% (p<0.01, n=48). By implementing a standardised admissions template and a mandatory discharge face sheet, the hospital improved its processes of documentation and increased adherence to quality-performance measures. By strengthening residents' learning and commitment to quality improvement, the hospital created a foundation for future changes in the systems that affect patient care.

Solar dynamic heat receiver technology

NASA Technical Reports Server (NTRS)

Sedgwick, Leigh M.

1991-01-01

A full-size, solar dynamic heat receiver was designed to meet the requirements specified for electrical power modules on the U.S. Space Station, Freedom. The heat receiver supplies thermal energy to power a heat engine in a closed Brayton cycle using a mixture of helium-xenon gas as the working fluid. The electrical power output of the engine, 25 kW, requires a 100 kW thermal input throughout a 90 minute orbit, including when the spacecraft is eclipsed for up to 36 minutes from the sun. The heat receiver employs an integral thermal energy storage system utilizing the latent heat available through the phase change of a high-temperature salt mixture. A near eutectic mixture of lithium fluoride and calcium difluoride is used as the phase change material. The salt is contained within a felt metal matrix which enhances heat transfer and controls the salt void distribution during solidification. Fabrication of the receiver is complete and it was delivered to NASA for verification testing in a simulated low-Earth-orbit environment. This document reviews the receiver design and describes its fabrication history. The major elements required to operate the receiver during testing are also described.

Receiver design, performance analysis, and evaluation for space-borne laser altimeters and space-to-space laser ranging systems

NASA Technical Reports Server (NTRS)

Davidson, Frederic M.; Sun, Xiaoli; Field, Christopher T.

1994-01-01

This interim report consists of two reports: 'Space Radiation Effects on Si APDs for GLAS' and 'Computer Simulation of Avalanche Photodiode and Preamplifier Output for Laser Altimeters.' The former contains a detailed description of our proton radiation test of Si APD's performed at the Brookhaven National Laboratory. The latter documents the computer program subroutines which were written for the upgrade of NASA's GLAS simulator.

Intelligence and Electronic Warfare (IEW) Streamlining Project. Volume 3. Reference Documentation (Part 5)

DTIC Science & Technology

1992-11-18

Army. He is a graduate of Henderson State Univer- sity, Arkadelphia, Arkansas, and holds a master ofspend on financial management controls. Asset...supply system, he will receive credit receipts, and making monthly reconciliations with from the tactical unit financial management infor- activi ies at...obtain financial management rather than being added to the daily batch of requests information, and provide supply status information passed to the direct

Relative Navigation Light Detection and Ranging (LIDAR) Sensor Development Test Objective (DTO) Performance Verification

NASA Technical Reports Server (NTRS)

Dennehy, Cornelius J.

2013-01-01

The NASA Engineering and Safety Center (NESC) received a request from the NASA Associate Administrator (AA) for Human Exploration and Operations Mission Directorate (HEOMD), to quantitatively evaluate the individual performance of three light detection and ranging (LIDAR) rendezvous sensors flown as orbiter's development test objective on Space Transportation System (STS)-127, STS-133, STS-134, and STS-135. This document contains the outcome of the NESC assessment.

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

Morris, E.B.

The Title List of Documents Made Publicly Available is a monthly publication. It describes the information received and published by the U.S. Nuclear Regulatory Commission (NRC). This information includes: (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and a Report Number Index.

Title of documents made publicly available, August 1--31, 1996

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

Yanez, V.E.

1996-10-01

This publication describes the information received and published by the US Nuclear Regulatory Commission (NRC). This information includes: (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. This series of documents is indexed by a Personal Author Index, a Corporate Source Index, and a Report Number Index.

Secure scalable disaster electronic medical record and tracking system.

PubMed

Demers, Gerard; Kahn, Christopher; Johansson, Per; Buono, Colleen; Chipara, Octav; Griswold, William; Chan, Theodore

2013-10-01

Electronic medical records (EMRs) are considered superior in documentation of care for medical practice. Current disaster medical response involves paper tracking systems and radio communication for mass-casualty incidents (MCIs). These systems are prone to errors, may be compromised by local conditions, and are labor intensive. Communication infrastructure may be impacted, overwhelmed by call volume, or destroyed by the disaster, making self-contained and secure EMR response a critical capability. Report As the prehospital disaster EMR allows for more robust content including protected health information (PHI), security measures must be instituted to safeguard these data. The Wireless Internet Information System for medicAl Response in Disasters (WIISARD) Research Group developed a handheld, linked, wireless EMR system utilizing current technology platforms. Smart phones connected to radio frequency identification (RFID) readers may be utilized to efficiently track casualties resulting from the incident. Medical information may be transmitted on an encrypted network to fellow prehospital team members, medical dispatch, and receiving medical centers. This system has been field tested in a number of exercises with excellent results, and future iterations will incorporate robust security measures. A secure prehospital triage EMR improves documentation quality during disaster drills.

Reasons for not prescribing guideline-recommended medications to adults with heart failure

PubMed Central

Steinman, Michael A.; Dimaano, Liezel; Peterson, Carolyn A.; Heidenreich, Paul A.; Knight, Sara J.; Fung, Kathy Z.; Kaboli, Peter J.

2013-01-01

Background Little is known about how often contextual factors such as patient preferences and competing priorities impact prescribing of guideline-recommended medications, or about the extent to which these factors are documented in medical records and available to performance measurement systems. Methods Mixed-methods study of 295 veterans age 50 years and older in 4 VA health care systems who had systolic heart failure and were not prescribed a beta blocker and/or an ACE inhibitor (ACE-I) or angiotensin receptor blocker (ARB). Reasons for non-treatment were identified from clinic notes and from interviews with 62 primary care clinicians caring for these patients. These reasons were classified using a published taxonomy. Results Among 295 patients not receiving guideline-recommended drugs for heart failure, chart review identified biomedical reasons for non-prescribing in 42-58% of patients and contextual reasons in 11-17%. Clinician interviews identified twice as many reasons for non-prescribing as chart review (mean 1.6 vs. 0.8 reasons per patient, P < .001). In these interviews, biomedical reasons for non-prescribing were cited in 50-70% of patients, and contextual reasons in 64-70%. The most common contextual reasons were co-management with other clinicians (32-35% of patients), patient preferences and non-adherence (15-24%), and clinician belief that the medication is not indicated in the patient (12-20%). Conclusions Contextual reasons for not prescribing ACE-I/ARBs and beta blockers are present in two-thirds of patients with heart failure who did not receive these medications, yet are poorly documented in medical records. The structure of medical records should be improved to facilitate documentation of contextual reasons for not providing guideline-recommended care. PMID:23969589

A comparison of death recording by health centres and civil registration in South Africans receiving antiretroviral treatment.

PubMed

Johnson, Leigh F; Dorrington, Rob E; Laubscher, Ria; Hoffmann, Christopher J; Wood, Robin; Fox, Matthew P; Cornell, Morna; Schomaker, Michael; Prozesky, Hans; Tanser, Frank; Davies, Mary-Ann; Boulle, Andrew

2015-01-01

There is uncertainty regarding the completeness of death recording by civil registration and by health centres in South Africa. This paper aims to compare death recording by the two systems, in cohorts of South African patients receiving antiretroviral treatment (ART). Completeness of death recording was estimated using a capture-recapture approach. Six ART programmes linked their patient record systems to the vital registration system using civil identity document (ID) numbers and provided data comparing the outcomes recorded in patient files and in the vital registration. Patients were excluded if they had missing/invalid IDs or had transferred to other ART programmes. After exclusions, 91,548 patient records were included. Of deaths recorded in patients files after 2003, 94.0% (95% CI: 93.3-94.6%) were recorded by civil registration, with completeness being significantly higher in urban areas, older adults and females. Of deaths recorded by civil registration after 2003, only 35.0% (95% CI: 34.2-35.8%) were recorded in patient files, with this proportion dropping from 60% in 2004-2005 to 30% in 2010 and subsequent years. Recording of deaths in patient files was significantly higher in children and in locations within 50 km of the health centre. When the information from the two systems was combined, an estimated 96.2% of all deaths were recorded (93.5% in children and 96.2% in adults). South Africa's civil registration system has achieved a high level of completeness in the recording of mortality. However, the fraction of deaths recorded by health centres is low and information from patient records is insufficient by itself to evaluate levels and predictors of ART patient mortality. Previously documented improvements in ART mortality over time may be biased if based only on data from patient records.

An investigation of error characteristics and coding performance

NASA Technical Reports Server (NTRS)

Ebel, William J.; Ingels, Frank M.

1992-01-01

The performance of forward error correcting coding schemes on errors anticipated for the Earth Observation System (EOS) Ku-band downlink are studied. The EOS transmits picture frame data to the ground via the Telemetry Data Relay Satellite System (TDRSS) to a ground-based receiver at White Sands. Due to unintentional RF interference from other systems operating in the Ku band, the noise at the receiver is non-Gaussian which may result in non-random errors output by the demodulator. That is, the downlink channel cannot be modeled by a simple memoryless Gaussian-noise channel. From previous experience, it is believed that those errors are bursty. The research proceeded by developing a computer based simulation, called Communication Link Error ANalysis (CLEAN), to model the downlink errors, forward error correcting schemes, and interleavers used with TDRSS. To date, the bulk of CLEAN was written, documented, debugged, and verified. The procedures for utilizing CLEAN to investigate code performance were established and are discussed.

Incorporating PROMIS Symptom Measures into Primary Care Practice-a Randomized Clinical Trial.

PubMed

Kroenke, Kurt; Talib, Tasneem L; Stump, Timothy E; Kean, Jacob; Haggstrom, David A; DeChant, Paige; Lake, Kittie R; Stout, Madison; Monahan, Patrick O

2018-04-05

Symptoms account for more than 400 million clinic visits annually in the USA. The SPADE symptoms (sleep, pain, anxiety, depression, and low energy/fatigue) are particularly prevalent and undertreated. To assess the effectiveness of providing PROMIS (Patient-Reported Outcome Measure Information System) symptom scores to clinicians on symptom outcomes. Randomized clinical trial conducted from March 2015 through May 2016 in general internal medicine and family practice clinics in an academic healthcare system. Primary care patients who screened positive for at least one SPADE symptom. After completing the PROMIS symptom measures electronically immediately prior to their visit, the 300 study participants were randomized to a feedback group in which their clinician received a visual display of symptom scores or a control group in which scores were not provided to clinicians. The primary outcome was the 3-month change in composite SPADE score. Secondary outcomes were individual symptom scores, symptom documentation in the clinic note, symptom-specific clinician actions, and patient satisfaction. Most patients (84%) had multiple clinically significant (T-score ≥ 55) SPADE symptoms. Both groups demonstrated moderate symptom improvement with a non-significant trend favoring the feedback compared to control group (between-group difference in composite T-score improvement, 1.1; P = 0.17). Symptoms present at baseline resolved at 3-month follow-up only one third of the time, and patients frequently still desired treatment. Except for pain, clinically significant symptoms were documented less than half the time. Neither symptom documentation, symptom-specific clinician actions, nor patient satisfaction differed between treatment arms. Predictors of greater symptom improvement included female sex, black race, fewer medical conditions, and receiving care in a family medicine clinic. Simple feedback of symptom scores to primary care clinicians in the absence of additional systems support or incentives is not superior to usual care in improving symptom outcomes. clinicaltrials.gov identifier: NCT02383862.

Lesson 5: Overview of CROMERR Requirements for Electronic Reporting

EPA Pesticide Factsheets

The purpose of the CROMERR requirements is to ensure that authorized programs that receive electronic documents in lieu of paper can rely on those documents for purposes of enforcement-related litigation.

A Comparison of State Advance Directive Documents

ERIC Educational Resources Information Center

Gunter-Hunt, Gail; Mahoney, Jane E.; Sieger, Carol E.

2002-01-01

Purpose: Advance directive (AD) documents are based on state-specific statutes and vary in terms of content. These differences can create confusion and inconsistencies resulting in a possible failure to honor the health care wishes of people who execute health care documents for one state and receive health care in another state. The purpose of…

78 FR 13604 - Approval and Promulgation of Implementation Plans; Tennessee; Revisions to the Knox County...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-28

... Management Regulations concerning Open Burning, Permits and Regulation of Volatile Organic Compounds. TDEC... interested in commenting on this document should do so at this time. DATES: Written comments must be received... document. Any parties interested in commenting on this document should do so at this time. Dated: February...

Processing United Nations Documents in the University of Michigan Library.

ERIC Educational Resources Information Center

Stolper, Gertrude

This guide provides detailed instructions for recording documents in the United Nations (UN) card catalog which provides access to the UN depository collection in the Harlan Hatcher Graduate Library at the University of Michigan. Procedures for handling documents when they are received include stamping, counting, and sorting into five categories:…

48 CFR 1446.670 - Inspection, receiving and acceptance reports.

Code of Federal Regulations, 2014 CFR

2014-10-01

... each commercial shipping document or packing list, whether by manual or electronic means, for supplies... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1446.670...

48 CFR 1446.670 - Inspection, receiving and acceptance reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... each commercial shipping document or packing list, whether by manual or electronic means, for supplies... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1446.670...

48 CFR 1446.670 - Inspection, receiving and acceptance reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... each commercial shipping document or packing list, whether by manual or electronic means, for supplies... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1446.670...

48 CFR 1446.670 - Inspection, receiving and acceptance reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... each commercial shipping document or packing list, whether by manual or electronic means, for supplies... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1446.670...

48 CFR 1446.670 - Inspection, receiving and acceptance reports.

Code of Federal Regulations, 2011 CFR

2011-10-01

... each commercial shipping document or packing list, whether by manual or electronic means, for supplies... INTERIOR CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1446.670...

Final Report: MaRSPlus Sensor System Electrical Cable Management and Distributed Motor Control Computer Interface

NASA Technical Reports Server (NTRS)

Reil, Robin

2011-01-01

The success of JPL's Next Generation Imaging Spectrometer (NGIS) in Earth remote sensing has inspired a follow-on instrument project, the MaRSPlus Sensor System (MSS). One of JPL's responsibilities in the MSS project involves updating the documentation from the previous JPL airborne imagers to provide all the information necessary for an outside customer to operate the instrument independently. As part of this documentation update, I created detailed electrical cabling diagrams to provide JPL technicians with clear and concise build instructions and a database to track the status of cables from order to build to delivery. Simultaneously, a distributed motor control system is being developed for potential use on the proposed 2018 Mars rover mission. This system would significantly reduce the mass necessary for rover motor control, making more mass space available to other important spacecraft systems. The current stage of the project consists of a desktop computer talking to a single "cold box" unit containing the electronics to drive a motor. In order to test the electronics, I developed a graphical user interface (GUI) using MATLAB to allow a user to send simple commands to the cold box and display the responses received in a user-friendly format.

Helicopter Antitank Weapons System: AH-1Q or OH-58Q?

DTIC Science & Technology

1975-06-06

CLASSIFICATION OF THIS PAGT fWhnn Dal» F.nlartid) REPORT DOCUMENTATION PAGE 1. REPORT NUMBER Z. GOVT ACCESSION NO 4. TITLE (and Sublltl...reverse. S.V -x .■’■ O ) ( s VCNMVK ^ X? DD 73^^73 EDITIOHOr » MOVBSlSOBSOLEt! Unclassified SECURITY CLASSIFICATION OF THIS PAGE...Iroquois in December I960 and received the first delivery in December 1961. It was designed with universal pylons to serve as mounts for weapons

28 CFR 68.50 - Receipt of documents after hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... UNLAWFUL EMPLOYMENT OF ALIENS, UNFAIR IMMIGRATION-RELATED EMPLOYMENT PRACTICES, AND DOCUMENT FRAUD § 68.50... opportunity to comment thereon. Copies shall be received not later than twenty (20) days after the close of...

Title list of documents made publicly available, December 1-31, 1997

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

NONE

This report includes the information received and published by the U.S. Nuclear Regulatory Commission (NRC) in December 1997. It includes: (1) docketed material associated with civilian nuclear power plants and other uses of radioactive materials, and (2) non-docketed material received and published by NRC pertinent to its role as a regulatory agency. This series of documents is indexed by author, corporate source, and report number. This report includes six docketed items and 24 non-docketed items.

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...

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...

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...

Aerial Refueling Clearance Initiation Request

DTIC Science & Technology

2016-07-14

and receiver agencies. The AR Clearance Initiation Request document recognizes the requirement for definitive aerial refueling agreements between...and contractual tanker support requests from one organization or nation to another. The AR Clearance Initiation Request document is not intended to...proprietary, sensitive, classified or otherwise restricted information. ARSAG documents, as prepared, are not DOD, MOD or NATO standards, but provide

Aerospace Medicine and Biology: A Continuing Bibliography With Indexes

NASA Technical Reports Server (NTRS)

1997-01-01

This issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes NASA SP-7O11 lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion.

Aerospace Medicine and Biology: A Continuing Bibliography. Supplement 475

NASA Technical Reports Server (NTRS)

1998-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion.

49 CFR 386.6 - Service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... valid as of the date and the time the document was mailed, or the date personal delivery of the document was refused. Service by delivery after 5 p.m. in the time zone in which the recipient will receive...

9 CFR 86.5 - Documentation requirements for interstate movement of covered livestock.

Code of Federal Regulations, 2014 CFR

2014-01-01

....g., an equine infectious anemia test chart, as agreed to by the shipping and receiving States or... documentation in accordance with part 88 of this chapter. Equine infectious anemia reactors moving interstate...

Community-Based Palliative Care and Advance Care Planning Documentation: Evidence from a Multispecialty Group.

PubMed

Tai-Seale, Ming; Yang, Yan; Dillon, Ellis; Tapper, Sharon; Lai, Steve; Yu, Peter; Allore, Heather; Ritchie, Christine

2018-02-01

With the growing public demand for access to critical health data across care settings, it is essential that advance care planning (ACP) information be included in the electronic health record (EHR) so that multiple clinicians can access it and understand individuals' preferences for end-of-life care. Community-based palliative care programs often incorporate ACP services. This study examined whether a community-based palliative care program is associated with digitally extractable ACP documentation in the EHR. Observational study using propensity score-weighted generalized estimation equations to examine patterns of digitally extractable ACP documentation. Palo Alto Medical Foundation (PAMF), a multispecialty ambulatory healthcare system in northern California. Individuals aged 65 and older with serious illnesses between January 1, 2013, and December 31, 2014 (N = 3,444). Community-based palliative care program in PAMF. Digitally extractable ACP in EHR. We found that only 14% (n = 483) of individuals with serious illnesses had digitally extractable ACP in electronic health records. Of the 6% of individuals receiving palliative care, 65% had ACP, versus 11% of those not receiving palliative care. Study results showed a strong positive association between palliative care and ACP. Only a small percentage of individuals with serious illnesses had ACP documentation in the EHR. Individuals with serious illnesses infrequently used palliative care delivered by board-certified palliative care specialists. Palliative care service use was associated with higher rates of ACP after controlling for organizational and individual characteristics using a propensity score weighting method. Scalable interventions targeted at non-palliative care clinicians for universal access to ACP are needed. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

41 CFR 301-10.115 - Am I authorized to receive a refund or credit for unused transportation?

Code of Federal Regulations, 2010 CFR

2010-07-01

... receive a refund or credit for unused transportation? 301-10.115 Section 301-10.115 Public Contracts and... § 301-10.115 Am I authorized to receive a refund or credit for unused transportation? No. You are not authorized to receive a refund, credit, or any other negotiable document from a carrier for unfurnished...

UAF Space Systems Engineering Program: Engaging Students through an Apprenticeship Model

NASA Astrophysics Data System (ADS)

Thorsen, D.

2017-12-01

Learning by doing has been the mantra of engineering education for decades, however, the constraints of semester length courses limits the types and size of experiences that can be offered to students. The Space Systems Engineering Program (SSEP) at the University of Alaska Fairbanks provides interdisciplinary engineering and science students with hands-on experience in all aspects of space systems engineering through a design, build, launch paradigm applied to balloon and rocket payloads and small satellites. The program is structured using an apprenticeship model such that students, freshmen through graduate, can participate in multi-year projects thereby gaining experiences appropriate to their level in college. Students enter the lab in a trainee position and receive training on lab processes and design software. Depending on the student's interests they learn how to use specific lab equipment and software design tools. Trainees provide support engineering under guidance of an upper classman. As the students' progress in their degree program and gain more expertise, they typically become part of a specific subsystem team, where they receive additional training in developing design documents and in writing requirements and test documents, and direct their efforts to meeting specific objectives. By the time the student reaches their senior year, they have acquired the leadership role for a specific subsystem and/or a general leadership role in the lab. If students stay to pursue graduate degrees, they assume the responsibility of training and mentoring other undergraduates in their areas of expertise. Throughout the program upper class students mentor the newer students. The Space Systems Engineering Program strives to reinforce a student's degree program through these large scale projects that place engineering in context.

Enhancements to the Branched Lagrangian Transport Modeling System

USGS Publications Warehouse

Jobson, Harvey E.

1997-01-01

The Branched Lagrangian Transport Model (BLTM) has received wide use within the U.S. Geological Survey over the past 10 years. This report documents the enhancements and modifications that have been made to this modeling system since it was first introduced. The programs in the modeling system are arranged into five levels?programs to generate time-series of meteorological data (EQULTMP, SOLAR), programs to process time-series data (INTRP, MRG), programs to build input files for transport model (BBLTM, BQUAL2E), the model with defined reaction kinetics (BLTM, QUAL2E), and post processor plotting programs (CTPLT, CXPLT). An example application is presented to illustrate how the modeling system can be used to simulate 10 water-quality constituents in the Chattahoochee River below Atlanta, Georgia.

50 CFR 221.70 - How must documents be filed and served under this subpart?

Code of Federal Regulations, 2010 CFR

2010-10-01

..., NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS PRESCRIPTIONS IN... document received after 5 p.m. at the place where the filing is due is considered filed on the next regular...

Ibuprofen Potentiates the In Vivo Antifungal Activity of Fluconazole against Candida albicans Murine Infection

PubMed Central

Miranda, Isabel M.; Silva-Dias, Ana; Silva, Ana P.; Rodrigues, Acácio G.; Pina-Vaz, Cidália

2015-01-01

Candida albicans is the most prevalent cause of fungemia worldwide. Its ability to develop resistance in patients receiving azole antifungal therapy is well documented. In a murine model of systemic infection, we show that ibuprofen potentiates fluconazole antifungal activity against a fluconazole-resistant strain, drastically reducing the fungal burden and morbidity. The therapeutic combination of fluconazole with ibuprofen may constitute a new approach for the management of antifungal therapeutics to reverse the resistance conferred by efflux pump overexpression. PMID:25845879

National Manpower Inventory. Volume 3. Technical Documentation for Software for the Model

DTIC Science & Technology

1985-09-01

Technician APS-96 Search Radar IMA Technician USM-449 (V) & AAI 5500 Series ATE Int Maintenance Level Tech. CO CP-413/ASA-27A SACE TesI Bench IMA...MATE) Test Console IMA Technician ALQ-91/108 DECM IMA Technician ALQ-99 ECM Jammer/Tmilter & ALM-107 TesI Console IMA Technician ALQ-99 ECM Track...Receivers & ALM-109 TesI Console IMA Technician ECM Systems Intermediate Maintenance Technician ASM-347 (GT-1) SACE Programmer/Mainlenanca IMA

Targeting central plasticity: a new direction of finding painkillers.

PubMed

Zhuo, Min

2005-01-01

It is well documented that sensory transmission, including pain, receives endogenous inhibitory modulatory influences at dorsal horn of the spinal cord. Recent results, from behavioral to molecular studies, demonstrate that injury caused plastic changes in forebrain areas. In addition to encoding pain, these supraspinal areas may also affect pain transmission in the spinal cord level by activating "top-down" descending facilitatory systems. In this review, I provide review of evidence related to these new progresses, from human brain imaging to work from genetically mutant mice.

Automatic Traffic Advisory and Resolution Service (ATARS) Algorithms Including Resolution-Advisory-Register Logic. Volume 2. Sections 12 through 19. Appendices,

DTIC Science & Technology

1981-06-01

pairwise conflict or an indication of BCAS control . A Pair Record is also created when an aircraft receives a resolution advisory from BCAS or from a non ...replying site: Update track numbers: ILS!I’ (pair record shows a non -connected site in control ) T"_N CALL AI!CPAFTPAIRriwTIFICRTaOI: ( both aircraft...Springfield, Virginia 22161 a>- U S Department of Transportain Systems Research & Development Service LWashington, D.C. 20590 94 This document is

Architecture of a consent management suite and integration into IHE-based Regional Health Information Networks.

PubMed

Heinze, Oliver; Birkle, Markus; Köster, Lennart; Bergh, Björn

2011-10-04

The University Hospital Heidelberg is implementing a Regional Health Information Network (RHIN) in the Rhine-Neckar-Region in order to establish a shared-care environment, which is based on established Health IT standards and in particular Integrating the Healthcare Enterprise (IHE). Similar to all other Electronic Health Record (EHR) and Personal Health Record (PHR) approaches the chosen Personal Electronic Health Record (PEHR) architecture relies on the patient's consent in order to share documents and medical data with other care delivery organizations, with the additional requirement that the German legislation explicitly demands a patients' opt-in and does not allow opt-out solutions. This creates two issues: firstly the current IHE consent profile does not address this approach properly and secondly none of the employed intra- and inter-institutional information systems, like almost all systems on the market, offers consent management solutions at all. Hence, the objective of our work is to develop and introduce an extensible architecture for creating, managing and querying patient consents in an IHE-based environment. Based on the features offered by the IHE profile Basic Patient Privacy Consent (BPPC) and literature, the functionalities and components to meet the requirements of a centralized opt-in consent management solution compliant with German legislation have been analyzed. Two services have been developed and integrated into the Heidelberg PEHR. The standard-based Consent Management Suite consists of two services. The Consent Management Service is able to receive and store consent documents. It can receive queries concerning a dedicated patient consent, process it and return an answer. It represents a centralized policy enforcement point. The Consent Creator Service allows patients to create their consents electronically. Interfaces to a Master Patient Index (MPI) and a provider index allow to dynamically generate XACML-based policies which are stored in a CDA document to be transferred to the first service. Three workflows have to be considered to integrate the suite into the PEHR: recording the consent, publishing documents and viewing documents. Our approach solves the consent issue when using IHE profiles for regional health information networks. It is highly interoperable due to the use of international standards and can hence be used in any other region to leverage consent issues and substantially promote the use of IHE for regional health information networks in general.

Architecture of a consent management suite and integration into IHE-based regional health information networks

PubMed Central

2011-01-01

Background The University Hospital Heidelberg is implementing a Regional Health Information Network (RHIN) in the Rhine-Neckar-Region in order to establish a shared-care environment, which is based on established Health IT standards and in particular Integrating the Healthcare Enterprise (IHE). Similar to all other Electronic Health Record (EHR) and Personal Health Record (PHR) approaches the chosen Personal Electronic Health Record (PEHR) architecture relies on the patient's consent in order to share documents and medical data with other care delivery organizations, with the additional requirement that the German legislation explicitly demands a patients' opt-in and does not allow opt-out solutions. This creates two issues: firstly the current IHE consent profile does not address this approach properly and secondly none of the employed intra- and inter-institutional information systems, like almost all systems on the market, offers consent management solutions at all. Hence, the objective of our work is to develop and introduce an extensible architecture for creating, managing and querying patient consents in an IHE-based environment. Methods Based on the features offered by the IHE profile Basic Patient Privacy Consent (BPPC) and literature, the functionalities and components to meet the requirements of a centralized opt-in consent management solution compliant with German legislation have been analyzed. Two services have been developed and integrated into the Heidelberg PEHR. Results The standard-based Consent Management Suite consists of two services. The Consent Management Service is able to receive and store consent documents. It can receive queries concerning a dedicated patient consent, process it and return an answer. It represents a centralized policy enforcement point. The Consent Creator Service allows patients to create their consents electronically. Interfaces to a Master Patient Index (MPI) and a provider index allow to dynamically generate XACML-based policies which are stored in a CDA document to be transferred to the first service. Three workflows have to be considered to integrate the suite into the PEHR: recording the consent, publishing documents and viewing documents. Conclusions Our approach solves the consent issue when using IHE profiles for regional health information networks. It is highly interoperable due to the use of international standards and can hence be used in any other region to leverage consent issues and substantially promote the use of IHE for regional health information networks in general. PMID:21970788

Solar dynamic power system development for Space Station Freedom

NASA Technical Reports Server (NTRS)

1993-01-01

The development of a solar dynamic electric power generation system as part of the Space Station Freedom Program is documented. The solar dynamic power system includes a solar concentrator, which collects sunlight; a receiver, which accepts and stores the concentrated solar energy and transfers this energy to a gas; a Brayton turbine, alternator, and compressor unit, which generates electric power; and a radiator, which rejects waste heat. Solar dynamic systems have greater efficiency and lower maintenance costs than photovoltaic systems and are being considered for future growth of Space Station Freedom. Solar dynamic development managed by the NASA Lewis Research Center from 1986 to Feb. 1991 is covered. It summarizes technology and hardware development, describes 'lessons learned', and, through an extensive bibliography, serves as a source list of documents that provide details of the design and analytic results achieved. It was prepared by the staff of the Solar Dynamic Power System Branch at the NASA Lewis Research Center in Cleveland, Ohio. The report includes results from the prime contractor as well as from in-house efforts, university grants, and other contracts. Also included are the writers' opinions on the best way to proceed technically and programmatically with solar dynamic efforts in the future, on the basis of their experiences in this program.

Tri-Lateral Noor al Salaam High Concentration Solar Central Receiver Program

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

Blackmon, James B

2008-03-31

This report documents the efforts conducted primarily under the Noor al Salaam (“Light of Peace”) program under DOE GRANT NUMBER DE-FC36-02GO12030, together with relevant technical results from a closely related technology development effort, the U.S./Israel Science and Technology Foundation (USISTF) High Concentration Solar Central Receiver program. These efforts involved preliminary design, development, and test of selected prototype power production subsystems and documentation of an initial version of the system definition for a high concentration solar hybrid/gas electrical power plant to be built in Zaafarana, Egypt as a first step in planned commercialization. A major part of the planned work wasmore » halted in 2007 with an amendment in October 2007 requiring that we complete the technical effort by December 31, 2007 and provide a final report to DOE within the following 90 days. This document summarizes the work conducted. The USISTF program was a 50/50 cost-shared program supported by the Department of Commerce through the U.S./Israel Science and Technology Commission (USISTC). The USISTC was cooperatively developed by President Clinton and the late Prime Minister Rabin of Israel "to encourage technological collaboration" and "support peace in the Middle East through economic development". The program was conducted as a follow-on effort to Israel's Magnet/CONSOLAR Program, which was an advanced development effort to design, fabricate, and test a solar central receiver and secondary optics for a "beam down" central receiver concept. The status of these hardware development programs is reviewed, since they form the basis for the Noor al Salaam program. Descriptions are provided of the integrated system and the major subsystems, including the heliostat, the high temperature air receiver, the power conversion unit, tower and tower reflector, compound parabolic concentrator, and the master control system. One objective of the USISTF program was to conduct marketing research, identify opportunities for use of this technology, and to the extent possible, secure an agreement leading to a pre-commercialization demonstration or prototype plant. This was accomplished with the agreement to conduct the Noor al Salaam program as a tri-lateral project between Egypt, Israel, and the U.S. The tri-lateral project was led by the University of Alabama in Huntsville (UAH); this included the Egyptian New and Renewable Energy Authority and the Israeli USISTC participants. This project, known was Noor al Salaam, was funded by the U.S. Agency for International Development (USAID) through the Department of Energy (DOE). The Egyptian activity was under the auspices of the Egyptian Ministry of Energy and Electricity, New and Renewable Energy Authority (NREA) as part of Egypt's plans for renewable energy development. The objective of the Noor al Salaam project was to develop the conditions necessary to obtain funding and construct and operate an approximately 10 to 20 Megawatt hybrid solar/natural gas demonstration power plant in Zaafarana, Egypt that could serve both as a test bed for advanced solar technology evaluations, and as a forerunner to commercial plant designs. This plant, termed Noor Al Salaam, or “Light of Peace”, reached the initial phase of system definition before being curtailed, in part by changes in USAID objectives, coupled with various delays that were beyond the scope of the program to resolve. The background of the USISTF technology development and pre-commercialization effort is provided in this report, together with documentation of the technology developments conducted under the Noor al Salaam program. It should be noted that only a relatively small part of the Noor al Salaam funding was expended over the approximately five years for which UAH was prime contractor before the program was ordered closed (Reference 1) so that the remaining funds could be returned to USAID.« less

Atmospheric lidar multi-user instrument system definition study

NASA Technical Reports Server (NTRS)

Greco, R. V. (Editor)

1980-01-01

A spaceborne lidar system for atmospheric studies was defined. The primary input was the Science Objectives Experiment Description and Evolutionary Flow Document. The first task of the study was to perform an experiment evolutionary analysis of the SEED. The second task was the system definition effort of the instrument system. The third task was the generation of a program plan for the hardware phase. The fourth task was the supporting studies which included a Shuttle deficiency analysis, a preliminary safety hazard analysis, the identification of long lead items, and development studies required. As a result of the study an evolutionary Lidar Multi-User Instrument System (MUIS) was defined. The MUIS occupies a full Spacelab pallet and has a weight of 1300 kg. The Lidar MUIS laser provides a 2 joule frequency doubled Nd:YAG laser that can also pump a tuneable dye laser wide frequency range and bandwidth. The MUIS includes a 1.25 meter diameter aperture Cassegrain receiver, with a moveable secondary mirror to provide precise alignment with the laser. The receiver can transmit the return signal to three single and multiple photomultiple tube detectors by use of a rotating fold mirror. It is concluded that the Lidar MUIS proceed to program implementation.

Improving neurosurgical communication and reducing risk and registrar burden using a novel online database referral platform.

PubMed

Matloob, Samir A; Hyam, Jonathan A; Thorne, Lewis; Bradford, Robert

2016-01-01

Documentation of urgent referrals to neurosurgical units and communication with referring hospitals is critical for effective handover and appropriate continuity of care within a tertiary service. Referrals to our neurosurgical unit were audited and we found that the majority of referrals were not documented and this led to more calls to the on-call neurosurgery registrar regarding old referrals. We implemented a new referral system in an attempt to improve documentation of referrals, communication with our referring hospitals and to professionalise the service we offer them. During a 14-day period, number of bleeps, missed bleeps, calls discussing new referrals and previously processed referrals were recorded. Whether new referrals were appropriately documented and referrers received a written response was also recorded. A commercially provided secure cloud-based data archiving telecommunications and database platform for referrals was subsequently introduced within the Trust and the questionnaire repeated during another 14-day period 1 year after implementation. Missed bleeps per day reduced from 16% (SD ± 6.4%) to 9% (SD ± 4.8%; df = 13, paired t-tests p = 0.007) and mean calls per day clarifying previous referrals reduced from 10 (SD ± 4) to 5 (SD ± 3.5; df = 13, p = 0.003). Documentation of new referrals increased from 43% (74/174) to 85% (181/210), and responses to referrals increased from 74% to 98%. The use of a secure cloud-based data archiving telecommunications and database platform significantly increased the documentation of new referrals. This led to fewer missed bleeps and fewer calls about old referrals for the on call registrar. This system of documenting referrals results in improved continuity of care for neurosurgical patients, a significant reduction in risk for Trusts and a more efficient use of Registrar time.

75 FR 70965 - Petition for Exemption; Summary of Petition Received

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-19

... rulemaking Web site: Go to http:[sol][sol]www.regulations.gov and follow the instructions for sending your.... Privacy: We will post all comments we receive, without change, to http:[sol][sol]www.regulations.gov... 19477-78). Docket: To read background documents or comments received, go to http:[sol][sol]www...

OMEGA time transmissions and receiver design.

NASA Technical Reports Server (NTRS)

Chi, A. R.; Fletcher, L. A.; Casselman, C. J.

1972-01-01

This document gives a short history of the development of dual VLF time-transmission technique. The theory of time recovery from the relative phase of the dual-frequency transmission is presented. The transmission and receiving requirements for cycle identification and cycle ambiguity resolution are described. Finally, a prototype OMEGA timing receiving design is described.

5 CFR 1201.4 - General definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... documents associated with electronic filings under paragraph (h) of § 1201.14, on the MSPB. (l) Date of... date of electronic submission. (m) Electronic filing (e-filing). Filing and receiving documents in... of Personnel Management reconsideration decisions concerning retirement benefits, and appeals of...

5 CFR 1201.4 - General definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... documents associated with electronic filings under paragraph (h) of § 1201.14, on the MSPB. (l) Date of... date of electronic submission. (m) Electronic filing (e-filing). Filing and receiving documents in... of Personnel Management reconsideration decisions concerning retirement benefits, and appeals of...

United States Department of Energy solar receiver technology development

NASA Astrophysics Data System (ADS)

Klimas, P. C.; Diver, R. B.; Chavez, J. M.

The United States Department of Energy (DOE), through Sandia National Laboratories, has been conducting a Solar Thermal Receiver Technology Development Program, which maintains a balance between analytical modeling, bench and small scale testing, and experimentation conducted at scales representative of commercially-sized equipment. Central receiver activities emphasize molten salt-based systems on large scales and volumetric devices in the modeling and small scale testing. These receivers are expected to be utilized in solar power plants rated between 100 and 200 MW. Distributed receiver research focuses on liquid metal refluxing devices. These are intended to mate parabolic dish concentrators with Stirling cycle engines in the 5 to 25 kW(sub e) power range. The effort in the area of volumetric receivers is less intensive and highly cooperative in nature. A ceramic foam absorber of Sandia design was successfully tested on the 200 kW(sub t) test bed at Plataforma Solar during 1989. Material integrity during the approximately 90-test series was excellent. Significant progress has been made with parabolic dish concentrator-mounted receivers using liquid metals (sodium or a potassium/sodium mixture) as heat transport media. Sandia has successfully solar-tested a pool boiling reflux receiver sized to power a 25 kW Stirling engine. Boiling stability and transient operation were both excellent. This document describes these activities in detail and will outline plans for future development.

Factors influencing the documentation of fertility-related discussions for adolescents and young adults with cancer.

PubMed

Skaczkowski, G; White, V; Thompson, K; Bibby, H; Coory, M; Pinkerton, R; Nicholls, W; Orme, L M; Conyers, R; Phillips, M B; Osborn, M; Harrup, R; Anazodo, A

2018-06-01

A cancer diagnosis and treatment may have significant implications for a young patient's future fertility. Documentation of fertility-related discussions and actions is crucial to providing the best follow-up care, which may occur for many years post-treatment. This study examined the rate of medical record documentation of fertility-related discussions and fertility preservation (FP) procedures for adolescents and young adults (AYAs) with cancer in Australia. A retrospective review of medical records for 941 patients in all six Australian states. Patients were identified through population-based cancer registries (four states) and hospital admission lists (two states). Trained data collectors extracted information from medical records using a comprehensive data collection survey. Records were reviewed for AYA patients (aged 15-24 years at diagnosis), diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, central nervous system (CNS) tumours, soft tissue sarcomas (STS), primary bone cancer or Ewing's family tumours between 2007 and 2012. 47.2% of patients had a documented fertility discussion and 35.9% had a documented FP procedure. Fertility-related documentation was less likely for female patients, those with a CNS or STS diagnosis and those receiving high-risk treatments. In multivariable models, adult hospitals with an AYA focus were more likely to document fertility discussions (odds ratio[OR] = 1.60; 95%CI = 1.08-2.37) and FP procedures (OR = 1.74; 95%CI = 1.17-2.57) than adult hospitals with no AYA services. These data provide the first national, population-based estimates of fertility documentation for AYA cancer patients in Australia. Documentation of fertility-related discussions was poor, with higher rates observed in hospitals with greater experience of treating AYA patients. Copyright © 2018 Elsevier Ltd. All rights reserved.

Measures of follow-up in early hearing detection and intervention programs: a need for standardization.

PubMed

Mason, Craig A; Gaffney, Marcus; Green, Denise R; Grosse, Scott D

2008-06-01

To demonstrate the need for standardized data definitions and reporting for early hearing detection and intervention (EHDI) programs collecting information on newborn hearing screening and follow-up, and types of information best collected in a standardized manner. A hypothetical birth cohort was used to show the potential effects of nonstandardized definitions and data classifications on rates of hearing screening, audiologic follow-up, and hearing loss. The true screening rate in this cohort was 92.4%. The calculated rate was between 90.0% and 96.5%, depending on the measure used. Among children documented as screened and referred for follow-up, 61.0% received this testing. Only 49.0% were documented to have been tested. Despite a true prevalence of 3.7 per 1,000 births, only 1.5 per 1,000 children were documented with a hearing loss. Ensuring that children receive recommended follow-up is challenging. Without complete reporting by audiologists to EHDI programs, accurate calculation of performance measures is impossible. Lack of documentation can lead to the overstatement of "loss to follow-up." Also, standardization of measures is essential for programs to evaluate how many children receive recommended services and assess progress toward national goals. A new survey has been implemented to collect more detailed and standardized information about recommended services.

Diel activity of Gulf of Mexico sturgeon in a northwest Florida bay

USGS Publications Warehouse

Wrege, B.M.; Duncan, M.S.; Isely, J.J.

2011-01-01

In this paper, we assess patterns in activity of Gulf of Mexico sturgeon Acipenser oxyrinchus desotoi over a 24-h period in the Pensacola bay system, Florida. Although seasonal migration of sturgeon is well documented, little information is available pertaining to daily variation in activity. We surgically implanted 58 Gulf sturgeon with acoustic transmitters in the Escambia (n=26), Yellow (n=8), Blackwater (n=12) and Choctawhatchee rivers (n=12) in June, July, September and October 2005. Gulf sturgeon location was monitored using an array of 56 fixed-station acoustic receivers. The relationship between frequency of Gulf sturgeon observations recorded on all acoustic receivers and time of day for all seasons combined indicated a strong diel activity pattern. Gulf sturgeon were frequently detected at night in all seasons with the exception of summer. Consecutive hourly observations indicated lateral movement of Gulf sturgeon between independent acoustic receivers on 15% of all observations of individuals. The use of an acoustic receiver array not only provides continuous data within a defined area, but also provides insight into nocturnal behavior of Gulf sturgeon not previously identified. ?? 2011 Blackwell Verlag, Berlin.

Analysis of the performance of a wireless optical multi-input to multi-output communication system.

PubMed

Bushuev, Denis; Arnon, Shlomi

2006-07-01

We investigate robust optical wireless communication in a highly scattering propagation medium using multielement optical detector arrays. The communication setup consists of synchronized multiple transmitters that send information to a receiver array and an atmospheric propagation channel. The mathematical model that best describes this scenario is multi-input to multi-output communication through stochastic slow changing channels. In this model, signals from m transmitters are received by n receiver-detectors. The channel transfer function matrix is G, and its size is n x m. G(i,j) is the transfer function from transmitter i to detector j, and m > or = n. We adopt a quasi-stationary approach in which the channel time variation has a negligible effect on communication performance over a burst. The G matrix is calculated on the basis of the optical transfer function of the atmospheric channel (composed of aerosol and turbulence elements) and the receiver's optics. In this work we derive a performance model using environmental data, such as documented turbulence and aerosol models and noise statistics. We also present the results of simulations conducted for the proposed detection algorithm.

34 CFR 668.60 - Deadlines for submitting documentation and the consequences of failing to provide documentation.

Code of Federal Regulations, 2013 CFR

2013-07-01

... period of time it or the Secretary specifies, the documentation set forth in § 668.57 that is requested... purposes of the Federal Pell Grant Program— (1) An applicant may submit a valid SAR to the institution or the institution may receive a valid ISIR after the applicable deadline specified in 34 CFR 690.61 but...

34 CFR 668.60 - Deadlines for submitting documentation and the consequences of failing to provide documentation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... period of time it or the Secretary specifies, the documentation set forth in § 668.57 that is requested... purposes of the Federal Pell Grant Program— (1) An applicant may submit a valid SAR to the institution or the institution may receive a valid ISIR after the applicable deadline specified in 34 CFR 690.61 but...

78 FR 34894 - Regulated Navigation Area, Gulf of Mexico: Mississippi Canyon Block 20, South of New Orleans, LA...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-11

...). As noted in that document, the center of this RNA was established to surround an oil wellhead that... you fax, hand deliver or mail your comment, it will be considered as having been received by the Coast.... Viewing Comments and Documents To view comments, as well as documents mentioned in this preamble as being...

Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot.

PubMed

Bluml, Benjamin M; Brock, Kelly A; Hamstra, Scott; Tonrey, Lisa

2018-02-01

The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates. The main outcome measures were the number of vaccination forecast reviews, patients educated, unmet vaccination needs identified and resolved, and vaccines administered. Pharmacists reviewed vaccination forecasts generated by clinical decision-support technology based on patient information documented in the IIS for 1080 patients receiving influenza vaccinations. The vaccination forecasts predicted there were 1566 additional vaccinations due at the time patients were receiving the influenza vaccine. Pharmacist assessments identified 36 contraindications and 196 potential duplications, leaving a net of 1334 unmet vaccination needs eligible for vaccination. In all, 447 of the 1334 unmet vaccinations needs were resolved during the 6-month study period, and the remainder of patients received information about their vaccination needs and recommendations to follow up for their vaccinations. Integration of streamlined principle-centered processes of care in immunization practices that allow pharmacists to utilize actionable point-of-care data resulted in identification of unmet vaccination needs, education of patients about their vaccination needs, a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recommended adult vaccination rates.

Acoustic telemetry reveals large-scale migration patterns of walleye in Lake Huron

USGS Publications Warehouse

Hayden, Todd A.; Holbrook, Christopher; Fielder, David G.; Vandergoot, Christopher S.; Bergstedt, Roger A.; Dettmers, John M.; Krueger, Charles C.; Cooke, Steven J.

2014-01-01

Fish migration in large freshwater lacustrine systems such as the Laurentian Great Lakes is not well understood. The walleye (Sander vitreus) is an economically and ecologically important native fish species throughout the Great Lakes. In Lake Huron walleye has recently undergone a population expansion as a result of recovery of the primary stock, stemming from changing food web dynamics. During 2011 and 2012, we used acoustic telemetry to document the timing and spatial scale of walleye migration in Lake Huron and Saginaw Bay. Spawning walleye (n = 199) collected from a tributary of Saginaw Bay were implanted with acoustic tags and their migrations were documented using acoustic receivers (n = 140) deployed throughout U.S. nearshore waters of Lake Huron. Three migration pathways were described using multistate mark-recapture models. Models were evaluated using the Akaike Information Criterion. Fish sex did not influence migratory behavior but did affect migration rate and walleye were detected on all acoustic receiver lines. Most (95%) tagged fish migrated downstream from the riverine tagging and release location to Saginaw Bay, and 37% of these fish emigrated from Saginaw Bay into Lake Huron. Remarkably, 8% of walleye that emigrated from Saginaw Bay were detected at the acoustic receiver line located farthest from the release location more than 350 km away. Most (64%) walleye returned to the Saginaw River in 2012, presumably for spawning. Our findings reveal that fish from this stock use virtually the entirety of U.S. nearshore waters of Lake Huron.

Acoustic telemetry reveals large-scale migration patterns of walleye in Lake Huron.

PubMed

Hayden, Todd A; Holbrook, Christopher M; Fielder, David G; Vandergoot, Christopher S; Bergstedt, Roger A; Dettmers, John M; Krueger, Charles C; Cooke, Steven J

2014-01-01

Fish migration in large freshwater lacustrine systems such as the Laurentian Great Lakes is not well understood. The walleye (Sander vitreus) is an economically and ecologically important native fish species throughout the Great Lakes. In Lake Huron walleye has recently undergone a population expansion as a result of recovery of the primary stock, stemming from changing food web dynamics. During 2011 and 2012, we used acoustic telemetry to document the timing and spatial scale of walleye migration in Lake Huron and Saginaw Bay. Spawning walleye (n = 199) collected from a tributary of Saginaw Bay were implanted with acoustic tags and their migrations were documented using acoustic receivers (n = 140) deployed throughout U.S. nearshore waters of Lake Huron. Three migration pathways were described using multistate mark-recapture models. Models were evaluated using the Akaike Information Criterion. Fish sex did not influence migratory behavior but did affect migration rate and walleye were detected on all acoustic receiver lines. Most (95%) tagged fish migrated downstream from the riverine tagging and release location to Saginaw Bay, and 37% of these fish emigrated from Saginaw Bay into Lake Huron. Remarkably, 8% of walleye that emigrated from Saginaw Bay were detected at the acoustic receiver line located farthest from the release location more than 350 km away. Most (64%) walleye returned to the Saginaw River in 2012, presumably for spawning. Our findings reveal that fish from this stock use virtually the entirety of U.S. nearshore waters of Lake Huron.

Acoustic Telemetry Reveals Large-Scale Migration Patterns of Walleye in Lake Huron

PubMed Central

Hayden, Todd A.; Holbrook, Christopher M.; Fielder, David G.; Vandergoot, Christopher S.; Bergstedt, Roger A.; Dettmers, John M.; Krueger, Charles C.; Cooke, Steven J.

2014-01-01

Fish migration in large freshwater lacustrine systems such as the Laurentian Great Lakes is not well understood. The walleye (Sander vitreus) is an economically and ecologically important native fish species throughout the Great Lakes. In Lake Huron walleye has recently undergone a population expansion as a result of recovery of the primary stock, stemming from changing food web dynamics. During 2011 and 2012, we used acoustic telemetry to document the timing and spatial scale of walleye migration in Lake Huron and Saginaw Bay. Spawning walleye (n = 199) collected from a tributary of Saginaw Bay were implanted with acoustic tags and their migrations were documented using acoustic receivers (n = 140) deployed throughout U.S. nearshore waters of Lake Huron. Three migration pathways were described using multistate mark-recapture models. Models were evaluated using the Akaike Information Criterion. Fish sex did not influence migratory behavior but did affect migration rate and walleye were detected on all acoustic receiver lines. Most (95%) tagged fish migrated downstream from the riverine tagging and release location to Saginaw Bay, and 37% of these fish emigrated from Saginaw Bay into Lake Huron. Remarkably, 8% of walleye that emigrated from Saginaw Bay were detected at the acoustic receiver line located farthest from the release location more than 350 km away. Most (64%) walleye returned to the Saginaw River in 2012, presumably for spawning. Our findings reveal that fish from this stock use virtually the entirety of U.S. nearshore waters of Lake Huron. PMID:25506913

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 488

NASA Technical Reports Server (NTRS)

1999-01-01

This report lists reports, articles and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

NOAAPORT User's Page

Science.gov Websites

Update History NOAAPORT Technical Contacts NOAAPORT Program Overview NOAAPORT Reference Documentation NOAAPORT Update History - for the NOAAPORT Program. NOAAPORT Technical Contacts - NWS Technical Points of Alignment Information. Receiver Characteristics - Technical Characteristics of the NOAAPORT Receiver. Data

CARRIER/CASK HANDLING SYSTEM DESCRIPTION DOCUMENT

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

E.F. Loros

2000-06-23

The Carrier/Cask Handling System receives casks on railcars and legal-weight trucks (LWTs) (transporters) that transport loaded casks and empty overpacks to the Monitored Geologic Repository (MGR) from the Carrier/Cask Transport System. Casks that come to the MGR on heavy-haul trucks (HHTs) are transferred onto railcars before being brought into the Carrier/Cask Handling System. The system is the interfacing system between the railcars and LWTs and the Assembly Transfer System (ATS) and Canister Transfer System (CTS). The Carrier/Cask Handling System removes loaded casks from the cask transporters and transfers the casks to a transfer cart for either the ATS or CTS,more » as appropriate, based on cask contents. The Carrier/Cask Handling System receives the returned empty casks from the ATS and CTS and mounts the casks back onto the transporters for reshipment. If necessary, the Carrier/Cask Handling System can also mount loaded casks back onto the transporters and remove empty casks from the transporters. The Carrier/Cask Handling System receives overpacks from the ATS loaded with canisters that have been cut open and emptied and mounts the overpacks back onto the transporters for disposal. If necessary, the Carrier/Cask Handling System can also mount empty overpacks back onto the transporters and remove loaded overpacks from them. The Carrier/Cask Handling System is located within the Carrier Bay of the Waste Handling Building System. The system consists of cranes, hoists, manipulators, and supporting equipment. The Carrier/Cask Handling System is designed with the tooling and fixtures necessary for handling a variety of casks. The Carrier/Cask Handling System performance and reliability are sufficient to support the shipping and emplacement schedules for the MGR. The Carrier/Cask Handling System interfaces with the Carrier/Cask Transport System, ATS, and CTS as noted above. The Carrier/Cask Handling System interfaces with the Waste Handling Building System for building structures and space allocations. The Carrier/Cask Handling System interfaces with the Waste Handling Building Electrical System for electrical power.« less

Safety of zoster vaccine in elderly adults following documented herpes zoster.

PubMed

Morrison, Vicki A; Oxman, Michael N; Levin, Myron J; Schmader, Kenneth E; Guatelli, John C; Betts, Robert F; Gelb, Larry D; Pachucki, Constance T; Keay, Susan K; Menzies, Barbara; Griffin, Marie R; Kauffman, Carol A; Marques, Adriana R; Toney, John F; Simberkoff, Michael S; Serrao, Richard; Arbeit, Robert D; Gnann, John W; Greenberg, Richard N; Holodniy, Mark; Keitel, Wendy A; Yeh, Shingshing S; Davis, Larry E; Crawford, George E; Neuzil, Kathy M; Johnson, Gary R; Zhang, Jane H; Harbecke, Rith; Chan, Ivan S F; Keller, Paul M; Williams, Heather M; Boardman, Kathy D; Silber, Jeffrey L; Annunziato, Paula W

2013-08-15

After completion of the Shingles Prevention Study (SPS; Department of Veterans Affairs Cooperative Studies Program Number 403), SPS participants who had initially received placebo were offered investigational zoster vaccine without charge. This provided an opportunity to determine the relative safety of zoster vaccine in older adults following documented herpes zoster (HZ). A total of 13 681 SPS placebo recipients who elected to receive zoster vaccine were followed for serious adverse events (SAE) for 28 days after vaccination. In contrast to the SPS, a prior episode of HZ was not a contraindication to receiving zoster vaccine. The SPS placebo recipients who received zoster vaccine included 420 who had developed documented HZ during the SPS. The mean interval between the onset of HZ and the receipt of zoster vaccine in the 420 recipients with prior HZ was 3.61 years (median interval, 3.77 years [range, 3-85 months]); the interval was <5 years for approximately 80% of recipients. The proportion of vaccinated SPS placebo recipients with prior HZ who developed ≥ 1 SAE (0.95%) was not significantly different from that of vaccinated SPS placebo recipients with no prior history of HZ (0.66%), and the distribution of SAEs in the 2 groups was comparable. These results demonstrate that the general safety of zoster vaccine in older persons is not altered by a recent history of documented HZ, supporting the safety aspect of the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommendation to administer zoster vaccine to all persons ≥ 60 years of age with no contraindications, regardless of a prior history of HZ.

Waste Receiving and Processing (WRAP) Module 1 Hazards Assessment

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

CAMPBELL, L.R.

1999-09-29

This document establishes the technical basis in support of Emergency Planning activities for the WRAP Module 1 Facility on the Hanford Site. Through this document, the technical basis for the development of facility specific Emergency Action Levels and Emergency Planning Zone is demonstrated.

45 CFR 1602.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... electronic documents, among others. (c) Educational institution means a preschool, a public or private... will look to the use to which a requester will put the documents requested. When the Corporation has... documentary materials, regardless of whether the format is physical or electronic, made or received by the...

Patterns of clinical response to PSA elevation in American Indian/Alaska Native men: a multi-center pilot study.

PubMed

Tilburt, Jon C; Koller, Kathryn; Tiesinga, James J; Wilson, Robin T; Trinh, Anne C; Hill, Kristin; Hall, Ingrid J; Smith, Judith Lee; Ekwueme, Donatus U; Petersen, Wesley O

2013-11-01

To assess clinical treatment patterns and response times among American Indian/Alaska Native men with a newly elevated PSA. We retrospectively identified men ages 50-80 receiving care in one of three tribally-operated clinics in Northern Minnesota, one medical center in Alaska, and who had an incident PSA elevation (> 4 ng/ml) in a specified time period. A clinical response was considered timely if it was documented as occurring within 90 days of the incident PSA elevation. Among 82 AI/AN men identified from medical records with an incident PSA elevation, 49 (60%) received a timely clinical response, while 18 (22%) had no documented clinical response. One in five AI/AN men in our study had no documented clinical action following an incident PSA elevation. Although a pilot study, these findings suggest the need to improve the documentation, notification, and care following an elevated PSA at clinics serving AI/AN men.

Johnston Atoll Chemical Agent Disposal System (JACADS) Final Second Supplemental Environmental Impact Statement (SSEIS)

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

Not Available

1990-06-01

This Final Second Supplemental Environmental Impact Statement (SSEIS) to the Johnston Atoll Chemical Agent Disposal System (JACADS) Environmental Impact Statement (EIS) assesses the effects of receiving, storing, and ultimately destructing the United States stockpile of lethal unitary chemical munitions currently stored in the Federal Republic of Germany (FRG) (European stockpile) at the Army's JACADS facility located on Johnston Atoll in the Pacific Ocean. This Final SSEIS addresses the effects of the following proposed European stockpile activities: the transport of the European stockpile from the territorial limit to Johnston Island, the unloading of munitions from transportation ships, the on-island munitions transportmore » and handling, on-island munitions storage, the disposal of munitions in the JACADS facility, the disposal of incineration wastes, and alternatives to the proposed action. This document also updates information in the 1983 EIS and the 1988 SEIS, as appropriate. This volume contains reproduced letters from various agencies, reproduced written comments received from the public, and a transcript from the public meeting.« less

Installation of C-6533(XE-2)/ARC ICS in UH-1H helicopter

NASA Astrophysics Data System (ADS)

Hnat, J. A.

1980-07-01

This report documents the results of the installation of the C-6533(XE-2)/ARC ICS in UH-1H helicopter. Installation was performed at the AEL, Inc., Monmouth County Airport facility. Design of each installation was coordinated and approved by the Government. The mechanical and electrical installation drawings for the helicopter are attached as Appendix A of this report. The new ICS system consisted of new cabling, new intercoms and helmets rewired with new microphones. All four crew stations of the helicopter were reconfigured with the new system. Existing cabling for the standard ICS system remained in the aircraft but was securely stowed for later restoration of the aircraft. The helmets (4) were rewired using separate jacks for headphones and microphone lines. Transmit and receive cables were installed in the aircraft with a minimum separation of one inch between cables. A junction box was fabricated and installed on the aft end of the console to house the fan-out terminal strips. Transmit and receive lines' separation was maintained in the junction box. During the test phase the onboard radios were used with the new ICS system.

50 CFR 221.70 - How must documents be filed and served under this subpart?

Code of Federal Regulations, 2013 CFR

2013-10-01

... party and FERC, using: (i) One of the methods of service in § 221.13(c); or (ii) Regular mail. (2) The... this subpart? (a) Filing. (1) A document under this subpart must be filed using one of the methods set... document received after 5 p.m. at the place where the filing is due is considered filed on the next regular...

Cost consideration in the clinical guidance documents of physician specialty societies in the United States.

PubMed

Schwartz, Jennifer A T; Pearson, Steven D

2013-06-24

Despite increasing concerns regarding the cost of health care, the consideration of costs in the development of clinical guidance documents by physician specialty societies has received little analysis. To evaluate the approach to consideration of cost in publicly available clinical guidance documents and methodological statements produced between 2008 and 2012 by the 30 largest US physician specialty societies. Qualitative document review. Whether costs are considered in clinical guidance development, mechanism of cost consideration, and the way that cost issues were used in support of specific clinical practice recommendations. Methodological statements for clinical guidance documents indicated that 17 of 30 physician societies (57%) explicitly integrated costs, 4 (13%) implicitly considered costs, 3 (10%) intentionally excluded costs, and 6 (20%) made no mention. Of the 17 societies that explicitly integrated costs, 9 (53%) consistently used a formal system in which the strength of recommendation was influenced in part by costs, whereas 8 (47%) were inconsistent in their approach or failed to mention the exact mechanism for considering costs. Among the 138 specific recommendations in these guidance documents that included cost as part of the rationale, the most common form of recommendation (50 [36%]) encouraged the use of a specific medical service because of equal effectiveness and lower cost. Slightly more than half of the largest US physician societies explicitly consider costs in developing their clinical guidance documents; among these, approximately half use an explicit mechanism for integrating costs into the strength of recommendations. Many societies remain vague in their approach. Physician specialty societies should demonstrate greater transparency and rigor in their approach to cost consideration in documents meant to influence care decisions.

Management of infection control in dental practice.

PubMed

Smith, A; Creanor, S; Hurrell, D; Bagg, J; McCowan, M

2009-04-01

This was an observational study in which the management policies and procedures associated with infection control and instrument decontamination were examined in 179 dental surgeries by a team of trained surveyors. Information relating to the management of a wide range of infection control procedures, in particular the decontamination of dental instruments, was collected by interview and by examination of practice documentation. This study found that although the majority of surgeries (70%) claimed to have a management policy on infection control, only 50% of these were documented. For infection control policies, 79% of surgeries had access to the British Dental Association Advice Sheet A12. Infection control policies were claimed to be present in 89% of surgeries, of which 62% were documented. Seventy-seven per cent of staff claimed to have received specific infection control training, but for instrument decontamination this was provided mainly by demonstration (97%) or observed practice (88%). Many dental nurses (74%) and dental practitioners (57%) did not recognise the symbol used to designate a single-use device. Audit of infection control or decontamination activities was undertaken in 11% of surgeries. The majority of surgeries have policies and procedures for the management of infection control in dental practice, but in many instances these are not documented. The training of staff in infection control and its documentation is poorly managed and consideration should be given to development of quality management systems for use in dental practice.

Document creation, linking, and maintenance system

DOEpatents

Claghorn, Ronald [Pasco, WA

2011-02-15

A document creation and citation system designed to maintain a database of reference documents. The content of a selected document may be automatically scanned and indexed by the system. The selected documents may also be manually indexed by a user prior to the upload. The indexed documents may be uploaded and stored within a database for later use. The system allows a user to generate new documents by selecting content within the reference documents stored within the database and inserting the selected content into a new document. The system allows the user to customize and augment the content of the new document. The system also generates citations to the selected content retrieved from the reference documents. The citations may be inserted into the new document in the appropriate location and format, as directed by the user. The new document may be uploaded into the database and included with the other reference documents. The system also maintains the database of reference documents so that when changes are made to a reference document, the author of a document referencing the changed document will be alerted to make appropriate changes to his document. The system also allows visual comparison of documents so that the user may see differences in the text of the documents.

50 CFR 253.10 - General definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... representing a percentage of the total allowable catch of a fishery that may be received or held for exclusive..., but does not include routine repairs or activities characterized as maintenance. Security documents..., remain economically productive. Vessel means any vessel documented under U.S. law and used for fishing...

50 CFR 253.10 - General definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... representing a percentage of the total allowable catch of a fishery that may be received or held for exclusive..., but does not include routine repairs or activities characterized as maintenance. Security documents..., remain economically productive. Vessel means any vessel documented under U.S. law and used for fishing...

50 CFR 253.10 - General definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... representing a percentage of the total allowable catch of a fishery that may be received or held for exclusive..., but does not include routine repairs or activities characterized as maintenance. Security documents..., remain economically productive. Vessel means any vessel documented under U.S. law and used for fishing...

50 CFR 253.10 - General definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... representing a percentage of the total allowable catch of a fishery that may be received or held for exclusive..., but does not include routine repairs or activities characterized as maintenance. Security documents..., remain economically productive. Vessel means any vessel documented under U.S. law and used for fishing...

13 CFR 115.21 - Audits and investigations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... under the bond, and any other trust accounts, and any reconciliations of such accounts; (9) Job status reports received from Obligees and documentation of each unanswered request for a job status report; and...'s underwriting and credit analysis, its documentation of claims and claims settlement procedures and...

Automated critical test result notification system: architecture, design, and assessment of provider satisfaction.

PubMed

Lacson, Ronilda; O'Connor, Stacy D; Andriole, Katherine P; Prevedello, Luciano M; Khorasani, Ramin

2014-11-01

Communicating critical results of diagnostic imaging procedures is a national patient safety goal. The purposes of this study were to describe the system architecture and design of Alert Notification of Critical Results (ANCR), an automated system designed to facilitate communication of critical imaging results between care providers; to report providers' satisfaction with ANCR; and to compare radiologists' and ordering providers' attitudes toward ANCR. The design decisions made for each step in the alert communication process, which includes user authentication, alert creation, alert communication, alert acknowledgment and management, alert reminder and escalation, and alert documentation, are described. To assess attitudes toward ANCR, internally developed and validated surveys were administered to all radiologists (n = 320) and ordering providers (n = 4323) who sent or received alerts 3 years after ANCR implementation. The survey response rates were 50.4% for radiologists and 36.1% for ordering providers. Ordering providers were generally dissatisfied with the training received for use of ANCR and with access to technical support. Radiologists were more satisfied with documenting critical result communication (61.1% vs 43.2%; p = 0.0001) and tracking critical results (51.6% vs 35.1%; p = 0.0003) than were ordering providers. Both groups agreed use of ANCR reduces medical errors and improves the quality of patient care. Use of ANCR enables automated communication of critical test results. The survey results confirm overall provider satisfaction with ANCR but highlight the need for improved training strategies for large numbers of geographically dispersed ordering providers. Future enhancements beyond acknowledging receipt of critical results are needed to help ensure timely and appropriate follow-up of critical results to improve quality and patient safety.

Automated Critical Test Result Notification System: Architecture, Design, and Assessment of Provider Satisfaction

PubMed Central

Lacson, Ronilda; O'Connor, Stacy D.; Andriole, Katherine P.; Prevedello, Luciano M.; Khorasani, Ramin

2015-01-01

OBJECTIVE Communicating critical results of diagnostic imaging procedures is a national patient safety goal. The purposes of this study were to describe the system architecture and design of Alert Notification of Critical Results (ANCR), an automated system designed to facilitate communication of critical imaging results between care providers; to report providers’ satisfaction with ANCR; and to compare radiologists’ and ordering providers’ attitudes toward ANCR. MATERIALS AND METHODS The design decisions made for each step in the alert communication process, which includes user authentication, alert creation, alert communication, alert acknowledgment and management, alert reminder and escalation, and alert documentation, are described. To assess attitudes toward ANCR, internally developed and validated surveys were administered to all radiologists (n = 320) and ordering providers (n = 4323) who sent or received alerts 3 years after ANCR implementation. RESULTS The survey response rates were 50.4% for radiologists and 36.1% for ordering providers. Ordering providers were generally dissatisfied with the training received for use of ANCR and with access to technical support. Radiologists were more satisfied with documenting critical result communication (61.1% vs 43.2%; p = 0.0001) and tracking critical results (51.6% vs 35.1%; p = 0.0003) than were ordering providers. Both groups agreed use of ANCR reduces medical errors and improves the quality of patient care. CONCLUSION Use of ANCR enables automated communication of critical test results. The survey results confirm overall provider satisfaction with ANCR but highlight the need for improved training strategies for large numbers of geographically dispersed ordering providers. Future enhancements beyond acknowledging receipt of critical results are needed to help ensure timely and appropriate follow-up of critical results to improve quality and patient safety. PMID:25341163

Development of an interface for an ultrareliable fault-tolerant control system and an electronic servo-control unit

NASA Technical Reports Server (NTRS)

Shaver, Charles; Williamson, Michael

1986-01-01

The NASA Ames Research Center sponsors a research program for the investigation of Intelligent Flight Control Actuation systems. The use of artificial intelligence techniques in conjunction with algorithmic techniques for autonomous, decentralized fault management of flight-control actuation systems is explored under this program. The design, development, and operation of the interface for laboratory investigation of this program is documented. The interface, architecturally based on the Intel 8751 microcontroller, is an interrupt-driven system designed to receive a digital message from an ultrareliable fault-tolerant control system (UFTCS). The interface links the UFTCS to an electronic servo-control unit, which controls a set of hydraulic actuators. It was necessary to build a UFTCS emulator (also based on the Intel 8751) to provide signal sources for testing the equipment.

Accuracy of outpatient service data for activity-based funding in New South Wales, Australia.

PubMed

Munyisia, Esther N; Reid, David; Yu, Ping

2017-05-01

Despite increasing research on activity-based funding (ABF), there is no empirical evidence on the accuracy of outpatient service data for payment. This study aimed to identify data entry errors affecting ABF in two drug and alcohol outpatient clinic services in Australia. An audit was carried out on healthcare workers' (doctors, nurses, psychologists, social workers, counsellors, and aboriginal health education officers) data entry errors in an outpatient electronic documentation system. Of the 6919 data entries in the electronic documentation system, 7.5% (518) had errors, 68.7% of the errors were related to a wrong primary activity, 14.5% were due to a wrong activity category, 14.5% were as a result of a wrong combination of primary activity and modality of care, 1.9% were due to inaccurate information on a client's presence during service delivery and 0.4% were related to a wrong modality of care. Data entry errors may affect the amount of funding received by a healthcare organisation, which in turn may affect the quality of treatment provided to clients due to the possibility of underfunding the organisation. To reduce errors or achieve an error-free environment, there is a need to improve the naming convention of data elements, their descriptions and alignment with the national standard classification of outpatient services. It is also important to support healthcare workers in their data entry by embedding safeguards in the electronic documentation system such as flags for inaccurate data elements.

Retrospective analysis of antiretroviral therapy uptake and retention of male clients receiving methadone maintenance therapy in two provinces in Vietnam: potential synergy of the two therapies.

PubMed

Pham, Linh Thi Thuy; Kitamura, Akiko; Do, Hoa Mai; Lai, Kim Anh; Le, Nhan Tuan; Nguyen, Van Thi Thuy; Kato, Masaya

2017-02-17

Vietnam has a concentrated HIV epidemic with injection drug use being the dominant mode of HIV transmission. Vietnam has rapidly expanded antiretroviral therapy (ART) and methadone maintenance therapy (MMT). This study aims to analyze ART uptake and retention among male clients receiving MMT in Vietnam in the early phase of the MMT program. The male clients (age ≥18) who were newly enrolled in care or started ART at two HIV clinics in Hanoi (2009 to 2011) and three HIV clinics in Can Tho (2010 to 2012) were included for the analysis. The CD4 lymphocyte count at HIV care enrollment and ART initiation and retention on ART were retrospectively analyzed. The values of those receiving MMT were compared with the values of two groups: those in whom injection drug use (IDU) status was documented, but were not receiving MMT, and all male clients not receiving MMT. To analyze retention, survival analysis with log rank test and Cox proportional hazard model was used. During the study period, 663 adult men were newly enrolled in HIV care (237 had IDU status documented) and 456 initiated ART (167 had IDU status documented). Among those who initiated ART, 28 were receiving MMT. At care enrolment, those receiving MMT had a median CD4 count of 230 (IQR 57-308) cells/mm 3 , while men self-reporting IDU and not receiving MMT and all men not receiving MMT had a median CD4 count of 158 (IQR 50-370) cells/mm 3 and 143 (IQR 35-366) cells/mm 3 , respectively. At ART initiation, men receiving MMT had significantly higher CD4 count with median at 203 (IQR 64-290) cells/mm 3 than men self-reporting IDU and not receiving MMT (80, IQR 40-220, cells/mm 3 , p = 0.038) and all men not receiving MMT (76, IQR 20-199, cells/mm 3 , p = 0.009). Those receiving MMT had a significantly higher retention rate than those self-reporting IDU but not receiving MMT (hazard ratio = 0.18, p = 0.019) and men not receiving MMT (hazard ratio = 0.20, p = 0.041). Our analysis suggests that men receiving MMT in Vietnam are achieving relatively early uptake and high retention rates on ART. The findings support potential benefits of integrating MMT and ART services in Vietnam.

LLCEDATA and LLCECALC for Windows version 1.0, Volume 1: User`s manual

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

McFadden, J.G.

LLCEDATA and LLCECALC for Windows are user-friendly computer software programs that work together to determine the proper waste designation, handling, and disposition requirements for Long Length Contaminated Equipment (LLCE). LLCEDATA reads from a variety of data bases to produce an equipment data file (EDF) that represents a snapshot of both the LLCE and the tank it originates from. LLCECALC reads the EDF and a gamma assay (AV2) file that is produced by the Flexible Receiver Gamma Energy Analysis System. LLCECALC performs corrections to the AV2 file as it is being read and characterizes the LLCE. Both programs produce a varietymore » of reports, including a characterization report and a status report. The status report documents each action taken by the user, LLCEDATA, and LLCECALC. Documentation for LLCEDATA and LLCECALC for Windows is available in three volumes. Volume 1 is a user`s manual, which is intended as a quick reference for both LLCEDATA and LLCECALC. Volume 2 is a technical manual, and Volume 3 is a software verification and validation document.« less

Related Documents from Counsel from University of Richmond v. Bell.

ERIC Educational Resources Information Center

Journal of College and University Law, 1983

1983-01-01

The language of Title IX, its legislative history, and the authoritative court precedents, it is argued, regulate only programs or activities that receive federal financial assistance and does not regulate all programs and activities at institutions receiving federal financial assistance. (MLW)

SEDSAT

NASA Technical Reports Server (NTRS)

1998-01-01

Under this contract the Students for the Exploration and Development of Space Satellite number One (SEDSAT-1 or just SEDSAT) was completed and launched on 24-Oct-98. It achieved nominal orbit and activated its transponders after Delta II separation. Telemetry has indicated the internal systems are normal. However, SEDSAT has not responded to subsequent uplink commands. Telemetry has continued to be received allowing evaluation of bus performance and attempts at anomaly resolution. Anomaly resolution will continue during 1999 subsequent to the end of this contract. This final report documents activities under the contract period.

NUDTSNA at TREC 2015 Microblog Track: A Live Retrieval System Framework for Social Network based on Semantic Expansion and Quality Model

DTIC Science & Technology

2015-11-20

between tweets and profiles as follow, • TFIDF Score, which calculates the cosine similarity between a tweet and a profile in vector space model with...TFIDF weight of terms. Vector space model is a model which represents a document as a vector. Tweets and profiles can be expressed as vectors, ~ T = (t...gain(Tr i ) (13) where Tr is the returned tweet sets, gain() is the score func- tion for a tweet. Not interesting, spam/ junk tweets receive a gain of 0

The present status and problems in document retrieval system : document input type retrieval system

NASA Astrophysics Data System (ADS)

Inagaki, Hirohito

The office-automation (OA) made many changes. Many documents were begun to maintained in an electronic filing system. Therefore, it is needed to establish efficient document retrieval system to extract useful information. Current document retrieval systems are using simple word-matching, syntactic-matching, semantic-matching to obtain high retrieval efficiency. On the other hand, the document retrieval systems using special hardware devices, such as ISSP, were developed for aiming high speed retrieval. Since these systems can accept a single sentence or keywords as input, it is difficult to explain searcher's request. We demonstrated document input type retrieval system, which can directly accept document as an input, and can search similar documents from document data-base.

Use and abuse of prescribed opioids, central nervous system depressants, and stimulants among U.S. active duty military personnel in FY 2010.

PubMed

Jeffery, Diana D; May, Laurie; Luckey, Bill; Balison, Barbara M; Klette, Kevin L

2014-10-01

This study establishes rates of use/abuse of Schedule II-IV prescription medications in U.S. active duty military personnel, and characterizes correlates of such use/abuse. All active duty personnel serving for 12 months during fiscal year 2010 were included. Data were obtained from medical and pharmacy claims and drug screening results. Logistic regression models were used to examine predictors of drug use, along with bivariate analyses to compare abuse of prescribed and illegal drugs. Nearly one-third of active duty service members received at least one prescription for opioids, central nervous system depressants, or stimulants, with 26.4% having received at least one prescription for opioids. About 0.7%, 1.4%, and 0.6% of the total force received >90-day prescriptions for opioids, central nervous system depressants, or stimulants, respectively. Battlefield injury, receipt of psychotropic medications, and substance abuse adverse events were predictive of >90-day supply of opioids. About 0.7% of the total force had documented known drug abuse for prescribed drugs compared to 0.4% for illegal drug abuse. We recommend systematic monitoring of prescriptions for controlled substances which may carry serious consequences, evaluation of the impact of controlled substances on military readiness, and examination of the rationale for prescribing controlled drugs. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

43 CFR 4.422 - Documents.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., upon filing notice of the transfer or encumbrance in the proper land office, become entitled to receive... transfer or encumbrance will be noted upon the records of the land office. Thereafter such transferee or... document is transmitted to the party, unless the serving party learns that it did not reach the party to be...

43 CFR 4.422 - Documents.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., upon filing notice of the transfer or encumbrance in the proper land office, become entitled to receive... transfer or encumbrance will be noted upon the records of the land office. Thereafter such transferee or... document is transmitted to the party, unless the serving party learns that it did not reach the party to be...

43 CFR 4.422 - Documents.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., upon filing notice of the transfer or encumbrance in the proper land office, become entitled to receive... transfer or encumbrance will be noted upon the records of the land office. Thereafter such transferee or... document is transmitted to the party, unless the serving party learns that it did not reach the party to be...

IEP Documentation for Effective Systematic Facilitation

ERIC Educational Resources Information Center

Eng, Peng-Sim

2015-01-01

This paper discusses how the process for IEP documentation was used in a training program for a group of young inexperienced teachers and teaching aides to effectively address the educational needs of children with diverse disabilities. Teachers at Kianh Centre in Vietnam received explicit instructions for writing effective functional individual…

76 FR 59448 - Draft Regulatory Guide; Issuance, Availability

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-26

... consideration only for comments received on or before this date. Although a time limit is given, comments and... published guides are encouraged at any time. ADDRESSES: Please include Docket ID NRC-2011-0224 in the... document using the following methods: NRC's Public Document Room (PDR): The public may examine and have...

Working toward a Stronger Conceptualization of Scientific Explanation for Science Education

ERIC Educational Resources Information Center

Braaten, Melissa; Windschitl, Mark

2011-01-01

Scientific explanation plays a central role in science education reform documents, including the "Benchmarks for Science Literacy," the "National Science Education Standards", and the recent research report, "Taking Science to School." While scientific explanation receives significant emphases in these documents, there is little discussion or…

32 CFR 865.114 - Decisional document.

Code of Federal Regulations, 2010 CFR

2010-07-01

... punishment). (xii) Conviction by court-martial. (xiii) Prior military service and type of discharge received. (3) A list of the type of documents submitted by or on behalf of the applicant (including a written... documentary evidence), if any. (4) A statement whether the applicant testified, and a list of the type of...

5 CFR 1201.4 - General definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... commercial or personal delivery, or by electronic filing (e-filing) in accordance with § 1201.14. (j) Date of... the document was delivered to the commercial delivery service. The date of filing by e-filing is the date of electronic submission. (m) Electronic filing (e-filing). Filing and receiving documents in...

Factors Affecting Sentence Severity for Young Adult Offenders.

ERIC Educational Resources Information Center

Greenwood, Peter W.; And Others

This document analyzes the sentencing of young adult defendants in comparison with older adult and younger juvenile offenders, and disputes prior research which held that young adults received more lenient sentencing, perhaps because of the restrictions on disclosing juvenile delinquency histories. The document presents data from samples of young…

Minimal Competency Exam Program.

ERIC Educational Resources Information Center

Griffith, E. H.

The high school minimal competency examination described in this document is part one of a three-part program that requires that all students satisfactorily complete tests in reading, language arts, and mathematics prior to receiving a high school diploma. The document outlines the test development and assessment program and describes the plan for…

50 CFR 660.337 - Trawl rationalization program - data collection requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Pacific whiting first receiver exempted fishing permits. (2) Supporting documentation. (i) Business... following: (A) A corporate resolution or any other credible documentation as proof that the representative of the entity is authoirzed to act on behalf of the entity; and (B) Proof that the business entity...

5 CFR 1655.13 - Loan approval and issuance.

Code of Federal Regulations, 2010 CFR

2010-01-01

... by the participant to the TSP record keeper, together with any documentation required to be submitted, the loan will be initially approved or denied by the TSP record keeper based upon the requirements of... required supporting documentation, was received by the TSP record keeper before the expiration date...

Contraceptive Provision to Adolescent Females Prescribed Teratogenic Medications.

PubMed

Stancil, Stephani L; Miller, Melissa; Briggs, Holley; Lynch, Daryl; Goggin, Kathy; Kearns, Gregory

2016-01-01

Rates of adult women receiving contraceptive provision when simultaneously prescribed a known teratogen are alarmingly low. The prevalence of this behavior among pediatric providers and their adolescent patients is unknown. The objective of this study was to describe pediatric provider behaviors for prescribing teratogens concurrently with counseling, referral, and/or prescribing of contraception (collectively called contraceptive provision) in the adolescent population. A retrospective review was conducted examining visits in 2008-2012 by adolescents aged 14 to 25 years in which a known teratogen (US Food and Drug Administration pregnancy risk category D or X) was prescribed. The electronic medical records were queried for demographic information, evidence of contraceptive provision, and menstrual and sexual histories. The data were analyzed using standard statistical methods. Within 4172 clinic visits, 1694 females received 4506 prescriptions for teratogenic medications. The most commonly prescribed teratogens were topiramate, methotrexate, diazepam, isotretinoin, and enalapril. The subspecialties prescribing teratogens most frequently were neurology, hematology-oncology, and dermatology. Overall, contraceptive provision was documented in 28.6% of the visits. Whites versus nonwhites and older versus younger girls were more likely to receive contraceptive provision. The presence of a federal risk mitigation system for the teratogen also increased the likelihood of contraceptive provision. Our data demonstrate female adolescents prescribed teratogens receive inadequate contraception provision, which could increase their risk for negative pregnancy outcomes. Although the presence of a federal risk mitigation system appears to improve contraceptive provision, these systems are costly and, in some instances, difficult to implement. Efforts to improve provider practices are needed. Copyright © 2016 by the American Academy of Pediatrics.

Predictions of GPS X-Set Performance during the Places Experiment

DTIC Science & Technology

1979-07-01

previously existing GPS X-set receiver simulation was modified to include the received signal spectrum and the receiver code correlation operation... CORRELATION OPERATION The X-set receiver simulation documented in Reference 3-1 is a direct sampled -data digital implementation of the GPS X-set...ul(t) -sin w2t From Carrier and Code Loops (wit +0 1 (t)) Figure 3-6. Simplified block diagram of code correlator operation and I-Q sampling . 6 I

Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use.

PubMed

Dixon, Brian E; Colvard, Cyril; Tierney, William M

2014-06-24

Objective: To support collation of data for disability determination, we sought to accurately identify facilities where care was delivered across multiple, independent hospitals and clinics. Methods: Data from various institutions' electronic health records were merged and delivered as continuity of care documents to the United States Social Security Administration (SSA). Results: Electronic records for nearly 8000 disability claimants were exchanged with SSA. Due to the lack of standard nomenclature for identifying the facilities in which patients received the care documented in the electronic records, SSA could not match the information received with information provided by disability claimants. Facility identifiers were generated arbitrarily by health care systems and therefore could not be mapped to the existing international standards. Discussion: We propose strategies for improving facility identification in electronic health records to support improved tracking of a patient's care between providers to better serve clinical care delivery, disability determination, health reform and meaningful use. Conclusion: Accurately identifying the facilities where health care is delivered to patients is important to a number of major health reform and improvement efforts underway in many nations. A standardized nomenclature for identifying health care facilities is needed to improve tracking of care and linking of electronic health records.

Safety of Zoster Vaccine in Elderly Adults Following Documented Herpes Zoster

PubMed Central

Morrison, Vicki A.; Oxman, Michael N.; Levin, Myron J.; Schmader, Kenneth E.; Guatelli, John C.; Betts, Robert F.; Gelb, Larry D.; Pachucki, Constance T.; Keay, Susan K.; Menzies, Barbara; Griffin, Marie R.; Kauffman, Carol A.; Marques, Adriana R.; Toney, John F.; Simberkoff, Michael S.; Serrao, Richard; Arbeit, Robert D.; Gnann, John W.; Greenberg, Richard N.; Holodniy, Mark; Keitel, Wendy A.; Yeh, Shingshing S.; Davis, Larry E.; Crawford, George E.; Neuzil, Kathy M.; Johnson, Gary R.; Zhang, Jane H.; Harbecke, Rith; Chan, Ivan S. F.; Keller, Paul M.; Williams, Heather M.; Boardman, Kathy D.; Silber, Jeffrey L.; Annunziato, Paula W.

2013-01-01

Background. After completion of the Shingles Prevention Study (SPS; Department of Veterans Affairs Cooperative Studies Program Number 403), SPS participants who had initially received placebo were offered investigational zoster vaccine without charge. This provided an opportunity to determine the relative safety of zoster vaccine in older adults following documented herpes zoster (HZ). Methods. A total of 13 681 SPS placebo recipients who elected to receive zoster vaccine were followed for serious adverse events (SAE) for 28 days after vaccination. In contrast to the SPS, a prior episode of HZ was not a contraindication to receiving zoster vaccine. The SPS placebo recipients who received zoster vaccine included 420 who had developed documented HZ during the SPS. Results. The mean interval between the onset of HZ and the receipt of zoster vaccine in the 420 recipients with prior HZ was 3.61 years (median interval, 3.77 years [range, 3–85 months]); the interval was <5 years for approximately 80% of recipients. The proportion of vaccinated SPS placebo recipients with prior HZ who developed ≥1 SAE (0.95%) was not significantly different from that of vaccinated SPS placebo recipients with no prior history of HZ (0.66%), and the distribution of SAEs in the 2 groups was comparable. Conclusions. These results demonstrate that the general safety of zoster vaccine in older persons is not altered by a recent history of documented HZ, supporting the safety aspect of the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommendation to administer zoster vaccine to all persons ≥60 years of age with no contraindications, regardless of a prior history of HZ. PMID:23633406

Outcomes and secondary prevention strategies for male hip fractures.

PubMed

Riley, Rebecca L; Carnes, Molly L; Gudmundsson, Adalsteinn; Elliott, Mary E

2002-01-01

To assess clinical outcomes and determine whether osteoporosis assessment and secondary prevention strategies were performed for male veterans hospitalized for hip fractures. Retrospective chart review for male veterans hospitalized for hip fracture from January 1993 through July 1999. The Veterans Affairs Medical Center, Madison, WI. Medical charts were available for 46 of 53 male patients admitted for hip fracture during the study period. Three subjects were excluded because hip fracture was associated with high-impact trauma. Mean age of the 43 study patients was 72 years (range 43-91 y), and mean length of hospitalization was 16 days (median 11 d, range 3-108 d). Thirty-two (82%) of 39 veterans whose disposition was documented were discharged to a nursing home. Eleven (26%) of 43 men died within 12 months after fracture. Twelve (28%) had fractured previously. Four (10%) subsequently had another fracture. Three of 9 patients with documented ambulation status were ambulatory at 1 year. Three patients received a bone mass measurement within a prespecified time interval of 6 months subsequent to fracture. No patient's records included a diagnosis of osteoporosis either before or within 6 months after fracture. One-third of the patients had documentation of calcium or multivitamin supplementation at discharge. One patient was receiving calcitonin at the time of fracture and continued to receive it afterward. No other patient was prescribed antiresorptive therapy by the time of hospital discharge. Male veterans with hip fractures received inadequate evaluation and treatment for osteoporosis, although a substantial portion had documentation of recurrent fractures. Education of clinicians and creation of algorithms for management of established osteoporosis may improve outcomes for these individuals.

Billing third party payers for pharmaceutical care services.

PubMed

Poirier, S; Buffington, D E; Memoli, G A

1999-01-01

To describe the steps pharmacists must complete when seeking compensation from third party payers for pharmaceutical care services. Government publications; professional publications, including manuals and newsletters; authors' personal experience. Pharmacists in increasing numbers are meeting with success in getting reimbursed by third party payers for patient care activities. However, many pharmacists remain reluctant to seek compensation because they do not understand the steps involved. Preparatory steps include obtaining a provider/supplier number, procuring appropriate claim forms, developing data collection and documentation systems, establishing professional fees, creating a marketing plan, and developing an accounting system. To bill for specific patient care services, pharmacists need to collect the patient's insurance information, obtain a statement of medical necessity from the patient's physician, complete the appropriate claim form accurately, and submit the claim with supporting documentation to the insurer. Although many claims from pharmacists are rejected initially, pharmacists who work with third party payers to understand the reasons for denial of payment often receive compensation when claims are resubmitted. Pharmacists who follow these guidelines for billing third party payers for pharmaceutical care services should notice an increase in the number of paid claims.

Acceptance test report for portable exhauster POR-008/Skid F

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

Kriskovich, J.R.

1998-07-24

Portable Exhauster POR-008 was procured via HNF-0490, Specification for a Portable Exhausted System for Waste Tank Ventilation. Prior to taking ownership, acceptance testing was performed at the vendors. However at the conclusion of testing a number of issues remained that required resolution before the exhausters could be used by Project W-320. The purpose of acceptance testing documented by this report was to demonstrate compliance of the exhausters with the performance criteria established within HNF-O49O, Rev. 1 following a repair and upgrade effort at Hanford. In addition, data obtained during this testing is required for the resolution of outstanding Non-conformance Reportsmore » (NCR), and finally, to demonstrate the functionality of the associated software for the pressure control and high vacuum exhauster operating modes provided for by W-320. Additional testing not required by the ATP was also performed to assist in the disposition and close out of receiving inspection report and for application design information (system curve). Results of this testing are also captured within this document.« less

Making the Implicit Explicit: Towards an Assurance Case for DO-178C

NASA Technical Reports Server (NTRS)

Holloway, C. Michael

2013-01-01

For about two decades, compliance with Software Considerations in Airborne Systems and Equipment Certification (DO-178B) has been the primary means for receiving regulatory approval for using software on commercial airplanes. A new edition of the standard, DO-178C, was published in December 2011, and regulatory bodies have started the process towards recognizing this edition. The stated purpose of DO-178C remains unchanged from its predecessor: providing guidance “for the production of software for airborne systems and equipment that performs its intended function with a level of confidence in safety that complies with airworthiness requirements.” Within the text of the guidance, little or no rationale is given for how a particular objective or collection of objectives contributes to achieving this purpose. Thus the assurance case for the document is implicit. This paper discusses a current effort to make the implicit explicit. In particular, the paper describes the current status of the research seeking to identify the specific arguments contained in, or implied by, the DO-178C guidance that implicitly justify the assumption that the document meets its stated purpose.

Aerospace Medicine and Biology: A Continuing Bibliography. Supplement 476

NASA Technical Reports Server (NTRS)

1998-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1998-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Automated Transmission Loss Measurement in the Structural Acoustic Loads and Transmission Facility at NASA Langley Research Center

NASA Technical Reports Server (NTRS)

Klos, J.; Brown, S. A.

2002-01-01

A technique to measure the radiated acoustic intensity and transmission loss of panels is documented in this paper. This facility has been upgraded to include a test fixture that scans the acoustic intensity radiated from a panel on the anechoic receiving room side of the transmission loss window. The acoustic intensity incident on the panel from the reverberant side of the transmission loss window is estimated from measurements made using six stationary microphones in the reverberant source room. From the measured incident and radiated intensity, the sound power transmission loss is calculated. The setup of the facility and data acquisition system are documented. A transmission loss estimate of a typical panel is shown. The measurement-to-measurement and setup-to-setup repeatability of the transmission loss estimate are assessed. Conclusions are drawn about the ability to measure changes in transmission loss due to changes in panel construction.

DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers.

PubMed

Sujansky, Walter; Wilson, Tom

2015-04-01

This report describes a grant-funded project to explore the use of DIRECT secure messaging for the electronic delivery of laboratory test results to outpatient physicians and electronic health record systems. The project seeks to leverage the inherent attributes of DIRECT secure messaging and electronic provider directories to overcome certain barriers to the delivery of lab test results in the outpatient setting. The described system enables laboratories that generate test results as HL7 messages to deliver these results as structured or unstructured documents attached to DIRECT secure messages. The system automatically analyzes generated HL7 messages and consults an electronic provider directory to determine the appropriate DIRECT address and delivery format for each indicated recipient. The system also enables lab results delivered to providers as structured attachments to be consumed by HL7 interface engines and incorporated into electronic health record systems. Lab results delivered as unstructured attachments may be printed or incorporated into patient records as PDF files. The system receives and logs acknowledgement messages to document the status of each transmitted lab result, and a graphical interface allows searching and review of this logged information. The described system is a fully implemented prototype that has been tested in a laboratory setting. Although this approach is promising, further work is required to pilot test the system in production settings with clinical laboratories and outpatient provider organizations. Copyright © 2015 Elsevier Inc. All rights reserved.

A quality improvement project using a problem based post take ward round proforma based on the SOAP acronym to improve documentation in acute surgical receiving.

PubMed

Dolan, R; Broadbent, P

2016-02-01

Ward round documentation provides one of the most important means of communication between healthcare professionals. We aimed to establish if the use of a problem based standardised proforma can improve documentation in acute surgical receiving. Gold standards were established using the RCSE record keeping guidelines. We audited documentation for seven days using the following headings: patient name/identification number, subjective findings, objective findings, clinical impression/diagnosis, plan, diet status, discharge decision, discharge planning, signature, and grade. After the initial audit cycle, a ward round proforma was introduced using the above headings and re-audited over a seven day period. The pre-intervention arm contained 50 patients and the post intervention arm contained 47. The following headings showed an improvement in documentation compliance to 100%: patient name/identification number vs 96%, subjective findings vs 84%, objective findings vs 48%, plan vs 98%, signature vs 96%, and grade vs 62%. Documentation of the clinical impression/diagnosis improved to 98% vs 30%, diet status rose to 83% vs 16%, discharge decision to 66% vs 16%, and discharge planning to 40% vs 20%. Standardised proformas improve the documentation of post-take ward round notes. This helps to clarify the onward management plan for all aspects of a patient's care and will help avoid adverse events and litigation. This should improve the quality and safety of Patient Care.

75 FR 4904 - Petition for Exemption; Summary of Petition Received

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-29

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration [Summary Notice No. PE-2009-61] Petition for Exemption; Summary of Petition Received Correction In notice document 2010-808 beginning on page 2925 in the issue of Tuesday, January 19, 2010, make the following correction: On page 2925, in...

LLCEDATA and LLCECALC for Windows version 1.0, Volume 3: Software verification and validation

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

McFadden, J.G.

1998-09-04

LLCEDATA and LLCECALC for Windows are user-friendly computer software programs that work together to determine the proper waste designation, handling, and disposition requirements for Long Length Contaminated Equipment (LLCE). LLCEDATA reads from a variety of data bases to produce an equipment data file(EDF) that represents a snapshot of both the LLCE and the tank from which it originates. LLCECALC reads the EDF and the gamma assay file (AV2) that is produced by the flexible Receiver Gamma Energy Analysis System. LLCECALC performs corrections to the AV2 file as it is being read and characterizes the LLCE. Both programs produce a varietymore » of reports, including a characterization report and a status report. The status report documents each action taken by the user, LLCEDATA, and LLCECALC. Documentation for LLCEDATA and LLCECALC for Windows is available in three volumes. Volume 1 is a user`s manual, which is intended as a quick reference for both LLCEDATA and LLCECALC. Volume 2 is a technical manual, which discusses system limitations and provides recommendations to the LLCE process. Volume 3 documents LLCEDATA and LLCECALC`s verification and validation. Two of the three installation test cases, from Volume 1, are independently confirmed. Data bases used in LLCEDATA are verified and referenced. Both phases of LLCECALC process gamma and characterization, are extensively tested to verify that the methodology and algorithms used are correct.« less

Fifth NASA Goddard Conference on Mass Storage Systems and Technologies.. Volume 1

NASA Technical Reports Server (NTRS)

Kobler, Benjamin (Editor); Hariharan, P. C. (Editor)

1996-01-01

This document contains copies of those technical papers received in time for publication prior to the Fifth Goddard Conference on Mass Storage Systems and Technologies. As one of an ongoing series, this conference continues to serve as a unique medium for the exchange of information on topics relating to the ingestion and management of substantial amounts of data and the attendant problems involved. This year's discussion topics include storage architecture, database management, data distribution, file system performance and modeling, and optical recording technology. There will also be a paper on Application Programming Interfaces (API) for a Physical Volume Repository (PVR) defined in Version 5 of the Institute of Electrical and Electronics Engineers (IEEE) Reference Model (RM). In addition, there are papers on specific archives and storage products.

76 FR 31019 - Distribution of Continued Dumping and Subsidy Offset to Affected Domestic Producers

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

...Pursuant to the Continued Dumping and Subsidy Offset Act of 2000, this document is U.S. Customs and Border Protection's notice of intent to distribute assessed antidumping or countervailing duties (known as the continued dumping and subsidy offset) for Fiscal Year 2011 in connection with countervailing duty orders, antidumping duty orders, or findings under the Antidumping Act of 1921. This document sets forth the case name and number of each order or finding for which funds may become available for distribution, together with the list of affected domestic producers, based on the list supplied by the United States International Trade Commission (USITC) associated with each order or finding, who are potentially eligible to receive a distribution. This document also provides the instructions for affected domestic producers (and anyone alleging eligibility to receive a distribution) to file certifications to claim a distribution in relation to the listed orders or findings.

75 FR 30529 - Distribution of Continued Dumping and Subsidy Offset to Affected Domestic Producers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-01

...Pursuant to the Continued Dumping and Subsidy Offset Act of 2000, this document is U.S. Customs and Border Protection's notice of intent to distribute assessed antidumping or countervailing duties (known as the continued dumping and subsidy offset) for Fiscal Year 2010 in connection with countervailing duty orders, antidumping duty orders, or findings under the Antidumping Act of 1921. This document sets forth the case name and number of each order or finding for which funds may become available for distribution, together with the list of affected domestic producers, based on the list supplied by the United States International Trade Commission (USITC) associated with each order or finding, who are potentially eligible to receive a distribution. This document also provides the instructions for affected domestic producers (and anyone alleging eligibility to receive a distribution) to file certifications to claim a distribution in relation to the listed orders or findings.

77 FR 32717 - Distribution of Continued Dumping and Subsidy Offset to Affected Domestic Producers

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-01

...Pursuant to the Continued Dumping and Subsidy Offset Act of 2000, this document is U.S. Customs and Border Protection's notice of intent to distribute assessed antidumping or countervailing duties (known as the continued dumping and subsidy offset) for Fiscal Year 2012 in connection with countervailing duty orders, antidumping duty orders, or findings under the Antidumping Act of 1921. This document sets forth the case name and number of each order or finding for which funds may become available for distribution, together with the list of affected domestic producers, based on the list supplied by the United States International Trade Commission (USITC) associated with each order or finding, who are potentially eligible to receive a distribution. This document also provides the instructions for affected domestic producers (and anyone alleging eligibility to receive a distribution) to file certifications to claim a distribution in relation to the listed orders or findings.

78 FR 32713 - Distribution of Continued Dumping and Subsidy Offset to Affected Domestic Producers

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-31

...Pursuant to the Continued Dumping and Subsidy Offset Act of 2000, this document is U.S. Customs and Border Protection's notice of intent to distribute assessed antidumping or countervailing duties (known as the continued dumping and subsidy offset) for Fiscal Year 2013 in connection with countervailing duty orders, antidumping duty orders, or findings under the Antidumping Act of 1921. This document sets forth the case name and number of each order or finding for which funds may become available for distribution, together with the list of affected domestic producers, based on the list supplied by the United States International Trade Commission (USITC) associated with each order or finding, who are potentially eligible to receive a distribution. This document also provides the instructions for affected domestic producers (and anyone alleging eligibility to receive a distribution) to file certifications to claim a distribution in relation to the listed orders or findings.

43 CFR 4.422 - Documents.

Code of Federal Regulations, 2012 CFR

2012-10-01

... filing notice of the transfer or encumbrance in the proper land office, become entitled to receive and be... interest which is required to be given to a party to the proceeding. Every such notice of a transfer or... document is transmitted to the party, unless the serving party learns that it did not reach the party to be...

A Nationwide Survey of Disability Support Personnel Regarding Transition, Documentation, and Services for Postsecondary Students with Invisible Disabilities

ERIC Educational Resources Information Center

Wadlington, Charles

2012-01-01

The purpose of this exploratory study was to analyze the perceptions (through survey data) of Disability Support Services (DSS) personnel regarding the transition process, documentation requirements to receive services, and services for students with invisible disabilities (Autism Spectrum Disorder [ASD], Attention-Deficit Hyperactivity Disorder…

78 FR 56752 - Interim Staff Guidance Specific Environmental Guidance for Integral Pressurized Water Reactors...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-13

... (iPWR). This guidance applies to environmental reviews associated with iPWR applications for limited... received on or before this date. ADDRESSES: You may submit comments by any of the following methods (unless... this document. You may access publicly-available information related to this document by any of the...

75 FR 32860 - Regulatory Guidance Concerning the Preparation of Drivers' Record of Duty Status To Document...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-10

... motor carrier of a scanned image of the original record; the driver would retain the original while the carrier maintains the electronic scanned electronic image along with any supporting documents. [[Page... plans to implement a new approach for receiving and processing RODS. Its drivers would complete their...

Scientists and Engineers in the Federal Government. Personnel Bibliography Series Number 30.

ERIC Educational Resources Information Center

Witham, Frank

Annotations and bibliographic information are provided for reports, journal articles and other documents referring to scientists and engineers received by the U. S. Civil Service Commission library between 1965 and 1969. The documents are classified and reported in the following sections: supply and demand for technical personnel; personnel…

The National Endowments for the Arts and the Humanities...And Equal Opportunity for Women.

ERIC Educational Resources Information Center

Women's Equity Action League, Washington, DC.

The document examines federal regulation of educational programs and activities receiving federal financial assistance. Specifically, the booklet explores discrimination against women by the National Endowment for the Arts (NEA) and the National Endowment for the Humanities (NEH). The document is presented in seven chapters. Chapter I discusses…

33 CFR 148.105 - What must I include in my application?

Code of Federal Regulations, 2014 CFR

2014-07-01

... each director, or their equivalents. (e) Address for service of documents. The name and address of one... name and address of one individual who may receive other documents. (f) Location and use. The proposed... contracts and construction-related studies. (1) A copy of each contract that the applicant made for the...

42 CFR 93.512 - Discovery.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Discovery. 93.512 Section 93.512 Public Health... Process § 93.512 Discovery. (a) Request to provide documents. A party may only request another party to...) Responses to a discovery request. Within 30 days of receiving a request for the production of documents, a...

32 CFR 724.803 - The decisional document.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Convictions by court-martial; (xvii) Prior military service and type of discharge received. (2) Any other... picture of the overall quality of the applicant's service. (b) A list of the type of documents submitted... whether the applicant testified, and a list of the type of witnesses, if any , who testified on behalf of...

Area Source Boiler National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 63, Subpart JJJJJJ: Questions and Answers

EPA Pesticide Factsheets

This October 2016 question and answer (Q&A) document is in response to a number of questions the EPA has received from delegated state and local agencies and the regulated community regarding the NESHAP for Area source boilers. Document updates 4/2014 PDF.

Sandia National Laboratories Hazardous Waste (RCRA) Information Repository

Science.gov Websites

Albuquerque New Mexico. Hard copies of the documents are available for review at Zimmerman Library, located prefer to receive hard copy notices of updates, please download subscription form and mail this completed Select the 'print' button to get a hard copy of your document listings. Instructions for Zimmerman

Congenital malformations, palliative care and postnatal redirection to more intensive treatment - a review at a Swiss tertiary center.

PubMed

Pfeifer, Ulrich; Gubler, Deborah; Bergstraesser, Eva; Bassler, Dirk

2018-05-01

The so-called lethal malformations pose ethical challenges. Most affected fetuses die before or at birth. Live-born neonates commonly receive palliative care. If the postnatal course is better than expected, redirection towards more treatment may occur. We aimed to analyze this in a Swiss patient cohort. Over 6 years, fetal malformation was suspected in 1113 cases. We identified patients prenatally assigned to palliative care, assessed pre- and postnatal diagnoses, and outcomes. Fourteen neonates received palliative care. Eleven patients received palliative care following late termination of pregnancy, for three, palliative care was planned and the fetus died during delivery, for two, the outcome was unknown (incomplete documentation). Genetic testing was performed in 50%. The predominant diagnostic group was central nervous system malformations (33%), followed by chromosomal aberrations (20%) and renal anomalies (17%). One child assigned to palliative care was resuscitated. Antenatal findings were anhydramnios and pulmonary hypoplasia. Postnatally, respiration was better than expected. The neonate was admitted to intensive care, died on day one. Nervous system malformations seem to be a major criterion for foregoing life-sustaining interventions. Redirection towards more treatment is rare. This may reflect precise prenatal prognostication; a degree of self-fulfilling prophecy cannot be excluded.

Promoting nitrate removal in rain gardens | Science Inventory ...

EPA Pesticide Factsheets

Rain gardens are vegetated surface depressions, often located at low points in landscapes, designed to receive stormwater runoff from roads, roofs, and parking lots. The gardens’ sandy soils allow stormwater to drain quickly to the native soils below and eventually to groundwater. The rain garden vegetation and soils remove pollutants and nutrients from stormwater runoff through biological and physical processes such as plant uptake and sorption to soil particles. In comparison with stormwater release to receiving waters through conventional storm drain systems, infiltrating stormwater through rain gardens reduces peak flows and loadings of both pollutants and nutrients. This reduction improves the physical and biological integrity of receiving streams by reducing stream bank erosion and negative effects on stream communities. While local governments and individual homeowners are building these systems, relatively few scientific studies have documented the ability of rain gardens to remove pollutants and nutrients. This U.S. EPA long-term research project investigates: 1) the performance of rain gardens in removing pollutants, and 2) whether currently-accepted design standards can be adjusted to improve nitrate removal capabilities. Typical rain garden designs provide large removals of pollutants of concern, including heavy metals, phosphorus, total nitrogen, and ammonium. The gardens have been less successful in removing nitrate, an importan

Use of CDMA access technology in mobile satellite systems

NASA Technical Reports Server (NTRS)

Ramasastry, Jay; Wiedeman, Bob

1995-01-01

Use of Code Division Multiple Access (CDMA) technology in terrestrial wireless systems is fairly well understood. Similarly, design and operation of Power Control in a CDMA-based system in a terrestrial environment is also well established. Terrestrial multipath characteristics, and optimum design of the CDMA receiver to deal with multipath and fading conditions are reliably established. But the satellite environment is different. When the CDMA technology is adopted to the satellite environment, other design features need to be incorporated (for example; interleaving, open-loop and closed-loop power control design, diversity characteristics) to achieve comparable level of system performance. In fact, the GLOBALSTAR LEO/MSS system has incorporated all these features. Contrary to some published reports, CDMA retains the advantages in the satellite environment that are similar to those achieved in the terrestrial environment. This document gives a description of the CDMA waveform and other design features adopted for mobile satellite applications.

Procedures for woody vegetation surveys in the Kazgail rural council area, Kordofan, Sudan

USGS Publications Warehouse

Falconer, Allan; Cross, Matthew D.; Orr, Donald G.

1990-01-01

Efforts to reforest parts of the Kordofan Province of Sudan are receiving support from international development agencies. These efforts include planning and implementing reforestation activities that require the collection of natural resources and socioeconomic data, and the preparation of base maps. A combination of remote sensing, geographic information system and global positioning systems procedures are used in this study to meet these requirements.Remote sensing techniques were used to provide base maps and to guide the compilation of vegetation resources maps. These techniques provided a rapid and efficient method for documenting available resources. Pocket‐sized global positioning system units were used to establish the location of field data collected for mapping and resource analysis. A microcomputer data management system tabulated and displayed the field data. The resulting system for data analysis, management, and planning has been adopted for the mapping and inventory of the Gum Belt of Sudan.

Combining a clinical ladder and performance appraisal system as a reward strategy: the EXCEL clinical ladder program.

PubMed

Moe, J K; Lonowski, L R; Yancer, D A

1994-09-01

In response to the dramatic changes occurring in health care today and a desire to reward professional nurses for clinical behaviors that would be valued in the future, Bergan Mercy Medical Center (BMMC) has developed an innovative clinical ladder/performance appraisal system. The BMMC EXCEL Clinical Ladder program, which is based on the developmental model of Patricia Benner, is a competency-based system that uniquely combines a clinical ladder and performance appraisal system. The program is clinically focused and contains optional components in which registered nurses (RNs) can receive additional credit for participation in professional growth and leadership activities. Nurses document examples of their practice through nursing narratives that describe actual clinical situations. The development and implementation processes, challenges encountered, and recommendations for alternative approaches to the implementation of such a unique system are discussed.

NSSDC and WDC-A-R/S document availability and distribution services

NASA Technical Reports Server (NTRS)

1980-01-01

Documents available from the National Space Science Data Center (NSSDC) and the World Data Center A for Rockets Satellites are described. The availability, costs, ordering procedures for documents presently available, and the procedures for obtaining future documents are given. NSSDC, established by NASA to further the widest practicable use of reduced data obtained from space science investigations and to provide investigators with an active repository for such data, is responsible for the active collection, organization, storage, announcement, retrieval, dissemination, and exchange of data received from satellite experiments. Information on sounding rocket investigations is also collected.

Institutional Educational Technology Policy and Strategy Documents: An Inequality Gaze

ERIC Educational Resources Information Center

Czerniewicz, Laura; Rother, Kyle

2018-01-01

Issues of inequality in higher education have received considerable attention in recent decades, but the intersection of inequality and educational technology at an institutional level has received little attention. This study aims to provide a perspective on institutional educational technology policy informed by current understandings of…

39 CFR 3001.12 - Service of documents.

Code of Federal Regulations, 2010 CFR

2010-07-01

... or presiding officer has determined is unable to receive service through the Commission's Web site... presiding officer has determined is unable to receive service through the Commission Web site shall be by... service list for each current proceeding will be available on the Commission's Web site http://www.prc.gov...

41 CFR 101-26.501-6 - Forms used in connection with delivery of vehicles.

Code of Federal Regulations, 2010 CFR

2010-07-01

... left in place during the warranty period to permit prompt identification of vehicles requiring dealer... order. (c) Instructions to Consignee Receiving New Motor Vehicles Purchased by General Services... and information contained in the document entitled “Instructions to Consignee Receiving New Motor...

Heat transfer analysis of a lab scale solar receiver using the discrete ordinates model

NASA Astrophysics Data System (ADS)

Dordevich, Milorad C. W.

This thesis documents the development, implementation and simulation outcomes of the Discrete Ordinates Radiation Model in ANSYS FLUENT simulating the radiative heat transfer occurring in the San Diego State University lab-scale Small Particle Heat Exchange Receiver. In tandem, it also serves to document how well the Discrete Ordinates Radiation Model results compared with those from the in-house developed Monte Carlo Ray Trace Method in a number of simplified geometries. The secondary goal of this study was the inclusion of new physics, specifically buoyancy. Implementation of an additional Monte Carlo Ray Trace Method software package known as VEGAS, which was specifically developed to model lab scale solar simulators and provide directional, flux and beam spread information for the aperture boundary condition, was also a goal of this study. Upon establishment of the model, test cases were run to understand the predictive capabilities of the model. It was shown that agreement within 15% was obtained against laboratory measurements made in the San Diego State University Combustion and Solar Energy Laboratory with the metrics of comparison being the thermal efficiency and outlet, wall and aperture quartz temperatures. Parametric testing additionally showed that the thermal efficiency of the system was very dependent on the mass flow rate and particle loading. It was also shown that the orientation of the small particle heat exchange receiver was important in attaining optimal efficiency due to the fact that buoyancy induced effects could not be neglected. The analyses presented in this work were all performed on the lab-scale small particle heat exchange receiver. The lab-scale small particle heat exchange receiver is 0.38 m in diameter by 0.51 m tall and operated with an input irradiation flux of 3 kWth and a nominal mass flow rate of 2 g/s with a suspended particle mass loading of 2 g/m3. Finally, based on acumen gained during the implementation and development of the model, a new and improved design was simulated to predict how the efficiency within the small particle heat exchange receiver could be improved through a few simple internal geometry design modifications. It was shown that the theoretical calculated efficiency of the small particle heat exchange receiver could be improved from 64% to 87% with adjustments to the internal geometry, mass flow rate, and mass loading.

Cardiac dysfunction in the trastuzumab clinical trials experience.

PubMed

Seidman, Andrew; Hudis, Clifford; Pierri, Mary Kathryn; Shak, Steven; Paton, Virginia; Ashby, Mark; Murphy, Maureen; Stewart, Stanford J; Keefe, Deborah

2002-03-01

This study sought to estimate cardiac dysfunction (CD) risk for patients receiving trastuzumab; to characterize observed CD by severity, treatment, and clinical outcome; to assess effects of baseline clinical risk factors on CD; and to assess effects of cumulative doses of anthracyclines and trastuzumab on CD. A retrospective review of records for patients enrolled onto any of seven phase II and III trastuzumab clinical trials was performed. Predefined criteria were used for the diagnosis, and the New York Heart Association functional classification system was used to document CD severity. Product-limit estimates were used to summarize the cumulative anthracycline and trastuzumab doses at the time of CD onset. Patients treated with trastuzumab were found to be at an increased risk for CD. The incidence was greatest in patients receiving concomitant trastuzumab and anthracycline plus cyclophosphamide (27%). The risk was substantially lower in patients receiving paclitaxel and trastuzumab (13%) or trastuzumab alone (3% to 7%); however, most of these patients had received prior anthracycline therapy. CD was noted in 8% of patients receiving anthracycline plus cyclophosphamide and 1% receiving paclitaxel alone. Most trastuzumab-treated patients developing CD were symptomatic (75%), and most improved with standard treatment for congestive heart failure (79%). Trastuzumab is associated with an increased risk of CD, which is greatest in patients receiving concurrent anthracyclines. In most patients with metastatic breast cancer, the risk of CD can be justified given the improvement in overall survival previously reported with trastuzumab.

CARRIER PREPARATION BUILDING MATERIALS HANDLING SYSTEM DESCRIPTION DOCUMENT

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

E.F. Loros

2000-06-28

The Carrier Preparation Building Materials Handling System receives rail and truck shipping casks from the Carrier/Cask Transport System, and inspects and prepares the shipping casks for return to the Carrier/Cask Transport System. Carrier preparation operations for carriers/casks received at the surface repository include performing a radiation survey of the carrier and cask, removing/retracting the personnel barrier, measuring the cask temperature, removing/retracting the impact limiters, removing the cask tie-downs (if any), and installing the cask trunnions (if any). The shipping operations for carriers/casks leaving the surface repository include removing the cask trunnions (if any), installing the cask tie-downs (if any), installingmore » the impact limiters, performing a radiation survey of the cask, and installing the personnel barrier. There are four parallel carrier/cask preparation lines installed in the Carrier Preparation Building with two preparation bays in each line, each of which can accommodate carrier/cask shipping and receiving. The lines are operated concurrently to handle the waste shipping throughputs and to allow system maintenance operations. One remotely operated overhead bridge crane and one remotely operated manipulator is provided for each pair of carrier/cask preparation lines servicing four preparation bays. Remotely operated support equipment includes a manipulator and tooling and fixtures for removing and installing personnel barriers, impact limiters, cask trunnions, and cask tie-downs. Remote handling equipment is designed to facilitate maintenance, dose reduction, and replacement of interchangeable components where appropriate. Semi-automatic, manual, and backup control methods support normal, abnormal, and recovery operations. Laydown areas and equipment are included as required for transportation system components (e.g., personnel barriers and impact limiters), fixtures, and tooling to support abnormal and recovery operations. The Carrier Preparation Building Materials Handling System interfaces with the Cask/Carrier Transport System to move the carriers to and from the system. The Carrier Preparation Building System houses the equipment and provides the facility, utility, safety, communications, and auxiliary systems supporting operations and protecting personnel.« less

Breaking the Silos: The art Documentation Suite

NASA Astrophysics Data System (ADS)

Kutschke, Robert K.

2015-12-01

The art event-processing framework is used by almost all new experiments at Fermilab, and by several outside of Fermilab. All use art as an external product in the same sense that the compiler, ROOT, Geant4, CLHEP and boost are external products. The art team has embarked on a campaign to document art and develop training materials for new users. Many new users of art have little or no knowledge of C++, software engineering, build systems or the many external packages used by art or their experiments, such as ROOT, CLHEP, HEPPDT, and boost. To effectively teach art requires that the training materials include appropriate introductions to these topics as they are encountered. Experience has shown that simply referring readers to the existing native documentation does not work; too often a simple idea that they need to understand is described in a context that presumes prerequisites that are unimportant for a beginning user of art. There is the additional complication that the training materials must be presented in a way that does not presume knowledge of any of the experiments using art. Finally, new users of art arrive at random times throughout the year and the training materials must allow them to start to learn art at any time. This presentation will explain the strategies adopted by the art team to develop a documentation suite that complies with these boundary conditions. It will also show the present status of the documentation suite, including feedback the art team has received from pilot users.

Spread Spectrum Receiver Electromagnetic Interference (EMI) Test Guide

NASA Technical Reports Server (NTRS)

Wheeler, Mark L.

1998-01-01

This program consisted of: (1) a study to define appropriate EMI test guidelines and test methods for direct sequence (DS) spread spectrum receivers; and (2) preparation of a written test guide to document the recommended test methods. The scope of this test guide includes: (1) a discussion of generic DS receiver performance characteristics; (2) a summary of S-band TDRSS receiver operation; (3) a discussion of DS receiver EMI susceptibility mechanisms and characteristics; (4) a summary of military standard test guidelines; (5) recommended test approach and methods; and (6) general conclusions and recommendations for future studies in the area of spread spectrum receiver testing.

[Recommendations for the control of documents and the establishment of a documentary system].

PubMed

Vinner, E

2013-06-01

The quality management system that must be implemented in a MBL to meet the requirements of the standard NF EN ISO 15189 is based, among other things, on the creation and use by staff of a documentary system approved and updated. This documentary system is constituted by external documents (standards, suppliers' documents...) and internal documents (quality manual, procedures, instructions, technical and quality recordings...). A procedure of the documentary system control must be formalized. The documentary system should be modeled in order to identify the various procedures to be drafted and the incurred risks in the case a document would be missing in this system. Each document must be indexed in a unique way and document management must be carried out rigorously. The use of document management software is a great help to manage the life cycle of documents.

17 CFR 10.12 - Service and filing of documents; form and execution.

Code of Federal Regulations, 2012 CFR

2012-04-01

... page thereof the name and post office address of the person who is authorized to receive service for... Proceedings Clerk. (2) Title page. All documents filed with the Proceedings Clerk must include at the head thereof, or on a title page, the name of the Commission, the docket number and title of the proceeding...

Counterstories about Leadership: A Latina School Principal's Experience from a Less Documented View in an Urban School Context

ERIC Educational Resources Information Center

Hernandez, Frank; Murakami, Elizabeth

2016-01-01

Latina/o school leaders are receiving increasing visibility in research based on their representation in K-12 administrative ranks. However, even though they bring cultural knowledge in providing social and academic support to teachers, families, and especially students of color, their own experiences still reflect less documented histories and…

Redress of Consumer Grievances. Report of the National Institute for Consumer Justice.

ERIC Educational Resources Information Center

National Inst. for Consumer Justice, Washington, DC.

The document is a report on the adequacy of existing procedures for resolving disputes arising out of consumer transactions. It is primarily concerned with problems of the consumer who receives defective goods or services and so suffers economic loss. Focusing on four types of dispute resolution, the document presents its findings and…

33 CFR 148.105 - What must I include in my application?

Code of Federal Regulations, 2011 CFR

2011-07-01

... each director, or their equivalents. (e) Address for service of documents. The name and address of one... name and address of one individual who may receive other documents. (f) Location and use. The proposed... studies. (1) A copy of each contract that the applicant made for the construction of any component of the...

33 CFR 148.105 - What must I include in my application?

Code of Federal Regulations, 2012 CFR

2012-07-01

... each director, or their equivalents. (e) Address for service of documents. The name and address of one... name and address of one individual who may receive other documents. (f) Location and use. The proposed... studies. (1) A copy of each contract that the applicant made for the construction of any component of the...

Facsimile Transmission of Microforms.

DTIC Science & Technology

1983-12-30

display terminals, high speed printers, conventional facsimile receivers, and/or graphics COM recorders. Microforms designed for storage, retrieval...author and Whould not be construed as an official Department of the Army position, policy, or decision, unless so designated by other documentation...beconstrued as an official Department of the Army position, policy, or decision, unless so designated by other documentation. ,, -- UNCLASSIFIED SECURITY

17 CFR 10.12 - Service and filing of documents; form and execution.

Code of Federal Regulations, 2010 CFR

2010-04-01

... page thereof the name and post office address of the person who is authorized to receive service for... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Service and filing of... TRADING COMMISSION RULES OF PRACTICE General Provisions § 10.12 Service and filing of documents; form and...

75 FR 3238 - Draft Guidance for Industry and Food and Drug Administration Staff; Heart Valves...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-20

...-847-8149 to receive a hard copy. Please use the document number (1607). CDRH maintains an entry on the... personal computer with Internet access. Updated on a regular basis, the CDRH home page includes device... capability for all CDRH guidance documents is available at http://www.fda.gov/medicaldevices...

Integration and test of high-speed transmitter electronics for free-space laser communications

NASA Technical Reports Server (NTRS)

Soni, Nitin J.; Lizanich, Paul J.

1994-01-01

The NASA Lewis Research Center in Cleveland, Ohio, has developed the electronics for a free-space, direct-detection laser communications system demonstration. Under the High-Speed Laser Integrated Terminal Electronics (Hi-LITE) Project, NASA Lewis has built a prototype full-duplex, dual-channel electronics transmitter and receiver operating at 325 megabit S per second (Mbps) per channel and using quaternary pulse-position modulation (QPPM). This paper describes the integration and testing of the transmitter portion for future application in free-space, direct-detection laser communications. A companion paper reviews the receiver portion of the prototype electronics. Minor modifications to the transmitter were made since the initial report on the entire system, and this paper addresses them. The digital electronics are implemented in gallium arsenide integrated circuits mounted on prototype boards. The fabrication and implementation issues related to these high-speed devices are discussed. The transmitter's test results are documented, and its functionality is verified by exercising all modes of operation. Various testing issues pertaining to high-speed circuits are addressed. A description of the transmitter electronics packaging concludes the paper.

Document Level Assessment of Document Retrieval Systems in a Pairwise System Evaluation

ERIC Educational Resources Information Center

Rajagopal, Prabha; Ravana, Sri Devi

2017-01-01

Introduction: The use of averaged topic-level scores can result in the loss of valuable data and can cause misinterpretation of the effectiveness of system performance. This study aims to use the scores of each document to evaluate document retrieval systems in a pairwise system evaluation. Method: The chosen evaluation metrics are document-level…

Exploration of the perceptions of emergency physicians and interns regarding the medical documentation practices of interns.

PubMed

Isoardi, Jonathon; Spencer, Lyndall; Sinnott, Michael; Nicholls, Kim; O'Connor, Angela; Jones, Fleur

2013-08-01

The primary objective of the present study was to learn the factors that influence the documentation practices of ED interns. A second objective was to identify the expectations of emergency physicians (EPs) towards the medical record documentation of ED interns. A qualitative design was adopted using semi-structured interviews in convenience samples drawn from both groups. Eighteen interviews were conducted with intern volunteers and 10 with EP volunteers. One (5%) intern and two (20%) EPs had received medical documentation training. Factors that encouraged interns' documentation included: patient acuity (the more critical the condition, the more comprehensive the documentation) and the support of senior colleagues. Inhibiting factors included uncertainty about how much to write, and the shift being worked (interns indicated they wrote less at night). Factors of consequence to senior personnel included the apparent reluctance of interns to document management plans. They noted that interns frequently confine their notes to assessment, investigations and treatments, whereas EPs preferred records that demonstrated intern thought processes and included such matters as future actions to follow immediate treatment. A positive theme that emerged included the high level of support interns received from their senior colleagues. Another theme, the influence of patient acuity, held both positive and negative implications for intern writing practices. The lack of formal training is an impediment to the production of useful medical records by ED interns. One solution proposed by both interns and senior personnel was the introduction of the subject into intern education programmes. © 2013 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

A commentary on the status of the behavioral approach in the healthcare marketplace.

PubMed

Moss, G R

1993-12-01

Clinically applied behavioral technology (e.g., integrated, systems-based hospital programs) and specific behavior therapies (e.g., systematic desensitization) have a long record of documented and powerful efficacy yet have failed to penetrate successfully the healthcare marketplace and to receive adequate public recognition. Many behavioral techniques are utilized widely without acknowledgement of their true origins. The current position of the behavioral approach in the healthcare marketplace is examined, and factors making for resistance to its acceptance are identified. Recommendations are offered for the more effective promotion of behavioral methods and services.

Federal Logistics Information Systems. FLIS Procedures Manual. Document Identifier Code Input/Output Formats (Variable Length). Volume 9.

DTIC Science & Technology

1997-04-01

DATA COLLABORATORS 0001N B NQ 8380 NUMBER OF DATA RECEIVERS 0001N B NQ 2533 AUTHORIZED ITEM IDENTIFICATION DATA COLLABORATOR CODE 0002 ,X B 03 18 TD...01 NC 8268 DATA ELEMENT TERMINATOR CODE 000iX VT 9505 TYPE OF SCREENING CODE 0001A 01 NC 8268 DATA ELEMENT TERMINATOR CODE 000iX VT 4690 OUTPUT DATA... 9505 TYPE OF SCREENING CODE 0001A 2 89 2910 REFERENCE NUMBER CATEGORY CODE (RNCC) 0001X 2 89 4780 REFERENCE NUMBER VARIATION CODE (RNVC) 0001 N 2 89

Group Health’s Initiative To Avert Opioid Misuse And Overdose Among Patients With Chronic Noncancer Pain

PubMed Central

Trescott, Claire E.; Beck, Randi M.; Seelig, Michelle D.; Von Korff, Michael R.

2012-01-01

Increased opioid prescribing for chronic pain that is not due to cancer has been accompanied by large increases in abuse and overdose of prescription opioids. This paper describes how Group Health, a Seattle-based nonprofit health care system, implemented a major initiative to make opioid prescribing safer. In the initiative’s first nine months, clinicians developed documented care plans for almost 6,000 patients receiving long-term opioid therapy for chronic pain. Evaluation of the initiative’s effects on care processes and trends in adverse events is under way. PMID:21821559

Evaluation of RF Anechoic Chamber Fire Protection Systems

DTIC Science & Technology

1980-07-01

Reflection - I Area Primary Reflection Area FIGURE 5. Re fle ct ions in Anechoic Chiamber. I Primary Reflection rce Areas ’ oil Receiver - FIGUE 6.Three...Uaa~a - a- oa -0 m ...- .m al -C . -.. -a a-id .a mCL aC r. 00 v~.a. m a. a’ c ~ a a Luv c C v ’aa C ൉.-a 0 IL a 0 ~ .. -0 - 00- Ckaa I m.-aI 1 :1...CLASSIFICATION OF THIS PAGE (IWhen Data Entered) REPORT DOCUMENTATION PAGE READ INSTRUCTIONSBEFORE COMPLETING FORM I . REPORT NUMBER 2. GOVT ACCESSION NO, 3

BOREAS TE-1 Soils Data Over The SSA Tower Sites in Raster Format

NASA Technical Reports Server (NTRS)

Hall, Forrest G. (Editor); Anderson, Darwin; Knapp, David E.

2000-01-01

The BOREAS TE-1 team collected various data to characterize the soil-plant systems in the BOREAS SSA. This data set was gridded from vector layers of soil maps that were received from Dr. Darwin Anderson (TE-1), who did the original soil mapping in the field during 1994. The vector layers were gridded into raster files that cover approximately 1 square kilometer over each of the tower sites in the SSA. The data files are available on a CD-ROM (see document number 20010000884), or from the Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC).

A bibliography of planetary geology principal investigators and their associates, 1979 - 1980

NASA Technical Reports Server (NTRS)

Lettvin, E. (Compiler); Boyce, J. M. (Compiler)

1980-01-01

This bibliography cites 698 reports and articles published from May 1979 through May 1980 by principal investigators and associates who received support from NASA's Office of Space Science, as part of the Planetary Geology program. Entries are arranged in the following categories: (1) general interest; (2) solar system, asteroids, comets, and satellites; (3) structure, tectonics, and stratigraphy; (4) regolith and volatiles; (5) volcanism; (6) impact craters; (7) Eolian glacial An author index is provided. The bibliography serves as a companion document to NASA TM 81776, "Reports of Planetary Geology Programs, 1979-1980".

Smith Newton Vehicle Performance Evaluation - Gen 2 - Cumulative (Brochure)

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

Not Available

2014-08-01

The Fleet Test and Evaluation Team at the U.S. Department of Energy's National Renewable Energy Laboratory is evaluating and documenting the performance of electric and plug-in hybrid electric drive systems in medium-duty trucks across the nation. U.S. companies participating in this evaluation project received funding from the American Recovery and Reinvestment Act to cover part of the cost of purchasing these vehicles. Through this project, Smith Electric Vehicles is building and deploying 500 all-electric medium-duty trucks that will be deployed by a variety of companies in diverse climates across the country.

Navistar eStar Vehicle Performance Evaluation – 4th Quarter 2013; Energy Efficiency & Renewable Energy (EERE), Vehicle Technologies Office (VTO)

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

None

2014-01-01

The Fleet Test and Evaluation Team at the U.S. Department of Energy's National Renewable Energy Laboratory is evaluating and documenting the performance of electric and plug-in hybrid electric drive systems in medium duty trucks across the nation. U.S. companies participating in this evaluation project received funding from the American Recovery and Reinvestment Act to cover part of the cost of purchasing these vehicles. Through this project, Navistar will build and deploy all-electric medium-duty trucks. The trucks will be deployed in diverse climates across the country.

Navistar eStar Vehicle Performance Evaluation - 4th Quarter 2012; Energy Efficiency & Renewable Energy (EERE), Vehicle Technologies Office (VTO)

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

None

2013-05-01

The Fleet Test and Evaluation Team at the U.S. Department of Energy's National Renewable Energy Laboratory is evaluating and documenting the performance of electric and plug-in hybrid electric drive systems in medium-duty trucks across the nation. U.S. companies participating in this evaluation project received funding from the American Recovery and Reinvestment Act to cover part of the cost of purchasing these vehicles. Through this project, Navistar will build and deploy all-electric medium-duty trucks. The trucks will be deployed in diverse climates across the country.

Manual on characteristics of Landsat computer-compatible tapes produced by the EROS Data Center digital image processing system

USGS Publications Warehouse

Holkenbrink, Patrick F.

1978-01-01

Landsat data are received by National Aeronautics and Space Administration (NASA) tracking stations and converted into digital form on high-density tapes (HDTs) by the Image Processing Facility (IPF) at the Goddard Space Flight Center (GSFC), Greenbelt, Maryland. The HDTs are shipped to the EROS Data Center (EDC) where they are converted into customer products by the EROS Data Center digital image processing system (EDIPS). This document describes in detail one of these products: the computer-compatible tape (CCT) produced from Landsat-1, -2, and -3 multispectral scanner (MSS) data and Landsat-3 only return-beam vidicon (RBV) data. Landsat-1 and -2 RBV data will not be processed by IPF/EDIPS to CCT format.

Cassini/Huygens Probe Entry, Descent, and Landing (EDL) at Titan Independent Technical Assessment

NASA Technical Reports Server (NTRS)

Powell, Richard W.; Lockwood, Mary Kae; Cruz, Juan R.; Striepe, Scott A.; Sutton, Kenneth; Fisher, Jody; Takashima, Naruhisa T.; Justus, Jere; Keller, Vernon W.; Bose, Deepak;

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 490

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. Two indexes-subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 498

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 487

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. Two indexes-subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 482

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Aerospace Medicine and Biology: A Continuing Bibliography With Indexes. Supplement 502

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-2000-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. Two indexes-subject and author are included after the abstract section.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 489

NASA Technical Reports Server (NTRS)

1999-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1999-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 477

NASA Technical Reports Server (NTRS)

1998-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1998-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 478

NASA Technical Reports Server (NTRS)

1998-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-1998-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract.

Aerospace Medicine and Biology: A Continuing Bibliography with Indexes. Supplement 504

NASA Technical Reports Server (NTRS)

2000-01-01

This supplemental issue of Aerospace Medicine and Biology, A Continuing Bibliography with Indexes (NASA/SP-2000-7011) lists reports, articles, and other documents recently announced in the NASA STI Database. In its subject coverage, Aerospace Medicine and Biology concentrates on the biological, physiological, psychological, and environmental effects to which humans are subjected during and following simulated or actual flight in the Earth's atmosphere or in interplanetary space. References describing similar effects on biological organisms of lower order are also included. Such related topics as sanitary problems, pharmacology, toxicology, safety and survival, life support systems, exobiology, and personnel factors receive appropriate attention. Applied research receives the most emphasis, but references to fundamental studies and theoretical principles related to experimental development also qualify for inclusion. Each entry in the publication consists of a standard bibliographic citation accompanied, in most cases, by an abstract. Two indexes- subject and author are included after the abstract section.

[Maternal and congenital syphilis: a persistent challenge].

PubMed

Magalhães, Daniela Mendes dos Santos; Kawaguchi, Inês Aparecida Laudares; Dias, Adriano; Calderon, Iracema de Mattos Paranhos

2013-06-01

This descriptive study collected socio-demographic, obstetric, and diagnostic and treatment-related data from pregnant and postpartum women and their partners, for the 67 pregnant or postpartum women reported with syphilis to the National System of Diseases of Notification, users of public maternity hospitals in the Federal District of Brazil from 2009 to 2010. Data on clinical and laboratory follow-up of the newborn were obtained from the hospital patient charts, compulsory notification forms, and Infant Health Cards. Of the pregnant women, 41.8% were adequately treated; the main reason for inadequate treatment was the absence (83.6%) or inadequate treatment of the partner (88.1%). More than a third required repeat treatment at the maternity hospital due to lack of documentation of treatment during the prenatal period. Of the newborns diagnosed with congenital syphilis, 48% received radiographic investigation, 42% received a spinal tap, and 36% failed to receive any kind of intervention. Thus, the quality of prenatal care was insufficient to guarantee the control of congenital syphilis and achieve the goal of reducing incidence of the disease.

What are families most grateful for after receiving palliative care? Content analysis of written documents received: a chance to improve the quality of care.

PubMed

Aparicio, María; Centeno, Carlos; Carrasco, José Miguel; Barbosa, Antonio; Arantzamendi, María

2017-09-06

Family members are involved in the care of palliative patients at home and therefore, should be viewed as important sources of information to help clinicians better understand the quality palliative care service patients receive. The objective of the study was to analyse what is valued most by family carers undergoing bereavement of a palliative care home service in order to identify factors of quality of care. Qualitative exploratory study based on documentary analysis. Content analysis of 77 gratitude documents received over 8 years by a palliative home service in Odivelas, near Lisbon (Portugal) was undertaken, through an inductive approach and using investigator triangulation. Frequency of distinct categories was quantitatively defined. Three different content categories emerged from the analysis: a) Recognition of the care received and the value of particular aspects of care within recognised difficult situations included aspects such as kindness, listening, attention to the family, empathy, closeness, affection and the therapeutic relationships established (63/77 documents); b) Family recognition of the achievements of the palliative care team (29/77) indicated as relief from suffering for the patient and family, opportunity of dying at home, help in facing difficult situations, improvement in quality of life and wellbeing, and feeling of serenity during bereavement; c) Messages of support (45/77) related to the need of resources provided. The relational component emerges as an underlying key aspect of family carers' experience with palliative care home service. Family carers show spontaneous gratitude for the professionalism and humanity found in palliative care. The relational component of care emerges as key to achieve a high quality care experience of palliative care homes service, and could be one indicator of quality of palliative care.

Final Draft of RACER Audit

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

Paige, Karen Schultz; Gomez, Penelope E.

This document describes the approach Waste and Environmental Services - Environmental Data and Analysis plans to take to resolve the issues presented in a recent audit of the WES-EDA Environmental Database relative to the RACER database. A majority of the issues discovered in the audit will be resolved in May 2011 when the WES-EDA Environmental Database, along with other LANL databases, are integrated and moved to a new vendor providing an Environmental Information Management (EIM) system that allows reporting capabilities for all users directly from the database. The EIM system will reside in a publicly accessible LANL cloud-based software system.more » When this transition occurs, the data quality, completeness, and access will change significantly. In the remainder of this document, this new structure will be referred to as the LANL Cloud System In general, our plan is to address the issues brought up in this audit in three ways: (1) Data quality issues such as units and detection status, which impinge upon data usability, will be resolved as soon possible so that data quality is maintained. (2) Issues requiring data cleanup, such as look up tables, legacy data, locations, codes, and significant data discrepancies, will be addressed as resources permit. (3) Issues associated with data feed problems will be eliminated by the LANL Cloud System, because there will be no data feed. As discussed in the paragraph above, in the future the data will reside in a publicly accessible system. Note that report writers may choose to convert, adapt, or simplify the information they receive officially through our data base, thereby introducing data discrepancies between the data base and the public report. It is not always possible to incorporate and/or correct these errors when they occur. Issues in the audit will be discussed in the order in which they are presented in the audit report. Clarifications will also be noted as the audit report was a draft document, at the time of this response.« less

Behavioral and clinical characteristics of persons receiving medical care for HIV infection - Medical Monitoring Project, United States, 2009.

PubMed

Blair, Janet M; Fagan, Jennifer L; Frazier, Emma L; Do, Ann; Bradley, Heather; Valverde, Eduardo E; McNaghten, Ad; Beer, Linda; Zhang, Shuyan; Huang, Ping; Mattson, Christine L; Freedman, Mark S; Johnson, Christopher H; Sanders, Catherine C; Spruit-McGoff, Kathryn E; Heffelfinger, James D; Skarbinski, Jacek

2014-06-20

As of December 31, 2009, an estimated 864,748 persons were living with human immunodeficiency virus (HIV) infection in the 50 U.S. states, the District of Columbia, and six U.S.-dependent areas. Whereas HIV surveillance programs in the United States collect information about persons with a diagnosis of HIV infection, supplemental surveillance systems collect in-depth information about the behavioral and clinical characteristics of persons receiving outpatient medical care for HIV infection. These data are needed to reduce HIV-related morbidity and mortality and HIV transmission. Data were collected during June 2009-May 2010 for patients receiving medical care at least once during January-April 2009. The Medical Monitoring Project (MMP) is an ongoing surveillance system that assesses behaviors and clinical characteristics of HIV-infected persons who have received outpatient medical care. For the 2009 data collection cycle, participants must have been aged ≥18 years and have received medical care during January-April 2009 at sampled facilities that provide HIV medical care within participating MMP project areas. Behavioral and selected clinical data were collected using an in-person interview, and most clinical data were collected using medical record abstraction. A total of 23 project areas in 16 states and Puerto Rico were funded to collect data during the 2009 data collection cycle. The data were weighted for probability of selection and nonresponse to be representative of adults receiving outpatient medical care for HIV infection in the United States and Puerto Rico. Prevalence estimates are presented as weighted percentages. The period of reference is the 12 months before the patient interview unless otherwise noted. The patients in MMP represent 421,186 adults who received outpatient medical care for HIV infection in the United States and Puerto Rico during January-April 2009. Of adults who received medical care for HIV infection, an estimated 71.2% were male, 27.2% were female, and 1.6% were transgender. An estimated 41.4% were black or African American, 34.6% were white, and 19.1% were Hispanic or Latino. The largest proportion (23.1%) were aged 45-49 years. Most patients (81.1%) had medical coverage; 40.3% had Medicaid, 30.6% had private health insurance, and 25.7% had Medicare. An estimated 69.6% of patients had three or more documented CD4+ T-lymphocyte cell (CD4+) or HIV viral load tests. Most patients (88.7%) were prescribed antiretroviral therapy (ART), and 71.6% had a documented viral load that was undetectable or ≤200 copies/mL at their most recent test. Among sexually active patients, 55.0% had documentation in the medical record of being tested for syphilis, 23.2% for gonorrhea, and 23.9% for chlamydia. Noninjection drugs were used for nonmedical purposes by an estimated 27.1% of patients, whereas injection drugs were used for nonmedical purposes by 2.1% of patients. Overall, 12.9% of patients engaged in unprotected sex with a partner of negative or unknown HIV status. Unmet supportive service needs were prevalent, with an estimated 22.8% in need of dental care and 12.0% in need of public benefits, including Social Security Income or Social Security Disability Insurance. Fewer than half of patients (44.8%) reported receiving HIV and sexually transmitted disease prevention counseling from a health-care provider. The findings in this report indicate that most adults living with HIV who received medical care in 2009 were taking ART, had CD4+ and HIV viral load testing at regular intervals, and had health insurance or other coverage. However, some patients did not receive clinical services and treatment in accordance with guidelines. Some patients engaged in behaviors, such as unprotected sex, that increase the risk for transmitting HIV to sex partners, and some used noninjection or injection drugs or both. Local and state health departments and federal agencies can use MMP data for program planning to determine allocation of services and resources, guide prevention planning, assess unmet medical and supportive service needs, inform health-care providers, and help focus intervention programs and health policies at the local, state, and national levels.

75 FR 54882 - Submission of information collection for approval From the Office of Management and Budget

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-09

... Floor, 1700 G Street, NW., Washington, DC 20552. We will post all public comments we receive without... site at http://www.fhfa.gov . In addition, copies of all comments received will be available for... supporting documentation, contact Charles McLean, Associate Director, Office of Housing and Community...

Theories of Mind in Transition: A Microgenetic Study of the Development of False Belief Understanding

ERIC Educational Resources Information Center

Amsterlaw, Jennifer; Wellman, Henry M.

2006-01-01

Microgenetic methods were used to document young children's (N = 36; M age = 3;5) acquisition of false belief (FB) understanding and investigate developmental mechanisms. A control group received no experience with FB; 2 other groups received microgenetic sessions designed to promote FB understanding. Over consecutive weeks, microgenetic groups…

78 FR 26662 - Draft Supplement to the Generic Environmental Impact Statement for License Renewal of Nuclear...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-07

... reasonable alternative energy sources. DATES: Submit comments by June 30, 2013. Comments received after this... for comments received on or before this date. ADDRESSES: You may access information and comment... INFORMATION CONTACT section of this document. Mail comments to: Cindy Bladey, Chief, Rules, Announcements, and...

Information system life-cycle and documentation standards, volume 1

NASA Technical Reports Server (NTRS)

Callender, E. David; Steinbacher, Jody

1989-01-01

The Software Management and Assurance Program (SMAP) Information System Life-Cycle and Documentation Standards Document describes the Version 4 standard information system life-cycle in terms of processes, products, and reviews. The description of the products includes detailed documentation standards. The standards in this document set can be applied to the life-cycle, i.e., to each phase in the system's development, and to the documentation of all NASA information systems. This provides consistency across the agency as well as visibility into the completeness of the information recorded. An information system is software-intensive, but consists of any combination of software, hardware, and operational procedures required to process, store, or transmit data. This document defines a standard life-cycle model and content for associated documentation.

Emergency department documentation templates: variability in template selection and association with physical examination and test ordering in dizziness presentations.

PubMed

Kerber, Kevin A; Hofer, Timothy P; Meurer, William J; Fendrick, A Mark; Morgenstern, Lewis B

2011-03-24

Clinical documentation systems, such as templates, have been associated with process utilization. The T-System emergency department (ED) templates are widely used but lacking are analyses of the templates association with processes. This system is also unique because of the many different template options available, and thus the selection of the template may also be important. We aimed to describe the selection of templates in ED dizziness presentations and to investigate the association between items on templates and process utilization. Dizziness visits were captured from a population-based study of EDs that use documentation templates. Two relevant process outcomes were assessed: head computerized tomography (CT) scan and nystagmus examination. Multivariable logistic regression was used to estimate the probability of each outcome for patients who did or did not receive a relevant-item template. Propensity scores were also used to adjust for selection effects. The final cohort was 1,485 visits. Thirty-one different templates were used. Use of a template with a head CT item was associated with an increase in the adjusted probability of head CT utilization from 12.2% (95% CI, 8.9%-16.6%) to 29.3% (95% CI, 26.0%-32.9%). The adjusted probability of documentation of a nystagmus assessment increased from 12.0% (95%CI, 8.8%-16.2%) when a nystagmus-item template was not used to 95.0% (95% CI, 92.8%-96.6%) when a nystagmus-item template was used. The associations remained significant after propensity score adjustments. Providers use many different templates in dizziness presentations. Important differences exist in the various templates and the template that is used likely impacts process utilization, even though selection may be arbitrary. The optimal design and selection of templates may offer a feasible and effective opportunity to improve care delivery.

Analysis of space telescope data collection systems

NASA Technical Reports Server (NTRS)

Ingels, F. M.

1984-01-01

The Multiple Access (MA) communication link of the Space Telescope (ST) is described. An expected performance bit error rate is presented. The historical perspective and rationale behind the ESTL space shuttle end-to-end tests are given. The concatenated coding scheme using a convolutional encoder for the outer coder is developed. The ESTL end-to-end tests on the space shuttle communication link are described. Most important is how a concatenated coding system will perform. This is a go-no-go system with respect to received signal-to-noise ratio. A discussion of the verification requirements and Specification document is presented, and those sections that apply to Space Telescope data and communications system are discussed. The Space Telescope System consists of the Space Telescope Orbiting Observatory (ST), the Space Telescope Science Institute, and the Space Telescope Operation Control Center. The MA system consists of the ST, the return link from the ST via the Tracking and Delay Relay Satellite system to White Sands, and from White Sands via the Domestic Communications Satellite to the STOCC.

Sixth Goddard Conference on Mass Storage Systems and Technologies Held in Cooperation with the Fifteenth IEEE Symposium on Mass Storage Systems

NASA Technical Reports Server (NTRS)

Kobler, Benjamin (Editor); Hariharan, P. C. (Editor)

1998-01-01

This document contains copies of those technical papers received in time for publication prior to the Sixth Goddard Conference on Mass Storage Systems and Technologies which is being held in cooperation with the Fifteenth IEEE Symposium on Mass Storage Systems at the University of Maryland-University College Inn and Conference Center March 23-26, 1998. As one of an ongoing series, this Conference continues to provide a forum for discussion of issues relevant to the management of large volumes of data. The Conference encourages all interested organizations to discuss long term mass storage requirements and experiences in fielding solutions. Emphasis is on current and future practical solutions addressing issues in data management, storage systems and media, data acquisition, long term retention of data, and data distribution. This year's discussion topics include architecture, tape optimization, new technology, performance, standards, site reports, vendor solutions. Tutorials will be available on shared file systems, file system backups, data mining, and the dynamics of obsolescence.

[The treatment received by public health services users in Mexico].

PubMed

Puentes Rosas, Esteban; Gómez Dantés, Octavio; Garrido Latorre, Francisco

2006-06-01

To document the fact that differences in the treatment received by health services users in Mexico are mainly dependent on the type of provider, regardless of the users' socioeconomic status. The data were obtained by means of a survey of 18 018 users who visited 73 health services in 13 states within Mexico. They were asked to grade the way the institution had performed in seven of the eight domains that define appropriate user treatment (autonomy, confidentiality, communication, respectful manner, condition of basic facilities, access to social assistance networks, and free user choice). The questionnaire included some vignettes to help determine user expectations. A composite ordinal probit model was applied; the perception of quality in connection with each of the appropriate treatment domains was the independent variable, whereas gender, educational level, age, type of provider, and user expectations were used as control variables. The type of provider was the main factor that determined users' perceptions regarding the treatment they received when visiting health services in Mexico. Institutions belonging to the social security system performed the worst, while the services provided under the program targeting the rural population (IMSS Oportunidades) received the highest scores. Overall, the domain that was most highly ranked was respectful manner, whereas the lowest score was given to the ability to choose the provider. Men felt they had been able to communicate better than women, while respectful manner, communication, and social support showed a significant negative association with educational level (P < 0.05). Differences were noted in the way different public health service providers in Mexico treat their users, regardless of the latter's socioeconomic status. Social security system providers showed the greatest deficiencies in this respect. Respectful manner was the domain that received the highest scores in the case of all providers. Organizational changes need to be made, since the shortcomings detected are not solely determined by factors related to health personnel, but also by certain aspects of the way the health system is structured in Mexico.

Color-Coded Labels Cued Nurses to Adhere to Central Line Connector Change.

PubMed

Morrison, Theresa Lynch; Laney, Christina; Foglesong, Jan; Brennaman, Laura

2016-01-01

This study examined nurses' adherence to policies regarding needleless connector changes using a novel, day-of-the-week, color-coded label compared with usual care that relied on electronic medical record (EMR) documentation. This was a prospective, comparative study. The study was performed on 4 medical-surgical units in a seasonally fluctuating, 715-bed healthcare system composed of 2 community hospitals. Convenience sample was composed of adults with central lines hospitalized for 4 or more days. At 4-day intervals, investigators observed bedside label use and EMR needleless connector change documentation. Control patients received standard care-needleless connector change with associated documentation in the EMR. Intervention patients, in addition to standard care, had a day-of-the-week, color-coded label placed on each needleless connector. To account for clustering within unit, multinomial logistic regression models using survey sampling methodology were used to conduct Wald χ tests. A multinominal odds ratio and 95% confidence interval (CI) provided an estimate of using labels that were provided on units relative to usual care documentation of needleless connector change in the EMR. In 335 central line observations, the units with labels (n = 205) had a 321% increase rate of documentation of needleless connector change in the EMR (odds ratio, 4.21; 95% CI, 1.76-10.10; P = .003) compared with the usual care control patients. For units with labels, when labels were present, placement of labels on needleless connectors increased the odds that nurses documented connector changes per policy (4.72; 95% CI, 2.02, 10.98; P = .003). Day-of-the-week, color-coded labels cued nurses to document central line needleless connector change in the EMR, which increased adherence to the needleless connector change policy. Providing day-of-the-week, color-coded needleless connector labels increased EMR documentation of timely needleless connector changes. Timely needleless connector changes may lower the incidence of central line-associated bloodstream infection.

Development of Information System for Patients with Cleft Lip and Palate undergoing Operation.

PubMed

Augsornwan, Darawan; Pattangtanang, Pantamanas; Surakunprapha, Palakorn

2015-08-01

Srinagarind Hospital has 150-200 patients with cleft lip and palate each year. When patients are admitted to hospital for surgery patients and family feel they are in a crisis of life, they feel fear anxiety and need to know about how to take care of wound, they worry if patient will feel pain, how to feed patients and many things about patients. Information is very important for patients/family to prevent complications and help their decision process, decrease parents stress and encourage better co-operation. To develop information system for patients with cleft lip-palate undergoing operation. This is an action research divided into 3 phases. Phase 1 Situation review: in this phase we interview, nursing care observation, and review nursing documents about the information giving. Phase 2 Develop information system: focus groups, for discussion about what nurses can do to develop the system to give information to patients/parents. Phase 3 evaluation: by interviewing 61 parents using the structure questionnaire. 100 percent of patients/parents received information but some items were not received. Patients/parents satisfaction was 94.9 percent, no complications. The information system development provides optimal care for patients and family with cleft lip and palate, but needs to improve some techniques or tools to give more information and evaluate further the nursing outcome after.

Off-label prescribing for children with chronic diseases in Nigeria; findings and implications.

PubMed

Oshikoya, Kazeem Adeola; Oreagba, Ibrahim Adekunle; Godman, Brian; Fadare, Joseph; Orubu, Samuel; Massele, Amos; Senbanjo, Idowu Odunayo

2017-09-01

Prescribing medicines in an off-label manner for children with chronic conditions is sparsely documented, even more so among developing countries. This needs addressing. The objective of this research was to investigate the extent of off-label prescribing among children with epilepsy, asthma, and sickle cell anaemia in Nigeria. Prescriptions for children ≤16 years documented in their case files that attended paediatric clinics in Lagos, Nigeria, for these three conditions between January and October 2015, were reviewed retrospectively to extract data on the medicines prescribed. British National Formulary for children and American Hospital Formulary Service Drug information were used as references. 477 patients received 1746 prescriptions. Off-label prescriptions were seen in 7.7% of prescriptions, related to dose (93; 68.9%), indication (22; 16.3%), and age (20; 14.8%). Nervous system (525; 30.1%) and anti-infective (441; 25.2%) medicines were the most prescribed but only 9.5% and 8.2% of the respective prescriptions were off-label. Children with epilepsy received the most number (94; 69.6%) of off-label prescriptions. The three chronic conditions did not associate significantly with the category of off-label medicine prescribed (p = 0.925). Off-label prescribing for children with epilepsy, asthma and sickle cell anaemia occurs. Encouragingly, the overall rate appears low in Nigeria.

Flammable Gas Technical Basis Document

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

CARRO, C.A.

2003-07-30

This document qualitatively evaluates the frequency and consequences of DST and SST representative flammable gas accidents and associated represented hazardous conditions without controls. Based on the evaluation, it was determined that safety-significant SSCs and/or TSRs were required to prevent or mitigate flammable gas accidents. Controls were selected and the accidents re-evaluated taking credit for the controls. Revision 1 incorporates comments received from ORP.

Mental Health, Substance Use, and Delinquency among Truant Youth in a Brief Intervention Project: A Longitudinal Study

ERIC Educational Resources Information Center

Dembo, Richard; Briones-Robinson, Rhissa; Barrett, Kimberly; Winters, Ken C.; Schmeidler, James; Ungaro, Rocio Aracelis; Karas, Lora; Belenko, Steven; Gulledge, Laura

2013-01-01

The relationship between substance use, mental health disorders, and delinquency among youth is well documented. What has received far less attention from researchers is the relationship between these issues among truant youth, in spite of studies that document truants are a population at risk for negative outcomes. This study bridges this gap by…

Unvarnished Documentation: A Dialogue between Teacher and Parent in Understanding a Child's "Bad" Behavior

ERIC Educational Resources Information Center

Laughlin, Liana; Turner, Terri

2014-01-01

Teachers are often asked to fill out progress reports that include check marks indicating if a child has met certain criteria. While this document offers a superficial glance at knowing a child, it is often the only kind of "assessment" a parent receives. The authors, a daycare teacher and a parent of Rosa, "the mean girl" in…

78 FR 69172 - Requested Administrative Waiver of the Coastwise Trade Laws: Vessel PURSE PRINCESS; Invitation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-18

.... A request for such a waiver has been received by MARAD. The vessel, and a brief description of the... 10 a.m. and 5 p.m., E.T., Monday through Friday, except federal holidays. An electronic version of this document and all documents entered into this docket is available on the World Wide Web at http...

The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national prehospital evidence-based guideline model process for emergency medical services.

PubMed

Brown, Kathleen M; Hirshon, Jon Mark; Alcorta, Richard; Weik, Tasmeen S; Lawner, Ben; Ho, Shiu; Wright, Joseph L

2014-01-01

In 2008, the National Highway Traffic Safety Administration funded the development of a model process for the development and implementation of evidence-based guidelines (EBGs) for emergency medical services (EMS). We report on the implementation and evaluation of an evidence-based prehospital pain management protocol developed using this model process. An evidence-based protocol for prehospital management of pain resulting from injuries and burns was reviewed by the Protocol Review Committee (PRC) of the Maryland Institute for Emergency Medical Services Systems (MIEMSS). The PRC recommended revisions to the Maryland protocol that reflected recommendations in the EBG: weight-based dosing and repeat dosing of morphine. A training curriculum was developed and implemented using Maryland's online Learning Management System and successfully accessed by 3,941 paramedics and 15,969 BLS providers. Field providers submitted electronic patient care reports to the MIEMSS statewide prehospital database. Inclusion criteria were injured or burned patients transported by Maryland ambulances to Maryland hospitals whose electronic patient care records included data for level of EMS provider training during a 12-month preimplementation period and a 12-month postimplementation period from September 2010 through March 2012. We compared the percentage of patients receiving pain scale assessments and morphine, as well as the dose of morphine administered and the use of naloxone as a rescue medication for opiate use, before and after the protocol change. No differences were seen in the percentage of patients who had a pain score documented or the percent of patients receiving morphine before and after the protocol change, but there was a significant increase in the total dose and dose in mg/kg administered per patient. During the postintervention phase, patients received an 18% higher total morphine dose and a 14.9% greater mg/kg dose. We demonstrated that the implementation of a revised statewide prehospital pain management protocol based on an EBG developed using the National Prehospital Evidence-based Guideline Model Process was associated with an increase in dosing of narcotic pain medication consistent with that recommended by the EBG. No differences were seen in the percentage of patients receiving opiate analgesia or in the documentation of pain scores.

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.

Automated 3D architecture reconstruction from photogrammetric structure-and-motion: A case study of the One Pilla pagoda, Hanoi, Vienam

NASA Astrophysics Data System (ADS)

To, T.; Nguyen, D.; Tran, G.

2015-04-01

Heritage system of Vietnam has decline because of poor-conventional condition. For sustainable development, it is required a firmly control, space planning organization, and reasonable investment. Moreover, in the field of Cultural Heritage, the use of automated photogrammetric systems, based on Structure from Motion techniques (SfM), is widely used. With the potential of high-resolution, low-cost, large field of view, easiness, rapidity and completeness, the derivation of 3D metric information from Structure-and- Motion images is receiving great attention. In addition, heritage objects in form of 3D physical models are recorded not only for documentation issues, but also for historical interpretation, restoration, cultural and educational purposes. The study suggests the archaeological documentation of the "One Pilla" pagoda placed in Hanoi capital, Vietnam. The data acquired through digital camera Cannon EOS 550D, CMOS APS-C sensor 22.3 x 14.9 mm. Camera calibration and orientation were carried out by VisualSFM, CMPMVS (Multi-View Reconstruction) and SURE (Photogrammetric Surface Reconstruction from Imagery) software. The final result represents a scaled 3D model of the One Pilla Pagoda and displayed different views in MeshLab software.

International Conference on Harmonisation; Electronic Transmission of Postmarket Individual Case Safety Reports for Drugs and Biologics, Excluding Vaccines; Availability of Food and Drug Administration Regional Implementation Specifications for ICH E2B(R3) Reporting to the Food and Drug Administration Adverse Event Reporting System. Notice of Availability.

PubMed

2016-06-23

The Food and Drug Administration (FDA) is announcing the availability of its FDA Adverse Event Reporting System (FAERS) Regional Implementation Specifications for the International Conference on Harmonisation (ICH) E2B(R3) Specification. FDA is making this technical specifications document available to assist interested parties in electronically submitting individual case safety reports (ICSRs) (and ICSR attachments) to the Center for Drug Evaluation and Research (CDER) and the Center for Biologics Evaluation and Research (CBER). This document, entitled "FDA Regional Implementation Specifications for ICH E2B(R3) Implementation: Postmarket Submission of Individual Case Safety Reports (ICSRs) for Drugs and Biologics, Excluding Vaccines" supplements the "E2B(R3) Electronic Transmission of Individual Case Safety Reports (ICSRs) Implementation Guide--Data Elements and Message Specification" final guidance for industry and describes FDA's technical approach for receiving ICSRs, for incorporating regionally controlled terminology, and for adding region-specific data elements when reporting to FAERS.

Waste Isolation Pilot Plant Biennial Environmental Compliance Report

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

Westinghouse TRU Solutions

This Biennial Environmental Compliance Report (BECR) documents environmental regulatory compliance at the Waste Isolation Pilot Plant (WIPP), a facility designed for the safe disposal of transuranic (TRU) radioactive waste, for the reporting period of April 1, 1998, to March 31, 2000. As required by the WIPP Land Withdrawal Act (LWA)(Public Law [Pub. L.] 102-579, and amended by Pub. L. 104-201), the BECR documents U.S. Department of Energy (DOE) Carlsbad Area Office's (hereinafter the ''CAO'') compliance with applicable environmental protection laws and regulations implemented by agencies of the federal government and the state of New Mexico. An issue was identified inmore » the 1998 BECR relating to a potential cross-connection between the fire-water systems and the site domestic water system. While the CAO and its managing and operating contractor (hereinafter the ''MOC'') believe the site was always in compliance with cross-connection control requirements, hardware and procedural upgrades w ere implemented in March 1999 to strengthen its compliance posture. Further discussion of this issue is presented in section 30.2.2 herein. During this reporting period WIPP received two letters and a compliance order alleging violation of certain requirements outlined in section 9(a)(1) of the LWA. With the exception of one item, pending a final decision by the New Mexico Environment Department (NMED), all alleged violations have been resolved without the assessment of fines or penalties. Non-mixed TRU waste shipments began on March 26, 1999. Shipments continued through November 26, 1999, the effective date of the Waste Isolation Pilot Plant Hazardous Waste Facility Permit (NM4890139088-TSDF). No shipments regulated under the Hazardous Waste Facility Permit were received at WIPP during this BECR reporting period.« less

Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research.

PubMed

Meißner, Anne; Schnepp, Wilfried

2014-06-20

Since the introduction of electronic nursing documentation systems, its implementation in recent years has increased rapidly in Germany. The objectives of such systems are to save time, to improve information handling and to improve quality. To integrate IT in the daily working processes, the employee is the pivotal element. Therefore it is important to understand nurses' experience with IT implementation. At present the literature shows a lack of understanding exploring staff experiences within the implementation process. A systematic review and meta-ethnographic synthesis of primary studies using qualitative methods was conducted in PubMed, CINAHL, and Cochrane. It adheres to the principles of the PRISMA statement. The studies were original, peer-reviewed articles from 2000 to 2013, focusing on computer-based nursing documentation in Residential Aged Care Facilities. The use of IT requires a different form of information processing. Some experience this new form of information processing as a benefit while others do not. The latter find it more difficult to enter data and this result in poor clinical documentation. Improvement in the quality of residents' records leads to an overall improvement in the quality of care. However, if the quality of those records is poor, some residents do not receive the necessary care. Furthermore, the length of time necessary to complete the documentation is a prominent theme within that process. Those who are more efficient with the electronic documentation demonstrate improved time management. For those who are less efficient with electronic documentation the information processing is perceived as time consuming. Normally, it is possible to experience benefits when using IT, but this depends on either promoting or hindering factors, e.g. ease of use and ability to use it, equipment availability and technical functionality, as well as attitude. In summary, the findings showed that members of staff experience IT as a benefit when it simplifies their daily working routines and as a burden when it complicates their working processes. Whether IT complicates or simplifies their routines depends on influencing factors. The line between benefit and burden is semipermeable. The experiences differ according to duties and responsibilities.

The conservation and utilisation of corporate documents and records : In the case of Yamaichi Security Company which had failed in 1997

NASA Astrophysics Data System (ADS)

Itoh, Masanao

This article aims to explain the role and function of the faculty archives affiliated with the faculty of economics, the University of Tokyo, which preserves corporate and private documents and records of importance as historical materials received from various corporations and individuals and makes them available to the researcher and public, and then to explain how and why we have hold the original documents and records of Yamaichi Securities Company which had failed in 1997.

Waste certification program plan for Oak Ridge National Laboratory. Revision 2

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

Not Available

1997-09-01

This document defines the waste certification program (WCP) developed for implementation at Oak Ridge National Laboratory (ORNL). The document describes the program structure, logic, and methodology for certification of ORNL wastes. The purpose of the WCP is to provide assurance that wastes are properly characterized and that the Waste Acceptance Criteria (WAC) for receiving facilities are met. The program meets the waste certification requirements for mixed (both radioactive and hazardous) and hazardous [including polychlorinated biphenyls (PCB)] waste. Program activities will be conducted according to ORNL Level 1 document requirements.

An Intelligent System for Document Retrieval in Distributed Office Environments.

ERIC Educational Resources Information Center

Mukhopadhyay, Uttam; And Others

1986-01-01

MINDS (Multiple Intelligent Node Document Servers) is a distributed system of knowledge-based query engines for efficiently retrieving multimedia documents in an office environment of distributed workstations. By learning document distribution patterns and user interests and preferences during system usage, it customizes document retrievals for…

Developing a national health research system: participatory approaches to legislative, institutional and networking dimensions in Zambia.

PubMed

Chanda-Kapata, Pascalina; Campbell, Sandy; Zarowsky, Christina

2012-06-06

For many sub-Saharan African countries, a National Health Research System (NHRS) exists more in theory than in reality, with the health system itself receiving the majority of investments. However, this lack of attention to NHRS development can, in fact, frustrate health systems in achieving their desired goals. In this case study, we discuss the ongoing development of Zambia's NHRS. We reflect on our experience in the ongoing consultative development of Zambia's NHRS and offer this reflection and process documentation to those engaged in similar initiatives in other settings. We argue that three streams of concurrent activity are critical in developing an NHRS in a resource-constrained setting: developing a legislative framework to determine and define the system's boundaries and the roles all actors will play within it; creating or strengthening an institution capable of providing coordination, management and guidance to the system; and focusing on networking among institutions and individuals to harmonize, unify and strengthen the overall capacities of the research community.

Portable Wireless LAN Device and Two-way Radio Threat Assessment for Aircraft Navigation Radios

NASA Technical Reports Server (NTRS)

Nguyen, Truong X.; Koppen, Sandra V.; Ely, Jay J.; Williams, Reuben A.; Smith, Laura J.; Salud, Maria Theresa P.

2003-01-01

Measurement processes, data and analysis are provided to address the concern for Wireless Local Area Network devices and two-way radios to cause electromagnetic interference to aircraft navigation radio systems. A radiated emission measurement process is developed and spurious radiated emissions from various devices are characterized using reverberation chambers. Spurious radiated emissions in aircraft radio frequency bands from several wireless network devices are compared with baseline emissions from standard computer laptops and personal digital assistants. In addition, spurious radiated emission data in aircraft radio frequency bands from seven pairs of two-way radios are provided, A description of the measurement process, device modes of operation and the measurement results are reported. Aircraft interference path loss measurements were conducted on four Boeing 747 and Boeing 737 aircraft for several aircraft radio systems. The measurement approach is described and the path loss results are compared with existing data from reference documents, standards, and NASA partnerships. In-band on-channel interference thresholds are compiled from an existing reference document. Using these data, a risk assessment is provided for interference from wireless network devices and two-way radios to aircraft systems, including Localizer, Glideslope, Very High Frequency Omnidirectional Range, Microwave Landing System and Global Positioning System. The report compares the interference risks associated with emissions from wireless network devices and two-way radios against standard laptops and personal digital assistants. Existing receiver interference threshold references are identified as to require more data for better interference risk assessments.

76 FR 11239 - EnerNOC, Inc.; Notice of Petition for Declaratory Order

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-01

... response resources as it has in the past and continue to receive settlement in accordance with the PJM... ``eSubscription'' link on the Web site that enables subscribers to receive e-mail notification when a document is added to a subscribed docket(s). For assistance with any FERC Online service, please e-mail...

36 CFR 1206.64 - What formal notification will I receive, and will it contain other information?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What formal notification will I receive, and will it contain other information? 1206.64 Section 1206.64 Parks, Forests, and Public... it contain other information? (a) The formal grant award document is sent to successful applicants...

78 FR 22765 - Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 78 , No. 73 / Tuesday... April 8, 2013 Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive... me by the Constitution and the laws of the United States, including section 503(a) of the Foreign...

78 FR 46682 - CSX Transportation, Inc.-Joint Use-Louisville & Indiana Railroad Company, Inc.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-01

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Computational Performance of Group IV Personnel in Vocational Training Programs. Final Report.

ERIC Educational Resources Information Center

Main, Ray E.; Harrigan, Robert J.

The document evaluates Navy Group Four personnel gains in basic arithmetic skills after taking experimental courses in linear measurement and recipe conversion. Categorized as Mental Group Four by receiving scores from the 10th to the 30th percentile of the Armed Forces Qualification Test, trainees received instruction tailored to the level of…

41 CFR 102-75.665 - What happens after the disposal agency receives the assignment recommendation from DOI?

Code of Federal Regulations, 2011 CFR

2011-01-01

... disposal agency receives the assignment recommendation from DOI? 102-75.665 Section 102-75.665 Public... assignment recommendation from DOI? If, after considering other uses for the property, the disposal agency approves the assignment recommendation from DOI, it must assign the property by letter or other document to...

Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System; Provider Administrative Appeals and Judicial Review. Final rule with comment period; final rule.

PubMed

2015-11-13

This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, this document includes certain finalized policies relating to the hospital inpatient prospective payment system: Changes to the 2-midnight rule under the short inpatient hospital stay policy; and a payment transition for hospitals that lost their status as a Medicare-dependent, small rural hospital (MDH) because they are no longer in a rural area due to the implementation of the new Office of Management and Budget delineations in FY 2015 and have not reclassified from urban to rural before January 1, 2016. In addition, this document contains a final rule that finalizes certain 2015 proposals, and addresses public comments received, relating to the changes in the Medicare regulations governing provider administrative appeals and judicial review relating to appropriate claims in provider cost reports.

Development of Algorithms and Error Analyses for the Short Baseline Lightning Detection and Ranging System

NASA Technical Reports Server (NTRS)

Starr, Stanley O.

1998-01-01

NASA, at the John F. Kennedy Space Center (KSC), developed and operates a unique high-precision lightning location system to provide lightning-related weather warnings. These warnings are used to stop lightning- sensitive operations such as space vehicle launches and ground operations where equipment and personnel are at risk. The data is provided to the Range Weather Operations (45th Weather Squadron, U.S. Air Force) where it is used with other meteorological data to issue weather advisories and warnings for Cape Canaveral Air Station and KSC operations. This system, called Lightning Detection and Ranging (LDAR), provides users with a graphical display in three dimensions of 66 megahertz radio frequency events generated by lightning processes. The locations of these events provide a sound basis for the prediction of lightning hazards. This document provides the basis for the design approach and data analysis for a system of radio frequency receivers to provide azimuth and elevation data for lightning pulses detected simultaneously by the LDAR system. The intent is for this direction-finding system to correct and augment the data provided by LDAR and, thereby, increase the rate of valid data and to correct or discard any invalid data. This document develops the necessary equations and algorithms, identifies sources of systematic errors and means to correct them, and analyzes the algorithms for random error. This data analysis approach is not found in the existing literature and was developed to facilitate the operation of this Short Baseline LDAR (SBLDAR). These algorithms may also be useful for other direction-finding systems using radio pulses or ultrasonic pulse data.

Integration of a knowledge-based system and a clinical documentation system via a data dictionary.

PubMed

Eich, H P; Ohmann, C; Keim, E; Lang, K

1997-01-01

This paper describes the design and realisation of a knowledge-based system and a clinical documentation system linked via a data dictionary. The software was developed as a shell with object oriented methods and C++ for IBM-compatible PC's and WINDOWS 3.1/95. The data dictionary covers terminology and document objects with relations to external classifications. It controls the terminology in the documentation program with form-based entry of clinical documents and in the knowledge-based system with scores and rules. The software was applied to the clinical field of acute abdominal pain by implementing a data dictionary with 580 terminology objects, 501 document objects, and 2136 links; a documentation module with 8 clinical documents and a knowledge-based system with 10 scores and 7 sets of rules.

The design and implementation of an automated system for logging clinical experiences using an anesthesia information management system.

PubMed

Simpao, Allan; Heitz, James W; McNulty, Stephen E; Chekemian, Beth; Brenn, B Randall; Epstein, Richard H

2011-02-01

Residents in anesthesia training programs throughout the world are required to document their clinical cases to help ensure that they receive adequate training. Current systems involve self-reporting, are subject to delayed updates and misreported data, and do not provide a practicable method of validation. Anesthesia information management systems (AIMS) are being used increasingly in training programs and are a logical source for verifiable documentation. We hypothesized that case logs generated automatically from an AIMS would be sufficiently accurate to replace the current manual process. We based our analysis on the data reporting requirements of the American College of Graduate Medical Education (ACGME). We conducted a systematic review of ACGME requirements and our AIMS record, and made modifications after identifying data element and attribution issues. We studied 2 methods (parsing of free text procedure descriptions and CPT4 procedure code mapping) to automatically determine ACGME case categories and generated AIMS-based case logs and compared these to assignments made by manual inspection of the anesthesia records. We also assessed under- and overreporting of cases entered manually by our residents into the ACGME website. The parsing and mapping methods assigned cases to a majority of the ACGME categories with accuracies of 95% and 97%, respectively, as compared with determinations made by 2 residents and 1 attending who manually reviewed all procedure descriptions. Comparison of AIMS-based case logs with reports from the ACGME Resident Case Log System website showed that >50% of residents either underreported or overreported their total case counts by at least 5%. The AIMS database is a source of contemporaneous documentation of resident experience that can be queried to generate valid, verifiable case logs. The extent of AIMS adoption by academic anesthesia departments should encourage accreditation organizations to support uploading of AIMS-based case log files to improve accuracy and to decrease the clerical burden on anesthesia residents.

Detecting climate variations and change: New challenges for observing and data management systems

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

Karl, T.R.; Quayle, R.G.; Groisman, P.Ya.

1993-08-01

Several essential aspects of weather observing and the management of weather data related to improving knowledge of climate variations and change in the surface boundary layer and the consequences for socioeconomic and biogeophysical systems, are discussed. The issues include long-term homogeneous time series of routine weather observations; time- and space-scale resolution of datasets derived from the observations; information about observing systems, data collection systems, and data reduction algorithms; and the enhancement of weather observing systems to serve as climate observing systems. Although much has been learned from existing weather networks and methods of data management, the system is far frommore » perfect. Several vital areas have not received adequate attention. Particular improvements are needed in the interaction between network designers and climatologists; operational analyses that focus on detecting and documenting outliers and time-dependent biases within datasets; developing the means to cope with and minimize potential inhomogeneities in weather observing systems; and authoritative documentation of how various aspects of climate have or have not changed. In this last area, close attention must be given to time and space resolution of the data. In many instances the time and space resolution requirements for understanding why the climate changes are not synonymous with understanding how it has changed or varied. This is particularly true within the surface boundary layer. A standard global daily/monthly climate message should also be introduced to supplement current Global Telecommunication System's CLIMAT data. Overall, a call is made for improvements in routine weather observing, data management, and analysis systems. Routine observations have provided (and will continue to provide) most of the information regarding how the climate has changed during the last 100 years affecting where we live, work, and grow our food. 58 refs., 8 figs., 1 tab.« less

Breaking the silos: The art documentation suite

DOE PAGES

Kutschke, Robert K.

2015-12-23

The art event-processing framework is used by almost all new experiments at Fermilab, and by several outside of Fermilab. All use art as an external product in the same sense that the compiler, ROOT, Geant4, CLHEP and boost are external products. The art team has embarked on a campaign to document art and develop training materials for new users. Many new users of art have little or no knowledge of C++, software engineering, build systems or the many external packages used by art or their experiments, such as ROOT, CLHEP, HEPPDT, and boost. To effectively teach art requires that themore » training materials include appropriate introductions to these topics as they are encountered. Experience has shown that simply referring readers to the existing native documentation does not work, too often a simple idea that they need to understand is described in a context that presumes prerequisites that are unimportant for a beginning user of art. There is the additional complication that the training materials must be presented in a way that does not presume knowledge of any of the experiments using art. Finally, new users of art arrive at random times throughout the year and the training materials must allow them to start to learn art at any time. This presentation will explain the strategies adopted by the art team to develop a documentation suite that complies with these boundary conditions. It will also show the present status of the documentation suite, including feedback the art team has received from pilot users.« less

Fitting and verification of frequency modulation systems on children with normal hearing.

PubMed

Schafer, Erin C; Bryant, Danielle; Sanders, Katie; Baldus, Nicole; Algier, Katherine; Lewis, Audrey; Traber, Jordan; Layden, Paige; Amin, Aneeqa

2014-06-01

Several recent investigations support the use of frequency modulation (FM) systems in children with normal hearing and auditory processing or listening disorders such as those diagnosed with auditory processing disorders, autism spectrum disorders, attention-deficit hyperactivity disorder, Friedreich ataxia, and dyslexia. The American Academy of Audiology (AAA) published suggested procedures, but these guidelines do not cite research evidence to support the validity of the recommended procedures for fitting and verifying nonoccluding open-ear FM systems on children with normal hearing. Documenting the validity of these fitting procedures is critical to maximize the potential FM-system benefit in the above-mentioned populations of children with normal hearing and those with auditory-listening problems. The primary goal of this investigation was to determine the validity of the AAA real-ear approach to fitting FM systems on children with normal hearing. The secondary goal of this study was to examine speech-recognition performance in noise and loudness ratings without and with FM systems in children with normal hearing sensitivity. A two-group, cross-sectional design was used in the present study. Twenty-six typically functioning children, ages 5-12 yr, with normal hearing sensitivity participated in the study. Participants used a nonoccluding open-ear FM receiver during laboratory-based testing. Participants completed three laboratory tests: (1) real-ear measures, (2) speech recognition performance in noise, and (3) loudness ratings. Four real-ear measures were conducted to (1) verify that measured output met prescribed-gain targets across the 1000-4000 Hz frequency range for speech stimuli, (2) confirm that the FM-receiver volume did not exceed predicted uncomfortable loudness levels, and (3 and 4) measure changes to the real-ear unaided response when placing the FM receiver in the child's ear. After completion of the fitting, speech recognition in noise at a -5 signal-to-noise ratio and loudness ratings at a +5 signal-to-noise ratio were measured in four conditions: (1) no FM system, (2) FM receiver on the right ear, (3) FM receiver on the left ear, and (4) bilateral FM system. The results of this study suggested that the slightly modified AAA real-ear measurement procedures resulted in a valid fitting of one FM system on children with normal hearing. On average, prescriptive targets were met for 1000, 2000, 3000, and 4000 Hz within 3 dB, and maximum output of the FM system never exceeded and was significantly lower than predicted uncomfortable loudness levels for the children. There was a minimal change in the real-ear unaided response when the open-ear FM receiver was placed into the ear. Use of the FM system on one or both ears resulted in significantly better speech recognition in noise relative to a no-FM condition, and the unilateral and bilateral FM receivers resulted in a comfortably loud signal when listening in background noise. Real-ear measures are critical for obtaining an appropriate fit of an FM system on children with normal hearing. American Academy of Audiology.

SMART syndrome (stroke-like migraine attacks after radiation therapy) in adult and pediatric patients.

PubMed

Armstrong, Amy E; Gillan, Eileen; DiMario, Francis Joseph

2014-03-01

SMART syndrome (stroke-like migraine attacks after radiation therapy) is a rare condition that involves complex migraines with focal neurologic findings in patients following cranial irradiation for central nervous system malignancies. Little is known about the mechanisms behind the disorder, making successful treatment challenging. We report 2 new cases of SMART syndrome in pediatric patients as well as review all documented cases of the syndrome. Each of our 2 pediatric patients suffered multiple episodes. Attacks were characterized by severe headache, visual disturbance, aphasia, and weakness. Recovery occurred over several days to weeks. The data from all documented reports of SMART syndrome indicate a greater prevalence for male gender. An age-dependent pattern of onset was also observed, with a greater variability of syndrome onset in patients who received cranial irradiation at a younger age. SMART appears to be a reversible, recurrent long-term complication of radiation therapy with possible age- and gender-related influences.

[Sustainability focus in the health plans of the autonomous communities: sustainable development as an opportunity].

PubMed

Moyano-Santiago, Miguel A; Rivera-Lirio, Juana M

2016-01-01

To determine the degree to which the health plans of the autonomous communities focus on the usual three dimensions of sustainability: economic, social and environmental, both in the general level of discourse and in the different areas of intervention. A qualitative study was conducted through content analysis of a large sample of documents. The specific methodology was analysis of symbolic and operational sensitivity in a sample of eleven health plans of the Spanish state. Social aspects, such as social determinants or vulnerable groups, are receiving increasing attention from the health planner, although there is room to strengthen attention to environmental issues and to provide specific interventions in economic terms. The analysis demonstrates the incipient state of health plans as strategic planning documents that integrate economic, social and environmental aspects and contribute to the sustainability of the different health systems of the country. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Effect of discharge instructions on readmission of hospitalised patients with heart failure: do all of the Joint Commission on Accreditation of Healthcare Organizations heart failure core measures reflect better care?

PubMed Central

VanSuch, Monica; Naessens, James M; Stroebel, Robert J; Huddleston, Jeanne M; Williams, Arthur R

2006-01-01

Background Most nationally standardised quality measures use widely accepted evidence‐based processes as their foundation, but the discharge instruction component of the United States standards of Joint Commission on Accreditation of Healthcare Organizations heart failure core measure appears to be based on expert opinion alone. Objective To determine whether documentation of compliance with any or all of the six required discharge instructions is correlated with readmissions to hospital or mortality. Research design A retrospective study at a single tertiary care hospital was conducted on randomly sampled patients hospitalised for heart failure from July 2002 to September 2003. Participants Applying the Joint Commission on Accreditation of Healthcare Organizations criteria, 782 of 1121 patients were found eligible to receive discharge instructions. Eligibility was determined by age, principal diagnosis codes and discharge status codes. Measures The primary outcome measures are time to death and time to readmission for heart failure or readmission for any cause and time to death. Results In all, 68% of patients received all instructions, whereas 6% received no instructions. Patients who received all instructions were significantly less likely to be readmitted for any cause (p = 0.003) and for heart failure (p = 0.035) than those who missed at least one type of instruction. Documentation of discharge instructions is correlated with reduced readmission rates. However, there was no association between documentation of discharge instructions and mortality (p = 0.521). Conclusions Including discharge instructions among other evidence‐based heart failure core measures appears justified. PMID:17142589

Natural Language Processing–Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study

PubMed Central

Sheehan, Barbara; Stetson, Peter; Bhatt, Ashish R; Field, Adele I; Patel, Chirag; Maisel, James Mark

2016-01-01

Background The process of documentation in electronic health records (EHRs) is known to be time consuming, inefficient, and cumbersome. The use of dictation coupled with manual transcription has become an increasingly common practice. In recent years, natural language processing (NLP)–enabled data capture has become a viable alternative for data entry. It enables the clinician to maintain control of the process and potentially reduce the documentation burden. The question remains how this NLP-enabled workflow will impact EHR usability and whether it can meet the structured data and other EHR requirements while enhancing the user’s experience. Objective The objective of this study is evaluate the comparative effectiveness of an NLP-enabled data capture method using dictation and data extraction from transcribed documents (NLP Entry) in terms of documentation time, documentation quality, and usability versus standard EHR keyboard-and-mouse data entry. Methods This formative study investigated the results of using 4 combinations of NLP Entry and Standard Entry methods (“protocols”) of EHR data capture. We compared a novel dictation-based protocol using MediSapien NLP (NLP-NLP) for structured data capture against a standard structured data capture protocol (Standard-Standard) as well as 2 novel hybrid protocols (NLP-Standard and Standard-NLP). The 31 participants included neurologists, cardiologists, and nephrologists. Participants generated 4 consultation or admission notes using 4 documentation protocols. We recorded the time on task, documentation quality (using the Physician Documentation Quality Instrument, PDQI-9), and usability of the documentation processes. Results A total of 118 notes were documented across the 3 subject areas. The NLP-NLP protocol required a median of 5.2 minutes per cardiology note, 7.3 minutes per nephrology note, and 8.5 minutes per neurology note compared with 16.9, 20.7, and 21.2 minutes, respectively, using the Standard-Standard protocol and 13.8, 21.3, and 18.7 minutes using the Standard-NLP protocol (1 of 2 hybrid methods). Using 8 out of 9 characteristics measured by the PDQI-9 instrument, the NLP-NLP protocol received a median quality score sum of 24.5; the Standard-Standard protocol received a median sum of 29; and the Standard-NLP protocol received a median sum of 29.5. The mean total score of the usability measure was 36.7 when the participants used the NLP-NLP protocol compared with 30.3 when they used the Standard-Standard protocol. Conclusions In this study, the feasibility of an approach to EHR data capture involving the application of NLP to transcribed dictation was demonstrated. This novel dictation-based approach has the potential to reduce the time required for documentation and improve usability while maintaining documentation quality. Future research will evaluate the NLP-based EHR data capture approach in a clinical setting. It is reasonable to assert that EHRs will increasingly use NLP-enabled data entry tools such as MediSapien NLP because they hold promise for enhancing the documentation process and end-user experience. PMID:27793791

Natural Language Processing-Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study.

PubMed

Kaufman, David R; Sheehan, Barbara; Stetson, Peter; Bhatt, Ashish R; Field, Adele I; Patel, Chirag; Maisel, James Mark

2016-10-28

The process of documentation in electronic health records (EHRs) is known to be time consuming, inefficient, and cumbersome. The use of dictation coupled with manual transcription has become an increasingly common practice. In recent years, natural language processing (NLP)-enabled data capture has become a viable alternative for data entry. It enables the clinician to maintain control of the process and potentially reduce the documentation burden. The question remains how this NLP-enabled workflow will impact EHR usability and whether it can meet the structured data and other EHR requirements while enhancing the user's experience. The objective of this study is evaluate the comparative effectiveness of an NLP-enabled data capture method using dictation and data extraction from transcribed documents (NLP Entry) in terms of documentation time, documentation quality, and usability versus standard EHR keyboard-and-mouse data entry. This formative study investigated the results of using 4 combinations of NLP Entry and Standard Entry methods ("protocols") of EHR data capture. We compared a novel dictation-based protocol using MediSapien NLP (NLP-NLP) for structured data capture against a standard structured data capture protocol (Standard-Standard) as well as 2 novel hybrid protocols (NLP-Standard and Standard-NLP). The 31 participants included neurologists, cardiologists, and nephrologists. Participants generated 4 consultation or admission notes using 4 documentation protocols. We recorded the time on task, documentation quality (using the Physician Documentation Quality Instrument, PDQI-9), and usability of the documentation processes. A total of 118 notes were documented across the 3 subject areas. The NLP-NLP protocol required a median of 5.2 minutes per cardiology note, 7.3 minutes per nephrology note, and 8.5 minutes per neurology note compared with 16.9, 20.7, and 21.2 minutes, respectively, using the Standard-Standard protocol and 13.8, 21.3, and 18.7 minutes using the Standard-NLP protocol (1 of 2 hybrid methods). Using 8 out of 9 characteristics measured by the PDQI-9 instrument, the NLP-NLP protocol received a median quality score sum of 24.5; the Standard-Standard protocol received a median sum of 29; and the Standard-NLP protocol received a median sum of 29.5. The mean total score of the usability measure was 36.7 when the participants used the NLP-NLP protocol compared with 30.3 when they used the Standard-Standard protocol. In this study, the feasibility of an approach to EHR data capture involving the application of NLP to transcribed dictation was demonstrated. This novel dictation-based approach has the potential to reduce the time required for documentation and improve usability while maintaining documentation quality. Future research will evaluate the NLP-based EHR data capture approach in a clinical setting. It is reasonable to assert that EHRs will increasingly use NLP-enabled data entry tools such as MediSapien NLP because they hold promise for enhancing the documentation process and end-user experience. ©David R. Kaufman, Barbara Sheehan, Peter Stetson, Ashish R. Bhatt, Adele I. Field, Chirag Patel, James Mark Maisel. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 28.10.2016.

Performance indicators for maternity care in a circumpolar context: a scoping review

PubMed Central

Rich, Rebecca; D'Hont, Thomsen; Linton, Janice; Murphy, Kellie E.; Veillard, Jeremy; Chatwood, Susan

2016-01-01

Background In circumpolar regions, harsh climates and scattered populations have prompted the centralization of care and reduction of local maternity services. The resulting practice of routine evacuation for birth from smaller towns to larger urban centres points to a potential conflict between the necessity to ensure patient safety and the importance of delivering services that are responsive to the health needs and values of populations served. Objective To identify recommended performance/quality indicators for use in circumpolar maternity care systems. Methods We searched Scopus, Ebscohost databases (including Academic Search Complete and CINAHL), the Global Health Database, High North Research Documents, and online grey literature. Articles were included if they focused on maternal health indicators in the population of interest (Indigenous women, women receiving care in circumpolar or remote regions). Articles were excluded if they were not related to pregnancy, birth or the immediate post-partum or neonatal periods. Two reviewers independently reviewed articles for inclusion and extracted relevant data. Results Twenty-six documents were included. Twelve were government documents, seven were review articles or indicator compilations, four were indicator sets recommended by academics or non-governmental organizations and three were research papers. We extracted and categorized 81 unique health indicators. The majority of indicators reflected health systems processes and outcomes during the antenatal and intra-partum periods. Only two governmental indicator sets explicitly considered the needs of Indigenous peoples. Conclusions This review demonstrates that, although most circumpolar health systems engage in performance reporting for maternity care, efforts to capture local priorities and values are limited in most regions. Future work in this area should involve northern stakeholders in the process of indicator selection and development. PMID:27938636

Performance indicators for maternity care in a circumpolar context: a scoping review.

PubMed

Rich, Rebecca; D'Hont, Thomsen; Linton, Janice; Murphy, Kellie E; Veillard, Jeremy; Chatwood, Susan

2016-01-01

In circumpolar regions, harsh climates and scattered populations have prompted the centralization of care and reduction of local maternity services. The resulting practice of routine evacuation for birth from smaller towns to larger urban centres points to a potential conflict between the necessity to ensure patient safety and the importance of delivering services that are responsive to the health needs and values of populations served. To identify recommended performance/quality indicators for use in circumpolar maternity care systems. We searched Scopus, Ebscohost databases (including Academic Search Complete and CINAHL), the Global Health Database, High North Research Documents, and online grey literature. Articles were included if they focused on maternal health indicators in the population of interest (Indigenous women, women receiving care in circumpolar or remote regions). Articles were excluded if they were not related to pregnancy, birth or the immediate post-partum or neonatal periods. Two reviewers independently reviewed articles for inclusion and extracted relevant data. Twenty-six documents were included. Twelve were government documents, seven were review articles or indicator compilations, four were indicator sets recommended by academics or non-governmental organizations and three were research papers. We extracted and categorized 81 unique health indicators. The majority of indicators reflected health systems processes and outcomes during the antenatal and intra-partum periods. Only two governmental indicator sets explicitly considered the needs of Indigenous peoples. This review demonstrates that, although most circumpolar health systems engage in performance reporting for maternity care, efforts to capture local priorities and values are limited in most regions. Future work in this area should involve northern stakeholders in the process of indicator selection and development.

Performance indicators for maternity care in a circumpolar context: a scoping review.

PubMed

Rich, Rebecca; D'Hont, Thomsen; Linton, Janice; Murphy, Kellie E; Veillard, Jeremy; Chatwood, Susan

2016-01-01

Background In circumpolar regions, harsh climates and scattered populations have prompted the centralization of care and reduction of local maternity services. The resulting practice of routine evacuation for birth from smaller towns to larger urban centres points to a potential conflict between the necessity to ensure patient safety and the importance of delivering services that are responsive to the health needs and values of populations served. Objective To identify recommended performance/quality indicators for use in circumpolar maternity care systems. Methods We searched Scopus, Ebscohost databases (including Academic Search Complete and CINAHL), the Global Health Database, High North Research Documents, and online grey literature. Articles were included if they focused on maternal health indicators in the population of interest (Indigenous women, women receiving care in circumpolar or remote regions). Articles were excluded if they were not related to pregnancy, birth or the immediate post-partum or neonatal periods. Two reviewers independently reviewed articles for inclusion and extracted relevant data. Results Twenty-six documents were included. Twelve were government documents, seven were review articles or indicator compilations, four were indicator sets recommended by academics or non-governmental organizations and three were research papers. We extracted and categorized 81 unique health indicators. The majority of indicators reflected health systems processes and outcomes during the antenatal and intra-partum periods. Only two governmental indicator sets explicitly considered the needs of Indigenous peoples. Conclusions This review demonstrates that, although most circumpolar health systems engage in performance reporting for maternity care, efforts to capture local priorities and values are limited in most regions. Future work in this area should involve northern stakeholders in the process of indicator selection and development.

75 FR 15756 - Small Business Innovation Research Program Policy Directive

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-30

...This document announces a final amendment to the Small Business Innovation Research (SBIR) Program Policy Directive (PD). This amendment adjusts the SBIR Program award threshold amounts to offset the effect of inflation. This document also considers the public comments received in response to SBA's Notice of Proposed Amendment to the Policy Directive, which was published in the Federal Register on August 15, 2008.

Interactive degraded document enhancement and ground truth generation

NASA Astrophysics Data System (ADS)

Bal, G.; Agam, G.; Frieder, O.; Frieder, G.

2008-01-01

Degraded documents are frequently obtained in various situations. Examples of degraded document collections include historical document depositories, document obtained in legal and security investigations, and legal and medical archives. Degraded document images are hard to to read and are hard to analyze using computerized techniques. There is hence a need for systems that are capable of enhancing such images. We describe a language-independent semi-automated system for enhancing degraded document images that is capable of exploiting inter- and intra-document coherence. The system is capable of processing document images with high levels of degradations and can be used for ground truthing of degraded document images. Ground truthing of degraded document images is extremely important in several aspects: it enables quantitative performance measurements of enhancement systems and facilitates model estimation that can be used to improve performance. Performance evaluation is provided using the historical Frieder diaries collection.1

Implementing a Fee-for-Service Cervical Cancer Screening and Treatment Program in Cameroon: Challenges and Opportunities.

PubMed

DeGregorio, Geneva; Manga, Simon; Kiyang, Edith; Manjuh, Florence; Bradford, Leslie; Cholli, Preetam; Wamai, Richard; Ogembo, Rebecca; Sando, Zacharie; Liu, Yuxin; Sheldon, Lisa Kennedy; Nulah, Kathleen; Welty, Thomas; Welty, Edith; Ogembo, Javier Gordon

2017-07-01

Cervical cancer screening is one of the most effective cancer prevention strategies, but most women in Africa have never been screened. In 2007, the Cameroon Baptist Convention Health Services, a large faith-based health care system in Cameroon, initiated the Women's Health Program (WHP) to address this disparity. The WHP provides fee-for-service cervical cancer screening using visual inspection with acetic acid enhanced by digital cervicography (VIA-DC), prioritizing care for women living with HIV/AIDS. They also provide clinical breast examination, family planning (FP) services, and treatment for reproductive tract infection (RTI). Here, we document the strengths and challenges of the WHP screening program and the unique aspects of the WHP model, including a fee-for-service payment system and the provision of other women's health services. We retrospectively reviewed WHP medical records from women who presented for cervical cancer screening from 2007-2014. In 8 years, WHP nurses screened 44,979 women for cervical cancer. The number of women screened increased nearly every year. The WHP is sustained primarily on fees-for-service, with external funding totaling about $20,000 annually. In 2014, of 12,191 women screened for cervical cancer, 99% received clinical breast exams, 19% received FP services, and 4.7% received treatment for RTIs. We document successes, challenges, solutions implemented, and recommendations for optimizing this screening model. The WHP's experience using a fee-for-service model for cervical cancer screening demonstrates that in Cameroon VIA-DC is acceptable, feasible, and scalable and can be nearly self-sustaining. Integrating other women's health services enabled women to address additional health care needs. The Cameroon Baptist Convention Health Services Women's Health Program successfully implemented a nurse-led, fee-for-service cervical cancer screening program using visual inspection with acetic acid-enhanced by digital cervicography in the setting of a large faith-based health care system in Cameroon. It is potentially replicable in many African countries, where faith-based organizations provide a large portion of health care. The cost-recovery model and concept of offering multiple services in a single clinic rather than stand-alone "silo" cervical cancer screening could provide a model for other low-and-middle-income countries planning to roll out a new, or make an existing, cervical cancer screening services accessible, comprehensive, and sustainable. © AlphaMed Press 2017.